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The International Classification of Functioning, Disability and Health: A Tool for Education, Research and Services MENTAL HEALTH and CHILDREN. Cille Kennedy, Ph.D. Presentation at the Association of University Centers on Disabilities Annual Conference Bethesda Maryland November 2, 2001.
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The International Classification of Functioning, Disability and Health: A Tool for Education, Research and ServicesMENTAL HEALTH and CHILDREN Cille Kennedy, Ph.D. Presentation at the Association of University Centers on Disabilities Annual Conference Bethesda Maryland November 2, 2001
The ICF: Mental Health and ChildrenICD-10 Mental and Behavioural Disorders • F00-F09 Organic mental disorders • F10-F19 Due to psychoactive substance use • F20-F29 Schizophrenia • F30-F39 Mood (affective) disorders • F40-F49 Neurotic disorders • F50-F59 Syndromes associated with physiological disturbance and physical factors • F60-F69 Adult personality disorders • F70-F79 Mental Retardation • F80-F89 Disorders of psychological development • F90-F99 Disorders with onset usually occurring in childhood and adolescence
Psychological development(F80-F89) Speech & language Scholastic skills Pervasive developmental disorders: AUTISM Asperger’s Syndrome Onset usually occurring in childhood & adolescence (F90-F98) Hyperkinetic ADHD Conduct OPPOSITIONAL DEFIANT Anxiety The ICF: Mental Health and ChildrenICD-10 Mental and Behavioural Disorders
Consciousness Orientation Intellectual Global psychosocial Temperament & personality Energy & drive Sleep Other The ICF: Mental Health and ChildrenICF Body Functions: Mental FunctionsGLOBAL MENTAL FUNCTIONS
Attention Memory Psychomotor Emotional Perceptual Thought Higher-level cognitive Language Calculation Sequencing complex movements Experience of self and time Other The ICF: Mental Health and ChildrenICF Body Functions: Mental Functions SPECIFIC MENTAL FUNCTIONS
Learning & applying knowledge General tasks & demands Communication Mobility Self-care Domestic life Interpersonal interactions & relationships Major life areas Community, social & civic life The ICF: Mental Health and ChildrenACTIVITIES and PARTICIPATION
BASIC LEARNING Copying Rehearsing Learning to read Learning to write Learning to calculate Acquiring skills APPLYING KNOWLEDGE Focusing attention Thinking Reading Writing Calculating Solving problems Making decisions The ICF: Mental Health and ChildrenLEARNING & APPLYING KNOWLEDGE
General interpersonal interactions Basic interpersonal interactions Social cues Physical contact Complex interpersonal interactions Forming relationships Interacting according to social rules Particular interpersonal relationships Relating with strangers Formal relationships Persons in authority Informal relationships Other students Family relationships Intimate relationships The ICF: Mental Health and ChildrenINTERPERSONAL INTERACTIONS & RELATIONSHIPS
The ICF: Mental Health and ChildrenDisabilities Associated with ADHD • d160 Focusing attention • Intentionally focusing on specific stimuli, such as by filtering out distracting noises
The ICF: Mental Health and ChildrenDisabilities Associated with ADHD • d7202 Regulating behaviours within interactions • Regulating emotions and impulses, verbal aggression and physical aggression in interactions with others, in a contextually and socially appropriate manner
The ICF: Mental Health and ChildrenDisabilities Associated with ADHD • d820 School education • Gaining admission to school, engaging in all school-related responsibilities and privileges, and learning the course material, subjects and other curriculum requirements in a primary or secondary education programme, including attending school regularly, working cooperatively with other students, taking direction from teachers, organizing, studying and completing assigned tasks and projects, and advancing to other stages of education
The ICF: Mental Health and ChildrenDocumenting Disabilities: QUALIFIERS • How much difficulty, do you have • Focusing attention? 0 NO difficulty 1 MILD difficulty 2 MODERATE difficulty 3 SEVERE difficulty 4 COMPLETE difficulty
The ICF: Mental Health and ChildrenDisabilities Associated with ADHD
Health condition (diso Activities Participation Environmental Factors Personal Factors The ICF: Mental Health and ChildrenModel of Functioning and Disability HealthCondition Body Function & Structure Activities Participation EnvironmentalFactors
The ICF: Mental Health and ChildrenDisabilities Associated with ADHD
The ICF: Mental Health and Children • Activity limitations are not unique to any disorder, either physical or mental • Activity limitations can be characteristic of certain disorders • ICF is developed to encompass lifespan • ICF is dynamic, captures change • ICF includes effects of health condition and environment on functioning and disabilities
International Classification of Functioning, Disability and HealthFurther Information www.who.int/classification/icf ckennedy@osaspe.dhhs.gov