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Fig 1. An Adaption of Maslow`s Hierarchy of Needs

The theoretical foundation of our philosophy is basd on Maslow`s concept of self-actualisation (Maslow, 1943). We believe that people have the ability to develop potentialities and to change. The needs that motivate self-actualisation can be represented in a hierarchy of relative order and predominance.These basic human needs are ranked from the lowest to the highest.The physiological and safety needs are dominant and must be met before higher needs can be achieved.Personal growth needs are those of love and belonging, self-esteem and recognition and self-actualisation.
(See fig 1.)

We believe that individual growth and self-fulfilment are a continuing lifelong process of developing,emerging and becoming.It is fair to question the basic concept that if human beings are so intrinsically motivated towards self-growth, why do so many fail to develop their potentials ?
We believe that the environment and social conditions play a fundamental role in motivating the individual towards self-growth.
The client group we care for may have serious physiological and safety neds, which must be met by skilled and experienced personnel.More importantly we will create an atmosphere in which the individual will be dealt with justly and honestly.

For some clients ,independent living is unrealistic.`Asylum is likely required by people on a short or long-term basis, who are unable to cope with a more independent life.`(Social Services Committee, 1990).
As Lamb (1988)asserts ` clients may want (or need) to avoid the stress of competitive employment or even sheltered employment and living independently.They may experience more anxiety than gratification from the threat of intimacy that accompanies increased involvement with people`.
`It is important however to distinguish between asylum as institution and asylum as function.`(Thornycroft & Bebbington, 1989).



Asylum has been described in terms of three principal elements

1.Retreat/refuge: withdrawing from the front-line of life, protection from aggression (usually psychological) or exploitation.

2.Reflection: time to take stock, to reappraise one`s life.

3.Restoration: time to build new skills for life and adapt old ones

In keeping with our philosophy and to achieve the aims and objectives, Imogene King`s Nursing Model is used.

The Model is underpinned by two main concepts:-

1. Human beings interact in the personal, interpersonal and social systems.
2. Health is adaptation to stress through the use of one`s own resources.

Nursing is seen as a reciprocal process of action, reaction, interaction, and transaction between client and nurse in various interpersonal and social systems.
At Asher we aim to create a safe environment in which the clients can achieve the maximum degree of independence, practice new skills for life and function to their full potential.
The client is not only a recipient of care but an active participant in setting his or her own health goals.

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