The International Classification of Functioning,

Disability and Health (ICF)

Section 3

Els R. Nieuwenhuijsen, PhD, MPH, OTR

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

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

ICF applications

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

ICF Value

Practice ICFA personal story from the Surgeon General

Call for Action – 2005 page 14

Practice ICF A personal story from the Surgeon

General Call for Action – 2005 page 14

Practice ICF Surgeon General Call for Action – 2005

page 19

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)

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

Disability friendly community

Measuring Up Guide: 4 parts

Support ServicesAccess to InformationEconomic ParticipationCommunity Contribution (social, recreation/sports,

cultural, environmental

http://vancouver.ca/getinvolved/documents/MeasuringUpWorkbookSept26.pdf

Disability friendly community

Disability friendly community –Vancouver

Disability friendly community- Vancouver

Disability friendly community

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

Classification of Functioning

Assistive Technology

Clinical practice

Urban planning/architecture

Social Change

Policy

Other

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

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

Last Question

What are for you the benefits/draw backs using a Classification of Functioning?

References http://www.surgeongeneral.gov/library/disabilities/calltoa

ction/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.

ICF – summary

Thank 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.

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.

ADA ICFAim Rights, discrimination,

opportunities Participation, inclusion, rights

Focus Employment, public service, public accommodations and services, telecommunication, miscellaneous

Conceptualizing functioning in relation to the environment

Characteristics

Law Classification

Benefits Policy Comprehensive tool identifying similarities and differences in functioning