S84: From providing a service to being of service: What is person-centred care?

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By September 27, 2017 No Comments

Authors: Geoffrey Smith, Theresa Williams

Year: 2017

Event: 2017 TheMHS Conference

Subject: Funding – Changing Models, Systems,Change, Innovation, Reform,Policy, Strategy

Type of resource: Conference Presentations and Papers

Abstract: The term ‘person-centred care’ has been widely used in mental health, but there is no generally agreed definition and no clarity about its relationship with the concept of recovery. It has been challenging for mental health services to move beyond the rhetoric of person-centred care, underpinned by its humanistic values, to operationalize the concept.

This presentation sets out explore the concept of person-centred care and its relationship with recovery and to examine the ways that it has been operationalized, focusing particularly on shared decision making and self-directed care, two practices that have significant implications for mental health.

Person-centred care is increasingly being seen as a central component of recovery-orientated practice and is being operationalized within a ‘spectrum’ of new forms of practice based upon varying levels of service-user empowerment. The level of shared decision-making in routine clinical practice is low, as is the uptake of self-directed care by people with mental health problems, despite the promising research support for these practices.

The major barrier to uptake has been staff concerns about the issues of decisional capacity and risk. This highlights the need for further research to address not only practice outcomes but the challenges to implementation.

Learning Objectives
Learning Objective 1: Gain an overview of the concept of person-centred care in mental health and its relationship to recovery.

Learning Objective 2: Gain an understanding of the how it is being operationalised in practice and the challenges to its implementation in mental health.

Smith G, Williams T (2016). From providing a service to being of service: advances in person-centred care in mental health. Current Opinion in Psychiatry, 29:292-297.
Webber M, Treacy S, Carr S, et al (2014). The effectiveness of personal budgets for people with mental health problems: a systematic review. J Ment Health, 23:146–155.

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