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Do 'complex needs' need 'complex needs services'? (Part 2)

机译：“复杂需求”需要“复杂需求服务”吗？ （第2部分）

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Purpose - The purpose of this paper is to conclude a two-part review of past and current approaches to meeting the more "complex" needs of individuals in the UK context. It explores the dilemmas of commissioning, the development of personalisation approaches in funding or care planning mechanisms, the need to address power relations and lessons from the introduction of the role of a "lead professional" in the Care Programme Approach (CPA), concluding with the development of more systemic approaches at locality level. Design/methodology/approach - This, being the second of two papers, extends the historical narrative approach of Part 1 to the analysis of the term "complex needs" and its role in contemporary service delivery. Findings - The first responsibility of services has been to find ways to engage these more "at risk" individuals and their needs more effectively; and innovation and guidance on this is valuable. But the paper also needs to address the nature of the net itself, that lets so many through. Reliance on individuating mechanisms of service delivery to respond to individual complexity may be less effective in tackling complex needs, unless accompanied by more effective collective representation, and systemic change. Originality/value - This overview paper brings together themes that are more commonly treated in isolation; in addition, there is hitherto unpublished material on the CPA, and illustration with examples of contemporary developments.
机译：目的-本文的目的是总结两部分内容，以回顾过去和当前的方法，以满足英国背景下个人更为“复杂”的需求。它探讨了委托的困境，在资金或护理计划机制中个性化方法的发展，在护理计划方法（CPA）中引入“首席专业人员”的作用，解决权力关系和教训的必要性，最后包括在地方一级开发更多系统的方法。设计/方法/方法-这是两篇论文的第二篇，将第1部分的历史叙述方法扩展到对术语“复杂需求”及其在当代服务提供中的作用的分析。调查结果-服务的首要责任是寻找方法，以更有效地吸引这些“处于风险中”的个人及其需求;在这方面的创新和指导很有价值。但是本文还需要解决网络本身的性质，这可以让很多人通过。除非有更有效的集体代表和系统性变革，否则依靠个性化的服务交付机制来响应个人的复杂性可能无法有效地满足复杂的需求。原创性/价值-此概述文件汇集了通常更孤立地处理的主题;此外，注册会计师（CPA）迄今尚未出版过相关材料，并附有当代发展事例的插图。

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