title: A multi-centre study of the community needs of people with spinal cord injuries: the first 18 months.
abstract: METHODS
  Multi-centre, single cohort.
  
  
  OBJECTIVE
  To assess the needs, perceived environmental barriers, level of participation and psychological function of spinal cord injured patients living in the community 3-18 months after discharge.
  
  
  METHODS
  The National Spinal Injuries Centre, Stoke Mandeville, UK.; Princess Royal Spinal Injuries Centre, Sheffield UK.; Midlands Centre for Spinal Injuries, Oswestry, UK.
  
  
  METHODS
  Participants sustaining injury aged 18 or above were recruited from one of three spinal cord injuries units 3-18 months after discharge. Postal packs containing questionnaires, consent forms and information were distributed and a 2-week reminder was sent.
  
  
  RESULTS
  Main findings showed community needs to be generally well addressed however psychosocial needs were rated significantly lower than physical. Responses suggested no environmental impact on participation levels, however, qualitative data highlighted delays in accommodation, adaptations and availability of equipment to interfere with transition to community living. A substantial amount of respondents reported significant impact on independence and activity from secondary conditions and pain. Nearly all the sample reported dissatisfaction with their sexual life and these needs were not well addressed.
  
  
  CONCLUSIONS
  Societal participation continues to be affected by secondary conditions and pain, whereas delays in equipment and structural adaptations impact on the transition to community living. Sexual needs and problems remain an issue for the spinal cord injured population and a need which is left unaddressed in the community.
authors.affiliation: Isis Education Centre, Warneford Hospital, University of Oxford, Oxford, UK. paul.kennedy@hmc.ox.ac.uk
authors.forename: P
authors.initials: P
authors.lastname: Kennedy
authors.forename: O
authors.initials: O
authors.lastname: Sherlock
authors.forename: M
authors.initials: M
authors.lastname: McClelland
authors.forename: D
authors.initials: D
authors.lastname: Short
authors.forename: J
authors.initials: J
authors.lastname: Royle
authors.forename: C
authors.initials: C
authors.lastname: Wilson
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000209:etiology; D017004:Codependency, Psychological; D015331:Cohort Studies; D003863:Depression / Q000209:etiology; D004185:Disability Evaluation; D004777:Environment; D005260:Female; D005500:Follow-Up Studies; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment / Q000706:statistics & numerical data*; D017063:Outcome Assessment, Health Care; D010146:Pain / Q000209:etiology; D017060:Patient Satisfaction; D011788:Quality of Life / Q000523:psychology; D012111:Residence Characteristics; D013119:Spinal Cord Injuries / Q000150:complications / Q000523:psychology* / Q000534:rehabilitation*; D011795:Surveys and Questionnaires; D055815:Young Adult