Kersten, Paula, McLellan, David Lindsay, George, Steve, Smith, Jennifer.A.E. and Mullee, Mark.A.
To what extent are the needs of severely disabled people met by community rehabilitation services? A follow-up study.
Disability and Rehabilitation, 22, (18), .
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Purpose : To evaluate which needs of disabled people would be
met over a one year follow-up period and to examine which
factors would be predictive of identifying those people who had
more needs met from those who had fewer needs met.
Method: A follow-up study of a cohort of community dwelling
disabled people (aged 16± 65) from two NHS Health Districts in
Southern England with contrasting patterns of rehabilitation
provision, who had participated in a cross-sectional interview
study one year previously which had assessed their met and
unmet needs. The Southampton Needs Assessment Questionnaire was used to examine needs. Disability was evaluated with the OPCS Disability and Severity Scales and perceived health status with the SF-36.
Results : Participation rate at follow-up was 92%. Of the 300
baseline unmet needs reported by 69 of the 77 participants 33%
had been met at follow-up. People whose disability had
increased more and}or whose mental health status had
improved more had greater percentages of their baseline needs
met. There was a non-signicant trend for smaller percentages
of baseline needs to be met in Basingstoke than in Southampton.
Conclusions : At ground level, disabled people’s views were
taken into account, to some extent, in the provision of rehabilitation services. This input should be made at a higher
level, in the overall shaping of services.
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