The International Classification of Functioning, Disability and Health: A Tool for Education, Resear

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The International Classification of Functioning,
Disability and Health A Tool for Education,
Research and ServicesMENTAL HEALTH and CHILDREN

• Cille Kennedy, Ph.D.
• Presentation at the
• Association of University Centers on Disabilities
  Annual Conference
• Bethesda Maryland
• November 2, 2001

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The ICF Mental Health and ChildrenICD-10 Mental
and Behavioural Disorders

• F00-F09 Organic mental disorders
• F10-F19 Due to psychoactive substance use
• F20-F29 Schizophrenia
• F30-F39 Mood (affective) disorders
• F40-F49 Neurotic disorders
• F50-F59 Syndromes associated with physiological
  disturbance and physical factors
• F60-F69 Adult personality disorders
• F70-F79 Mental Retardation
• F80-F89 Disorders of psychological development
• F90-F99 Disorders with onset usually occurring in
  childhood and adolescence

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The ICF Mental Health and ChildrenICD-10 Mental
and Behavioural Disorders

• Psychological development (F80-F89)
• Speech language
• Scholastic skills
• Pervasive developmental disorders
• AUTISM
• Aspergers Syndrome

• Onset usually occurring in childhood
  adolescence (F90-F98)
• Hyperkinetic
• ADHD
• Conduct
• OPPOSITIONAL DEFIANT
• Anxiety

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The ICF Mental Health and ChildrenICF Body
Functions Mental FunctionsGLOBAL MENTAL
FUNCTIONS

• Consciousness
• Orientation
• Intellectual
• Global psychosocial

• Temperament personality
• Energy drive
• Sleep
• Other

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The ICF Mental Health and Children ICF Body
Functions Mental Functions SPECIFIC MENTAL
FUNCTIONS

• Attention
• Memory
• Psychomotor
• Emotional
• Perceptual
• Thought
• Higher-level cognitive

• Language
• Calculation
• Sequencing complex movements
• Experience of self and time
• Other

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The ICF Mental Health and ChildrenACTIVITIES
and PARTICIPATION

• Learning applying knowledge
• General tasks demands
• Communication
• Mobility

• Self-care
• Domestic life
• Interpersonal interactions relationships
• Major life areas
• Community, social civic life

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The ICF Mental Health and ChildrenLEARNING
APPLYING KNOWLEDGE

• BASIC LEARNING
• Copying
• Rehearsing
• Learning to read
• Learning to write
• Learning to calculate
• Acquiring skills

• APPLYING KNOWLEDGE
• Focusing attention
• Thinking
• Reading
• Writing
• Calculating
• Solving problems
• Making decisions

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The ICF Mental Health and ChildrenINTERPERSONAL
INTERACTIONS RELATIONSHIPS

• General interpersonal interactions
• Basic interpersonal interactions
• Social cues
• Physical contact
• Complex interpersonal interactions
• Forming relationships
• Interacting according to social rules

• Particular interpersonal relationships
• Relating with strangers
• Formal relationships
• Persons in authority
• Informal relationships
• Other students
• Family relationships
• Intimate relationships

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The ICF Mental Health and ChildrenDisabilities
Associated with ADHD

• d160 Focusing attention
• Intentionally focusing on specific stimuli, such
  as by filtering out distracting noises

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The ICF Mental Health and ChildrenDisabilities
Associated with ADHD

• d7202 Regulating behaviours within
  interactions
• Regulating emotions and impulses, verbal
  aggression and physical aggression in
  interactions with others, in a contextually and
  socially appropriate manner

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The ICF Mental Health and ChildrenDisabilities
Associated with ADHD

• d820 School education
• Gaining admission to school, engaging in all
  school-related responsibilities and privileges,
  and learning the course material, subjects and
  other curriculum requirements in a primary or
  secondary education programme, including
  attending school regularly, working cooperatively
  with other students, taking direction from
  teachers, organizing, studying and completing
  assigned tasks and projects, and advancing to
  other stages of education

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The ICF Mental Health and ChildrenDocumenting
Disabilities QUALIFIERS

• How much difficulty, do you have
• Focusing attention?
• 0 NO difficulty
• 1 MILD difficulty
• 2 MODERATE difficulty
• 3 SEVERE difficulty
• 4 COMPLETE difficulty

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The ICF Mental Health and ChildrenDisabilities
Associated with ADHD
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The ICF Mental Health and ChildrenModel of
Functioning and Disability
               
 
Health Condition
Activities
Body Function Structure
Participation
Environmental Factors
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The ICF Mental Health and ChildrenDisabilities
Associated with ADHD
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The ICF Mental Health and Children

• Activity limitations are not unique to any
  disorder, either physical or mental
• Activity limitations can be characteristic of
  certain disorders
• ICF is developed to encompass lifespan
• ICF is dynamic, captures change
• ICF includes effects of health condition and
  environment on functioning and disabilities

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International Classification of Functioning,
Disability and HealthFurther Information

• www.who.int/classification/icf
• ckennedy_at_osaspe.dhhs.gov