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The International Classification of Functioning, Disability and Health (ICF) Section 3

The International Classification of Functioning, Disability and Health (ICF) Section 3 Els R. Nieuwenhuijsen, PhD, MPH, OTR. ICF applications. National Center for Health Statistics: developing improved disability data

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The International Classification of Functioning, Disability and Health (ICF) Section 3

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  1. The International Classification of Functioning, Disability and Health (ICF) Section 3 Els R. Nieuwenhuijsen, PhD, MPH, OTR

  2. ICF applications • 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

  3. 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 2003 For more references, see www.rivm.nl/who-fic newsletters

  4. ICF Value 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

  5. Practice ICFA personal story from the Surgeon General Call for Action – 2005 page 14

  6. Practice ICFA personal story from the Surgeon General Call for Action – 2005 page 14

  7. Practice ICFSurgeon General Call for Action – 2005 page 19

  8. Disability friendly community 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)

  9. 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

  10. Disability friendly community Measuring Up Guide: 4 parts Support Services Access to Information Economic Participation Community Contribution (social, recreation/sports, cultural, environmental http://vancouver.ca/getinvolved/documents/MeasuringUpWorkbookSept26.pdf

  11. Disability friendly community –Vancouver

  12. Disability friendly community- Vancouver

  13. Disability friendly community Source: http://www.ptguide.com/restaurants/restaurantaccess05.pdf#search=%22Port %20Townsend%2C%20Washington%20Disability%22 retrieved 9/13/06

  14. Classification of Functioning Assistive Technology Clinical practice Urban planning/architecture Social Change Policy Other

  15. 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

  16. 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

  17. Last Question What are for you the benefits/draw backs using a Classification of Functioning?

  18. References • http://www.surgeongeneral.gov/library/disabilities/calltoaction/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.

  19. ICF – summaryThank 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.

  20. 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.

  21. ADA ICF

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