Panel: The International Classification of Functioning, Disability and Health (ICF-CY) - Establishing Common Language

Panel: The International Classification of
Functioning, Disability and Health (ICF-CY)

Establishing Common Language
krausdc@mcmaster.ca
Wednesday, 1 February, 12
Panel: The International Classification of

Functioning, Disability and Health (ICF-CY)
Establishing Common Language
Outline:
Introduction to the ICF - Why is it called a common language?

(Olaf Kraus de Camargo)
The ICF in Early-Aid in Germany: Why do we need a common

language in Early Aid and how can the ICF help with that?
(Armin Sohns)
Using the ICF for Intervention Planning and Documentation in

Transdisciplinary Teams (Manfred Pretis)
The Guide for Monitoring Child Development - an ICF-based

tool to assess needs of children with chronic health conditions
and disabilities (Ilgi Ertem)
krausdc@mcmaster.ca
Disability: Why does it matter?

People with disabilities and chronic health conditions are
the largest minority on earth (1 billion people) (WHO and The World
Bank (2011). World Report on Disability)
Chronic health conditions affect around 25% of the

paediatric patients (http://childhealthdata.org/)
Care for children with disabilities is complex and
demanding (Burke, R. T. and B. Alverson (2010). Pediatrics 126(4): 789-790).
Psychosocial factors are of major importance for the
wellbeing of children and families (Lach, L. et al. (2009). Disability and
rehabilitation 31(9): 741-752.
too much care that is important is often not delivered, and too
much care that is delivered is often not important (Institute of Medicine,
2011)
krausdc@mcmaster.ca
ICF-CY
Body Functions
Organ Systems
Body Structures
Organ Systems
Activities and Participation
Learning and Applying Knowledge

General Tasks and Demands
Communication
Mobility
Self-Care
Domestic Life
Interpersonal Interactions and Relationships
Major Life Areas
Community, Social and Civic Life
Environmental Factors
Products and Technology

Natural Environment and Human-made
Changes to Environment
Support and Relationships
Attitudes
Services, Systems and Policies
1671 items
Functioning
A person is functioning well, if with regard to the context in which she
is living (Concept of Environmental Factors)
Her Body Functions (including the mental functions) and her Body
Structures correspond to general accepted norms
Bio
(Concept of Body Functions and Body Structures),
She is able to perform the type of activities in the same way as a

person without a health problem
(Concept of Activities),
Psycho
She is able to develop her existence in all domains that are

important to her in the same way and the same extent as it
would be expected to be by a person without impairments of
body functions or structures or restrictions in activities.
Social
(Concept of participation)
Functioning and Contextual

Factors
Contextual factors (Environmental factors, personal
factors) influence functioning:
Positively (Facilitators)
Negatively (Barriers)
Therefore it is always necessary to take into
consideration the contextual factors when
evaluating functioning.
Perspectives on the ICF
krausdc@mcmaster.ca
Perspectives on the ICF
krausdc@mcmaster.ca
Change of the
Definition of Disability
"He-Who-Must-Not-Be-Named"
In the ICF-language The Disability is an
experience
All people can find themselves in disabling life
situations (Disability as a relative term)
Disability can be prevented (in relative terms)
The relations between Disability and Functioning
are complex
krausdc@mcmaster.ca
10
Body Functions
b140-b189 SPECIFIC MENTAL FUNCTIONS
b147 Psychomotor functions
b1472 Organization of psychomotor functions
b1473 Manual dominance
b1474 Lateral dominance
b163 Basic cognitive functions

b167 Mental functions of language
b1670 Reception of language
b16703 Reception of gestural language
b1671 Expression of language

b16703 Expression of gestural language
11
Activities and Participation

d880 ENGAGEMENT IN PLAY
d8800
d8801
d8802
d8803
Solitary play
Onlooker play
Parallel play
Shared cooperative play
d9 COMMUNITY, SOCIAL AND CIVIC LIFE

d910 Community life
d9103 Informal community life
12
Environmental factors
e1 PRODUCTS AND TECHNOLOGY
e110 Products or substances for personal consumption
e1152 Products and technology used for play
e11520 General products and technology for play
e11521 Adapted products and technology for play
e150 Design, construction and building products and technology of buildings for public use
e1503 Design, construction and building products and technology for physical safety of
persons in buildings for public use
e155 Design, construction and building products and technology of buildings for private use
e1553 Design, construction and building products and technology for physical safety of
persons in buildings for private use
e5 SERVICES, SYSTEMS AND POLICIES

e570 Social security services, systems and policies
e5750 General social support services
e57500 Informal care of child or adult by family and friends
e57501 Family day care provided in home of service provider
e57502 Child or adult care service centre - profit and non-profit
13
Common Language
Professionals can communicate across
disciplines
Patients can identify common needs
across diagnoses - speak with one voice!
Service providers can identify populations
for programs and services across
diagnoses
Public Health services can identify
priorities based on needs
14
14
The ICF and Developmental Paediatrics

Cultures of Care
Acute Care
Developmental Care/Early
Intervention
15

Cultures of Care
Acute Care
Strategy
curative,
cause oriented
optimizing,
bio-psycho-social
Intervention
16

Cultures of Care
Acute Care
Strategy
Patients/Parents
curative,
cause oriented
passive,
enduring, patient
optimizing,
bio-psycho-social
active, responsible
Intervention
17

Cultures of Care
Acute Care
Strategy
Patients/Parents
Physician
curative,
cause oriented
passive,
enduring, patient
giving orders,
in charge
optimizing,
bio-psycho-social
active, responsible
Intervention
counselling
accompanying
member of a team
18

Culture of Care
Work
Services
Acute Care
Society
School
Leisure
Values
Friends
Integrated Care
Attitudes
Home
Family
Finances
Systems
Developmental
Care
Nature
Policies
19
teekkr ederim!, saol!
krausdc@mcmaster.ca
20

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Copyright:

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Panel: The International Classification of

Functioning, Disability and Health (ICF-CY)

Panel: The International Classification of

Introduction to the ICF - Why is it called a common language?

The ICF in Early-Aid in Germany: Why do we need a common

Using the ICF for Intervention Planning and Documentation in

The Guide for Monitoring Child Development - an ICF-based

Disability: Why does it matter?

Chronic health conditions affect around 25% of the

Activities and Participation

Learning and Applying Knowledge

Community, Social and Civic Life

Products and Technology

She is able to perform the type of activities in the same way as a

She is able to develop her existence in all domains that are

Functioning and Contextual

Perspectives on the ICF

Perspectives on the ICF

b163 Basic cognitive functions

b1671 Expression of language

Activities and Participation

d9 COMMUNITY, SOCIAL AND CIVIC LIFE

e5 SERVICES, SYSTEMS AND POLICIES

The ICF and Developmental Paediatrics

The ICF and Developmental Paediatrics

The ICF and Developmental Paediatrics

The ICF and Developmental Paediatrics

The ICF and Developmental Paediatrics

teekkr ederim!, saol!

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