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Universal Needs Based Resource Assessment (UNBRA) an objective approach to evaluate resources needed to support people with intellectual disability in an inpatient setting

Susanne Meddings (Department of Learning Disability, Neurodevelopmental Disorders and Acquired Brain Injury, Cheshire and Wirral Partnership NHS Foundation Trust, Chester, UK.)
Mahesh Odiyoor (Intellectual Disability Psychiatry, Cheshire and Wirral Partnership NHS Foundation Trust, Chester, UK.)
Holly Eick (Community Paediatrics, Countess of Chester Hospital, Chester, UK.)
Katie Kavanagh (Liverpool Doctorate in Clinical Psychology, School of Psychology, University of Liverpool, Liverpool, UK.)
Sujeet Jaydeokar (Learning Disability Neurodevelopmental Disorders and Acquired Brain Injury Services, Cheshire and Wirral Partnership NHS Foundation Trust, Chester, UK and Chester Medical School, University of Chester, Chester, UK.)

Advances in Mental Health and Intellectual Disabilities

ISSN: 2044-1282

Article publication date: 11 September 2023

Issue publication date: 8 November 2023

42

Abstract

Purpose

There are no existing tools to capture resources needed to support people with intellectual disability in an inpatient setting on an individual patient basis. The purpose of this paper is to describe the development of a new tool called Universal Needs Based Resource Assessment (UNBRA).

Design/methodology/approach

Using the Delphi method, focus groups were used to generate factors determining resource use. From these, themes were identified, a scoring system was created and the UNBRA tool was developed. This was piloted in two NHS inpatient units and modified following feedback.

Findings

The UNBRA tool holistically assesses resource requirements of an individual with intellectual disability supported in an inpatient setting. It considers ten factors grouped into the six themes of staffing, indirect work, clinical/ multi-disciplinary work, incidents, carer link activity and discharge process. UNBRA scores allow intra- and interpersonal comparison as well as comparison between units and can support resource allocation and operational decision-making.

Originality/value

To the best of the authors’ knowledge, there is no suitable existing tool to capture individual resource requirements of patients in intellectual inpatient settings. The development of the UNBRA tool fills this gap.

Keywords

Citation

Meddings, S., Odiyoor, M., Eick, H., Kavanagh, K. and Jaydeokar, S. (2023), "Universal Needs Based Resource Assessment (UNBRA) an objective approach to evaluate resources needed to support people with intellectual disability in an inpatient setting", Advances in Mental Health and Intellectual Disabilities, Vol. 17 No. 4, pp. 273-282. https://doi.org/10.1108/AMHID-05-2023-0015

Publisher

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Emerald Publishing Limited

Copyright © 2023, Emerald Publishing Limited

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