title: The International Classification of Functioning Disability and Health, version for children and youth as a roadmap for projecting and programming rehabilitation in a neuropaediatric hospital unit.
abstract: OBJECTIVE
  To test the impact of introducing a format based on the International Classification of Functioning Disability and Health, version for children and youth (ICF-CY) as a road-map for in-hospital paediatric neuro-rehabilitation on target definition, intra-team communication and workload as perceived by involved professionals.
  
  
  METHODS
  Single-centre pilot testing with impact assessment.
  
  
  METHODS
  Team members of a tertiary care paediatric neurorehabilitation unit included 15 consecutive patients with severe neurological conditions.
  
  
  METHODS
  An ICF-CY based format for rehabilitation projection and programming was constructed and tested for 12 months. The format comprises 3 sections: project, programme, and follow-up. Impact on the rehabilitation team was assessed with a questionnaire.
  
  
  RESULTS
  All cases were described according to their specific needs with appropriate ICF-CY codes, and the interventions were linked to needs and targets. ICF-CY was judged an efficient tool in providing a road-map for rehabilitation in this setting, although concern was voiced about timing and workload.
  
  
  CONCLUSIONS
  ICF-CY may work as a road-map for in-hospital paediatric neuro-rehabilitation. Its implementation results in perceived improvements in the process. Training requirements and accurate evaluation of timing, workload and organizational context are critical issues that should be addressed before results from the present experience are generalized.
authors.affiliation: E. Medea Scientific Institute, Conegliano-Pieve di Soligo Research Centre, Via Costa Alta 37, IT-31015 Conegliano, Italy. andrea.martinuzzi@cn.lnf.it
authors.forename: Andrea
authors.initials: A
authors.lastname: Martinuzzi
authors.forename: Annamaria
authors.initials: A
authors.lastname: Salghetti
authors.forename: Silvana
authors.initials: S
authors.lastname: Betto
authors.forename: Emanuela
authors.initials: E
authors.lastname: Russo
authors.forename: Matilde
authors.initials: M
authors.lastname: Leonardi
authors.forename: Alberto
authors.initials: A
authors.lastname: Raggi
authors.forename: Carlo
authors.initials: C
authors.lastname: Francescutti
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D019091:Critical Pathways; D019988:Children with Disabilities / Q000145:classification* / Q000534:rehabilitation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D038801:International Classification of Diseases; D008297:Male; D009422:Nervous System Diseases / Q000534:rehabilitation*; D010348:Patient Care Team; D010865:Pilot Projects; D011446:Prospective Studies; D012047:Rehabilitation Centers / Q000458:organization & administration; D011795:Surveys and Questionnaires