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Self‐ and proxy‐rated needs in adults with mild to moderate intellectual disabilities: Perspective matters
Author(s) -
Schützwohl Matthias,
Voß Elke,
Salize Hans Joachim,
Stiawa Maja,
Puschner Bernd,
Koch Andrea
Publication year - 2018
Publication title -
journal of applied research in intellectual disabilities
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 63
eISSN - 1468-3148
pISSN - 1360-2322
DOI - 10.1111/jar.12399
Subject(s) - intellectual disability , viewpoints , proxy (statistics) , borderline intellectual functioning , perspective (graphical) , psychology , perception , needs assessment , clinical psychology , developmental psychology , gerontology , psychiatry , medicine , cognition , sociology , art , social science , machine learning , artificial intelligence , neuroscience , computer science , visual arts
Background Adults with an intellectual disability should be supported according to their individual needs. The perception of need, however, is influenced by the values and expectations of the judging person. Method Using the Camberwell Assessment of Need for Adults with Developmental and Intellectual Disabilities, self‐ and proxy‐rated needs of n = 193 adults with mild to moderate intellectual disability were compared. Results Mean total needs and met needs, but not unmet needs, differed significantly between perspectives. As concerns the assessment of specific areas of need, indices revealed a complex and multifaceted pattern of agreement and disagreement. Conclusion Different viewpoints should be considered when assessing needs among adults with intellectual disability. With respect to areas other than basic, everyday areas of need, involvement of the adult with intellectual disability is strongly recommended. The assessment of mental health problems requires the involvement of clinical professionals, assessing problem behavior broad diagnostic measures beyond a standardized instrument.