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International Classification of Functioning, Disability and Health

The International Classification of Functioning, Disability and Health (ICF) is a framework for describing and organizing information on functioning and disability. It provides a standard language and conceptual basis for defining and measuring health and disability. The ICF aims to establish a common language to improve communication and allow comparison of data across contexts. It is a biopsychosocial model that considers body functions, structures, activities, participation, and environmental/personal factors in understanding health and disability.

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314 views21 pages

International Classification of Functioning, Disability and Health

The International Classification of Functioning, Disability and Health (ICF) is a framework for describing and organizing information on functioning and disability. It provides a standard language and conceptual basis for defining and measuring health and disability. The ICF aims to establish a common language to improve communication and allow comparison of data across contexts. It is a biopsychosocial model that considers body functions, structures, activities, participation, and environmental/personal factors in understanding health and disability.

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Sensible
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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ICF

International Classification of

Functioning, Disability and Health


Contents
 ICF introduction
 Aims
 Models
 Principles
 ICF browser
 Chapters in ICF
 The domains of ICF
 Measurement methods of individual functioning
 Examples for understanding
 ICF Applications / uses
 Comments
Introduction
• It provides a standard language and
a conceptual basis for the definition
and measurement of health and
disability
ICF is a framework for • Approved for use by the World
describing and organising Health Assembly in 2001
information on
functioning and disability. • Companion classification for children
and youth (ICF-CY) was published in
2007.
Aims

Provide a scientific basis for understanding and studying health and health-related states,
outcomes, determinants, and changes in health status and functioning

Establish a common language for describing health and health-related states in order to
improve communication between different users, such as health care workers, researchers,
policy-makers and the public, including people with disabilities

Permit comparison of data across countries, health care disciplines, services and time

Provide a systematic coding scheme for health information systems


Underlying principles

Environmental
Universality Parity Neutrality
Influence
THE CONCEPTUAL MODEL OF ICF
It is a biopsychosocial model of disability, based on an integration of the social and medical
models of disability.

The medical model The social model

views disability as a feature of the Disability as a socially created


person, directly caused by disease,
trauma or other health condition. problem
Interactions between the components of ICF (WHO 2001:18)
ICF

Part 1: Functioning and Disability Part :2 Contextual Factors

Body Body Activity and Environmental Personal Factors


functions (b) Structures (s) Participation (d) Factors (e)
ICF
b BODY FUNCTIONS

b1 MENTAL FUNCTIONS

b2 SENSORY FUNCTIONS AND PAIN

b3 VOICE AND SPEECH FUNCTIONS

b4 FUNCTIONS OF THE CARDIOVASCULAR, HAEMATOLOGICAL, IMMUNOLOGICAL AND RESPIRATORY SYSTEMS

b5 FUNCTIONS OF THE DIGESTIVE, METABOLIC AND ENDOCRINE SYSTEMS

b6 GENITOURINARY AND REPRODUCTIVE FUNCTIONS

b7 NEUROMUSCULOSKELETAL AND MOVEMENT-RELATED FUNCTIONS

b8 FUNCTIONS OF THE SKIN AND RELATED STRUCTURES


d ACTIVITIES AND PARTICIPATION

d1 LEARNING AND APPLYING KNOWLEDGE

d2 GENERAL TASKS AND DEMANDS

d3 COMMUNICATION

d4 MOBILITY

d5 SELF-CARE

d6 DOMESTIC LIFE

d7 INTERPERSONAL INTERACTIONS AND RELATIONSHIPS

d8 MAJOR LIFE AREAS

d9 COMMUNITY, SOCIAL AND CIVIC LIFE


e ENVIRONMENTAL FACTORS

e1 PRODUCTS AND TECHNOLOGY

e2 NATURAL ENVIRONMENT AND HUMAN-MADE CHANGES TO ENVIRONMENT

e3 SUPPORT AND RELATIONSHIPS

e4 ATTITUDES

e5 SERVICES, SYSTEMS AND POLICIES


s BODY STRUCTURES

s1 STRUCTURES OF THE NERVOUS SYSTEM

s2 THE EYE, EAR AND RELATED STRUCTURES

s3 STRUCTURES INVOLVED IN VOICE AND SPEECH

s4 STRUCTURES OF THE CARDIOVASCULAR, IMMUNOLOGICAL AND RESPIRATORY SYSTEMS

s5 STRUCTURES RELATED TO THE DIGESTIVE, METABOLIC AND ENDOCRINE SYSTEMS

s6 STRUCTURES RELATED TO THE GENITOURINARY AND REPRODUCTIVE SYSTEMS

s7 STRUCTURES RELATED TO MOVEMENT

s8 SKIN AND RELATED STRUCTURES


Components in ICF

Each component is divided into a hierarchy with an additional digit


added to the classification code for each subsequent layer in the
hierarchy. The hierarchy is as follows
• Component e.g. Activities and participation
• Chapter e.g. Mobility (Chapter 4)
• Block e.g. Walking and Moving (d450-d469)
• Two-level Category e.g. Moving around in different locations (d460)
• Three-level Category e.g. Moving around within the home (d4600)
Qualifiers are codes used to record the extent of functioning or disability in a domain or
category, or the extent to which an environmental factor is a facilitator or barrier.

• Generic qualifier: • Qualifier for Environmental factors:

0 No problem 0 No barrier +0 No facilitator


1 Mild problem 1 Mild barrier +1 Mild facilitator
2 Moderate problem 2 Moderate barrier +2 Moderate facilitator
3 Severe problem 3 Severe barrier +3 Substantial facilitator
4 Complete problem 4 Complete barrier +4 Complete facilitator
8 Not specified 8 Barrier, not specified +8 Facilitator, not specified
9 Not applicable 9 Not applicable +9 Not applicable
Two constructs, used in operationalizing the qualifier scale for the activities and participation
domains

‘Performance’ relates to what


Capacity’ relates to what an
the person actually does in his
individual can do in a
or her ‘current’ (usual)
‘standardised’ environment
environment.

The gap between them, thus provides a useful guide as to what can be done to the
environment of the individual to improve performance’ (WHO 2001:15)
Examples of disabilities that may be associated with the three levels of
functioning linked to a health condition
Applications of ICF
Policy
development

Environment Economic
Factors analyses
Uses of ICF

Intervention Research
studies uses
Advantages Disadvantages

Has complicated terminology


Provides a holistic view of the
person
only body functions of the ICF are assessed.

Assesses complexities of functioning ICF is limited to theoretical level and difficult to implement

Criteria do not match the variability seen in pediatric pts in


Provides a unified language and rehabilitation
offers a quick and easy insight into
functioning. Unsuitable for use in acute stage

ICFs provide snapshots of participation at a given moment in


time

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