Saturday, June 15, 2013

The Global Assessment of Functioning

Someone brought this up elsewhere on my page and I thought I'd share it with you because it is very interesting. There is this rating tool used to decide a person's psychological level of function when they show up in the E.R. for help and then later (in my son's case, at his 90 minute interview by the psychiatrist in the hospital). To give you an idea of how it is applied I thought I'd share my son's scores when he was seen in the E.R. in May and then during his psychiatric hospitalization a few days later. Use the table below to learn all the levels of the GAF (because it's pretty interesting--and see where you think you lie right now) and then use it to better understand Thomas based on what you have read about him in my postings.

In the E.R. he presented at a 30
and 2 days later during his second assessment he was a 45.
He left the hospital a 45 also.

Given that 100 is well-functioning this makes me sad for my son that the best they could get him to before releasing him was a 45. As for right now, and of course I'm no professional, based on what I observe in him, I would say he is now still in the 50-60 range.

Take a look:

-------------
91-100
Superior functioning in a wide rage of activities, life's problems never seem to get out of hand, is sought out by others because of his or her many qualities. No symptoms.

90-81
Absent or minimal symptoms, good functioning in all areas, interested and involved in a wide range or activities, socially effective, generally satisfied with life, no more than everyday problems or concerns.

80-71
If symptoms are present they are transient and expectable reactions to psychosocial stresses; no more than slight impairment in social, occupational, or school functioning

70-61
Some mild symptoms OR some difficulty in social, occupational, or school functioning, but generally functioning pretty well, has some meaningful interpersonal relationships.

60-51
Moderate symptoms OR any moderate difficulty in social, occupational, or school functioning.

50-41
Serious symptoms OR any serious impairment in social, occupational, or school functioning.

40-31
Some impairment in reality testing or communication OR major impairment in several areas, such as work or school, family relations, judgment, thinking, or mood.

30-21
Behavior is considered influenced by delusions or hallucinations OR serious impairment in communications or judgment OR inability to function in all areas.

20-11
Some danger or hurting self or others OR occasionally fails to maintain minimal personal hygiene OR gross impairment in communication.

10-1
Persistent danger of severely hurting self or others OR persistent inability to maintain minimum personal hygiene OR serious suicidal act with clear expectation of death.

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