Otago Polytechnic

The perspectives of NASC service coordinators on the use of self-assessment

Mark Esteves
27 November 2019


Esteves, M.F.C.. (2019). The perspectives of NASC service coordinators on the use of self-assessment. (A thesis submitted in partial fulfilment of the degree of Master of Occupational Therapy at Otago Polytechnic, Dunedin, New Zealand.) [PDF 2.5MB] 


Background. Using a supported self-assessment process is thought to empower people with disabilities to be more in control of their lives (Ministry of Health, 2015). This research aimed to investigate the experiences of service coordinators on the use of the supported self-assessment called Understanding You and Your Situation (UYYS).

Method. Interpretive description was the qualitative methodology used in this study. Semi-structured interviews provided qualitative data from 6 participants. The interviews were undertaken to capture the service coordinators’ practice and attitudes toward the use of the UYYS. Data analysis applied the Qualitative Analysis Guide of Leuven (QUAGOL).

Findings. Four key concepts were identified on the use of UYYS. These related to: (1) the process of the UYYS, (2) the need for face-to-face interactions, (3) comparison with traditional needs assessment, and (4) assessors’ skills. These concepts provided important information in understanding the UYYS process and how it is linked to a funding allocation tool.

Implications. The concepts found in this study can be used to guide other Needs Assessment Service Coordination (NASC) agencies planning to adopt the UYYS.

Key words: Supported self-assessment; self-assessment; needs assessment; service coordination; disability assessment; interpretive description.

The primary supervisor for Mark Esteves' thesis was Mary Butler.


This thesis is available under a Creative Commons Attribution-NonCommercial licence CC BY-NC 4.0 International.