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In the current era of cost awareness and the pressure to free hospital beds as rapidly as possible, coupled with the move towards community care, there is increasing emphasis on returning and main taining disabled people in the community. Often, many health and welfare workers are involved in this process. Occupational therapists however have a particular role to play. Their training is such that they are able to assess and treat the physical, psychological and social aspects of a disabling condition. This enables them to help disabled people to achieve their maximum ability in the environment in which they live. Whether the occupational therapist is hospital or community based, employed by the health or social service depart ment, her caseload is often vast. The occupational therapist may specialize in a particular age group or disability, but it is more likely that she will have to work with a wide age range from the very young to the very old. Assessment of needs and the subsequent provision of equipment and adaptations is the greater part of the OT's job. Other aspects include counselling the disabled person and his family and planning future intervention must often, however reluctantly, be given a low priority. In spite of staff shotages occupa tional therapists are frequently called on to provide the client and other groups of workers with advice and information on all aspects of living with any disability.
The U.S. Social Security Administration (SSA) provides disability benefits through the Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) programs. To receive SSDI or SSI disability benefits, an individual must meet the statutory definition of disability, which is "the inability to engage in any substantial gainful activity [SGA] by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months." SSA uses a five-step sequential process to determine whether an adult applicant meets this definition. Functional Assessment for Adults with Disabilities examines ways to collect information about an individual's physical and mental (cognitive and noncognitive) functional abilities relevant to work requirements. This report discusses the types of information that support findings of limitations in functional abilities relevant to work requirements, and provides findings and conclusions regarding the collection of information and assessment of functional abilities relevant to work requirements.
Volume numbers determined from Scope of the guidelines, p. 12-13.
The interRAI HC Assessment System has been designed to be a user-friendly, reliable, person-centered system that informs and guides comprehensive planning of care and services for elderly and disabled persons in community-based settings around the world. It focuses on the person's functioning and quality of life by assessing needs, strengths, and preferences. It also facilitates referrals when appropriate. When used on multiple occasions, it provides the basis for an outcome-based assessment of the person's response to care or services. The interRAI HC Assessment System can be used to assess persons with chronic needs for care, as well as with post-acute care needs (e.g., after hospitalization or in a hospital-at-home situation).
"The World Health Organisation had just published a generic assessment instrument to measure general health and disability levels: the WHO Disability Assessment Schedule, WHODAS 2.0. WHODAS 2.0 is based on the International Classification of Functioning, Disability and Health (ICF). It was developed and tested internationally and is applicable in different cultures both in general populations and in clinical settings. It can be used as a general measure across all diseases. This manual is aimed at public health professionals, doctor, other health professionals (for example rehabilitation professionals, physical therapists and occupational therapists), health policy planners, social scientists and others involved in studies on disability and health." -- Publisher.

Assessing Disability in Europe

Council of Europe. Working Group on the Assessment of Person-Related Criteria for Allowances and Personal Assistance for People with Disabilities

Published: 2002-01-01

Total Pages: 168


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This comparative study of disability assessment methods analyses the criteria governing the granting of benefits for people with disabilities in 22 Council of Europe member states, and highlights the need for greater cross-border communication and harmonisation. Four basic assessment approaches are identified and examined: Barema methods, care needs assessment, functional capacity determination and economic loss estimation. It also describes the role of multidisciplinary teams in determining the allocation of allowances and personal assistance, particularly in evaluating an individual's potential for professional and social rehabilitation and reintegration.
The Government's Welfare Reform Bill includes measures to introduce a new benefit in 2013: the Personal Independence Payment (PIP) will replace Disability Living Allowance (DLA) for working-age claimants, to help meet the additional living costs of disabled people. A new eligibility assessment process will also be brought in. But this report finds that the Government should not introduce Personal Independence Payment (PIP) assessments nationally until it has satisfied itself, in the planned initial roll-out of the new assessment in a limited geographical area, that the assessment is empathetic and accurate. The report highlights a number of areas of concern. The current draft criteria on which the assessment will be based are still too reliant on a "medical model" of disability, and may fail to take sufficient account of the impact of social, practical and environmental factors, such as housing and access to public transport, on disabled people's ability to participate in society and the additional costs they therefore incur. The Committee believes that the Government should listen to the views of disabled people and their representative organisations and conduct a further trial before the criteria are adopted and the new assessment is introduced. Once the initial assessments for PIP have been completed in the first geographical area, the Government should look again at the value of face-to-face assessments for PIP claims where claimants' conditions are severe and unlikely to change. It is also important that DWP gets the contracting process with the private suppliers right.