International Classification of Functioning, Disability and Health (ICF) pdf, Mb · WHOFIC Resolution Merger of ICF-CY INTO ICF. WHO Library Cataloguing-in-Publication Data. International classification of functioning, disability and health: ICF. vitecek.info development vitecek.info constitution 3. International classification of functioning, disability and health: children & youth version: ICF-CY. vitecek.info development - classification. vitecek.infocent.
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The International Classification of Functioning, Disability and Health (ICF) is a framework for describing for the definition and measurement of health and disability. .. ICF checklist: vitecek.info vitecek.info The ICF is a classification of health and health-related conditions for children and International Classification of Functioning, Disability, and Health (ICF) [PDF]; AAC for Child with Cerebral Palsy [PDF]; Acquired Apraxia of Speech [PDF]. The International Classification of Functioning, Disability and Health (ICF) is a classification of .. How to use the ICF: A practical manual for using the International Classification of Functioning, Disability and Health (ICF) (PDF) ( Draft ed.).
Each part has two components:. The Body component comprises two classifications, one for the functions of the body systems, and one for the body structures. The chapters in both classifications are organized according to the body systems.
The Activities and Participation component covers the complete range of domains denoting aspects of functioning from both an individual and a societal perspective.
A list of Environmental Factors is the first component of Contextual Factors. Personal Factors is also a component of Contextual Factors but they are not classified in ICF because of the large social and cultural variance associated with them. On the one hand, they can be used to indicate problems e. These components of functioning and disability are interpreted by means of four separate but related constructs.
These constructs are operationalized by using qualifiers. Body functions and structures can be interpreted by means of changes in physiological systems or in anatomical structures. For the Activities and Participation component, two constructs are available: As a "second generation" classification, ICF is concept driven.
Apart from classifying the universe of disability, ICF also provides a conceptual framework for understanding disability. At the core of the ICF concept of health and disability is the notion that disability is a multidimensional and universal phenomena placed on a continuum with health. Human functioning is understood as a continuum of health states and every human being exhibits one or another degree of functioning in each domain, at the body, person and society levels.
ICF conceptualises disability not solely as a problem that resides in the individual, but as a health experience that occurs in a context. Disability and functioning are, according to the ICF model, outcomes of interactions between health conditions diseases, disorders and injuries and contextual factors. The bio-psychosocial model embedded in the ICF broadens the perspective of disability and allows medical, individual, social, and environmental influences on functioning and disability to be examined.
Moreover, ICF is grounded in the principle of universality, namely that functioning and disability are applicable to all people, irrespective of health condition, and in particular that disability — or decrement in functioning at one or more levels — is not the mark of a specific minority class of people, but is a feature of the human condition, which is, epidemiologically speaking, over the life-span, a universal phenomena.
The health condition a disease or disorder may impact functioning at 3 mutually interacting levels: The way health condition impacts functioning should also be considered within the context of environmental and personal factors.
Neither disabilities nor handicaps could be assessed in terms of degree of severity. Environmental factors were acknowledged but not classified and no linkages between disability and health status measurement were made. Due to these limitations, ICIDH was generally viewed as flawed and so was ignored by disability data users in general and by advocates of the social model of disability especially organizations representing persons with disabilities in particular.
In response to these and other criticisms, the ICF was developed over a seven-year period in an international collaborative process and validated by means of field trails in over 70 countries before officially being endorsed by all WHO Member States in ICF was conceived as a common language and data standard, capable of being used for multiple purposes and in different settings.
Since its adoption by the World Health Assembly in , the ICF has been implemented in a variety of ways at various levels. The listing of examples below provides an overview of where and how the classification is used.
Ireland [ 7 ],Chile [ 8 ], Mexico [ 9 ]. ICF-based disability prevalence and multi-domain functioning levels at global and regional level are presented in the upcoming WHO World Report on Disability and Rehabilitation.
At country level, the ICF is used to facilitate the harmonization and comparability of data sets e. Australian Health Data Dictionary [ 11 ]. For guiding policy development and monitoring, its implementation need to be matched with data sources.
Pilot projects are currently exploring the use of the ICF framework and coding system for monitoring policy implementation by linking policy targets and indicators with the respective data sources [ 15 , 16 ].
The uptake of the ICF and ICF-based instruments has been particularly strong in the area of medical, social and occupational rehabilitation [ 18 - 20 ]. The move to an ICF approach is driven by a broad consensus that disability should be understood as the result of a complex interaction between a person and his or her environment and not as a characteristic of an individual.
Consequently, it could be presumed that eligibility should also take into account the functioning of the persons in their environment and move beyond using only one-dimensional, deficit-oriented diagnostic or body impairment labels. To support the implementation of ICF, a wide range of application tools and training materials have been developed over the past years.
Items from the classification were chosen by experts to list the most commonly used domains and later field tested to verify the selection and make additions of missing items. The ICF Checklist gives a thumbnail sketch of the main functioning of any individual in terms of body functions and structures, activities and participation, and environmental factors.
The ICF checklist also includes diagnostic information, which enables the user to study the relationship between a health condition and the associated functioning problems.
Both instruments were explicitly designed to be generic assessment tools usable in a wide range of applications aiming at data comparability across conditions and interventions. This feature constitutes the primary strength and virtue of these two instruments. For example, a clinician dealing with patients with depression will need a wider range of categories to identify the area of mental functions and interpersonal interactions and relationships. A speech and language therapist, on the other hand, will require detailed description of voice and speech functions and related structures.
In response to this information need in specialized clinical settings, ICF core sets [ 30 ] have been developed. For clinicians who choose to continue to use their existing clinical measures and map them to the ICF framework, semantic maps have been developed alongside with mapping rules and procedures. Sensitization and training of stakeholders from health, social service and educational institutions proved to be a critical element in promoting the ICF implementation in these sectors. Over the last years, a number of ICF training tools and awareness raising and education activities on ICF were conducted [ 31 , 32 ].
Currently a web-based ICF e-learning tool is being developed and field tested. The introduction module of the tool is expected to be launched by the end of As a classification the ICF is meant to be a "living document" and therefore has to be kept up-to-date and developed further. The application collects update proposals in a structured and organized manner.
This is done by asking the user to fill a form in which the user explains the proposal as well as the rationale behind the proposal. Subsequently, each proposal is reviewed online by experts from the FDRG in terms of its compliance with established criteria like: Following the review, experts in the URC decide whether the proposal should be implemented or rejected.
As the first ICF-derived classification, the ICF-CY is expanding the coverage of the main ICF volume by providing specific content and additional detail to more fully cover the body functions and structures, activities and participation, and environments of particular relevance to infants, toddlers, children and adolescents.
It acknowledges that every human being can experience a decrement in health and thereby experience some disability. This is not something that happens to only a minority of humanity. By shifting the focus from cause to impact it places all health conditions on an equal footing allowing them to be compared using a common metric — the ruler of health and disability.
Since its publication in , the ICF has been gradually implemented in a variety of settings and sectors. At clinical level, its uptake has been most noticeable in the area of medical, social and occupational rehabilitation.
Proceedings of What is disability? UN convention on the rights of persons with disability, eligibility criteria and the International Classification of Functioning Disability and Health. The full contents of the supplement are available online at http: National Center for Biotechnology Information , U. BMC Public Health. Published online May Nenad Kostanjsek 1.
Author information Article notes Copyright and License information Disclaimer. Corresponding author. Nenad Kostanjsek: Supplement Proceedings of What is disability?
Publication of this supplement was supported by the Italian Ministry of Health http: Conference What is disability? This is an open access article distributed under the terms of the Creative Commons Attribution License http: This article has been cited by other articles in PMC.
Abstract A common framework for describing functional status information is needed in order to make this information comparable and of value. Introduction The approval of the International Classification of Functioning, Disability and Health ICF [ 1 ] by the World Health Assembly in May has marked a paradigm shift in the way health and disability are understood and measured.
ICF taxonomy As a classification, ICF systematically groups different domains for a person in a given health condition e. Each part has two components: Components of Functioning and Disability The Body component comprises two classifications, one for the functions of the body systems, and one for the body structures. Table 1 ICF Taxonomy. ICF Chapter 1. Mental Functions 2. Sensory Functions and Pain 3. Voice and Speech Functions 4. Functions of the Digestive, Metabolic, Endocrine Systems 6.
Genitourinary and Reproductive Functions 7. ICF Core Sets can be used along the continuum of care and over the course of a health condition. Only a fraction of the categories is needed. Since all of the relevant categories are listed in an ICF Core Set, its use in multidisciplinary assessments protects health professionals from missing important aspects of functioning. As clinicians and researchers used the ICF, they became more aware of its limitations.
The ICF lacks the ability to classify the functional characteristics of a developing child. Different ICF codes are needed across the first years of a child's life to capture the growth and development of a disability even when the child's diagnosis does not change.
This can serve a significant role for providers caring for children with spectrum disorders such as autism or cerebral palsy. Descriptions of codes in the ICF-CY were revised and expanded and new content was added to previously unused codes.
Codes were added to document characteristics as adaptability, responsivity, predictability, persistence, and approachability. This contrasts with the adult ICF as only one code existed in regards to leisure or recreation.
Changes in ICF-CY codes over time reflect developmental effects attributable to the child's interaction with the environment. Environmental factors influence functioning and development and can be documented as barriers or facilitators using the ICF-CY. The key environments of children and adolescents include their homes, day care centers, schools and recreation settings of playground, parks, and ball fields.
For example, a child will transition into elementary or high school or from one service setting or agency to another. Attention to these transitions of children with disabilities has been identified as an important role for health care providers. With a coding system such as the ICF-CY, the transition will be smoother and interventions can start where the previous health provider left off.
From Wikipedia, the free encyclopedia. Disability Theory and models.
Physical Occupational Speech. Societal implications. Disability rights movement Inclusion Normalization People-first language Pejorative terms. Personal assistance. Socioeconomic assistance. Groups Organizations.
Disabled sports. Disability in the arts Disability art Disability in the media. Disability Lists. World Health Organization. National Center for Health Statistics.
Archived from the original on 10 May August Developmental and Behavioral Pediatrics. Disability and Rehabilitation. A new tool for understanding disability and health". The American Journal of Occupational Therapy.
May Rehabilitation Psychology. The Capacity and Performance qualifiers as outlined in the ICF Activities and Participation section may be best translated clinically as the levels of functioning seen in a standardized or clinic setting Capacity and in everyday environments Performance. September