Published by the World Health Organization in , the International Classification of Impairments, Disabilities, and Handicaps (ICIDH) provides a conceptual. This paper describes developments in the use of the ICIDH since , in assessing the prevalence of disability in populations, in formulating policy decisions. ICIDH: International Classification of Impairments, Disabilities, and Handicaps . Since its publication as a trial version in , ICIDH has been used for various.

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Icodh ICIDH permits a highly complex issue to be easily grasped to a certain extent, and has gained almost worldwide recognition as a valuable tool in the perception of the problem of disablement, in describing this problem and developing solutions for this problem. Handicap — the result when an individual with an impairment cannot fulfill a normal life role.

The ICIDH model of disease consequences may be viewed as a preliminary step towards developing a theory of disablement. The first part is the theoretical explanation of the consequences of diseases. Impairment refers to a problem with a structure or organ of the body.

The participants will be asked to evaluate the draft ICIDH-2 concerning the ease of use, applicability, relevance of main and sub categories and definitions, etc.

ICIDH, New ICIDH and Asian / Pacific Decade

Our goal is to eliminate handicap. However, so far the personal factors are not included in the proposed definition nor classification of Context. The field test consists of “alpha test” June 96 – Dec 96″beta test 1″ Jul 97 – Dec 97 and “beta test 2” It emphasizes the role of contextual or environmental factors and bidirectional interaction among factors replacing the unidirectional relationship in figure 1.

It proposes the concepts and definitions of impairment, disability and handicap and discusses the relation iciddh these dimensions showing the conceptual model illustrated in Figure 1. Impairment, Disability, Or Handicap? Definitions of Participation “Participation is the nature and extent of a person’s involvement in life situations in relationship to impairments, activities and contextual factors” is proposed as a first option.

Published by the World Health Organization inthe International Classification of Impairments, Disabilities, and Handicaps ICIDH provides a conceptual framework for information by icldh classification, and hence description, of the three dimensions of the phenomenon of “disablement” as a consequence of disease, injury or congenital condition.

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By attributing the handicap to the environment as opposed to an individual, the emphasis is placed on using AT to produce functional outcomes as opposed to focusing on functional limitations.


With modern definitions in rehabilitation using its basic terms, the ICIDH will before long also be established as a tool for purposes of documentation, evaluation and treatment planning in the field of rehabilitation. Disability — any restriction or lack of ability to perform an activity in the manner or within the range considered normal for a human being. Although the draft ICIDH-2 is not available at this moment, early Junethe followings have been 19980 and discussed so far. The points of criticism relate to the consequences of disease model, the definitions of the basic terms, and the overlap of basic term extensions.

These factors can largely be grouped into environmental or extrinsic factors on the one hand and personal or intrinsic factors on the other. Especially they play an important role in determining the level of participation.

The terms disability, impairment, and handicap have icich used synonymously within the education, counseling, and health literature.

An individualized rehabilitation plan or service plan can be broken down into intervention plans in every dimension of the disablement. Graphic Illustration of Conceptual Model Figure 2 has been discussed in the alpha test.

This program provides accommodation, meal, consultation, and other daily living assistance in a group home. Today ICIDH is available in 15 languages including Japanese and Chinese, and is used in a variety of fields such as medical, vocational, educational, and social rehabilitation, policy and administration, statistics, research, and education and training.

Module 1 – Conceptualizing Disability P. A restriction of participation is a reduction in the nature or extent of a person’s involvement in life situation.

The ICIDH: evolution, status, and prospects.

Last ten years in Japan, we experienced a successful policy expansion in mental health with the help of the conceptual framework of the ICIDH. Based on these definitions, it should be understood a handicap is not a characteristic of a person, rather a description of the relationship between the person and the environment. It will be very useful in all Asian and Pacific countries.

I would like to explain this aspect by showing recent Japanese experiences in the field of mental health policy. Since then, there is continuous ididh going on. Other important points include: The evaluation of the nature and extent of participation can give the overall effectiveness of various interventions. Minimal levels of data shall be collected by all countries using standard terminology in accordance with the WHO International Classification of Impairment, Disability and Handicap.

The second part of the ICIDH is three independent classifications of impairments itemsdisabilities items and handicaps 72 items. To achieve this, every possible approach should be used. Go to the upper category.


The followings are excerpts from the Report of the Meeting. During the “alpha test” phase a set of draft proposals for ICIDH-2 was prepared by the coordination of WHO and discussed among those who had already been involved in the revision icixh. The assessment of the impairments leads to the treatment plan and the assessment of the disability limitation of activities in ICIDH-2 will be used to identify the rehabilitation services needs, including needs for technical devices.

Contextual factors usually interact with impairments, activities and participation. In s the Iciidh was revised a few times and group home program was established.

Now a new draft is coming by the first week of July to be tested in the “beta test 1” phase. Handicap refers to an environmental factor preventing the filling of a normal life role. Since WHO has organized annual meetings. It should moreover include a theory of the etiologic processes involved in disablement as well as a theory ixidh rehabilitative intervention.

Impairment, Disability, or Handicap?

The second option is “in the context of a icid experience, participation is a person’s involvement in life situations. In order to overcome the definitional and overlap problems it is suggested, for one, to clearly distinguish between the phenomena and their symptoms and, for the other, to eliminate any overlap that may exist in the formulation of the concepts the definitions of the basic terms build on.

And the Assessment of the nature and extent of icish in conjunction with the assessment icidj the contexts lead to the services plans, including residential resources, transportation, home help services, recreational services, incoming support services and physical adjustment of working environment.

Definition and Classification of Context Contextual factors usually interact with impairments, icodh and participation. It was one of a series of review meetings which is planned to be held once in every two years during the Decade.

The governments of the region may undertake steps to include questions on disability in the national population census as a long-term measure.

About participants representing GOs or NGOs from 28 countries in the region discussed the future targets as well as the progress in the past two “71 time bound targets” and many recommendations.