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This study explored the recovery experiences from being on a vocational rehabilitation scheme for service users with severe and enduring mental health problems. This was the first phase of a vocational rehabilitation service review and development. Two associate researchers/service users were integral to the study and increased its validity. A qualitative research method was taken, using a semi-structured interview. Two main themes emerged: moving on and being on the scheme. The findings were that transitional vocational rehabilitation schemes could have a positive effect on the vocational status, quality of life and mental health of service users with severe and enduring mental health problems given the right environment. It was recommended that the vocational rehabilitation scheme should continue, whilst the support for service users and interagency working alongside the scheme warranted further investigation. Following the study, the scheme expanded to become an employment service that extends from the public to the independent sector and offers a wider range of vocational rehabilitation schemes within it.

Writing an editorial at this timeamid a pandemic, discussing person-centred integrated care seems a vast challenge but very timely and relevant considering the present challenges the global health and social care arena is currently facing. This has caused upheaval and loss and as we commence the new decade with change and the impact on all sections of society resulting from the pandemic but also new technologies and additional changes in society, inclusion and diversity. However, it may well be just the time to be raising the value and profile of person-centred integrated care, a core theme of all the papers included in this special issue.Appreciating and respecting the patient experience is vital when aspiring to authentic person-centred care. It has the potential to illuminate what is working really well and what could work even better and to inform how best to integrate care to the needs of the individuals it is there to serve. The exploration of patient perspectives and experiences are explored by three papers in their respective arenas. A case study methodology is utilised by Cruz and McGhee to construct an understanding of individuals' experiences of their care, who had complex needs and were in the last 18 months of their life. The visual representation of over 35 different specialisms being involved with the patient illustrates how greater co-ordination and integration could potentially strengthen experiences of person-centred care in palliative and end of life care. A paper from Northern Ireland by Chapman explored person-centred care in adult social care from the perspective of those receiving care at home. In this small study, the findings revealed an established predominantly service-led delivery of careproposing a debate about what people really want and policy reform of adult social care in Northern Ireland. Although the author did moot issues around replicability. Thomas et al. discussed utilising fictious vignettes which has been evident in integrated care nationally and globally and discusses how this approach may have value involving the actual service usera shared dialogueis much more valuable when considering development and evaluation of the service. The caveat being that vignettes are useful to promote debate around service design but should not stereotype the service user or promote a form of ageism.In today's world, the integrated systems and processes that support person-centred care are discussed in Hiersteiner et al. with the aim of improving person-centred thinking through planning and processes. In the United States, Hiersteiner et al. review the impact of technical assistance requests and highlight factors that help and hinder person-centred care. Whereas MacInnes et al. in their integrative review consider how technologies supporting older people living at home achieve person-centredness. Themes found in the literature included acceptability, accessibility and the use of digital technologies and their application. Individuals concerned with the operationalization of integrated perso...

PurposeDue to the need for the development of person-centred integrated models of care with a population health approach, this paper explored contemporary literature in this arena.Design/methodology/approachA systematic literature review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Papers included in this review focused upon person-centred integrated care and a health promotion/public health approach (January 2018–October 2020). Papers were excluded due to not being written in English, not fitting the age criteria and not being peer reviewed.FindingsEight studies met the inclusion criteria and three overarching themes were identified with regards to person-centred integrated care as a health promotion/public health approach: Core components; Development, implementation, and evaluation of models of care and relationship to population health and wellbeing outcomes.Research limitations/implicationsThe need for person-centred integrated care as a health promotion/public health approach, to enhance population health and well-being outcomes requires further research to continue to develop, implement and evaluate models of care.Originality/valueThe international scope of this contemporary review brought together the three concepts of person-centred integrated care and public health, exploring the translation of policy into practice (WHO, 2016). The juxtaposition of public health approaches in the background/consequential or foreground/active agent demonstrates how promotion, prevention and population health can be re-valued in integrated people-centred health services (WHO, 2016).

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