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© 1998 Faculty of Public Health Medicine of the Royal Colleges of Physicians of the United Kingdom

research-article

Needs assessment in mental health services: the DISC Framework


Helen Smith
, Strategic Commissioner for Mental Health Services

Lambeth, Southward & Lewisham Health Authority 1 Lower Marsh, London SE1 7NT

People with mental health problems have a range of health and social care needs that result in both illness and disability (effects of the illness on social functioning and citizenship). If service development is to be creative and innovative, needs assessment has to focus on the identification of actual need - rather than using the existing services as the basis of planning. To be valid, needs assessment must use the experience of users and their families, yet it can be highly frustrating for all concerned if there is not a clear framework to structure the wide-ranging information that will be collected through this sort of exercise. This paper proposes a framework for structuring needs assessment and discusses how it can be used for local mental health service development through a ‘stakeholder’ approach. The framework can be used to identify a comprehensive set of service functions, that is, what a service actually needs to be doing if the range of peoples’ needs are to be met. The use of the framework to structure activity at different levels in the service system is discussed.

Keywords: needs assessment (mental health), user involvement, stakeholder approach


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This article has been cited by other articles:


Home page
Int J Soc PsychiatryHome page
R. MacPherson, L. Summerfield, R. Haynes, M. Slade, and C. Foy
The Use of Carers' and Users' Expectations of Services (CUES) in an Epidemiological Survey of Need
International Journal of Social Psychiatry, March 1, 2005; 51(1): 35 - 43.
[Abstract] [PDF]



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