the international classification of functioning, disability and health (icf) section 3 els r....
Post on 21-Dec-2015
224 views
TRANSCRIPT
The International Classification of Functioning,
Disability and Health (ICF)
Section 3
Els R. Nieuwenhuijsen, PhD, MPH, OTR
National Center for Health Statistics: developing improved disability data
Department of Health and Human Services (DHHS) see the report Healthy People 2010 http://www.health.gov/healthypeople
American Occupational Therapy Association American Psychology Association, Procedural
manual and guide for the standardized application of the ICF: a manual for health professionals
American Speech and Language Association
ICF applications
Publications including
Applying the ICF to measure childhood disability
Functioning and disability associated with mental disorders
Condition-related ICF applications for people with stroke, cerebral palsy, stuttering, epilepsy, arthritis,
ICF core sets for low back pain, depression, osteoporosis, obesity, obstructive pulmonary disease
See also the Handbook of Disability Studies, for models
See: Disability and Rehabilitation, Vol 25, Nr 11-12 June 2003For more references, see www.rivm.nl/who-fic newsletters
ICF applications
Emphasis on Functioning
Uniform data collection (e.g., comparing data between nations, data sets, cases, environments)
Insight in the complex issues of disability
Strengthen team approach, role delineation and clinical reasoning
Social change
ICF Value
Practice ICFA personal story from the Surgeon General
Call for Action – 2005 page 14
Practice ICF A personal story from the Surgeon
General Call for Action – 2005 page 14
Practice ICF Surgeon General Call for Action – 2005
page 19
My theory is:A welcoming community is more effective than a
community where “disability is a right”
When a community is accessible and offers available and affordable services – this will benefit the health, safety, and functioning of all people in the community (incl. mothers with children, elderly, people using crutches, walkers, canes, scooters, wheelchairs, elderly, people with TBI, autism, Alzheimer disease and many others)
Disability friendly community
Vancouver:Measuring Up Guide, a rating instrument for consumers –
inclusion and accessibility workbook to to identify environmental barriers in the city including architecture, housing, transportation, civic protection, social services, education – all items derived from the ICF.
“It is not just the accessibility of the theater, but also the inclusion of people with disability on stage”
http://vancouver.ca/getinvolved/documents/MeasuringUpWorkbookSept26.pdf
Disability friendly community
Measuring Up Guide: 4 parts
Support ServicesAccess to InformationEconomic ParticipationCommunity Contribution (social, recreation/sports,
cultural, environmental
http://vancouver.ca/getinvolved/documents/MeasuringUpWorkbookSept26.pdf
Disability friendly community
Disability friendly community –Vancouver
Disability friendly community- Vancouver
Disability friendly community
Source: http://www.ptguide.com/restaurants/restaurantaccess05.pdf#search=%22Port %20Townsend%2C%20Washington%20Disability%22 retrieved 9/13/06
Classification of Functioning
Assistive Technology
Clinical practice
Urban planning/architecture
Social Change
Policy
Other
ICF - summary
ICF is a classification of functioning
A tool to:
enhance uniform language and data collection
systematically identify and remove environmental barriers
better understand differences and similarities in functioning among people
enhance the full participation for all
ICF - summary
ICF is the only classification that deals with functioning, disability and health
ICF is used world wide
ICF is founded on the bio-psycho-social model
Last Question
What are for you the benefits/draw backs using a Classification of Functioning?
References http://www.surgeongeneral.gov/library/disabilities/calltoa
ction/calltoaction.pdf http://vancouver.ca/getinvolved/documents/
MeasuringUpWorkbookSept26.pdf Fuhrer, M. J., Jutai, J. W., Scherer, M. J., & DeRuyter, F.
(2003). A framework for the conceptual modelling of assistive technology device outcomes. Disability and Rehabilitation, 25(22), 1243-1251
www.rivm.nl/who-fic www.who.org.
ICF – summary
Thank you for your participation during this presentation.Hopefully, this information inspires you to learn more about the ICF, to reflect on the benefits of an international classification, and to conduct empirical research in the area of functioning.
ADA-ICF
ADA: An individual with a disability is defined as a person who has a physical or mental impairment that substantially limits one or more major life activities, a person who has a history or record of such impairment, or a person who is perceived by others as having such impairment.
ICF: Disability is an umbrella term for impairments, activity limitations or participation restrictions. Environmental and personal factors influence all aspects of health, functioning and disability.
ADA ICFAim Rights, discrimination,
opportunities Participation, inclusion, rights
Focus Employment, public service, public accommodations and services, telecommunication, miscellaneous
Conceptualizing functioning in relation to the environment
Characteristics
Law Classification
Benefits Policy Comprehensive tool identifying similarities and differences in functioning