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Workshop on Improving Disability Data for Policy Use
23-26 September 2003, Bangkok, Thailand

UN ESCAP Statistics Division
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Programme : Presentation on 24 September 2003

ICF Australian User Guide and implementation of the ICF in Australia

Text version of a Powerpoint Presentation
Presented by AIHW on 24 September 2003, 9:00am


Slide 1

ICF Australian User Guide and implementation of the ICF in Australia

Australian Institute of Health and Welfare (AIHW)


2

ICF implementation activities in Australia

  • Australian ICF user guide
  • Measurement and mapping existing tools to the ICF
  • Use of the ICF in Surveys, clinical and administrative records
  • National data dictionaries - and data consistency
  • Training strategy
  • Information, inquiries, presentations, promotion
  • Broadly based advisory group

3

What is the Australian ICF user guide?

The User Guide is a complement to the ICF that:

  • explains its applicability
  • outlines ICF benefits in the Australian context
  • gives general advice about getting started
  • informs the user about current and emerging applications, and
  • promotes a consistent and constructive approach to its use

4

What is in the Australian ICF user guide?

  • Contents of the User Guide include:
    • Overview of ICF
    • Practical advice on getting started using ICF
    • Approaches to delineating Activities and Participation
    • Use of qualifiers for Activities and Participation
    • Environmental factors - coding conventions
    • Current and planned Australian applications
    • How users can record their experience

5

Useful information for new users

  • Benefits of using the ICF for Australian disability statistics
  • The ICF and the traditional approach to defining disability
  • A checklist of steps for new users
  • An example of getting started in the Australian education sector

6

The ICF and disability data elements in national data dictionary

  • Use of the ICF framework for a wide range of data
  • Working towards national consistency on data collections
  • The ICF and disability data elements in national data dictionary

7

Disability data elements in national data dictionary

  • Based on ICF:
    • Five disability data concepts (e.g. 'Disability', 'Functioning', 'Activity')
    • Ten disability data elements (e.g. 'Body functions', 'Impairment extent', 'Participation extent')

8

The ICF and the national disability services data collection

  • Using the ICF to develop a support needs framework for service data collection
  • Relate to existing assessment and data standards and practice in the field
  • Level of support need also based on Australian population survey measures, to promote comparability of population and service data

9

Support needs data item in disability services collection

  • Q: 'How often does the service user need personal help or supervision with activities or participation in the following life areas?'
  • Life areas based on Activities & Participation chapter headings (e.g. communication, mobility and self-care)

10

ICF and national study on unmet need for disability services

Using the ICF framework to:

  • maximise the comparability of various disability data
  • compare the profiles of needs for disability service clients with those for 'potential clients' based on population disability data
  • create a relationship framework for support needs and type of service

11

The ICF framework and Australian Therapy Outcome Measures (AusTOMS)

  • Lack of a common language and measurement for describing outcomes in rehabilitation services
  • Aiming to develop a valid, reliable and clinically relevant measure to reflect the outcomes of therapeutic input.
  • Applying the ICF framework and key concepts across disciplines will enable comparisons of outcomes across these disciplines

12

The ICF and classification for disability athletics

  • Four existing major disability classification systems in disability athletics
  • Lack of clarity and effectiveness due to the use of terms that are not standardised.
  • The ICF and a unified disability athletics classification

13

The ICF and oral health

  • Significant progress in measuring oral health using the ICF framework
  • Aiming to document the full impact of oral disorders on the population
  • Using the ICF in developing instruments to measure oral health

14

The ICF and speech pathology

Using the ICF:

  • In the education of speech pathologists and audiologist
  • In clinical practice
  • As a research conceptual framework

15

The ICF and Rett Syndrome study

The ICF is used as a conceptual framework to:

  • investigate the broad aspects of disability and functioning associated with Rett syndrome
  • identify factors that are most beneficial and cost effective in optimising health, function and quality of life for the affected child and family.

16

The ICF and classification of support needs

  • develop a system of classification using ICF conceptual framework.
  • the multi-dimensional and dynamic nature of the support needs
  • A system can be applied to a wide range of disabilities
  • how the system can be directly linked with service planning and resource allocation.

17

The ICF and accident compensation in Australia

  • The limitations of the current compensation system
  • The ICF provides a starting point for future development
  • Main challenge: development of new assessment instruments

18

Thank you


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