PERSON CENTERED COMMUNITY INTEGRATED HOME CARE
Surprisingly home care service provision is unregulated. Anyone can enter the market place and set up without experience. Research into competition in the private home care market suggests this leads to high levels of price competition and a lack of investment in service quality and standards. People appear unable to discern just what it is they should be paying for.
We believe that the optimal model of care in the community is one that properly addresses the clinical, the personal support needs and the much wider social and emotional needs of the individual. In fact, failure to address social and emotional needs of those living with complex care needs is one of the most pressing issues of our time. Many services are overly focused on the task and are unable or unwilling to invest in person centered processes.
A person centered approach is much more than just listening to the person. It requires a commitment to knowing the person, to meaningful conversation, to interaction with interests, activities and where possible the wider community. This all requires investment in process, culture, training and standards throughout the organisation. Knowledge of the wider supports and services and opportunity for meaningful engagement with com- munity is also essential to providing care for more than ailments and illnesses alone. Research supports the importance of addressing social and emotional needs in the care model for quality of life and well-being.
Another important element of the care model is ongoing oversight of care and adjustment of care plans, keeping up to date with clients, families and collaborating with healthcare and service professionals. Experienced and knowledgeable central oversight should emphasise knowledge and training in dementia, end of life, palliative care, frailty and other important areas.
Merely focusing on price as opposed to the wider model of care offered by a service provider misses the point. The person as a whole has to be placed at the centre of care and complex needs especially require ongoing experienced, knowledgeable and effective oversight.
Jane Teasdale & Nathalie Anderson BIO Jane Teasdale and Nathalie Anderson are directors and owners of Mosaic Home Care and Community Resource Centres. Mosaic provides an internationally recognised model of person centered, community integrated home care and has presented on their model of care at the recent NICE conference in April and the Global IFA conference this August in Toronto.