eSAY National Learning Disability and Autistic Spectrum Disorder Dataset V4.0 Map

Domains of Need

Definition : The areas/aspects of a person’s life where additional support may help to assist the person to achieve their potential and ambitions. The categories given are those which should be considered during the process of assessment or review.

The scope of an assessment should be related to its purpose. The level of information gathered and recorded should be consistent with the circumstances of the person being assessed.

Purpose : Scottish Executive guidance on Single Shared Assessment recommends the use of a minimum set of ‘components/domains of need’ for older people. We have slightly extended the original list to reflect additional domains relating to ‘participation’ and ‘inclusion’ that may be particularly relevant to people with learning disabilities and/or ASD.

In conjunction with associated data items this item provides basic planning and service development information at aggregate level and (if deemed appropriate and if terminology can be agreed) for information sharing between agencies and to assist continuity in the flow of information through the transitions in a person’s life.

Recording Guidance : Record all that apply. For each of these, the need status should be recorded and the level of support required.

Codes : Social Care Data Standards Project

Code	Value/Definition
01	Personal care Support in relation to: Maintaining personal hygiene (including washing, bathing, using the toilet, grooming); dressing and undressing; foot-care; continence and other aspects of elimination.
02	Mobility Support in relation to: Walking on level ground, steps and stairs, balance and falls, getting in and out of chair, getting in and out of bed.
03	Fine Motor skills Support in relation to fine motor skills such as touching and holding.
04	Medical history Support in relation to: Medical problems – either past or present and medication use and ability to self-medicate.
05	Health screening Support in relation to: Making use of opportunities for screening (blood pressure monitoring, vaccination, cervical and breast screening, vision and hearing, thyroid etc.).
06	Health promotion Support in relation to: Maintaining a healthy lifestyle (diet & nutrition, drinking and smoking, exercise, sexual activity etc).
07	Mental health and well-being Support to in relation to: Mood; motivation; agitation; obsessive behaviour; overactive, aggressive and disruptive behaviour; hallucinations, delusions; depression; reactions to loss and emotional difficulties.
08	Cognition & dementia Support in relation to: Orientation and memory, wandering and behaviour.
09	Senses: support in relation to sight
10	Senses: support in relation to hearing
11	Other sensory abnormalities
12	Accommodation and physical environment Support in relation to: Appropriateness of accommodation and heating; access to local facilities and services; transport.
13	Housecare Support in relation to: Preparing meals and snacks; using cooking implements and appliances; shopping; cleaning (external and internal); gardening; pet care; collecting pension/repeat prescriptions; maintenance and repair to appliances; maintaining the safety & security of the home.
14	External environment Support in relation to: Access to local facilities and services; transport.
15	Communication Support in relation to: Speech, language and understanding.
16	Personal relationships Support in relation to: Developing and maintaining family and social contacts; isolation/loneliness; informal support networks and caring arrangements.
17	Safety Support in relation to: Abuse and neglect; other aspects of personal safety (including bullying and discrimination); public safety.
18	Substance misuse Support in relation to: Managing use of alcohol, drugs (including prescription drugs) and other substances; addressing precipitating factors leading to use of substance; addressing the difficulties as a result of use of substance.
19	Offending behaviour Support in relation to diversion from offending
20	Spiritual, religious and cultural Support in relation to: Requirements for worship or other religious observation; special dietary needs; specific arrangements for care provision (e.g. gender of carer); ethnic issues.
21	Management and level of finances Support in relation to: Capacity to manage income/budget; source of income; level of income; income maximisation; managing debt; paying rent and bills.
22	Education Support in relation to: Literacy and numeracy; schooling & further education.
23	Employment Support in relation to: vocational training; volunteering; employment; life skills.
24	Recreation Support in relation to: Accessing and participating in mainstream leisure and social events.
25	Carers needs Support in relation to: Stress and potential for breakdown in caring relationships; practical assistance; accessing respite and other support; preparation for independent living for the person being cared for.
26	Housing needs Support in relation to: Accommodation at risk; help to settle in to new accommodation; accessing appropriate housing; accommodation in a poor state of repair or needs adaptation; the target of harassment
27	Eating and drinking Support in relation to: eating and drinking problems, e.g. prompting, assistance, special equipment, positioning or PEG feeding.
28	Support with decision making Support in relation to making key decisions.
29	Physical Wellbeing Support in relation to: pain control; oral and dental health; skin care/tissue viability; sleeping patterns.
30	Sleep Disorders
31	Support with medication

Need Status

Code	Value/Definition
01	Need met
02	Need unmet
99	Not known

Level of Support Required

Code	Value/Definition
01	Fully independent
02	Minimum assistance
03	Regular prompting/supervision
04	Some Support Required At least one to one support required with the person able to make some contribution.
05	Full support required At least one to one support with the person totally dependent and unable to make a contribution.
99	Not Known

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