Reported Barriers to the Implementation of Person‐Centred Planning for People with Intellectual Disabilities in the UK

Abstract

Background Research in the US and UK has demonstrated the effectiveness of person-centred planning (PCP) for people with intellectual disabilities. However, it is important to acknowledge problems that arise when implementing PCP. This paper considers barriers to PCP reported during a longitudinal study of the impact of PCP. Methods Person-centred planning was introduced over a 2-year period for 93 people of whom 65 had a plan developed. Information was collected regarding barriers to PCP every 3 months from key informants using selfcompletion questionnaires.Results Barriers to PCP were widespread particularly in relation to: availability of trained facilitators; availability of services; lack of time and reluctance of people other than paid support staff to engage in the PCP process.Conclusions Services need to be aware of potential barriers to PCP so that strategies can be developed to overcome them, the first of which should be the ongoing training and support of facilitators.

Barriers to Implementing Person-Centered Recovery Planning in Public Mental Health Organizations in Texas: Results from Nine Focus Groups

“…Although little is known about barriers to the successful implementation of person-centered planning in the behavioral health system, this is an important endeavor given the likelihood that only when barriers are understood and addressed can PCRP improve consumer outcomes and reduce healthcare costs. A greater understanding of barriers to PCRP implementation is therefore important for the facilitation of constructive change, creative solutions, and greater staff buy-in (Holburn and Vietze 1999;Robertson et al 2007). …”

Person-Centered Planning: Evidence-Based Practice, Challenges, and Potential for the 21st Century

“…There are several obstacles to achieving the desires set out in different person-centered plans for persons with ID. These obstacles include lack of prospective employers, limitation in residential opportunities, waiting lists for available services, and the limited assistance and aid from persons within the community (Robertson et al, 2007b). This situation might limit signifi cant opportunities for the individual with an ID to be involved with the community or have access to community resources or opportunities (Coyle & Moloney, 1999).…”

“…As a result, professional training and a guide as to how to implement these procedures and models is considered an essential, needed component for future PCP work (Holburn, 2002;Leroy et al, 2007). A lack of trained personnel and staff involved with PCP interventions can serve as a significant barrier in implementation of the intervention (Robertson et al, 2007b). Depending on the client, GAS might not only provide more specific measurable outcomes for the client, but also might have relevance in "how we are doing as a team" in providing further empirical guidance for the PCP process.…”

“…The literature over the past 10 years involves many commentaries regarding its worth (Halle & Lowrey, 2002;Holburn, 2002;Holburn & Vietze, 1998;Mansell & Beadle-Brown, 2004a). Although PCP has appeared in the literature with frequency, as a practice, it still lends itself to question in regard to its effi cacy and implementation (Mansell & Beadle-Brown, 2004a;Robertson et al, 2007b).…”

“…And significant time is a luxury that many social workers might not have in the modern era of health care. This lack of adequate time for workers associated with PCP has proven a significant barrier to developing a person-centered plan (Robertson et al, 2007b). Therefore, more attention in the literature needs to be given to how social workers can train direct service personnel or others associated with the PCP interventions on communicative strategies.…”