Research Article

Development of a Conceptual Framework for Adult Community Rehabilitation Policy, Planning, Care, and Research: A Multimethod Qualitative Approach

Table 1

Conceptual framework for adult community rehabilitation (CFACR).

CategoryComponentDefinition/explanation

PrincipleCulturally safeCritically reflects, recognizes, analyzes, and addresses power imbalances, institutional discrimination, and colonial relationships in the context of community rehabilitation care to advance therapeutic encounters
Equity-focusedSupports all people reaching their full health potential and are not disadvantaged from attaining it or accessing health services because of socially determined circumstances
Evidence-informedDistills, disseminates, and applies the best available evidence from research, context, and experience and uses that evidence to inform and improve community rehabilitation practice and policy
Person- and family-centredPartners with clients and families to design and provide care that is holistic, culturally safe, acceptable, respectful, and responsive to individual preferences, needs, and values
RestorativeWorks to attain and maintain the highest level of function possible by doing with a person, rather than doing for a person

OrganizationAppropriateCommunity rehabilitation services are provided in the most suitable setting for providing safe, accessible, and timely care aligned with individuals’ needs and potential to achieve rehabilitation goals
CoordinatedCare is organized between the community rehabilitation team and other care providers across the continuum of care. Clients and family are encouraged to participate in goal setting and care planning
ContinuityA series of initiating, consistent, and concluding care events that result when a person seeks community rehabilitation services in one or more settings
EvaluatedConsistent measurement to monitor and demonstrate health system, program, and individual outcomes that contribute to enhanced functional independence
SteppedThe most effective and most appropriate community rehabilitation services are initiated first, adapted, and increased as needed and then reduced in a coordinated manner when an endpoint is reached
Team-basedIncludes rehabilitation professionals and support staff from multiple disciplines who work collaboratively and in an integrated way