Goal Attainment Scaling
What is Goal Attainment Scaling?
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Scoring system to assess/report on outcomes
Clients make the goals in collaboration with providers
Scores based on goal outcomes
Five levels of outcomes
Five Point Scale
-2
-1
0
+1
+2
Most unfavourable
Less than expected
Expected outcome
More than expected
Most favourable
Five Point Scale – Example
Goal: Increase mobility and weight bearing capacity
-2
Cannot walk around the block with or without an
aid at three months
Walk around the block once per week with use
of aid at three months
Walk around the block two times per week with
use of an aid at three months
Walk around the block three times per week
using the aid sparingly at three months
Walk around the block three times per week
without an aid at three months
-1
0
+1
+2
Rehabilitation Assessment
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Life Satisfaction Indicators (LSI) are identified by client
LSI creates a snapshot of the client’s satisfaction with life
LSI results assist with the Rehabilitation Assessment
Rehabilitation Plan with Scaling
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Goals are made for Rehabilitation Plan based on Assessment
Up to four Goals
Five levels of outcomes are defined for each goal and activities identified
Plan Progress
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Goals are reassessed as required
LSI is completed six monthly
Plan Closure
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Final score given for each goal
A final LSI is completed
Success = expected outcome (0) or better (+1,+2)
Expected Benefits
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Better engagement with clients
Clearer plan for clients
Clients take ownership of their goals
Clients have better understanding of rehabilitation process
Effects on Current Process
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Minimal impact on DVA Staff, as providers establish the goals with clients and monitor
progress
Once familiarity with process is established, minimal cost impact
Links to DVA Towards 2020 – Client Focused
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Goal Attainment Scaling is a whole-of-person rehabilitation tool
Client has direct input to their own goals
Providers can develop individualised plans for clients
Links to DVA Towards 2020 – Responsive
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Enables reporting on the effectiveness of different types of rehabilitation
DVA can identify areas for improvements from client goal scores
Target relevant changes for implementation
Links to DVA Towards 2020 – Connected
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Improved communication with providers about client rehabilitation
Detailed reporting about client rehabilitation progress
New and Amended Forms
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One new form D9230 Life Satisfaction Indicators & five current forms amended
Refer Chapter 15 Goal Attainment Scaling in DVA’s online Rehabilitation Library http://clik.dva.gov.au/rehabilitation-library
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Also visit DVA’s Rehabilitation website – http://www.dva.gov.au/health-andwellbeing/rehabilitation
Life Satisfaction Indicators (LSI)
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New form – D9230
Life Indicators - completed by client at rehabilitation assessment, six month plan progress
and at plan closure
Job Indicators - completed by client at rehabilitation assessment, six month plan progress
report and at plan closure
Rehabilitation Assessment Report
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Amended form – D1334
Added Life Satisfaction Indicators data
Rehabilitation Plan
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Amended form – D1347
Added Goal Attainment Scaling data (up to four goals)
Rehabilitation Plan Amendment
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Amended form – D1336
Added Goal Attainment Scaling data (up to four goals)
Rehabilitation Plan Progress Report
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Amended form – D1330
Added Life Satisfaction Indicators data
Rehabilitation Closure Report
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Amended form – D1335
Added Life Satisfaction Indicators data
Added Goal Attainment Scaling Scores Conversion Table