There is a growing movement within the filed of long-term health care that has come to be known as the “Culture Change” movement. The term refers to the culture of the organization and entails a variety of factors, one of which is the belief that each individual has the right to experience the highest level of well-being possible, an idea that extends to both staff and clients. The impetus is focused on the individual client and that individual’s right to direct his or her own care to the greatest extent achievable.
The movement began in the late twentieth century as visionary leaders recognized the need to transform the institutional model of nursing home care into a social model that addresses emotional and relational issues, in addition to physical and medical needs. The work of these other special care arenas, such as brain injury and MH/MR providers.