chapter4 - Global Assessment of Functioning Scale(GAF Code...

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1 Clinical Assessment Chapter 4 Persistent danger of harming self or others OR persistent inability to maintain personal hygiene OR person has made a serious attempt at suicide. 1 - 10 There is some danger of harm to self or others OR occasional failure to maintain personal hygiene OR the person is virtually unable to communicate with others due to being incoherent or mute. 11 - 20 Presence of hallucinations or delusions which influence behavior OR serious impairment in ability to communicate with others OR serious impairment in judgment OR inability to function in almost all areas. 21 - 30 Some impairment in reality testing OR impairment in speech and communication OR serious impairment in several of the following: occupational or school functioning, interpersonal relationships, judgment, thinking, or mood. 31 - 40 Serious symptoms OR serious impairment in one of the following: social, occupational, or school functioning. 41 - 50 Moderate symptoms OR moderate difficulty in one of the following: social, occupational, or school functioning. 51 - 60 Mild symptoms in one area OR difficulty in one of the following: social, occupational, or school functioning. BUT, the person is generally functioning pretty well and has some meaningful interpersonal relationships. 61 - 70 Person has symptoms/problems, but they are temporary, expectable reactions to stressors . There is no more than slight impairment in any area of psychological functioning. 71 - 80 Person has few or no symptoms . Good functioning in several areas. No more than "everyday" problems or concerns. 81 - 90 Person has no problems OR has superior functioning in several areas OR is admired and sought after by others due to positive qualities 91 - 100 Description of Functioning Code Global Assessment of Functioning Scale (GAF) (Brown, 1999) What is assessment? Assessment is the gathering of information about a person, and trying to identify the causal factors in the person’s diagnosis. This includes information about the person’s current symptoms, are there any current major life events that have occurred in this persons life. Do they have physical conditions, drug and alcohol abuse, personal family disorders. How is their cognitive functioning? Starts broad and then narrows to specific problem areas Purposes of Clinical Assessment To understand the individual To predict behavior To plan treatment To evaluate treatment outcome Reliability The degree to which a measurement is consistent in measuring the same construct in the same individual. Interrater Reliability – Two or more raters come to similar conclusions about patients diagnosis. Test-retest Reliability – Similar results with same patient at two points in time. Internal Reliability – Different parts of a test produce similar results.
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