Thinking about risk: a person centered approach to risk assessment and management.

Written by Michael W. Smull

We cannot eliminate risk but we can manage it. But how we manage risk is determined by how we think about it. This paper explores some of the key concepts and approaches in risk assessment and risk management

Date: July 2013



Importance of the Enviroment

Written by Michael W. Smull & Mary Lou Bourne

This article describes a simple but powerful framework that helps us think about the environments in which people live. Using the continuum – from toxic to healing – helps us see where we need to address issues in the environment and how to better support people.

Date: May 2012



Importance of Language- Part 1

Written by Michael W. Smull

Date: January 2012



Moving to a System of Support: Using Support Brokerage

Written by Michael W. Smull & Gary Smith

The first article to describe support brokerage.

A system of support requires first learning how people want to live and then providing resources necessary to make these wants a reality. It requires empowerment of people, shared control, and flexibility to change, adapt and grow. To maintain a system of support, continual learning is spread and shared internal and external to the systerm.

Date: 07/1994



Becoming a Person Centered System

A brief overview

Date: 04/2009



Crisis in the Community

Burgeoning waiting lists, rising service costs, growing concerns about the quality of services, tight state budgets, high community worker turnover. These problems are surfacing In a growing number of state developmental disabilities service delivery systems.

Date: 02/1989



A Crisis is Not An Excuse

In a crisis culture there is no time for thought about real solutions, and the cycle of having today’s temporary solutions adding to tomorrow’s crises is maintained.



Listen, Learn, Act

Selected Writings by Michael W. Smull on Essential Lifestyle Planning, Self-Determination, and Organizational Change. Includes the following articles: Person Centered Planning: Should We Do It With Everyone?; The Importance of Partnerships; Before You Plan; The Structure of the Plan; A Plan Is Not An Outcome; After the Plan; Changing from Programs to Supports; Thinking About the Roles of the Support Broker; Some Characteristics of a System of Support; and, Some Thoughts from the Field: Invited Commentary on Articles on Self-Determination




Positive Rituals and Quality of Life

We give daily rituals and habit scant conscious attention as they ease us through our days. Perhaps it is the absence of conscious attention that has led us to neglect the role of ritual in the quality of life of people with disabilities.




Volviendo a Visitar La Opción Parta 1 Parta 2

“La opción” él la palabra más poderosa y el la mayoría abusó la palabra en el léxico actual del sistema de servicio de incapacidades.




Volviendo a Visitar La Opción Parta 1 Parta 2 (two documents)

“La opción” él la palabra más poderosa y el la mayoría abusó la palabra en el léxico actual del sistema de servicio de incapacidades.




Revisiting Choice Parts 1 and 2 (single document)

Choice is the most powerful word and the most abused word in the current lexicon of the disabilities services system. For some people choice means that how they want to live has been discovered and carefully supported. For others choice is an excuse or the basis of a bizarre rationalization.




Thinking About Support Broker Roles

Article from Impact newsletter, 1999





Applications of Person Centered Planning in the Communication of End-Of-Life

Wishes With People Who Have Developmental Disabilities

Written by Leigh Ann Kingsbury. As more and more people with developmental disabilities are living to old age, the need to think about end-of-life planning, including wishes about extraordinary treatment, advanced directives and health care agents/proxies increases.