Monday, May 28, 2007

GAF=83

I was reviewing this GAF Scale for one of my clients last week and wondered whether everyone I know should be evaluated. It helps me understand where people are and how I should relate to them. If you are going to do this remember that the Scale is to be rated with respect only to psychological, social and occupational functioning. Do not include impairment in functioning due to physical (or environmental) limitations. If you fall below 50 …Uhm!

Code
100 - 91
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 positive qualities. No symptoms.
90 - 81
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).
80 - 71
If symptoms are present, they are transient and expectable reactions to psychosocial stressors (e.g., difficulty concentrating after family argument); no more than slight impairment in social, occupational, or school functioning (e.g., temporarily falling behind in schoolwork).
70 - 61
Some mild symptoms (e.g., depressed mood and mild insomnia) OR 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.
60 - 51
Moderate symptoms (e.g., flat affect and circumstantial speech, occasional panic attacks) OR moderate difficulty in social, occupational, or school functioning (e.g., few friends, conflicts with peers or co-workers).
50 - 41
Serious symptoms (e.g., suicidal ideation, severe obsessional rituals, frequent shoplifting) OR any serious impairment in social, occupational, or school functioning (e.g., no friends, unable to keep a job).
40 - 31
Some impairment in reality testing or communication (e.g., speech is at times illogical, obscure, or irrelevant) OR major impairment in several areas, such as work or school, family relations, judgment, thinking, or mood (e.g., depressed man avoids friends, neglects family, and is unable to work; child frequently beats up younger children, is defiant at home, and is failing at school).
30 - 21
Behavior is considerably influenced by delusions or hallucinations OR serious impairment, in communication or judgment (e.g., sometimes incoherent, acts grossly inappropriately, suicidal preoccupation) OR inability to function in almost all areas (e.g., stays in bed all day, no job, home, or friends)
20 - 11
Some danger of hurting self or others (e.g., suicide attempts without clear expectation of death; frequently violent; manic excitement) OR occasionally fails to maintain minimal personal hygiene (e.g., smears feces) OR gross impairment in communication (e.g., largely incoherent or mute).
10 - 1
Persistent danger of severely hurting self or others (e.g., recurrent violence) OR persistent inability to maintain minimal personal hygiene OR serious suicidal act with clear expectation of death.
0
Inadequate information.
But how can I bear your problems and your burdens and your disputes all by myself? - Deut 1:12

3 comments:

The Black Mamba said...

I like the US because it makes an effort to take care of disadvantaged individuals. If only the society would be accommodating of these people.

JaBi said...

Just a side thought - I wonder how many of the people who make up these scales need those same evaluations! think of all the messed up pscyhologists and Pychiatrists whose professional life seems out of sync with their social and family life(messed up kids)...a good case or "physician heal thyself!"

Kim said...

Well said Chris, the US is miles ahead in empowering the disabled.

Jab, do as I say not what I do!
Kim.