Universal Needs Based Resource Assessment (UNBRA) an objective approach to evaluate resources needed to support people with intellectual disability in an inpatient setting
| Date | 11 September 2023 |
| Pages | 273-282 |
| DOI | https://doi.org/10.1108/AMHID-05-2023-0015 |
| Published date | 11 September 2023 |
| Author | Susanne Meddings,Mahesh Odiyoor,Holly Eick,Katie Kavanagh,Sujeet Jaydeokar |
Universal Needs Based Resource
Assessment (UNBRA) an objective
approach to evaluate resources needed to
support people with intellectual disability
in an inpatient setting
Susanne Meddings, Mahesh Odiyoor, Holly Eick, Katie Kavanagh and Sujeet Jaydeokar
Abstract
Purpose –There are no existing tools to capture resources needed to support people with intellectual
disabilityin an inpatient setting on an individual patient basis. The purposeof this paper is to describe the
developmentof a new tool called Universal Needs Based Resource Assessment(UNBRA).
Design/methodology/approach –Using the Delphi method, focus groups were used to generate
factors determiningresource use. From these, themes wereidentified, a scoring system was created and
the UNBRA tool was developed. Thiswas piloted in two NHS inpatient units and modified following
feedback.
Findings –The UNBRA tool holisticallyassesses resource requirements of an individual withintellectual
disabilitysupported in an inpatient setting. It considersten factors grouped into the six themes of staffing,
indirect work, clinical/ multi-disciplinary work, incidents, carer link activity and discharge process.
UNBRA scores allow intra- and interpersonalcomparison as well as comparison between units and can
supportresource allocation and operational decision-making.
Originality/value –To the best of the authors’ knowledge, there is no suitableexisting tool to capture
individual resource requirements of patients in intellectual inpatient settings. The development of the
UNBRA toolfills this gap.
Keywords Intellectual disability, Inpatient, Resource, Tool
Paper type Research paper
Introduction
In the UK, there have been many changes within the provision of services for people with
intellectual disability over the past 50years. Incidents such as Winterbourne View in 2011,
have highlighted that whilst many people with intellectual disability live in community
settings, there remains a significant cohort who continue to reside in hospital settings,
sometimes far away from their families and at increased risk of abuse (Department of
Health, 2012). In response to this,under the Transforming Care initiative introduced by NHS
England (2015a), there was a renewed drive to reducethe need for inpatient intellectual
disability services, deliver as much care as possible in the community and to improve
inpatient care where needed.
A range of Intensive Support Services were established across the country with the aim to
support people in their own homes during a period of crisis and intervene in situations that
(Informationabout the
authorscan be found at the
end of this article.)
Received 15 May 2023
Revised 30 July 2023
Accepted 30 July 2023
PAGE 272 jADVANCES IN MENTAL HEALTH ANDINTELLECTUAL DISABILITIES jVOL. 17NO. 4 2023, pp. 272-281,©Emerald Publishing Limited, ISSN 2044-1282DOI 10.1108/AMHID-05-2023-0015
Get this document and AI-powered insights with a free trial of vLex and Vincent AI
Get Started for FreeStart Your Free Trial of vLex and Vincent AI, Your Precision-Engineered Legal Assistant
-
Access comprehensive legal content with no limitations across vLex's unparalleled global legal database
-
Build stronger arguments with verified citations and CERT citator that tracks case history and precedential strength
-
Transform your legal research from hours to minutes with Vincent AI's intelligent search and analysis capabilities
-
Elevate your practice by focusing your expertise where it matters most while Vincent handles the heavy lifting
Start Your Free Trial of vLex and Vincent AI, Your Precision-Engineered Legal Assistant
-
Access comprehensive legal content with no limitations across vLex's unparalleled global legal database
-
Build stronger arguments with verified citations and CERT citator that tracks case history and precedential strength
-
Transform your legal research from hours to minutes with Vincent AI's intelligent search and analysis capabilities
-
Elevate your practice by focusing your expertise where it matters most while Vincent handles the heavy lifting
Start Your Free Trial of vLex and Vincent AI, Your Precision-Engineered Legal Assistant
-
Access comprehensive legal content with no limitations across vLex's unparalleled global legal database
-
Build stronger arguments with verified citations and CERT citator that tracks case history and precedential strength
-
Transform your legal research from hours to minutes with Vincent AI's intelligent search and analysis capabilities
-
Elevate your practice by focusing your expertise where it matters most while Vincent handles the heavy lifting
Start Your Free Trial of vLex and Vincent AI, Your Precision-Engineered Legal Assistant
-
Access comprehensive legal content with no limitations across vLex's unparalleled global legal database
-
Build stronger arguments with verified citations and CERT citator that tracks case history and precedential strength
-
Transform your legal research from hours to minutes with Vincent AI's intelligent search and analysis capabilities
-
Elevate your practice by focusing your expertise where it matters most while Vincent handles the heavy lifting
Start Your Free Trial of vLex and Vincent AI, Your Precision-Engineered Legal Assistant
-
Access comprehensive legal content with no limitations across vLex's unparalleled global legal database
-
Build stronger arguments with verified citations and CERT citator that tracks case history and precedential strength
-
Transform your legal research from hours to minutes with Vincent AI's intelligent search and analysis capabilities
-
Elevate your practice by focusing your expertise where it matters most while Vincent handles the heavy lifting