This paper – the first of two – aims to trace the origins of, and suggest the underlying intentions behind, the recent appearance of the new term “complex needs”, amongst commissioners, service providers and some service user groups.
The paper takes a narrative approach, describing the early appearance of the term “complex needs” in services for those excluded from and/or stigmatised in mental health services. This is then contextualised with UK Government policy papers.
Contemporary usage of the term “complex needs” may at times be inconsistent and confusing; but it reflects government concerns that service provision has become too narrow in focus, and less needs‐led. The concept embodies an implicit critique of overly narrow practice, and holds the prospect of more systemic change.
“Complex needs” is relatively new, as a quasi‐technical term; as is any analysis locating its usage in the context of current overly narrow service definitions.
