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The individualised needs for service assessment (INSA) for children and adolescents with serious emotional disturbance
Abstract
The Individualised Needs for Service Assessment (INSA) for children and adolescents with serious emotional disturbance was developed in response to the lack of a systematic approach to needs assessment compatible with individualised service planning. Functioning is assessed for 10 functional domains. Service providers rate service provision using a taxonomy of generic service items that are generalisable and comprehensible across different organisational units and systems of care. In addition, service providers rate the anticipated clinical effectiveness of each service item and the acceptability of each item to the child or adolescent and family. Drawing on a similar logic structure to that characterising the Needs for Care Assessment of the British Medical Research Council, these data are linked to produce a need status, for example unmet need, no need and met need. The INSA may be suitable for use by service providers, planners, policy makers, researchers, managed care organisations and service purchasers.
