The NiRA is a 38-item assessment tool, designed to initiate discussions about a broad array of needs that may be experienced by people recovering from a first episode of mental illness.
The items of need included in the NiRA1 have been divided into six categories to facilitate a systematic approach to assessment. These categories reflect the broader needs that have been identified in academic literature and by service users and mental health clinicians involved in developing and evaluating the NiRA.
Whilst items have been allocated to categories in this assessment, it is important to recognise that some needs are inter-related and may cross two or more categories. For example, the item “reducing or abstaining from alcohol or other substance use” has been placed in the physical needs category. Needs relating to this item are likely to also involve psychological and emotional items that may be important to discuss within the context of a needs assessment.