Universal Design for Underserved Populations: Person-Centered, Recovery-Oriented and Trauma Informed

Area of Science:

• Health Services Research
• Healthcare Policy
• Patient-Centered Care

Background:

• Person-centered care (PCC) is not widely adopted, impacting individuals with behavioral health disorders and trauma histories.
• A universal approach is needed, fostering compassionate, collaborative provider-service user relationships.
• Integrating PCC with recovery-oriented care (ROC) and trauma-informed care (TIC) provides a foundation for universal healthcare.

Purpose of the Study:

• To establish consensus on basic principles and practices for a universal healthcare design.
• To develop guidelines integrating PCC, ROC, and TIC for health and human service settings.

Main Methods:

• A modified Delphi method was employed, involving a two-stage expert consensus process.
• Stage 1: An expert panel drafted initial guidelines.
• Stage 2: A multidisciplinary online survey refined these guidelines.

Main Results:

• Consensus was reached on a set of core principles and practices for a universal care design.
• Guidelines were developed for integrating PCC, ROC, and TIC in practice.
• Recommendations for implementation in health and human service settings were formulated.

Conclusions:

• The integrated model of PCC, ROC, and TIC offers a viable universal approach to healthcare.
• The Delphi method successfully generated consensus on essential principles and practices.
• Implementation requires strategic planning and adaptation to specific health and human service contexts.