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Person-centered practice since 1998

People, in charge of their own lives.

With support as desired, or needed.

I help disability and aging services turn good intentions into good days. Person-centered practice, consulting, training, and Advance Care Planning that keeps the person at the center, during any part of their life, including the end of life.

It starts with a short conversation. No fee, and no package to buy.

Leigh Ann Kingsbury, smiling, standing in a sunlit brick colonnade
Leigh Ann KingsburyNew Bern, NC

In partnership with

The gap we close

A good policy and a good day are not the same thing.

Systems use all the right words. Person-centered. Dignity of risk. Self-determination. The hard part is making them true on someone's actual Tuesday.

That's where I come in. I stand in the space between policy and practice, between a plan on paper and the life someone actually lives. Some days that's coaching a team through a hard situation. Some days it's training staff or facilitators, or supporting implementation of the final Settings Rule, or helping a person say what matters to them at the end of life.

Every time, it comes down to keeping the person at the center instead of the system.

  • Group facilitation
  • HCBS policy and practice
  • Community partner and collaborator engagement
  • Person-Centered Thinking training, coaching, and trainer certification
  • Advance Care Planning policy, practice, and training
A minute with me

Rather hear it from me?

A short introduction to who I am, how I got here, and what to expect if we team up.

have a listen

How I think about support

Balancing what's important to a person with what's important for them.

This is the heart of Essential Lifestyle Planning, the method I helped build in the late 1980s, and the core foundation of Person-Centered Thinking. Good support means always striving for balance between both sides. Most plans that fail have missed the balance.

Important to

What matters to the person.

The people, routines, rituals, activities, belongings, that each person values, even the ones the rest of us wouldn't choose. Their voice, their life, their call.

Important for

What helps them stay healthy and safe, on their terms.

Health, safety, and being a welcome part of a community. Real, and never a reason to quietly take a person's life out of their own hands.

The whole job is holding the tension between them and finding balance.

Black-and-white photograph of three brothers seen from behind in a grand station hall, the two standing brothers each holding a hand of their brother seated in his wheelchair
Three brothers, hand in hand. Shared with love, in memory of the brother in the middle.In memory

How it goes

You're the customer. It starts with you.

No fixed packages and no pressure. Here's how it goes, from the first conversation to something that lasts.

01

A conversation

We start with a short talk about what you're dealing with and what a good outcome would look like. There's no fee for it. You're the customer, so it starts from your needs, not from a package I'm trying to sell.

02

A plan built for you

One-time event or a longer partnership? In person, virtual, or both? We figure out an approach that fits, and you see a clear proposal before anything starts.

03

Implementation with follow-through

I bring structure and stay flexible, because the path usually shifts along the way. We build in follow-up so the change holds after I leave.

Leigh Ann Kingsbury leading an Advance Care Planning session, with a California Advance Health Care Directive shown on a screen
An Advance Care Planning training session.From the field

The person behind InLeadS

I've spent a career making person-centered practice real.

In the late 1980s I helped develop Essential Lifestyle Planning, one of the first formal person-centered planning methods, as people were moving out of state institutions. I wrote a national guide to communicating healthcare and end-of-life wishes. For more than 30 years I've helped families, providers, and governments do this well.

Behavior is communication.

It is a phrase at the center of everything I do, and a debt to the late Dr. Shelley Dumas and her daughter Katherine, who the capital S in InLeadS honors. When a plan is not working, the person is usually telling us something no one has listened to yet. My job is to listen, and then to help the team build something that fits.

In their words

Trusted by the people who do this work

Facilitators, planners, and national organizations on what it's like to learn and work alongside Leigh Ann.

Not only is she a great resource to learn from for person-centered planning, but she was also easy to learn from as a facilitator, and a trainer.
Rachel Grimm
National Down Syndrome Society
Leigh Ann creates an accessible, thoughtful learning environment. She weaves relevant personal experience into her teaching.
Havi Martinez
Certified Support Planner, Person-Centered Planner and Parent
Leigh Ann was gracious with her time, managed schedules and demonstrated natural leading qualities.
Steve Fey
Roeing IT Solutions

Selected projects

What it looks like in practice

A snapshot of current engagements with states and provider organizations.

All projects
Indiana Division of Aging·Since 2015

HCBS Settings Rule consultation and support

I've supported the Indiana Division of Aging in several capacities since 2015. Right now I'm partnering with the Division and its staff on compliance with the CMS Settings Rule, turning federal requirements into person-centered practice on the ground.

  • Person-centered planning
  • Dignity of risk
  • Rights modifications
  • Person-centered service planning
Community Alternatives of North Carolina

Operationalizing person-centered practices

This engagement is broadly about operationalizing good person-centered practices in the day-to-day lives of people with disabilities. More specifically, it's about helping people get better lives. I support the provider agency to develop specialized supports and to treat behavior as communication.

  • Provider agency support
  • Specialized supports
  • Behavior as communication
Start here

Let's start with a conversation.

It starts with a short conversation about what you're facing. No fee, no pressure, and no package to buy. We'll figure out together whether I'm the right fit.