Identifying Needs-Based Groupings Among People Accessing Intellectual Disability Services

Am J Intellect Dev Disabil. 2018 Sep;123(5):426-442. doi: 10.1352/1944-7558-123.5.426.

Abstract

There is increasing emphasis on needs-led service provision for people with intellectual disability (ID). This study outlines the statistical cluster analysis of clinical data from 1,692 individuals accessing secondary care ID services in the United Kingdom (U.K.) Using objective needs assessment data from a newly developed ID assessment tool, six clusters were identified. These had clinical face validity and were validated using six concurrently (but independently) rated tools. In keeping with previous studies, the clusters varied in terms of overall level of need as well as specific clinical features (autism spectrum disorder, mental health problems, challenging behaviors and physical health conditions). More work is now needed to further develop these clusters and explore their utility for planning, commissioning and optimizing needs-led services.

Keywords: Learning Disability Needs Assessment Tool; classification; cluster analysis; need.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Cluster Analysis
  • Female
  • Humans
  • Intellectual Disability / rehabilitation*
  • Male
  • Middle Aged
  • National Health Programs / statistics & numerical data
  • Needs Assessment / statistics & numerical data*
  • Psychometrics / instrumentation*
  • Psychometrics / standards
  • Reproducibility of Results
  • Secondary Care / statistics & numerical data*
  • United Kingdom
  • Young Adult