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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

Wednesday, 1 February, 12

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
Wednesday, 1 February, 12

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

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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)

Wednesday, 1 February, 12

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.
Wednesday, 1 February, 12

Perspectives on the ICF

krausdc@mcmaster.ca
Wednesday, 1 February, 12

Perspectives on the ICF

krausdc@mcmaster.ca
Wednesday, 1 February, 12

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
Wednesday, 1 February, 12

Wednesday, 1 February, 12

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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

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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

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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

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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
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The ICF and Developmental Paediatrics


Cultures of Care
Acute Care

Developmental Care/Early
Intervention
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The ICF and Developmental Paediatrics


Cultures of Care
Acute Care
Strategy
curative,
cause oriented

optimizing,
bio-psycho-social

Developmental Care/Early
Intervention
Wednesday, 1 February, 12

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The ICF and Developmental Paediatrics


Cultures of Care
Acute Care
Strategy

Patients/Parents

curative,
cause oriented

passive,
enduring, patient

optimizing,
bio-psycho-social

active, responsible

Developmental Care/Early
Intervention
Wednesday, 1 February, 12

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The ICF and Developmental Paediatrics


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

Developmental Care/Early
Intervention
Wednesday, 1 February, 12

counselling
accompanying
member of a team

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The ICF and Developmental Paediatrics


Culture of Care
Work
Services

Acute Care

Society

School

Leisure

Values

Friends

Integrated Care
Attitudes
Home
Family
Finances

Systems

Developmental
Care
Nature

Policies
Wednesday, 1 February, 12

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teekkr ederim!, saol!

krausdc@mcmaster.ca
Wednesday, 1 February, 12

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