A proactive approach in bringing care professionals and providers together around the needs of service users to ensure that people receive integrated and person-focused care across various settings.

The degree to which a series of discrete health care events is experienced by people as coherent and interconnected over time, and consistent with their health needs and preferences.

The process of supporting people and communities to take control of their own health needs resulting, for example, in the uptake of healthier behaviours or the ability to selfmanage illnessesght choose to include some helpful follow-up information.

An individual care plan is developed through contributions from all relevant disciplines based on a comprehensive assessment and understanding of the individual’s needs and preferences; involving their significant others. 

The management and delivery of health services such that people receive a continuum of health promotion, disease prevention, diagnosis, treatment, diseasemanagement, rehabilitation and palliative care services, through the different levels and sites of care within the health system, and according to their needs throughout the life course.

Multidisciplinary care occurs when professionals from a range of disciplines work together to deliver comprehensive care that addresses as many of the person’s needs as possible.

A multidisciplinary team is a diverse group of professionals working together to give high-quality care and coordinated care to patients or person. The multidisciplinary team aim to deliver person-centred and coordinated care and support for the person with care needs.

Talking with the person. Planning with the person. Focused on strengths, abilities, skills. Finding solutions that could work for anyone, preferably community based. Things are done that way because they work for the person. Family and community members are seen as true partners.

Successful examples of person-centered approaches.

Care approaches and practices that see the person as a whole with many levels of needs and goals, with these needs coming from their own personal social determinants of health.

A service focused on each individual´s personality, needs, experience and story.

Talking about the person. Planning for the person. Focused on labels/ diagnosis, deficits. Creating supports based on what works for people with that diagnosis.  Things are done that way because they work for staff or the service. Family members & community seen as peripheral.

Care is focused on medical diagnoses, disability and deficit, using standardized assessments and treatments. Schedules and routines are determined by the facility. Professionals make major decisions about treatment. Work is task oriented. Services are impersonal. Focuses on quality of treatment as defined by regulations and professional standards. The facility lacks a sense of home, potentially leading to a sense of isolation, loneliness and homelessness.