Title: Implementing a person- centred model of service delivery and practice in neurological rehabilitation: Theoretical and practical considerations


  • Shawab Mir Walsall Community Health
  • Christine Carpenter Coventry University




p.MsoNormal, li.MsoNormal, div.MsoNormal { margin: 0cm 0cm 0.0001pt; font-size: 12pt; font-family: "Times New Roman"; }div.Section1 { page: Section1; } Abstract The purpose of this paper is to discuss the theoretical and practical implications inherent in the decision, made by the Community Neurological Rehabilitation Service (CNRS), and endorsed by Walsall Community Health, to adopt a person–centred model of service delivery and clinical practice. The CNRS provides an interdisciplinary service to patients with a range of long-term neurological conditions in the community. A rigorous review of the previous rehabilitation services was conducted in 2007 and the theoretical influences, namely the biomedical and biopsychosocial models of disability, inherent in aspects of service delivery were critiqued. This review resulted in the adoption, at both client and organisational levels, of a person-centred approach to clinical practice.  Cott, Teare, McGilton & Linecker (2006) proposed seven domains as indicators of client-centred rehabilitation and this paper uses this domains to illustrate how person-centred practice has been implemented by the CNRS. The domains are: participation in decision making and goal setting, client-centred education, evaluation of outcomes from the client’s perspective, family involvement, emotional support, coordination and continuity, and physical comfort. The challenges experienced by the interdisciplinary team and future recommendations and research are discussed. (186 words)

Author Biographies

Shawab Mir, Walsall Community Health

PhysiotherapistCommunity Neurological Rehabilitation Services

Christine Carpenter, Coventry University

Reader in PhysiotherapyFaculty of Health & Life Sciences



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