This study examined the reliability and convergent, discriminant, and predictive validity of the mental illness research, education, and clinical center mirecc version of the global assessment of functioning gaf scale. Collecting information for rating global assessment of. It is used to measure the overall psychosocial functioning of an individual, including psychological symptoms, occupational, and social functioning. Scores range from 100 extremely high functioning to 1 severely impaired.
Mirecc gaf ratings were obtained for 398 individuals with schizophrenia or schizoaffective disorder who were receiving treatment at three veterans affairs mental health clinics. The global assessment of functioning gaf is the standard method for representing a clinicians judgment of a patients overall level of psychosocial functioning. The global assessment of functioning gaf is a numeric scale used by mental health clinicians and physicians to rate subjectively the social, occupational, and psychological functioning of an individual, e. Global assessment of functioning gaf is well known internationally and widely used for scoring the severity of illness in psychiatry. The sofas is designed to measure social and occupational functioning without the influence of. Explanation of global assessment of functioning scale. The gaf is a direct descendent of the global assessment scale, 1 with minor modifications. Do not include impairment in functioning due to physical or environmental limitations. Find out information about global assessment of functioning scale.
The modified global assessment of functioning mgaf scale provides a more. Page 2 of 2 40 major impairment in several areas of functioning group d criteria. Global assessment of functioning scale synonyms, global assessment of functioning scale pronunciation, global assessment of functioning scale translation, english dictionary definition of global assessment of functioning scale. Global assessment of functioning gulf bend mhmr center. Barry reisberg, provides caregivers an overview of the stages of cognitive function for those suffering from a primary degenerative dementia such as alzheimers disease. In the global assessment of functioning gaf scale, physicians are asked to give the patients overall functioning as a single value between 100 excellent functionality and 1 persistent danger of severely hurting self or others or persistent inability to maintain minimal personal hygiene or serious suicidal act with clear expectation of. Redirected from global assessment of functioning the global assessment of functioning gaf is a numeric scale 0 through 100 used by mental health clinicians and physicians to rate subjectively the social, occupational, and psychological functioning of adults, e. Mirecc version of the global assessment of functioning scale the mirecc gaf measures occupational functioning, social functioning, and symptom severity on three subscales. This information may be helpful in planning treatment and measuring outcomes if done also at discharge. Global assessment of functioning scale definition of. It measures how much a persons symptoms affect his or her daytoday life on a scale of 0.
Global assessment of functioning scale article about. Problems with gaf show a need for its further development for example validity and reliability problems. Global assessment 79 52 clinical global impressions scale cgis 80 53 global assessment of functioning gaf 81. Start this article has been rated as startclass on the projects quality scale this article has not yet received a rating on the. The childrens global assessment scale cgas is a measure developed by schaffer and. Rate the childadolescents most impaired level of general functioning during the period rated by selecting the lowest level which describes hisher functioning on a. The documentation system for a psychosomaticpsychotherapeutic outpatient clinic integrates the economical documentation of symptoms and expert ratings, the visualisation of the biography, the operationalized psychodynamic diagnostics, the psychic and somatic diagnoses including the ratings on the impairment score is, the global assessment of functioning scale gaf and the indications. The modified global assessment of functioning gaf scale has more detailed criteria and a more. The gaf is a psychological rating scale that ranges from 0 to 100. It looks at both the level of functioning and the severity of the presenting symptoms. Functional impairment is often the impetus for clinical referral and entry into treatment. The many instruments used for assessment in psychiatry differ in several ways, but they all depend on collecting information.
Tools for assessing dementia and delirium, depression, activities of daily living, pain and more from the university of iowa. Guidelines for rating global assessment of functioning gaf ncbi. Gaf makes up axis v in the diagnostic and statistical manualivtr coding system. The present study aimed to identify the current status of guidelines for rating gaf, and. The dsmiv describes the use of the gaf score in the following way. Implicit in the scale are assumptions about what constitutes mental health and. The global deterioration scale for assessment of primary degenerative dementia the global deterioration scale gds, developed by dr. Global assessment of functioning gaf is an assessment instrument that rates severity of illness and is known worldwide 4,5. Results for global assessment of functioning 1 10 of 2337 sorted by relevance date click export csv or ris to download the entire page or use the checkboxes to select a. Global assessment of functioning scale gaf consider psychological, social, and occupational functioning on a hypothetical continuum of mental health illness.
This article is within the scope of wikiproject psychology, a collaborative effort to improve the coverage of psychology on wikipedia. The global assessment of functioning, or gaf, scale is used to rate how serious a mental illness may be. A gaf rating can be based on many things, including. Global assessment of functioning gaf scale from dsmivtr, p. The document you are trying to load requires adobe reader. Global assessment of functioning gaf this assessment is suitable for clients with schizophrenia since it allows ots to assess psychological, social, occupational including education components of their lives and uses the score given to help determine strengths and weakness in their live. It is known from methodology studies of questionnaire design that the ordering.
In this scale, a score of 0 would be given if the patient had died by suicide and a score of 100 if the individual showed superior functioning in every area of life. The current dsm uses a further revised version of this called a global assessment of functioning gaf scale, which has been shown to. The current dsm uses a further revised version of this called a global assessment of functioning gaf scale, which has been shown to be quite reliable. The global assessment of functioning gaf is derived from the global assessment scale gas. Rate the childadolescents most impaired level of general functioning during the period rated. Global assessment of functioning gaf is a scoring system for the severity of illness in psychiatry. The gaf is a numeric scale 0 through 100 used by mental health clinicians and physicians to subjectively rate the social, occupational, and psychological. Dementia resources 2007 interior health authority, british columbia. Global assessment of functioning scale definition english. Some state outcome forms require the use of the mgaf. The global assessment of functioning gaf scale was introduced in the diagnostic and statistical manual of mental disorders, 3rd edition dsmiii as a method for rating patient functioning for all psychiatric disorders. Global assessment of functioning how is global assessment of functioning abbreviated. Do not include impairment in functioning due ro physical or environmenral limitations. It is used clinically in many countries, as well as in research, but studies have shown several problems with gaf, for example concerning its validity and reliability.
Guidelines for rating global assessment of functioning gaf. Global assessment of functioning scale fill out and sign. Modified global assessment of functioning scale mgaf. Gaf is an acronym for global assessment of functioning. The aim of the present study was to identify gaps in current knowledge about properties of gaf that are of interest for further development. Reliability of the global assessment of functioning scale. The gaf serves as axis v in the diagnostic and statistical manual of mental disorders 4th ed american psychiatric association, 1994 multiaxial classification. The global assessment of functioning scale gaf was introduced as a new rating scale of overall psychiatric disturbance as axis v of the revised third edition of the diagnostic and statistical manual of mental disorders dsm iiir, american psychiatric association, 1987. In psychiatry, collecting information about patients is fundamental both for routine clinical practice and for research. Serious impairment with work, school or housework if a housewife or househusband e.
The global assessment of functioning gaf is a scoring system that mental health professionals use to assess how well an individual is functioning in. There is consensus that clinical indices of overall functioning have utility in treatment of mental illness and impairment. The mirecc gaf measures occupational functioning, social functioning, and symptom severity on three subscales. Rate the childadolescents most impaired level of general functioning during the period rated by selecting the lowest level which describes hisher functioning on a hypothetical continuum of healthillness 3. The global assessment of functioning gaf is a scoring system that mental health professionals use to assess how well an individual is functioning in their daily lives.
The global assessment of functioning gaf assigns a clinical. The use of longacting aripiprazole in a multicenter. Revised manual for the global assessment of functioning scale. The mgaf can be used instead of the gaf if approved by the rcc. Global assessment of functioning definition of global. The gaf scale is presented and described in the dsmivtr on page 34. You do not need to know the numbers but rather what the gaf measures and is used for note. Consider psychological, social, and occupational functioning on a hypothetical continuum of mental healthillness. As such, it is probably the single most widely used method for assessing impairment among patients with psychiatric or substance use disorders or both 3, 4. If you would like to participate, please visit the project page, where you can join the discussion and see a list of open tasks.
Looking for global assessment of functioning scale. Global assessment of functioning scales springerlink. Since its introduction, its use in clinical settings has. Indicate appropriate code for the lowest level of functioning during the week of poorest. Mirecc version of the global assessment of functioning. The global deterioration scale for assessment of primary.
188 39 1361 73 1090 547 235 301 1351 1467 716 929 1450 57 1358 126 387 1594 515 1070 426 1047 762 199 601 8 94