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International classification of functioning by athul
The document discusses the International Classification of Functioning (ICF) framework developed by the World Health Organization (WHO). It provides a standardized language for classifying and describing human functioning and disability. The ICF aims to establish a common language to improve communication about health and disability across countries, disciplines, services and time. It takes a holistic and interactive approach by considering body functions and structures, activities, participation and environmental factors. The ICF can be applied across various sectors like health, education, labor and policymaking.
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International classification of functioning by athul
- 1. International Classification of Functioning DrAthul c Soman
- 2. International Classification ofFunctioning, Disability and Health (ICF The endorsement of the ICF by the 54th World Health Assembly in May 2001 • Mirrors an important shift in the understanding of health and disability by the WHO. The ICF acknowledges that every human being can experience a decrement in health and thereby experience some disability.
- 3. • With theICF, WHO responds to the need for a unified, international, and standardized language for describing and classifying health and health-related domains. The ICF is WHO’s framework for health and disability. It is the conceptual basis for the definition,measurement, and policy formulations for health and disability.
- 4. Accordingly, it coversthe entire lifespan. It is integrative and not merely medical or social. Similarly, it addresses human functioning and not merely disability. It is multidimensional and interactive, and rejects the linear linkage between health condition and functioning. It is also etiologically neutral which means functioning is understood descriptively and not caused by diagnosis. It adopts the parity approach which does not recognize an inherent distinction or asymmetry between mental and physical functioning.
- 5. Aims of ICF •To provide a scientific basis for consequences of health conditions • To establish a common language to improve communications • To permit comparison of data across: – countries – health care disciplines – services – time • To provide a systematic coding scheme for health information systems
- 6. ICF Applications • Healthsector • Social security • Education sector • Labour sector • Economics & development sector • Legislation & law • Other ….
- 7. Foundations of ICF HumanFunctioning - not merely disability Universal Model - not a minority model Integrative Model - not merely medical or social Interactive Model - not linear progressive Parity - not etiological causality Context - inclusive - not person alone Cultural applicability - not western concepts Operational - not theory driven alone Life span coverage - not adult driven
- 8. Interaction of ConceptsICF 2001
- 9. Definitions •Impairment •Loss or abnormalityin body structure or function (including mental function) •Activity Limitations •Difficulties individual may have in executing activities in terms of quantity or quality •Participation Restrictions •Problems an individual may experience in involvement in life situations •Facilitators & Barriers •Environmental factors may be a facilitator for one person & barrier for another
- 10. ICF Components Body functionsPhysiological functions of body systems Body Structures Structural or anatomical parts of the body Activities Execution of a task or action by an individual (individual perspective) Participation Persons involvement in a life situation (societal perspective) Environmental Factors All aspects of the external world that impact on the person’s functioning
- 11. ICF Structure Two parts: 1.Functioning and Disability a) Body functions and structures b) Activities and Participation 2. Contextual Factors a) Environmental factor b) Personal factors
- 12. 12 Structure Classification Parts Components Constructs/ qualifiers Positive Aspect ICF Part 1: Functioning andDisability Part 2: Contextual Factors Body Functions and Structures Activities and Participation Environmental Factors Personal Factors Change in Body Structures Capacity Performance Facilitator/ Barrier Facilitators Change in Body Functions Functioning and Structural integrity Functioning Impairment Restrictions Disability Negative Aspect
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- 14. Body Functions andStructures Skin and related structuresFunctions of the skin and related structures Structures related to movementNeuromusculoskeletal and movement-related functions Structures related to the genitourinary and reproductive systems Genitourinary and reproductive functions Structures related to the digestive, metabolic and endocrine systems Functions of the digestive, metabolic and endocrine systems Structures of the cardiovascular, immunological and respiratory systems Functions of the cardiovascular, haematological, immunological and respiratory systems Structures involved in voice and speech Voice and speech functions The eye, ear and related structuresSensory functions and pain Structures of the nervous systemMental functions
- 15. Activities and Participation 1Learning &Applying Knowledge 2 General Tasks and Demands 3 Communication 4 Movement 5 Self Care 6 Domestic Life Areas 7 Interpersonal Interactions 8 Major Life Areas 9 Community, Social & Civic Life
- 16. Environmental Factors 1. Productsand technology 2. Natural environment and human- made changes to the environment 3. Support and relationships 4. Attitudes 5. Services, systems and policies
- 17. The ICF, theBasis for Rehabilitation Management • generally involves the four steps • assessment, assignment, intervention, and evaluation 17
- 18. assessment includes the identificationof patients’ problems, the review and potential modification of the assigned service program Patients’ problems can be assessed in a non-systematic or in a systematic way using the applicable ICF Core Sets assignment step refers to the assignment to health professionals and intervention principles The intervention refers to the specification of the intervention techniques, indicator measures, and target values to be achieved in a predefined time period and the monitoring of the intervention The evaluation step refers to the evaluation of goal achievement with respect to the specified cycle goals and intervention targets. 18
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- 20. ICF Applications • Healthsector • Social security • Education sector • Labour sector • Economics & development sector • Legislation & law • Other ….
- 21. ICF in health& disability statistics • Common Domains – Mobility - Cognition - Mood – Self Care - Usual Activities ... • link data from both health and disability • Multiple Components • overcomes the “impairment” focus • Environmental Factors • Comparability
- 22. • Needs assessment •Outcome assessment • Utilization patterns • Comparison of different interventions • Consumer satisfaction • Service performance – outcomes – cost-effectiveness • Electronic records • Clinical terminology ICF in clinical practice & management
- 23. ICF in policymaking • assessment of population health • impact of disability –economic –social • evidence-base for policy makers on different policy interventions –responsiveness of services –efficiency –performance assessment
- 24. ICF research applications •joint assessment of disease and functioning – description of association – intervention response & synchrony of change – explanatory power on: • utilization • needs • costs • outcomes – Cost-effectiveness of interventions – Unified approaches
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