The foundational principle of psychiatric rehabilitation is person-centered care, which prioritizes the individual's self-determination and recovery. The practitioner's primary role is to act as an advocate and partner, helping the individual articulate and achieve their own goals. Therefore, the practitioner's advocacy in a treatment team meeting must be guided first and foremost by the individual's expressed wishes. While stability, restrictiveness, and finances are important considerations to be discussed, they are secondary to and framed by the person's self-defined goals and preferences. The focus is on empowering the individual to make informed choices about their own life.

A. Conducive to the individual’s stability. Prioritizing stability over the individual's wishes can be paternalistic and may prevent the person from taking reasonable risks necessary for growth and recovery.

B. Least restrictive. While the "least restrictive" principle is a crucial legal and ethical standard, the ultimate choice belongs to the individual, who may select a more structured option that better suits their goals.

C. Financially realistic. Financial constraints are practical factors to be addressed collaboratively, but they should not preemptively override the individual's goals. The focus is on creative problem-solving to achieve the person's wishes.

1. Anthony, W. A., Cohen, M. R., Farkas, M. D., & Gagne, C. (2002). Psychiatric Rehabilitation (2nd ed.). Boston University, Center for Psychiatric Rehabilitation.

Page 13, Section: "The Values of Psychiatric Rehabilitation": The text explicitly states a core value is that "the people who have a psychiatric disability have the right of self-determination." It emphasizes that recipients of service have the primary voice in their own rehabilitation plan, making their wishes the priority.

2. Farkas, M., & Anthony, W. A. (Eds.). (2010). Psychiatric Rehabilitation Programs: Putting Theory Into Practice. Johns Hopkins University Press.

Chapter 2, "The Guiding Principles of Psychiatric Rehabilitation": This chapter details the principle of person-centeredness, stating, "Services are consumer-operated and -driven... The person is the director of the services he or she receives." This directly supports prioritizing the individual's wishes.

3. Psychiatric Rehabilitation Association (PRA). (2012). Practice Guidelines for the Psychiatric Rehabilitation.

Guideline 1: Person-Centered Approach: The guidelines establish that services must be "directed by the person participating in services." The practitioner's role is defined as supporting the person in "identifying and achieving their goals," which directly aligns with advocating for their wishes.