Network of Good Practices by Fundación Pilares

Entity which complete it

UDC

Country

Spain

Town

Madrid

Project name

Comprehensive Person-Centered Care by Fundación Pilares

Stating Year

2013

Where it takes place

day care, home care, residential care

Range of age

Adults and older adults, particularly those in situations of dependency or disability.

Type of disability

multiple

Why is it a good practice of the Person-Centered Model?

Holistic Approach: Integrates physical, emotional, social, and environmental factors; Respect for Autonomy: Respects individual choices and preferences; Life Project Focus: Encourages continuity of personal goals and aspirations; Community Involvement: Builds networks of care around the individual.

Integrated Assessment (Person, Family, Housing) and Life History

Uses comprehensive tools to evaluate the person’s: Life history, Social and family environment, Housing conditions. This ensures a deep understanding of the individual’s context for personalized care.

Personalised Care and Support Plan for the Life Project

Develops customized plans that align with the individual’s desires and long-term objectives. Considers health, social participation, and environmental adjustments.

Support groups

Facilitates family and community support groups to strengthen caregiving networks and emotional well-being.

Case Management and Resource Coordinator

Assigns a case manager who coordinates: health and social care services, communication among stakeholders and access to community resources

Highlined results

This first stage confirmed the relevance of our 3 convictions, demonstrated the need to implement the project and measured the financing requirements for a territory with zero long-term unemployment.

Other observations

Emphasizes the need for policy advocacy to sustain and scale person-centered practices.

Evidence and indicators

Satisfaction surveys from users and families; Outcome tracking of autonomy, social participation, and health improvements; Service usage data: Improved efficiency and reduced gaps in care delivery.