Reclaiming the best of the biopsychosocial model of mental health care and ‘recovery’ for older people through a ‘person-centred’ approach

Abstract

Aim: The ‘biopsychosocial’, ‘person-centred care’ (PCC) and ‘recovery’ models of care can be seen as distinct and competing paradigms. This paper proposes an integration of these valuable perspectives and suggestions for effective implementation in health services for the elderly. Method: An overview of PCC and recovery models, and their application for older people with mental health problems, is provided. Their overlap and contrast with the familiar ‘biopsychosocial’ model of mental health care is considered, together with obstacles to implementation. Results: Utilisation of PCC and recovery concepts allow clinicians to avoid narrow application of the biopsychosocial approach and encourages clinicians to focus on the person’s right to autonomy, their values and life goals. Conclusions: Service reform and development is required to embed these concepts into core clinical processes so as to improve outcomes and the quality of life for older people with mental health problems.