Service-Delivery Competencies in Home and Community-Based Services Needed to Achieve Person-Centered Planning and Practices: A Systematic Review

Abstract

Home and community-based services (HCBS) assist people with disabilities and older adults to remain in their homes. Direct support professionals and care managers who facilitate the development of support plans need to employ person-centered approaches to ensure services are tailored to peoples’ needs and preferences. The aims were to identify the key competencies needed for delivery of person-centered supports and examine the relationship between HCBS and its’ outcomes in the United States. We used the competencies developed by the National Center on advancing Person-Centered Practices and Systems as a framework. We conducted a systematic review to identify the skills necessary to deliver person-centered HCBS. We coded 43 articles and identified seven competencies. Most frequently mentioned competencies related to culturally informed practice, cultivating connections, and promoting rights, choice, and control. Policy makers should create training standards for person-centered practices to ensure that people receiving HCBS live the lives they want.

Dementia care and prevention in community settings: a built environment framework for cognitive health promotion

“…Comprehensive frameworks were used for strategic planning of clinical services to meet the health and infrastructure needs of aging communities [13 ▪ ,29 ▪▪ ]. They emphasized public health implementation [30 ▪▪ ,31 ▪▪ ] for equity, access, and person-centred care [32 ▪ ,33 ▪ ,34 ▪▪ ,35 ▪▪ ,36 ▪ ,37,38 ▪ ,39 ▪▪ ]. Several frameworks highlighted the role of specific built environmental features, such as outdoor nature-based activity [40 ▪▪ ,41 ▪ ], community-integrated long-term care and housing options [42 ▪▪ ,43 ▪▪ ,44 ▪ ], or regional influences [45 ▪ ,46 ▪ ,47,48 ▪ ,49 ▪▪ ,50 ▪ ,51 ▪ ].…”

“…An inclusive community helps PLCD remain socially engaged and retain a sense of at-homeness. This connectedness arises from interpersonal relationships, including community-based referral process [48 ▪ ,54 ▪ ], an interdisciplinary team [54 ▪ ,74], and adept facilitators of cross-sector collaborations within local networks [36 ▪ ,49 ▪▪ ,50 ▪ ] with excellent formal and informal communication channels to resolve issues as they arise [48 ▪ ,54 ▪ ]. Provisions that enable the personhood of PLCD are the penultimate aim of the DCPC [112,113].…”

A multisite cross-sectional study of intercultural competencies in doctor of physical therapy students

“…These concepts are influenced by sociocultural dimensions such as sexual identity, sexual orientation, ethnic identity, race, language, gender, gender identity, religion, intellectual and physical ability, socioeconomic status, and customs [ 2 ]. Understanding the complexity of cultural dimensions of health behaviors and beliefs is essential for the provision of culturally responsive, person-centered care [ 3 ]. Person or patient-centered care is described as individualizing care and promoting the individual’s unique needs, views, values, and priorities [ 4 ].…”