title: Application of the International Classification of Functioning, Disability, and Health-Children and Youth Version (ICF-CY) to cleft lip and palate.
abstract: OBJECTIVE
  In recent health policy discussions, the World Health Organization has urged member states to implement the International Classification of Functioning, Disability, and Health: Children and Youth Version in their clinical practice and research. The purpose of this study was to identify codes from the International Classification of Functioning, Disability, and Health: Children and Youth Version relevant for use among children with cleft lip and/or palate, thereby highlighting the potential value of these codes for interprofessional cleft palate-craniofacial teams.
  
  
  METHODS
  The scope of recent published research in the area of cleft lip and/or palate was reviewed and compared with meaningful terms identified from the International Classification of Functioning, Disability, and Health: Children and Youth Version. In a five-step procedure, a consensus-based list of terms was developed that was linked separately to International Classification of Functioning, Disability, and Health: Children and Youth Version categories and codes. This provided a first draft of a core set for use in the cleft lip and/or palate field.
  
  
  CONCLUSIONS
  Adopting International Classification of Functioning, Disability, and Health: Children and Youth Version domains in cleft lip and/or palate may aid experts in identifying appropriate starting points for assessment, counseling, and therapy. When used as a clinical tool, it encourages health care professionals to go beyond treatment and outcome perspectives that are focused solely on the child and to include the children's environment and their familial/societal context. In order to establish improved, evidence-based interdisciplinary treatments for children with cleft lip and/or palate, more studies are needed that seek to identify all the influencing conditions of activities, children's participation, and barriers/facilitators in their environments.
authors.affiliation: Pedagogics and Therapy of Speech and Language Disorders, Faculty of Human Sciences, University of Cologne, Klosterstrasse 79b, D-50931 Köln, Germany.  sandra.neumann@uni-koeln.de
authors.forename: Sandra
authors.initials: S
authors.lastname: Neumann
authors.forename: Roswitha
authors.initials: R
authors.lastname: Romonath
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002971:Cleft Lip / Q000145:classification*; D002972:Cleft Palate / Q000145:classification*; D004185:Disability Evaluation; D019988:Children with Disabilities; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D064702:International Classification of Functioning, Disability and Health; D008297:Male