Barriers for implementing PCC
Our society still has a lot of barriers and obstacles for effective PCC provision. Among such barriers, there are: (Dowling, 2006)
the problems of not meeting the goals of personal planning
being limited to services previously available to traditional care users
lack of viable support solutions or services
opposing opinions of major stakeholders
difficulty in scheduling regular meetings
lack of involvement of family members and other close relatives to care process
The procedures of PCC are not established yet, and many patients do no believe they will have access to individualized services or support. Strong stereotypes with regard to disabled people add to this perception.
Personal planning is also a complicated procedure which needs more strict guidelines and clear approach. In the above-mentioned research by Robertson et al. (2007), it appeared that 30% of participants did not receive a personal care plan. It was caused by the lack of trained facilitators, lack of time and staffing issues. It also appeared difficult to enhance the involvement of other people than PCC caregivers, due to reluctance of people of the local community to provide their support and care. Thus, in addition to developing facilities for increased involvement of disabled people into social activities, the attitude and approach of non-disabled people should be addressed.
4. Recommendations for PCC caregivers
A social care practitioner should first of all develop an individual plan of person care and goals of the patient. To accomplish this, several steps can be recommended:
It is necessary to choose a facilitator (sometimes more than one) – someone who would be able to identify the needs of the patient, shape the necessary requirements and help the patient to build community links.
Initial meeting with major stakeholders should take place; the stakeholders may include family members, staff members, consultants, service providers, friends etc.
A schedule of such meetings should be planned, in order to track progress and adjust the plan to the individual needs
During the first meeting strategies for increasing social involvement of the focus person have to be discussed and personal profile of the patient should be formed (or a survey aimed at forming such personal profile can be provided)
Analysis of the information should follow the first meeting, including the review of personal profile, strategic aims and vision of the future
Analysis of potential threats to life and health should take place, as well as the analysis of current situations which could lead to such threats
Overview of obstacles and barriers to implementing person-centered social care should be done
Action plan should be created, identifying the actions which should be done, people responsible for this and next objectives
Progress and identification of changing needs should be continuously done; successes should be always mentioned and even celebrated.
Although PCC is only an emerging issue nowadays, social care practitioners should be aware of its benefits as well as challenges. It’s difficult to overestimate the importance of PCC because it does not only create a new world of possibilities for the patients but also changes the attitude to disabled people and social opportunities available for them.
“Rather than service users fitting into an existing universal service – a ‘one size fits all’ design – services for person with intellectual disability should be designed to fit around the needs of individuals” – this sentence clearly describes the approach of person-centered care. This approach supports the new social model of disability, and provides space for realization of Constitutional rights of every person in the society. It has been shown above that such approach to care allows patients to become more socially involved, protected and can make their lives happier.
At the same time, there are a lot of obstacles and barriers to planning and implementing social care, and practitioners should be aware of this. Practitioners should realize that PCC requires serious commitment of all stakeholders, and in fact represents a complicated art of planning and responding to the person’s needs. The role of health care practitioners goes far beyond the provision of care to the patient, and includes planning care, educating and organizing major stakeholders etc. Providing PCC is a process dealing with a great numbers of factors, and the recommendations provided in this paper can be used as a framework for social care practitioners engaged in person-centered care.
Barriers for implementing PCC