Manning B (2000) Psycho-social
needs classification: an aid to identifying best practice Abstract Provision of care in the community for those with both mental health or learning difficulties has tended to use a predominately clinical diagnosis centred medical model, rather than one that readily incorporated the wider psycho-social dimensions involved in most care situations. Whilst the medical model is fully supported by diagnostic coding standards provided by the International Classification for Diseases and Disorders (ICD-10), the psycho-social domain has no equivalent system. The need to fill this gap became increasingly evident with the introduction of the Care Programme Approach to improve multi-disciplinary, multi-agency case management of severely mentally ill patients across the UK. This approach focuses on identifying and agreeing the range of clinical and psycho-social needs presented, the measures to be taken and their goals, with all the carers concerned and their client, stage-by-stage. In practice the lack of a structured means of specifying both need and care activities was found to result in considerable variation in its application. The psycho-social needs classification system has been developed after considerable research into existing conventions and procedures with the aim of providing practical framework standards, not only to aid clear definition of assessed client needs, but also to provide a structure within which to define care activity |
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