Problems with Needs—Where Theory Meets Practice

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Abstract
During the last ten years there has been an increase in the number of attempts to include the assessment of ‘needs’ of people with mental handicaps. There has been a shift away from previous tendencies to make statements and arrange services in terms of ‘problems’, ‘deficits’ and ‘defects’; instead individual practitioners have begun to develop ‘needs assessments’ in order to identify services for clients by borrowing ideas from other fields. These developments have been haphazard and have not been based upon a logical or formal theory. Instead, individuals and agencies have used the term to convey different ideas with dissimilar implications for people with mental handicaps. A review of the literature on ‘needs assessment’ reveals a confusing and poorly-defined concept with which to plan or implement services. Suggestions are offered to clarify thinking and improve mutual understanding for a possible way forward. Some practical recommendations are identified to assist development of services for people with mental handicap.