1. WHO ICF
KNR 279

2. WHO Who is WHO? World Health Organization United Nations’ agency
Established in 1948
Objective is attainment by all peoples of the highest possible level of health (not just the absence of disease)

3. ICF
International Classification of Functioning, Disability, and Health
Provides standard language & framework for description of health & disability
Across disciplines, service delivery settings, countries, disabilities
TR will need to learn the content & language of ICF to talk with other professionals
Outcomes
Funding

4. ICF 1st version was 1980 Revised 2002
Focused on impairment, disability & handicap
Revised 2002
Focuses on health & functioning vs. disability
Common framework for planning, managing, & evaluating services

5. Conceptual Models of Disability
What is the Medical Model?
Views disability as feature of person
Disability is directly caused by disease, trauma, or other health conditions
Requires medical care proved by professionals
Calls for medical tx or intervention to “correct” the problem

6. Conceptual Models of Disability
What is the Social Model?
Views disability as a socially created problem
It is not just an attribute of a person
Disability demands a political response
Problems are created by unaccommodating physical environment brought about by attitudes & other features of the social environment

7. Conceptual Models of Disability
What is the Biopsychosocial Model?
ICF based on this model
Integration of medical & social
Disability and functioning viewed as outcomes of interaction between health conditions (disease, disorders, injuries) and contextual factors

8. Conceptual Models of Disability
Contextual factors
External environmental factors
Social attitudes, architectural barriers, legal & social structures, climate, etc.
Internal personal factors
Gender, age, coping skills, social background, education, past & present experiences, etc.
Factors that influence how disability is experienced by the individual

9. ICD-10
International Statistical Classification of Diseases & Related Health Problems
Provides diagnosis
Diagnosis alone doesn’t predict service needs, length of hospitalization, level of care or functional outcomes
Complimentary to ICF

10. ICF ICF Full Version ICF Checklist
Standardized interdisciplinary assessment
Completed after therapist & tx team conduct their assessments of needs & strengths
Produces task by task score
Criterion-referenced

11. ICF
Check out the assessment