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NPE > Functional Assessments > Flashcards

Functional Assessments Flashcards

1
Q

What does the Global Assessment of Functioning (GAF) scale measure?

A

The Global Assessment of Functioning (GAF) scale is a tool that was used to assess an individual’s overall level of functioning. The GAF scale provides a single score that reflects an individual’s psychological, social, and occupational functioning on a hypothetical continuum of mental health-illness.

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2
Q

What functional areas does the GAF include?

A

Psychological Functioning
Social Functioning
Occupational Functioning

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3
Q

What do high and low scores on the GAF indicate?

A

High: Superior functioning

Low: Impairment functioning

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4
Q

What are 5 limitations of the GAF?

A

Lack of Specificity: A single score does not provide detailed information about which specific areas are impaired.

Inconsistent Ratings: The GAF relies heavily on the clinician’s subjective judgment.

Lack of Standardisation: There is no standardised method for training clinicians to use the GAF, leading to inconsistencies in how scores are assigned.

Exclusion of Contextual Factors: The GAF does not account for contextual or environmental factors that may influence a person’s functioning, such as socioeconomic status or support systems.

Lack of Cultural Adaptation: The GAF does not adequately address cultural differences in the expression and interpretation of symptoms.

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5
Q

What assessment was the GAF replaced with?

A

The GAF has been replaced with the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0)

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6
Q

What does the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) measure?

A

The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is assess the impact of health conditions on day-to-day functioning.

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7
Q

What is the global significance of the WHODAS 2.0?

A

The adoption of WHODAS 2.0 is part of a global shift toward understanding health and disability in terms of functioning and not just the presence or absence of a health condition.

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8
Q

What is the age range for the WHODAS 2.0?

A

Adults: 18 years and older

An adapted version is available for
adolescents 12-17 years

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9
Q

Is there Australian normative data for the WHODAS 2.0?

A

No

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10
Q

What are the 6 domains of the WHODAS?

A

Cognition
Mobility
Self-Care
Getting Along
Life Activities
Participation

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11
Q

What time frame are respondents asked to consider their symptoms for the WHODAS 2.0?

A

The past 30 days

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12
Q

What is the output of the WHODAS 2.0?

A

An overall score of disability ranging from 0 to 100

Domain specific scores

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13
Q

What do high and low scores on the WHODAS 2.0 indicate?

A

Low scores indicate fewer difficulties or impairments in functioning.

High scores indicate greater difficulties or impairments in functioning.

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14
Q

What are 4 benefits of the WHODAS 2.0?

A

Comprehensive: Provides a holistic view of the individual’s abilities and challenges.

Flexible: Available in various lengths and formats to suit different settings, purposes, and cultures.

Validated: Supported by extensive research and validated across diverse populations and conditions.

Standardised: Provides a consistent method for assessing functioning, making it useful for comparisons across studies and populations.

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15
Q

What doe the World Health Organization Quality of Life (WHO-QOL) measure?

A

The WHO Quality of Life (WHOQOL) measures an individual’s perceived quality of life across various domains.

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16
Q

How many versions of the WHO-QOL are there?

A

WHOQOL-100: 100 items
WHOQOL-BREF: Brief version with 26 items

*Also versions designed for specific conditions and populations e.g. WHOQOL-HIV for individuals living with HIV and WHOQOL-OLD for adults 60 years +

17
Q

What is the age range for the WHO-QOL?

A

Adults 18 years to 59 years

WHOQOL-BREF can administered to adolescents aged 12-17 with appropriate adaptations

WHOQOL-OLD is specifically designed for older adults aged 60 and above

18
Q

Is there Australian normative data for the WHO-QOL?

A

No

19
Q

What are the 6 domains of the WHO-QOL?

A

Physical Health
Psychological Health
Level of Independence
Social Relationships
Environment
Spirituality/Religion/Personal Beliefs (WHOQOL-100 only and not in the WHOQOL-BREF)

20
Q

Over what time period are respondents asked to consider in the WHOQOL?

A

The past 2 weeks

21
Q

What do high and low scores on the WHOQOL indicate?

A

High Scores: Indicate a better quality of life, reflecting positive perceptions and experiences in the assessed areas.

Low Scores: Indicate poorer quality of life in the specific domain or overall, suggesting areas where interventions may be needed.

22
Q

What is the difference between the WHODAS and the WHOQOL?

A

WHODAS 2.0 focuses on objective measures of disability and daily functioning, providing a clear picture of what an individual can or cannot do.

WHOQOL focuses on subjective measures of well-being and satisfaction with life, providing insights into how individuals perceive their overall quality of life.

23
Q

What does the Outcome Rating Scale measure?

A

The Outcome Rating Scale (ORS) is a simple, quick measure designed to assess areas of life functioning and track changes over time in those areas.

24
Q

When is a clinician most likely to use the ORS?

A

The ORS is typically administered at the beginning of each session in a therapeutic setting. It serves as a conversation starter and helps to quickly gauge how the client feels about their overall life and specific areas of functioning since the last session.

25
Q

What is the age range for the ORS?

A

13 years +

Child Outcome Rating Scale (CORS) for 6 to 12 years

26
Q

What domains does the ORS measure?

A

Individual Well-being
Interpersonal Well-being
Social Well-being
Overall Well-being

27
Q

How do clients respond on the ORS?

A

Clients mark a point on each scale to indicate their perceived level of functioning in each domain.

28
Q

How long (in cm) is each visual scale for the ORS?

A

10cm

29
Q

How is the ORS scored?

A

Each scale is scored by measuring the distance (in cm) from the left end of the line to the mark made by the client.

Scores range from 0 to 10 for each domain, with a total possible score of 40.

30
Q

What do high and low scores on the ORS indicate?

A

High Scores: Indicate a higher level of functioning and greater well-being across the assessed domains. Suggest that the client perceives themselves as doing well in personal, relational, social, and general areas of life.

Low Scores: Indicate a lower level of functioning and poorer well-being across the assessed domains. Suggest that the client perceives significant difficulties in personal, relational, social, and general areas of life.

31
Q

What are the clinical applications of the ORS?

A

Therapeutic Monitoring
Outcome Measurement
Client Engagement

NPE (20 decks)

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