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International advances in self-direction: themes from a disability leadership exchange.
- Source :
- Journal of Integrated Care; 2021, Vol. 29 Issue 3, p295-305, 11p
- Publication Year :
- 2021
-
Abstract
- Purpose: Self-direction–also known as participant direction, personalization and self-directed care–is a service delivery model that enables people to manage their personal budget and purchase services and supports tailored to their needs based on a person-centered plan. This paper, the outcome of an international learning exchange on self-direction, describes approaches across four countries' successful strategies, unresolved questions and recommendations to enhance self-direction globally. Design/methodology/approach: The findings are a product of discussions at the 2019 International Initiative for Mental Health Leadership and International Initiative for Disability Leadership Exchange on Advances in Self-Direction. Participants included people who are self-directing, providers and caregivers who support people who are self-directing, advocates, fiscal agents and public managers who administer self-direction from the United States, England, Australia and New Zealand. Findings: In all four countries, people who self-direct exercise high levels of choice and control and are able to individualize their services and supports to promote a good life in the community. The exchange also revealed challenges and possible solutions to improve and expand self-direction. Practical implications: The results of the meeting provide guidance for public managers, providers and advocates for initiating and expanding self-direction. Originality/value: This international meeting was a unique opportunity to compare self-direction across four different countries and across multiple perspectives, including people with disabilities, caregivers, providers and administrators. [ABSTRACT FROM AUTHOR]
- Subjects :
- MEETINGS
INTERNATIONAL relations
CAREGIVERS
PATIENT advocacy
SOCIAL support
LEADERSHIP
PATIENT-centered care
MENTAL health
MEDICAL care
AUTODIDACTICISM
PATIENTS' attitudes
EXPERIENCE
INTERPROFESSIONAL relations
DECISION making
PEOPLE with disabilities
HEALTH self-care
LONG-term health care
EDUCATIONAL outcomes
Subjects
Details
- Language :
- English
- ISSN :
- 14769018
- Volume :
- 29
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Journal of Integrated Care
- Publication Type :
- Academic Journal
- Accession number :
- 151465925
- Full Text :
- https://doi.org/10.1108/JICA-09-2020-0058