Person-Directed Care and Recovery Overview

Introduction

The person-directed care approach sees the person as an individual whose goals and choices drive support and care. Person-directed care focuses on abilities, not what a person can't do.

Objectives

  1. Describe ways to practice person-directed care.
  2. Define recovery as used in Texas OASIS HCBS.
  3. Use a strength grid to create a person-directed service, support, and care plan.
  4. Describe supported decision-making.

Warm Up

In order to fully appreciate person-directed care, it helps to note the difference between traditional care models and that of person-directed care. Listed below is a comparison between a traditional model of care and a person-directed model.

As you read each item, take a moment to consider the model of care you provide. Reflect on where it falls on the spectrum of care, from a traditional approach to one that is more person-directed.

Clinical (Traditional) Care

  • Focus is on diagnosis, disability, deficit, identified through formal assessments.
  • Professionals make major decisions about treatment.
  • The person is a client of the service system and treatment is given in service settings.
  • Prerequisite skills needed to move to a less restrictive service setting are defined.
  • Services are impersonal, caregivers are interchangeable.
  • Focus is on quality of treatment as defined by regulations and professional standards.

Person-Directed Care

  • Focus is on the person and their individual capacities and interests. Disability is one characteristic, but not a defining one.
  • The person and their support network make decisions, seeking advice when needed.
  • The person is a citizen and is supported to participate in the community life with fellow citizens.
  • Assume inclusion and provide necessary support.
  • Individual relationships with care providers are recognized and respected.
  • Focus is on quality of life as defined by the person.

STAR+PLUS

Another way that care is changing is to have more managed care. Texas’ STAR+PLUS Program is an excellent example of how to optimize self-direction in a managed-care world.

Texas’ STAR+PLUS program is highlighted in the LTSS Scorecard Using Innovative Strategies to Expand Options for Self-Direction.

Check out this PDF for more information:

AARP1122_PP_SelfDirection_WEB.pdf