Rehabilitation and recovery: a person-centred approach

6. The Once for Scotland Approach

The Once for Scotland approach sets out Six Principles of Good Rehabilitation. It puts the individual at the centre and builds on the concept of Realistic Medicine^[4] to provide a personalised approach that is outcomes focused, and supported by a shared decision making process. Shared decision making requires meaningful discussions at an early stage between the individual and the rehabilitation professional about 'what matters to you?' rather than 'what's the matter with you?'.

Following a person-centred assessment, individuals will have a better understanding of their own rehabilitation needs. These may be addressed through self-management or they may benefit from a combination of rehabilitation approaches to enable them to meet their expected outcomes. This initial assessment focused on the individual, not the condition, will inform the intensity, frequency and method of delivery that is right for them. Approaches should be flexible to accommodate changing needs of the individual.