Some issues surrounding the assessment of individuals with profound and multiple learning disabilities: a case study

This paper explores the practical issues of conducting an assessment with a client with severe learning disabilities, as well as physical disabilities. The process of assessment is considered with particular reference to people with profound and multiple learning disabilities; this discussion is located within a case study of a young woman with complex needs. Existing frameworks are explored, and it is argued that formal methods of assessment are helpful only in the context of a meaningful relationship with the client, taking full account of individual factors. This point is illustrated by the author's adaptation of the Star Profile to make it relevant to this client's individual needs. Assessment tools can help to provide information that links into the client's Shared Action Plan, and it is argued that professionals need to be aware that the client should be at the centre of this process. Person-centred forms of planning, for example Essential Lifestyle Planning, are increasingly being recognized as important. Published forms of assessment are most effective when used sensitively and proficiently by practitioners.