The Instrument for the Classification and Assessment of Support Needs (I-CAN)
The I-CAN is a support needs assessment designed to assess and guide support delivery for people with a disability, including psychosocial disability (mental illness).
Resources available for download:
- I-CAN flyer
- Example report (for a client with physical and intellectual disabilities)
- Example report (for a young adult client with psychosocial disability)
- Information for a potential participant (Easy English)
The I-CAN is based on the World Health Organisation’s International Classification of Functioning, Disability and Health (ICF).
The ICF’s Activity and Participation domains are supplemented by three domains based on health and wellbeing, resulting in a total of 12 domains:
- Domestic Life
- Self Care
- Community, Social & Civic Life
- Learning & Applying Knowledge
- General Tasks and Demands
- Life Long Learning
- Interpersonal Interactions & Relationships
- Behaviours of Concern
- Mental & Emotional Health
- Physical Health
Each domain is then broken into four support needs ratings. For example:
1. Mobility includes:
- Transfers & positioning
- Carrying, moving & handling objects
- Walking & moving
The only domain that is not broken into four ratings is Physical Health, which has 10 ratings reflecting a range of health systems.
Scoring for the I-CAN is broken down into two components of support- frequency and type, each rated out of 5.
The I-CAN’s statistical summary reports the average and highest rating for each domain, giving a snapshot of an individual’s support needs.
The Supports Paradigm and Person-Environment Fit
The I-CAN is based on a model in which supports are considered:
- an integral part of all human functioning,
- dependent on a person’s health, life pursuits and environments, and not an enduring characteristic of the person,
- needed according to a person’s environment and chosen valued life pursuits.
Not all people want or can achieve a normative level of human functioning, regardless of what supports are in place. More important is a focus on the actual supports needed and wanted to pursue a valued life.
Person-Centred and Strengths-Based
By focusing on support needs, the I-CAN is intrinsically person-centred and focuses much more on strengths than functional assessments.
A functional assessment may say: “Bob can’t count change” or “Bob’s financial literacy is at the 2nd percentile, compared to his peers”’
A supports-need assessment such as the I-CAN focuses on what support Bob needs to achieve the kind of life he values, and thus would say something along the lines of “Bob can use his payWave card to make minor purchases”
Becoming an I-CAN assessor
Only people with a current I-CAN assessor certificate are authorised to conduct I-CANs. In order to become an I-CAN assessor, a practitioner must complete:
- pre-reading material
- a full day workshop
- a half day follow up Implementation Workshop via videoconferencing within two months of the face-to-face workshop
- an I-CAN assessment with a client that is submitted for feedback and review.
There are no pre-requisites to attending I-CAN training, but experience with conducting clinical assessments is strongly encouraged.