Certain aspects of implementation of the icf core set for autism spectrum disorder in practice of rehabilitation and habilitation

Authors:

Shoshmin Alexander Vladimirovich, PhD in Biology, Head of the Department of International Classifications and Systems of Rehabilitation and Habilitation (WHO Collaborating Centre), Albrecht Federal Scientific Centre of Rehabilitation of the Disabled, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation, e-mail: shoshminav@mail.ru

Lorer Viktoria Valerevna, PhD in Psychology, Head of the Department of Early Assistance, Albrecht Federal Scientific Centre of Rehabilitation of the Disabled, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation. Docent of the Department of General and Clinical Psychology, Pavlov First Saint Petersburg State Medical University, 6-8 L’va Tolstogo Street, 197022 St. Petersburg, Russian Federation, e-mail: lorer@list.ru

Malkova Sofia Viacheslavovna, Senior Scientist of the Department of Early Assistance, Albrecht Federal Scientific Centre of Rehabilitation of the Disabled, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation, e-mail: malkovas@center-albreht.ru

Annotation:

Introduction. The International Classification of Functioning, Disability and Health (ICF) is the methodological basis for rehabilitation and habilitation. ICF Core Sets are widely used for certain nosological units, such as stroke, multiple sclerosis, depression, spinal trauma, brain tumor, traumatic brain injury, back pain, spinal cord injury, hearing loss and other. ICF Core Sets in child psychopathology include attention deficit-hyperactivity disorder, cerebral palsy and autism spectrum disorder (ASD). They are the basis for a comprehensive assessment of a child, family and other development contexts, as well as developing an individual rehabilitation route and evaluating its effectiveness.

The aim of this work is to analyze the barriers that arose during the implementation of the Comprehensive ICF Core Set for ASD in the practice of rehabilitation and habilitation of people with disabilities.

Materials and methods. The work was attended by specialists of the Albrecht Federal Scientific Centre of Rehabilitation of the Disabled. The methodological basis of the interdisciplinary work of specialists was the Comprehensive ICF Core Set for ASD, translated into Russian. Its approbation was carried out, and the barriers that arose during its application were analyzed.

Results and discussion. The advantages and problems were identified and described when applying the Comprehensive ICF Core Set for ASD at the Albrecht Federal Scientific Centre of Rehabilitation of the Disabled.

Conclusion. The use of the Comprehensive ICF Core Set for ASD in rehabilitation institutions greatly simplifies diagnostics in rehabilitation, setting rehabilitation goals, justification the need for rehabilitation measures, selecting of rehabilitation measures and evaluating the effectiveness of rehabilitation. In the process of implementing the ICF Core Set for ASD at the Albrecht Federal Scientific Centre of Rehabilitation of the Disabled, a number of barriers were identified: the absence of any regulatory frameworks in the area of application of ICF in the rehabilitation institutions of the Russian Federation; non-compliance of the personnel structure of organizations with modern requirements in the field of rehabilitation, which leads to the loading of specialists and does not allow performing work in an appropriate volume; difficulties in applying technology of interdisciplinary interaction in institutions; lack of necessary knowledge in the field of rehabilitation, including knowledge of the bio-psycho-social model of disability and health; difficulties in the selection of methods for evaluating the functioning of the ICF Core Set for ASD, especially in the selection of quantitative assessment indicators for the qualitative characteristics of ASD.

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