Implementing person-centered care in psychiatric rehabilitation: what does this involve?

Isr J Psychiatry Relat Sci. 2009;46(2):84-93.

Abstract

Background: It has been challenging to move beyond the rhetoric of "recovery" and "person-centered care" to concrete practices that embody these lofty, if also obvious, values.

Method: This paper describes two examples of person-centered care: the practices of person-centered care planning from the U.S. and Open Dialogue from Finland.

Results: The key strategies that these two practices involve are 1) reorientation from patient to personhood; 2) reorientation of what is considered valued knowledge and expertise, and; 3) partnership and negotiation in decision-making.

Limitations: This review focused on two examples of person-centered care which appear to be promising. Preliminary findings will need to be replicated and elaborated for such practices to be considered evidence-based.

Conclusion: It is possible to embody the values of person-centered care and recovery in everyday clinical and rehabilitative practice. A primary shift involved is in the role of patients and their family, friends, and peers and in the importance accorded their everyday life experiences and challenges.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Community Mental Health Services / organization & administration*
  • Cross-Cultural Comparison
  • Finland
  • Health Plan Implementation / organization & administration*
  • Humans
  • Patient Participation
  • Patient Satisfaction
  • Patient-Centered Care / organization & administration*
  • Psychotic Disorders / rehabilitation*
  • United States