Patient-Centered Care and Psychiatric Rehabilitation: What’s the Connection?
DOI:
https://doi.org/10.61841/t2kjpx09Keywords:
health care,, psychosocial rehabilitation,, patient-centered care,, recoveryAbstract
Why should psychiatric rehabilitation practitioners take notice of the idea of patient-centered care? After all, it seems to be updated language describing the same old medical model of care provision, with the physician in charge and everyone else, including the patient, following in lock-step behind. Leplege et al. (2007) have noted that psychiatric rehabilitation practitioners have studiously avoided use of the term “patient-centered care.” This may be because of the fact that patient-centered care does in some ways seem to keep the doctor in charge, despite rhetoric about enabling and empowering patients. The literature describing and advocating for the use of patient-centered care has been dominated by physicians and others working in medical settings, who refer to consumers of health care as “patients” and seem to keep control of health care processes in the hands of doctors. We in community mental health may see ourselves as better than that—we put our ideas about em- powerment into practice, instead of just talking about them, right?
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References
Agency for Healthcare Research and Quality (2009). National Healthcare Quality Report, 2009. Retrieved April 29, 2010 from http://www.ahrq.gov/qual/nhqr09/
Anthony, W., Cohen, M., Farkas, M., & Gagne, C. (2002). Psychiatric rehabilitation (2nd ed.). Boston: Center for Psychiatric Rehab- ilitation.
Anthony, W. A., & Huckshorn, K. A. (2008). Principled leadership in mental health systems and programs. Boston: Center for Psy- chiatric Rehabilitation.
Balint, E. (1969). The possibilities of patient-centered medicine. Journal of the Royal College of General Practitioners, 17, 269-276.
Bechtel, C., & Ness. D. L. (2010). If you build it, will they come? Designing truly patient-centered health care. Health Affairs, 29 (5), 914-920.
Cleary, P. D., Edgman-Levitan, S., Roberts, M., Moloney, T. W., McMullen, W., Walker, J. D.,& Delbanco, T. L. (1991). Patients evaluate their hospital care: A national survey.
Health Affairs, 10, 254-267.
Cnaan, R. A., & Blankertz, L. (1990). Experts’ assessment of psychosocial rehabilitation principles. Psychosocial Rehabilitation Journal, 13 (3), 59-74.
Corrigan, P. W. (2003). Towards an integrated, structural model of psychiatric rehabilitation.Psychiatric Rehabilitation Journal, 26 (4), 346-358.
Corrigan, P. W., Watson, A. C., Byrne, P., & Davis, K. E. (2005). Mental illness stigma: Problem of public health or social justice? Social Work, 50 (4), 363-368.
Gerteis, M., Edgman-Levitan, S., Daley, J., & Delbanco, T. (eds). (1993). Through the patient’s eyes: Understanding and promoting patient-centered care. San Francisco: Jossey-Bass.
Institute of Medicine. Committee on Quality Health Care in America (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: Author
Institute of Medicine. Committee on Crossing the Quality Chasm: Adaptation to Mental Health and Addictive Disorders (2006). Im- proving the quality of health care for mental and
substance-use disorders. Washington, DC: Author.
Leplege, A., Gzil, F., Cammelli, M., Lefeve, C., Pachoud, B., & Ville, I. (2007). Person-centredness: Conceptual and historical per- spectives. Disability and Rehabilitation, 29 (20-21), 1555-1565.
Levenstein, J. H., McCracken, E. C., McWhinney, I. R., Stewart, M. A. & Brown, J. B. (1986). The patient-centred clinical method. 1. A model for the doctor-patient interaction in family medicine. Family Practice, 3 (1), 24-30.
Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change. (2nd ed.). New York: Guilford Press.
Picker Institute. (2010). Welcome to Picker Institute. Retrieved May 5, 2010 from http://www.pickerinstitute.org/about/about.html
Pincus, H. A., Page, A.E.K., Druss, B., Appelbaum, P. S., Gottlieb, G., & England, M. J. (2007). Can psychiatry cross the quality chasm? Improving the quality of health care for mental and substance use conditions. American Journal of Psychiatry, 164 (5), 712- 719.
Rooney, G. (2009). Oppression and involuntary clients. In Rooney, R. H. (ed.). Strategies for work with involuntary clients (2nd ed.) . New York: Columbia University Press.
Sharfstein, S., & Dickerson, F., (2006). Psychiatry and the consumer movement. Health Affairs, 25 (3), 734-736.
Tomes, N. (2010). The patient as a policy factor: A historical case study of the consumer/survivor movement in mental health. Health Affairs, 25 (3), 720-729.
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