Person-centred planning: factors associated with successful outcomes for people with intellectual disabilities

• Published in: Journal of intellectual disability research 2007-03, Vol.51 (3), p.232-243
• Main Authors: Robertson, J., Emerson, E., Hatton, C., Elliott, J., McIntosh, B., Swift, P., Krinjen-Kemp, E., Towers, C., Romeo, R., Knapp, M., Sanderson, H., Routledge, M., Oakes, P., Joyce, T.
• Format: Article
• Language: English
• Subjects: Access to Information; Adolescent; Adult; Adults; Aged; Aged, 80 and over; Biological and medical sciences; Clinical outcomes; Cognitive Development; Context Effect; Contextual factors; Developmental Disabilities; Disabled people; Factor Analysis, Statistical; Female; Foreign Countries; Health care policy; Humans; Individualized Programs; Individualized Transition Plans; Inequalities; intellectual disabilities; Intellectual Disability; Intellectual Disability - therapy; Interpersonal Relations; Learning disabled people; Life experiences; Male; Medical sciences; Mental Disorders - epidemiology; Mental Disorders - prevention & control; Mental health; Mental Health Services - organization & administration; Middle Aged; outcomes; Outcomes of Treatment; Participant Characteristics; Patient Care Planning - organization & administration; Patient-Centered Care - organization & administration; planning; Predictor Variables; Prevention. Health policy. Planification; Probability; Program Effectiveness; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Quality of Life; Social psychiatry. Ethnopsychiatry; Treatment Outcome; United Kingdom; USA
• ISSN: 0964-2633; 1365-2788
• DOI: 10.1111/j.1365-2788.2006.00864.x

Background  Recent research in the USA and UK indicates that person‐centred planning (PCP) can lead to improvements in lifestyle‐related outcomes for people with intellectual disabilities (ID). It is clear, however, that the introduction of PCP does not have an equal impact for all participants. The aim of the present paper was to identify factors associated with the probability of delivering a plan and with improvements in outcomes for those who did receive a plan. Methods  Information on the life experiences of participants was collected over a period of approximately 2 years for a cohort of 93 adults with ID. Results  There were powerful inequalities in both access to and the efficacy of PCP in relation to participant characteristics, contextual factors and elements of the PCP process. Conclusions  Results are discussed in relation to implications for policy and practice for increasing the effectiveness of PCP and reducing inequalities in the life experiences of people with ID.