Successful implementation of client centered care requirements
- Organizational and managerial support.
- Organizational champions
- Education and training for counselors and counselors
- Care delivery that ensures continuity of care and continuity of caregiver.
- Organizational and unit policies congruent with client centered care
- Positive work-life environment
- Outcomes evaluation
Values and Beliefs of Client Centered Care
- Human dignity
- Clients are experts for their own lives
- Clients as leaders
- Continuity and consistency of care and caregiver
- Responsiveness and universal access
Key Concepts in Client Centered Care
- Clients are viewed as whole persons, It is not merely about delivering services where the client is located. It involves advocacy, empowerment, and respecting the client’s autonomy, voice, self-determination, and participation in decision-making.
- Empowerment is “the participation of individuals and communities in a social action process that targets both individual and community change outcomes.” A concept that is crucial is that community workers and professionals must “start where the people are.” Additionally, an ongoing assessment of clients’ values, feelings, actions are integral to any community work. How are the changes impacting the person and community? What is the next step?
- Humanistic approach views the client as a whole, and recognizes the interconnectedness and interrelationship between the client and the environment, and focuses on restoring health, harmony and enhanced quality of life.
- Respect means respecting clients’ wishes, concerns, values, priorities, perspectives, and strengths. A belief that clients are experts on their own lives. Clients define the goals that coordinate the practices of the health care team. Use strengths-based, positive language and the client's own words to describe situations
- Identifying Concerns/Needs of the individual and community by beginning discussions in order to understand the client’s/community's perspective regarding health and quality of life.
- Identifying concerns and needs for individualized, culturally sensitive, trauma informed care. Seek to clarify the hopes, wishes, preferences, strengths, needs, and concerns of the client, from his/her perspective, and follow his/her lead in determining the involvement of others in their health care.
- Decision making regarding available goals and treatments reflects the client’s/community’s perspective. In client centered care, clinicians merely act as a resource for clients in deciding care strategies. Clarify and provide information or teaching that clients want and say they need, with respect to their health/illness situation or possible health strategies.
- Evaluating outcomes is done on a continual basis by engaging the client in evaluating care delivery and health related outcomes, and demonstrating an attitude of openness and a willingness to change in order to improve the quality of care from the client’s perspective.
- Represent the client’s/community’s perspective of health, goals in life, as well as their concerns when making recommendations to others Follow the client’s lead when providing information or teaching that the client wants with respect to his/her health/illness situation. Teach the client in a way that is relevant to his/her personal reality
- Document the client’s/community’s perspective with regard to health and quality of life, goals, wishes, choices regarding information, and concerns
- Make the client the key decision-maker in planning care and services.
- Identify priorities for change or action
- Clarify and provide information or teaching that clients want and say they need, with respect to their health/illness situation or possible health strategies.
- Acknowledge the client’s expertise and encourage clients/communities to share their knowledge and skills.
- Demonstrate respect and value for clients by listening with openness
- Engage the client in evaluating care delivery and health related outcomes by using specific processes/evaluations that provide continuous feedback from the client’s perspective about the quality of care
- Demonstrate an attitude of openness and a willingness to change in order to improve the quality of care from the client’s perspective
View the Counseling CEU course for this presentation.
This course is also included in our unlimited CEU packages.