Empowering Self-Advocates in Person-Centered Care Planning Strategies
- Yvonne Covington, RN, MSN, MBA, CAS

- Jun 1
- 3 min read
Person-centered care planning puts the individual at the heart of decisions about their future. It respects their preferences, strengths, and goals, ensuring that care supports their unique needs. Yet, many people who rely on care services struggle to have their voices heard in planning. This blog explores how self-advocates can take charge of their care planning, sharing practical strategies to build confidence and influence decisions that affect their lives.
Understanding Person-Centered Care Planning
Person-centered care planning means designing support around the individual, not the other way around. It focuses on what the person wants to achieve, their daily routines, and what matters most to them. This approach contrasts with traditional models where professionals make most decisions.
Key elements include:
Listening carefully to the individual’s goals and preferences
Involving family, friends, and trusted supporters as chosen by the person
Creating flexible plans that can change as needs evolve
Respecting the person’s right to make choices, even if they differ from professional opinions
This method improves satisfaction, independence, and quality of life. It also encourages self-advocates to speak up and shape their care.
Why Self-Advocacy Matters in Care Planning
Self-advocacy means speaking up for yourself and making your own decisions. For people receiving care, this skill is vital. It ensures their voice guides the support they receive. When self-advocates participate fully, care plans become more relevant and effective.
Challenges to self-advocacy include:
Lack of confidence or experience in expressing needs
Communication barriers such as speech difficulties or cognitive impairments
Professionals who may unintentionally dominate conversations
Limited access to information about rights and options
Overcoming these challenges helps self-advocates gain control and feel respected.
Practical Strategies to Build Self-Advocacy Skills
Building self-advocacy skills takes time and support. Here are some effective strategies:
1. Learn About Your Rights and Options
Understanding your rights in care planning is the foundation. This includes knowing:
The right to be involved in all decisions
How to request information in accessible formats
Ways to ask for changes if the plan doesn’t meet your needs
Many organizations offer easy-to-read guides or workshops on these topics.
2. Prepare for Care Planning Meetings
Preparation helps reduce anxiety and increases confidence. Consider:
Writing down your goals, preferences, and questions beforehand
Bringing a trusted supporter or advocate to meetings
Practicing what you want to say with someone you trust
This approach ensures your voice is clear and heard.
3. Use Communication Tools
If speaking is difficult, alternative communication methods can help, such as:
Picture cards or communication boards
Apps designed for speech assistance
Written notes or emails to share thoughts in advance
These tools give self-advocates more control over expressing their needs.
4. Build Relationships with Care Providers
Positive relationships encourage open dialogue. To build trust:
Share your experiences and preferences honestly
Ask for explanations if something is unclear
Give feedback on what works and what doesn’t
Strong connections make it easier to influence care decisions.
5. Seek Peer Support
Connecting with others who have similar experiences provides encouragement and advice. Peer groups or self-advocacy organizations offer:
Shared stories and strategies
Opportunities to practice speaking up
A sense of community and belonging
This support strengthens confidence and skills.

Examples of Successful Self-Advocacy in Care Planning
Real-life examples show how self-advocates can influence their care:
Maria’s Story: Maria, who has a physical disability, used a communication app to share her preferences for daily activities. Her care team adjusted her schedule to include more social time, improving her mood and independence.
James’s Experience: James prepared a list of goals before his care meeting, including learning to cook and managing his medication. His plan now includes cooking classes and a medication reminder system, reflecting his priorities.
Lena’s Approach: Lena joined a local self-advocacy group where she learned how to ask questions and request changes. She now confidently participates in all her care reviews and helps others do the same.
These stories highlight the power of self-advocacy in shaping meaningful care.
Supporting Self-Advocates in Care Planning
Care providers and supporters play a key role in encouraging self-advocacy. They can:
Offer accessible information and resources
Create welcoming environments for open discussion
Respect the individual’s choices and encourage questions
Provide training or coaching on self-advocacy skills
Involve peer advocates or mentors when appropriate
This support helps build a culture where self-advocates feel valued and heard.


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