Universal Design for Underserved Populations: Person-Centered, Recovery-Oriented and Trauma Informed

Person-centered care has yet to be widely implemented in health care settings, a circumstance that disproportionately affects individuals with behavioral health disorders and those with trauma histories. A need exists for a universal approach to care that encompasses compassionate, collaborative rel...

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Bibliographic Details
Published in:Journal of health care for the poor and underserved 2017, Vol.28 (3), p.896-914
Main Authors: Bassuk, Ellen L, Latta, Rachel E, Sember, Robert, Raja, Sheela, Richard, Molly
Format: Article
Language:English
Subjects:
Americans with Disabilities Act 1990-US
Communication
Delphi method
Delphi Technique
Disorders
Drug use
Experts
Guidelines
Handicapped accessibility
Health behavior
Health care
Health care policy
Health services
Humans
Instructional design
Interdisciplinary aspects
Medicare
Mental disorders
Mental Disorders - therapy
Mental health care
Mental health services
Mental Health Services - organization & administration
Mental Health Services - standards
Patient Care Team - organization & administration
Patient Participation
Patient-Centered Care - organization & administration
Patient-Centered Care - standards
Peer tutoring
Practice Guidelines as Topic
Psychological trauma
Psychological Trauma - epidemiology
Quality
Recovery
Recovery (Medical)
Social exclusion
Substance-Related Disorders - therapy
Sympathy
Trauma
Underserved populations
Universal design
Vulnerable Populations
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Description
Summary:Person-centered care has yet to be widely implemented in health care settings, a circumstance that disproportionately affects individuals with behavioral health disorders and those with trauma histories. A need exists for a universal approach to care that encompasses compassionate, collaborative relationships between providers and service users. Person-centered care, enhanced by recovery-oriented care and trauma-informed care, forms the basis for a universal approach to health care. For this paper, we adopted a modified Delphi method to establish consensus on a set of basic principles and practices for developing a universal design based on these three frameworks. We used a two-stage process to arrive at guidelines for use in health and human service settings by: 1) convening an expert panel to draft guidelines; and 2) conducting an online survey of multidisciplinary experts to refine the guidelines. We conclude with recommendations for implementation.
ISSN:1049-2089
1548-6869
1548-6869
DOI:10.1353/hpu.2017.0087