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International Classification of Functioning (ICF)
Transcript of International Classification of Functioning (ICF)
What is the ICF?
An international standard for describing and measuring health and disability and a universal classification of functional status associated with a number of health conditions.
Moving from the classification of illness and disease to the classification of health and health-related domains
Created in 2001 by the World Health Organization (WHO)
ICD-10 & ICIDH
The ICD-10 is in the same WHO family of international classifications as ICF, but the ICD-10 is focused more on the reasons of death and the ICF classifies health.
The ICF grew out of the ICIDH, which was updated to become the current ICF.
What models make up the ICF?
The medical model: views disability as a feature of the person that requires medical care by professionals
and the social model
The social model: sees disability as a socially-created problem and not a main feature of the person.
What are the principles?
• The ICF focuses on health and not on the consequence of the illness. It uses the health continuum that deals with people with disabilities and people without disabilities
o Body Function & Structures Domain
o Activities Domain
o Participation Domain
o Contextual Factors (environment & personal)
• Uses a standardized language and framework.
Why is it needed?
Standardizing concepts related to disabilities.
Serves as a tool for measuring efficiency and effectiveness of rehabilitative services.
Good framework for introducing evolution of rehabilitation services (disease driven medical model to biopsychosocial model of functional outcome)
Can be used in the instruction of key elements of TR practice
Provides potential structure for instruction on planning care
It will provide:
A common and universal language
A guide for clinical practice, research and social policy.
How will the ICF be used?
3 levels of Functioning
Person in a societal context
Parts of the ICF
1. Functioning and Disability
Body function and structure
Activity and participation
2. Contextual Factors
Personal factors (not coded)
-Body Functions: “b”
-Body structure: “s”
-Activities and participation: “d”
-Environmental factors: “e”
-Qualifiers are numeric codes or ratings that record presence and severity of problem at body, person and societal levels.
Common code or language for describing disabilities
Consistency between health professions.
Reduces stigma about disabilities
How is the ICF related to RT?
RT emphasizes a holistic approach to treatment which conicides with the ICF's coding.
Uses the biopsychosocial model.
Activity and participation section.
Creates a common language: consistent treatment plan, interdisciplinary collaboration
Reference tool: citing the ICF for an intervention increases credibility
Body Functions and Structure
The RT needs to be aware of codes for body function and structure to know the risks of a client during certain activities that target the whole person. It is the responsibility of the RT to not put a client at risk.
How to enhance future RT practice
• To make the RT more aware of a client’s social and cultural situation
• To decrease clients risk of injury during treatment
• To create a common language between RT and other health disciplines
• To understand the highest potential of client compared to their state at the time
Katie Holcomb, Lindsey Czark, Michael Steed, Samantha Fenyves