Title: (PDF) The needs assessment checklist: A clinical approach to measuring outcome
Headings: The needs assessment checklist: A clinical approach to measuring outcome
The needs assessment checklist: A clinical approach to measuring outcome
Authors:
Paul Kennedy
L R Hamilton
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Psychological Outcomes of MRSA-Isolation in Spinal Cord Injury Rehabilitation
Spinal Cord Injuries

Content: To mana ge the pr oble ms of inst itut ional isat ion and
increase patient engagement, the Needs Assessment
and Goal Planni ng Programm e was i mplem ente d at
the National Spinal Injuries Centre in 1989. 1
Exis ting
measures which assessed client abilit y were examined
for sui tabil ity, i ncludi ng the FI M,
7
meas ures of
function al independen ce such as the Barthel Index,
8
and me a sures of ha ndi c ap such as t he CHAR T.
9
The
FIM i s a sh ort (1 7 cor e ite m), ea sily admin ister ed,
reliable and valid scale designed to measure the level
of inde pende nce in sel f-car e, sphin cte r con trol,
tran sfers , locom otio n, communic atio n and social
cogni tion. The Ba rthel I ndex wa s orig inall y devi sed
as a way of die rent iatin g pa tient s who wer e
inde pende nt i n ac tivi ties of da ily living (ADL), an d
inclu des the 10 m ost com mon are as consi dered w ithi n
the br oad de ®nitio n of A DL. The C raig H andi cap
Asse s sment and R epor ting Techn ique (CH A RT) is a
weig hted mea sure of func tion bas ed on the Worl d
Healt h Or ganis ation 's con cept ualis ation of I mpair -
ment, D isabi lit y a nd H andic ap. Dim ensio ns inc lude
mobi lity, soc ial in tegra tion and e c ono mi c self -suffi -
cienc y. These measur es are all we ll establ ishe d wi th
demon stra ted relia bili ty and valid ity prop erti es and
have be en us ed ex t ensi vely i n heal th an d rehab ilit ative
care. 10
Howe ver, i n ge neral thei r bre vity preve nts a ®ne
grain individual analysis of progress and they have
been prov ed to be more rele vant for ass essi ng
popu latio n sa mpl es. They pos sess not ed ¯oor and
ceili ng e e cts and a re in s ensit ive to sm all di ere nces. 10
Clini cal team memb ers of ten perc eive these instr u-
Correspondence: P Kennedy
Spinal Cord (1999) 37, 136 ± 139
ã
1999 International Medical Society of Paraplegia All rights reserved 1362 ± 4393/99 $1 2.00
http://www.s tockton-press. co.uk/sc
ments to be po pula tion- focus ed and ha ve little
relev ance to we ek-to- week indiv idual pati ent-c entre d
rehab ilit ation pl anni ng.