Regional planning for meaningful person-centred care in mental health: context is the signal not the noise.

Regional planning for meaningful person-centred care in mental health: context is the signal not the noise.
Epidemiol Psychiatr Sci. 2020 Feb 24;29:e104
Authors: Rock D, Cross SP
Abstract
Person-centred care is at the core of a value-based health system. Its transformative potential is to enable and support key policy, planning and service developments across the system even when these go against the self-interest of individual major players. It offers a potent test for decision makers at all levels. It demands responses that are multi-level, empirically grounded, expert-informed and data-driven that must converge on the singularity of individuals in the places that they live. This requires different approaches that recognise, respect and reconcile two necessary but constitutionally disparate perspectives: the bureaucratic, overtly decontextualised, top-down, policy and planning objectives of central governments and the formally complex, dynamic and contextualised experience of individuals in the system. Conflating the latter with the former can lead unwittingly to a pervasive and reductive form of quasi-Taylorism that nearly always creates waste at the expense of value. This has parallel application in the treatment domain where outcomes are non-randomly clustered and partitioned by socioeconomic status, amplifying unwarranted variation by place that is striking in its magnitude and heterogeneity. In this paper, we propose that a co...

Source: Epidemiology and Psychiatric Sciences - February 25, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research