title: [ICF assessment in the field of psychiatric rehabilitation--a rationale for a stand-alone rehabilitation assessment].
abstract: OBJECTIVE
  Assessment in the field of rehabilitation tries to establish the impairment of the functional health on basis of an existent ICD disease. Regarding the same disease there can be very different states of functional health. Within the interdisciplinary rehabilitation field the ICF is supposed to be an appropriate format to function as a common assessment tool.
  
  
  METHODS
  A rehabilitation center had gathered data (n=77) with an ICF core set for psychiatric rehabilitation that was analyzed with quantitative methods (secondary data analysis). The logic of data evaluation was as follows: are there autonomous types (factor analysis) of impairment concerning the ICF concepts and is there a systematically intervention allocation according to these types (comparison of means)? For this purpose the quantita-tive assessed ICF item selection was compared to the ICD-10 diagnosis schizophrenia, affective disorder or personality disorder as well as with the quantified interventions as listed from the annuity insurance.
  
  
  RESULTS
  The core set shows discriminant construct validity concerning ICD-10 diagnoses. Factor analysis identified 3 types of impairment of functional health independent of ICD-10 diseases: cognitive, psychomotoric and emotional type. The allocation of therapeutic interventions happens not yet systematically according to the impairment type.
  
  
  CONCLUSIONS
  An autonomous rehabilitation assessment beyond the ICD-10 diagnosis is scientifically verified. Furthermore research is necessary which interventions are indicated for the several ICF impairment types what should lead to an increased efficiency.
authors.affiliation: Hochschule für Angewandte Wissenschaften Ravensburg-Weingarten.
authors.forename: S
authors.initials: S
authors.lastname: Queri
mesh_terms: D000328:Adult; D000368:Aged; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000145:classification* / Q000534:rehabilitation; D005260:Female; D005858:Germany; D006801:Humans; D038801:International Classification of Diseases / Q000145:classification* / Q000706:statistics & numerical data*; D064702:International Classification of Functioning, Disability and Health / Q000706:statistics & numerical data*; D008297:Male; D001523:Mental Disorders / Q000145:classification / Q000175:diagnosis* / Q000534:rehabilitation*; D008875:Middle Aged