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Topic: Global Assessment of Functioning

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	Axis V
		Global Assessment of Functioning is for reporting the clinician's judgment of the individual's overall level of functioning and carrying out activities of daily living.
		The Global Assessment of Functioning Scale is a 100-point scale that measures a patients overall level of psychological, social, and occupational functioning on a hypothetical continuum.
		The GAF scale is particularly useful for managed care-driven diagnostic evaluations to determine eligibility for treatment and disability benefits and to delineate the level of care required for patients.
	psyweb.com /Mdisord/DSM_IV/jsp/Axis_V.jsp (630 words)

	Global Assessment of Functioning Ratings and the A - Depression Forums - A Depression & Mental Health Community Support ...
		Assessment and evaluation systems that have been developed to make such predictions focus on characterizing patients in terms of both their symptoms and their level of functional impairment, assessing patients' need for treatment and providing guidelines for the allocation of services, and monitoring progress and outcomes (1,2).
		GAF ratings of impairment are modestly associated with some indexes of social functioning, such as the extent of social networks and the need for support (8,25,26), and with residential instability, lack of employment, and poor work adjustment (14,27).
		The GAF ratings were highly reliable, and there was some evidence of their validity, because patients with psychiatric diagnoses, psychoses, recent inpatient care, current inpatient or residential care, and more psychiatric symptoms and substance use problems were likely to be rated as being more impaired.
	www.depressionforums.org /forums/index.php?showtopic=3263&st=0 (5281 words)

	Global Clinical Change - Doctors' and patients' assessments
		This study aims to evaluate the agreement between self-assessment and assessment by the clinician of the global clinical change throughout the treatment of a depressive episode.
		Specifically, the clinician's and the patient's assessments were compared, regarding the global change experienced throughout every stage of follow-up, with a total of 3 assessments in a 6-month treatment period.
		This is an observational scale of global evaluation, which assesses the change in degree of illness in relation to the original assessment.
	www.priory.com /psych/cormina.htm (1958 words)

	gaf
		This version of the GAF scale is intended for academic use only.
		The complete GAF scale on page 32 of the DSM - IV should be consulted for clinical use.
		BUT, the person is generally functioning pretty well and has some meaningful interpersonal relationships.
	www.gpc.edu /~bbrown/psyc2621/ch3/gaf.htm (360 words)

	Global Asset Functioning GAF Scale (Site not responding. Last check: 2007-09-10)
		The GAF is included in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) in the section on multi-axial assessments.
		The GAF is a numerical assessment that employs a scale of 1 to 100.
		In evaluating mental disabilities, the VA is obligated to consider the GAF score as it represents an expert medical opinion by a psychiatrist or other mental health professional regarding the veteran's social and occupational impairment.
	www.hadit.com /gaf.htm (506 words)

	IngentaConnect Global assessment of psychosocial functioning in child and adoles... (Site not responding. Last check: 2007-09-10)
		IngentaConnect Global assessment of psychosocial functioning in child and adoles...
		Global assessment of functioning represents an important aspect of assessment in clinical practice and research.
		International consensus for the use of one scale for global assessment of functioning for children 4–18 years would improve reliability in clinical practice and ease comparisons of studies across countries.
	www.ingentaconnect.com /content/klu/787/2004/00000013/00000005/art00001 (332 words)

	Global Assessment of Functioning (GAF) Scale (Site not responding. Last check: 2007-09-10)
		Although it is based on the clinical scale presented in the DSM - IV, this summary lacks the detail and specificity of the original document.
		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.
		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.
	www.gpc.edu /~bbrown/abnormal/assessment/gaf.htm (290 words)

	Global Assessment of Functioning (GAF)
		The Global Assessment of Functioning Scale is a system used by the clinician to indicate his or her overall judgment of a person's psychological, social, and occupational functioning on a scale.
		The GAF score is a rating given to you and ranges from 100 (good) to 0 (Inadequate information).
		Mild anxiety before an exam), Good functioning in all areas, interested and involved in a wide range of activities,socially effective; generally satisfied with life; no more than general problems or concerns (e.g., an occasional argument with family members).
	www.75thrra.com /links/health-ptsd-g.htm (481 words)

	GAF Directive
		VHA is to evaluate every mental health patient using the Global Assessment of Functioning (GAF) scale at least once, define those who are seriously mentally ill, and calculate the GAF index for the SMI population in FY 1998.
		GAF scores for all patients included in the Annual Patient Census will be required before September 30, 1998.
		GAF scores have been required on all discharges from psychiatric bed sections since October, 1991.
	www.avapl.org /gaf/gaf.html (1455 words)

	Level of Functioning Assessment
		The assessment of client functioning is a critical component of both treatment outcome evaluation and assessment of individual level of need for individual treatment planning and service delivery selection.
		Such assessments are client centered by their very nature and specifically relate to the distress and difficulties that each patient must endure in their daily lives.
		Thus, functional assessments like the FAMHA are the key to not only measuring the outcomes of treatments on a broad scale, but crucial to the clinician's full understanding of patient's individual needs.
	www.psychosocial.com /dualdx/lof.html (2518 words)

	Global Assessment of Functioning (GAF) Ratings and the Allocation and Outcome of Mental Health Care - CISAC
		The purpose of including the GAF in DSM-IV as a tool for axis V assessment is to enable clinicians to obtain information about global functioning to supplement existing data about symptoms and diagnoses and to help predict the allocation and outcomes of mental health treatment.
		The purpose of this study was to examine the value of the GAF as part of a systemwide program for monitoring the allocation and outcomes of mental health care services.
		METHODS: Clinicians used the GAF to assess global functioning among 9,854 patients with psychiatric or substance use disorders, or both, who were already participating in an outcomes monitoring program of the Department of Veterans Affairs.
	cisac.stanford.edu /publications/20053 (295 words)

	PTSD & the Global Assessment of Functioning (GAF) Scale
		Consider psychological, social, and occupational functioning on a hypothetical continuum of mental heath - illness.
		mild anxiety before an exam) good functioning in all areas, interested and involved in a wide range of activities, socially effective, generally satisfied with life, no more than everyday problems or concerns (e.g.
		A mental condition has been formally diagnosed, but symptoms are not severe enough either to interfere with occupational and social functioning or to require continuous medication.......................................
	www.ptsdsupport.net /ptsd_gafscores.html (476 words)

	KennedyMD Consulting - Selected Excerpts From: - Psychiatric Treatment Planning and Outcome
		Another global assessment instrument, the Kennedy Axis V (K Axis), is relatively new and, as yet, little research is available documenting its effectiveness.
		Relatively low correlations exist between the current GAF scores and K Axis Subscale 5 (substance abuse) (r =.27) and K Axis Subscale 6 (medical problems) (r =.19), indicating that these subscales are measuring something different from the GAF score.
		The GAF is somewhat faster to score, especially until clinicians become familiar with the K Axis subscales.
	www.kennedymd.com /generic.jhtml?pid=20 (1253 words)

	idle audience \| words \| essays \| multiple routines
		Because he has symptoms of the disorder, psychosocial problems, a low Global Assessment of Functioning Score, and falls into the realm of abnormal proves the severity of his condition.
		His inability to function in most social settings, his major anxiety towards a multitude of phobias, and his time-consuming compulsive behaviors greatly inhibit his capability to operate a normal life.
		With this considered, Melvin's Global Assessment of Functioning rating is a score of sixty, a moderate, but more serious collection of symptoms and a more general problem in functioning.
	www.idleaudience.com /words/essays/multiple.htm (948 words)

	[No title] (Site not responding. Last check: 2007-09-10)
		The examiner was also requested to express an opinion as to the appellant's global assessment of functioning.
		It is requested that the examiner place the veteran on the Global Assessment of Functioning Scale provided in American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders (3d ed.
		If possible, a separate Global Assessment of Functioning score based solely on the veteran's PTSD should also be assigned.
	www.va.gov /vetapp/files2/9413911.txt (943 words)

	Untitled (Site not responding. Last check: 2007-09-10)
		Consider psychological, social, and occupational functioning on a hypothetical continuum of mental healthÐillness.
		Superior functioning in a wide range of activities, Life's problemsnever seem to get out of hand, is sought out by others because of his or her many positive qualities.
		Absent or minimal symptoms (e.g., mild anxiety before an exam),good functioning in all areas, interested and involved in a wide range of activities, socially effective, generally satisfied with life, no more than everyday problems or concerns (e.g., an occasional argument with family members).
	www.whfreeman.com /abnormalpsychology/DSM02.htm (354 words)

	Global Assessment of Functioning Ratings and the Allocation and Outcomes of Mental Health Services -- Moos et al. 53 ...
		Global Assessment of Functioning Ratings and the Allocation and Outcomes of Mental Health Services -- Moos et al.
		GAF to be a key part of any outcomes assessment program (9,10).
		Global Assessment of Functioning (GAF) ratings as predictors of symptom outcomes and social or occupational outcomes among 9,854 patients with psychiatric or substance use disorders
	psychservices.psychiatryonline.org /cgi/content/full/53/6/730 (4558 words)

	Global Assessment of Functioning - Wikipedia, the free encyclopedia
		The Global Assessment of Functioning (GAF) is a numeric scale (0 through 100) used by mental health clinicians and doctors to rate the social, occupational and psychological functioning of adults.
		Children and adolescents under the age of 18 are evaluated on the Children’s Global Assessment Scale, or C-GAS.
		This audio file was created from an article revision dated 2006-12-16, and may not reflect subsequent edits to the article.
	en.wikipedia.org /wiki/Global_Assessment_of_Functioning (369 words)

	Global Assessment of Functioning (GAF) Scale
		Major impairment in several areas, such as work or school, family relations, judgment, thinking, or mood (e.g., depressed man avoids friend, neglects family, and is unable to work; child frequently beats up younger children, is defiant at home and is failing in school).
		Moderate difficulty in social, occupational, or school functioning (e.g., few friends, conflicts with co-workers).
		Some difficulty in social, occupational or school functioning (e.g., occasional truancy, or theft within the household), but generally functioning pretty well, has some meaningful interpersonal relationships..
	www.rattler-firebird.org /va/gafchart.php (334 words)

	Reliability and Validity of DSM-IV Axis V -- Hilsenroth et al. 157 (11): 1858 -- Am J Psychiatry
		by the clinician conducting the assessment and an external rater.
		Assessment of Functioning Scale and the Social and Occupational
		Endicott J, Spitzer RL, Fleiss JL, Cohen J: The Global Assessment Scale: a procedure for measuring overall severity of psychiatric disturbance.
	ajp.psychiatryonline.org /cgi/content/full/157/11/1858 (3731 words)

	Ozark Guidance - Psychological Assessment - Global Assessment of Functioning
		The Global Assessment of Functioning, or GAF scale, is a numeric scale (1 through 100) used by mental health clinicians and doctors to rate the social, occupational and psychological functioning of adults.
		91-100 Superior functioning in a wide range of activities, life's problems never seem to get out of hand, is sought out by others because of his or her many qualities.
		90-81 Absent or minimal symptoms, good functioning in all areas, interested and involved in a wide range of activities, socially effective, generally satisfied with life, no more than everyday problems or concerns.
	www.ozarkguidance.org /poc/view_doc.php?type=doc&id=8213&cn=18 (352 words)

	Special Section on the GAF: Reliability of Global Assessment of Functioning Ratings Made by Clinical Psychiatric Staff ...
		Mean scores and standard deviations of the residual for 81 clinicians who made Global Assessment of Functioning Ratings in a study of the reliability of the scale
		Endicott J, Spitzer R, Fleiss J, et al: The Global Assessment Scale: a procedure for measuring overall severity of psychiatric disturbance.
		Söderberg P: GAF projektet, Psykiatrins patienter, ett jämförelsematerial mellan olika psykiatriska öppenvårdsmottagningar i Sverige [The patients in psychiatry, comparison of data between different psychiatric outpatient clinics in Sweden.] NYSAM-Rapport.
	psychservices.psychiatryonline.org /cgi/content/full/56/4/434 (3068 words)

	Global Assessment of Functioning (GAF) (Site not responding. Last check: 2007-09-10)
		The GAF derived from the Global Assessment Scale (GAS).
		The GAF Scale is a 100-point single-item rating scale for evaluating overall psychosocial functioning during a specified time period on a continuum from psychological sickness to health.
		The lower total score on the GAF, is associated with higher levels of clinical support and medication.
	gwbweb.wustl.edu /cmhsr/measure/d11.html (311 words)

	Perceived social support and the effects of living in the community for individuals with a serious and persistent ...
		Intensive case management services is an effective service which reduces rehospitalization and is mandated to be available for individuals with a serious and persistent illness, one function of intensive case management is informal support network building that arranges for social support.
		A conceptual model of social support proposes that perceived social support results in better day-to-day functioning measured by less time in psychiatric hospitals, more time in community residence, higher Global Assessment of Functioning scores, lower Brief Psychiatric Rating Scale scores, and increased participation in vocational and day program activities.
		This study was based on a convenience sample of 125 consumers of the Community Treatment Teams of Philadelphia who (1) had an identified significant other(s), (2) lived in the community for a year, (3) did not have a primary diagnosis of developmental disability, and (4) agreed to participate in the study.
	repository.upenn.edu /dissertations/AAI9981400 (435 words)

	iDEA: Drexel E-Repository and Archive : Item 1860/364
		Since the Global Assessment of Functioning Scale (GAF) was introduced in the revised third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R) in 1987 (American Psychiatric Association), its use in clinical settings has grown considerably.
		Thirty-six psychologists with experience administering the GAF scored one high-information and one low-information vignette according to two methods of determining the GAF score.
		Method B consisted of a computer-assisted GAF (First and Multi-Health Systems Staff, 1997), in which assessment questions related to psychological, social, and occupational functioning are presented to the clinician in a yes/no format.
	hdl.handle.net /1860/364 (277 words)

	Children's Global Assessment Scale - Wikipedia, the free encyclopedia
		The Children's Global Assessment Scale (CGAS) is a numeric scale (1 through 100) used by mental health clinicians and doctors to rate the general functioning of children under the age of 18.
		Adults are evaluated on the Global Assessment of Functioning (GAF).
		60-51 Variable functioning with sporadic difficulties or symptoms in several but not all social areas; disturbance would be apparent to those who encounter the child in a dysfunctional setting or time but not to those who see the child in other settings.
	en.wikipedia.org /wiki/Children's_Global_Assessment_Scale (305 words)

	IGDA. 6: Supplementary assessment procedures -- functioning, social context, cultural framework and quality of life -- ...
		functioning for the purposes of comprehensive diagnosis, prognosis,
		Global assessment instruments provide an overall rating of clinical
		Detailed measures of social functioning should be used to assess
	bjp.rcpsych.org /cgi/content/full/182/45/s50 (479 words)

	Third International Conference on Bipolar Disorder (Site not responding. Last check: 2007-09-10)
		The purpose of this study is to evaluate group psychoeducation versus an information booklet on global compliance and treatment outcomes in patients diagnosed with bipolar disorder.
		Treatment response was based on standard prospective symptom rating scales where available (Clinical Global Impression, Global Assessment of Functioning, Hamilton Depression Rating Scale, and the Young Mania Rating Scale), supplemented by the retrospective Clinical Global Impression for Bipolar Disorder (CGI-BP) scale.
		: This study was undertaken to characterize the demographics, illness severity, clinical and functional status of a large national cohort of adult and geriatric inpatients with primary Bipolar Disorder.
	www.wpic.pitt.edu /Stanley/3rdbipconf/Abstracts/poster_g.htm (3066 words)

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