Promoting wellbeing in persons with disabilities

Main Article Content

Luis Salvador-Carulla
Mencia Ruiz
Javier E. Saavedra


Person-centered care plays a critical role in the promotion of wellbeing in persons with disabilities. The United Nations Convention on the Rights of Persons with Disabilities states that services should be provided in the community. The 2011 World Report on Persons with Disabilities indicates that person-centered services are preferable, so that individuals are involved in decisions about the support they receive and have maximum control over their lives. It also recognises the deficits within national care systems in dealing with persons with disabilities and the need for a person-centered approach. A major transformation is needed to incorporate a wellbeing perspective to care for persons with disabilities. This reform  should take into account four multifaceted conceptual models: health promotion, mental capital, social inclusion and recovery. The person-centered integrative diagnosis (PID) model may provide a useful framework to better understand the existing relationship among these models. Integrative care addressed to persons with disabilities should also incorporate wellbeing improvement or sustainability as a major endpoint.

Article Details

The Person with Disease at the Center of Teaching
Author Biography

Luis Salvador-Carulla, University of Cadiz; and Spanish Association for Research on Healthy Ageing (AECES)

Dr Luis Salvador-Carulla is professor of Psychiatry at the University of Cadiz (Spain). He has been member of the Advisory Board on disability and dependency of the regional government of Catalonia (Spain) and he is member of the advisory committee of the national strategy on Mental Health at the Ministry of Health and Social Policy. His field of interest is integrated support decision systems and policy in long-term care. He is honour member of the World Psychiatry Association and secretary of its section “Classification, Diagnostic assessment and Nomenclature”. He is also President of the PSICOST research association, and the Spanish Association on Scientific Research on Healthy Aging (AECES), as well as Vice-president of the Spanish Society of Epidemiological Psychiatry (SEEP). Dr. Salvador-Carulla has intensively participated in the development of international research networks in the fields mentioned as well as in social inclusion, person centered medicine, healthy ageing and bridging and knowledge transfer between the fields of disability and ageing. He has also collaborated with the European Commission (EC) and the World Health Organisation  (WHO) as external advisor. He coordinated the European Commission project eDESDE-LTC for the development of an European coding system for long term care, and he participates now on the EC project Refinement for analysing financing, quality and effectiveness of mental health systems in Europe. He chairs the WHO working group on the classification of intellectual disabilities at chapter V of the International Classification of Diseases (ICD-11).


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