Allen Cognitive Levels and Modes of Performance and Level of Care Flashcards
Why was ACL designed?
To promote a client’s best ability to function despite limitations.
How does ACL define cognitive disabilities?
a global incapacity to do universal human activities.
What does ACL use Task Equivalence for?
To identify daily life activities that have similar physical and cognitive demands based on task analysis.
Task analysis
a method of determining the complexity of an activity by separating the activity into steps and determining the physical and cognitive functional capacities required to perform each task.
Extrinsic Factors
things that we can observe.
Cues
Objects or conditions in the environment that stimulate the senses.
Attention
Changes as cognitive level increases.
Motor Action
Provides another way for therapists to observe information processing.
Speed
Pace of activity can reflect the efficiency with which clients process information.
Visual Spatial
Information processing, often attributed to the right brain, including creativity, imagination, and the ability to see the big picture or holistic view.
Verbal Propositional
Information processing, often attributed to the left brain, includes reasoning and language/communication ability, understanding of cause and effect, classification, timing, and sequencing.
Memory
Includes what one is doing now and what one has learned in the past.
Working Memory Model
Expands our understanding of attention or awareness as the initial step in processing information.
What does learning require?
The transfer of short-term memory to long-term memory.
ACL Level 1
Automatic Actions
ACL Level 2
Postural Actions
ACL Level 3
Manual Actions
ACL Level 4
Goal-Directed Actions
ACL Level 5
Explanatory Actions
ACL Level 6
Planned Actions
ACL Level 1 - Attention to Sensory Cues
Subliminal
ACL Level 2 - Attention to Sensory Cues
Proprioceptive
ACL Level 3 - Attention to Sensory Cues
Tactile
ACL Level 4 - Attention to Sensory Cues
Visible
ACL Level 5 - Attention to Sensory Cues
Related (all senses)
ACL Level 6 - Attention to Sensory Cues
Symbolic
ACL Level 1 - Motor Action - Spontaneous
Automatic
ACL Level 2 - Motor Action - Spontaneous
Postural
ACL Level 3 - Motor Action - Spontaneous
Manual
ACL Level 4 - Motor Action - Spontaneous
Goal-Directed
ACL Level 5 - Motor Action - Spontaneous
Exploratory
ACL Level 6 - Motor Action - Spontaneous
Planned
ACL Level 1 - Motor Action - Imitated
None
ACL Level 2 - Motor Action - Imitated
Approximations
ACL Level 3 - Motor Action - Imitated
Manipulations
ACL Level 4 - Motor Action - Imitated
Replications
ACL Level 5 - Motor Action - Imitated
Novelty
ACL Level 6 - Motor Action - Imitated
Unnecessary
ACL Level 1 - Conscious Awareness - Purpose
Arousal
ACL Level 2 - Conscious Awareness - Purpose
Comfort
ACL Level 3 - Conscious Awareness - Purpose
Interest
ACL Level 4 - Conscious Awareness - Purpose
Compliance
ACL Level 5 - Conscious Awareness - Purpose
Self-Control
ACL Level 6 - Conscious Awareness - Purpose
Reflection
ACL Level 1 - Conscious Awareness - Experience
Indistinct
ACL Level 2 - Conscious Awareness - Experience
Moving
ACL Level 3 - Conscious Awareness - Experience
Touching
ACL Level 4 - Conscious Awareness - Experience
Seeing
ACL Level 5 - Conscious Awareness - Experience
Inductive reasoning
ACL Level 6 - Conscious Awareness - Experience
Deductive Reasoning
ACL Level 1 - Conscious Awareness - Process
Habitual or reflective
ACL Level 2 - Conscious Awareness - Process
Effect on Body
ACL Level 3 - Conscious Awareness - Process
Effect on Environment
ACL Level 4 - Conscious Awareness - Process
Several Actions
ACL Level 5 - Conscious Awareness - Process
Overt trial and error
ACL Level 6 - Conscious Awareness - Process
Covert trial and error
ACL Level 1 - Conscious Awareness - Time (attention span)
Seconds
ACL Level 2 - Conscious Awareness - Time (attention span)
Minutes
ACL Level 3 - Conscious Awareness - Time (attention span)
Half-hours
ACL Level 4 - Conscious Awareness - Time (attention span)
Hours
ACL Level 5 - Conscious Awareness - Time (attention span)
Weeks
ACL Level 6 - Conscious Awareness - Time (attention span)
Past/future
ACL Level 1 - OT Activities
Sensory Stimulation
ACL Level 2 - OT Activities
Gross-motor, games, dance
ACL Level 3 - OT Activities
Simple, repetitive tasks
ACL Level 4 - OT Activities
Several-step tasks
ACL Level 5 - OT Activities
Concrete tasks
ACL Level 6 - OT Activities
Conceptual and complex tasks
What does Allen Cognitive Level Test Assess
Assess the cognitive level of the individual according to the allen cognitive levels
Method:
Requires performance of several leather lacing stitches
Level 2
unable to initiate the running stitch
Level 3
Able to imitate the running stitch, 3 stitches
Level 4
Able to imitate the whip stich, three stitches
Level 5
Able to imitate the single cordovan stitch using physical trial and error
Level 6
Able to imitate the single cordovan stitch with using mental trial and error
Population:
Adults with psychiatric or cognitive dysfunction
ACL Levels of Care - 0:
Coma
ACL Levels of Care - 1:
Awareness
ACL Levels of Care - 2:
Gross Body Movements
ACL Levels of Care - 3:
Manual Actions
ACL Levels of Care - 4:
Familiar Activity
ACL Levels of Care - 5:
Learning New Activity
ACL Levels of Care - 6:
Planning New Activity