Occupational Assessments ADL Assessments Play/Leisure Assessments Work Assessments Name: Assessment of Motor and Process Skills Purpose: assesses effectiveness, efficiency, or safety of a person’s ADL task performance (including BADLs and IADLs) Method: interview to determine 3-5 tasks relevant to client that will be sufficiently challenging; client selects 2-3 offered by therapist and is observed performing them; rater scores quality of 16motor skills and 20 process abilities from 4= competent to 1=deficit Population: anyone older than age 5 with any diagnosis that causes functional limitations in ADLs Name: Activity Index Purpose: determines meaning of leisure and the extent of participation Method: activity index questionnaire (23 listed activities); check level of interest and participation in each activity with 4-point scale; 1= do not participate/not interested to 4= do at least 3x per week Population: elder aged 65 and older Name: EPIC Functional Evaluation System Purpose: determines capacity for lifting, carrying, climbing, industrial pulling and pushing, balance while walking, motor coordination, standing, whole body ROM, and finger/hand dexterity Method: use of commercially available standardized EPIC 6 modules Population: adults Name: Barthel Index Purpose: measures a person’s independence in BADLs before and after intervention and measures level of personal care needed Method: includes 10 items (feeding, transferring, hygiene/grooming, toileting, control of bowel, control of bladder, bathing, dressing, walking on level ground, negotiating/climbing stairs); uses direct observation of task performance, interview of individual or caregiver, and review of medical records; max score is 100 (10 points per item) Population: adults/elders with physical disabilities/chronic illnesses in a hospital setting Name: Interest Checklist Purpose: assesses level of interest in leisure activities/interests and perspective on how this involvement has changed over time Method: 80 item checklist rated as strong, casual, or no interest; interview about life history of leisure interests and pursuits Population: originally developed for adults and elders, but it has been used with adolescents as well Name: Jacobs Prevocational Assessment Purpose: assesses work-related skills Method: 14 major areas in which individual completes 15 brief tasks; evaluator checks off areas that were observed to present difficulty; time for task completion and comments abut behavior are recorded Population: preadolescents and adolescents with learning disabilities Name: Cognitive Performance Test Purpose: assesses 6 functional ADL tasks requiring cognitive processing skills based on Allen’s Cognitive Level Theory Method: each task is performed (dressing, shopping, making toast, making a phone call, washing, traveling); scoring follows Allen’s levels1= lowest level to 6= highest level (max test score is 36) Population: adults and elders with psychiatric/cognitive dysfunction Name: Leisure Diagnostic Battery Purpose: measures leisure experience, and motivational and situational issues that influence leisure Method: questionnaire rated with 1 to 3 scale, indicating agreement with statements Population: adults, but there are adapted scales for children 9-14 (no cognitive deficits) and another for children 9-14 (educable MR) Name: McCarron-Dial System Purpose: assesses prevocational, vocational, and educational abilities of those with disabilities and or sociocultural disadvantages Method: 5 main areas (cognitive/verbal/spatial, sensory, motor, emotional, coping/integrative/adaptive behaviors); screening interview & observation based Population: 16 & older, neurophysiologically/psychosocially impaired Name: Functional Independence Measure (FIM) and WeeFIM Purpose: to assess severity of disability as determined by what the individual actually does and the amount of assistance needed by the individual to complete each task Method: 6 performance areas (self-care, sphincter management, mobility, locomotion, communication, and social cognition) are assessed, each with subsections; activities are observed; each item is scored on a scale of 1 to 7, for a total FIM score of 18-126 Population: adults with disabilities who are not functionally independent (for the FIM), children aged 6 months to 7 years who are being seen for intervention (for WeeFIM) Name: Leisure Satisfaction Scale Purpose: measures perception that leisure pursuits are meeting personal needs Method: 6 categories (psychological, educational, social, relaxation, psychological, aesthetic); 5 point scale, 1= almost never true to 5= almost always true Population: adults and elders Name: Reading Free Vocational Interest Inventory Purpose: identifies vocational areas of interest and/or patterns of interest in a number of vocational areas Method: present a group of 3 pics representing unskilled, semi-skilled, and skilled job tasks and request which is most preferred; continues for 55 sets of pictures; selections are converted into numerical scores that represent his/her level of interest Population: adolescents and adults with learning or developmental disabilities Name: Katz Index of ADL Purpose: to assess level of independent functioning and type of assistance required Method: 6 areas (bathing, dressing, toileting, transferring, continence, feeding); activity performance is observed or interview; each activity is rated independent to dependent and then given a global letter score Population: adults and elders with chronic illness Name: Meaningfulness of Activity Scale Purpose: measures level of enjoyment, motivational source, perception of competence, and participation in leisure Method: questionnaire; likert scale used for 3 subscales (level of activity enjoyment, reason for doing activity, perception of activity competence) Population: adults and elders Name: Smith Physical Capacity Evaluation Purpose: individual’s performance on 154 items Method: performance of real or simulated work tasks based on person’s interests Population: adults ADL Assessments Play/Leisure Assessments Work Assessments Name: Kitchen Task Assessment Purpose: measures skills used to perform a simple cooking task Method: observation of cooking activity; scores of 0= independent to 3= totally incapable for 6 categorizes of task skills (initiation, organization, performing all steps, proper sequence, judgment and safety, completion of task); final scores range from 0-18 Population: adults and elders with senile dementia (Alzheimer’s type) Name: Minnesota Leisure Time Physical Activity Questionnaire Purpose: measurement of the energy expended by a person during engagement in leisure activity Method: interview using list of 63 physical activities to determine what has been performed in last 12 months; individual specifies level of participation for each month Population: adults Name: Testing, Orientation, and Work Evaluation in Rehab Purpose: assesses ability to complete specific work samples Method: 14 job training areas and 110 work samples; individual completes therapist selected work samples; individual’s performance is compared to norms Population: adults with physical and/or psychiatric disorders Name: Klein-Bell ADL Scale Purpose: assesses independent functioning in ADLs Method: 170 items in 6 areas (dressing, elimination, mobility, bathing/hygiene, eating, emergency telephone communication); observation of tasks; each item is rated as achieved or failed Population: individuals from 6 months old to elderly with any diagnosis Name: Play History Purpose: assess developmental level & adequacy of play environment Method: semi-structured interview; values are assigned to the info according to manual standards Population: children and adolescents Name: Valpar Component Work Sample Purpose: assesses group of skills required for employment tasks Method: completion of up to 23 work samples; quality of and time of task performance are scored Population: adults with or without disabilities; adapted version for those who are visually impaired Name: Kohlman Evaluation of Living Skills Purpose: determines knowledge, performance skills to live independ. Method: 17 basic living skills, 5 main areas (self-care, safety and health, money management, transportation and telephone, work/leisure); structured/ standardized task observation, self-report; score of independent (0 points) or needs assistance (1 point) is given; score of 6 or more = absence of skills needed to live independently Population: adolescents and adults in acute psychiatric hospitals, as well as elders and those with a diversity of diagnoses Name: Preschool Play Scale Purpose: observation of play behavior Method: 4 play dimensions (space & material management, imitation, participation); observation of free play for 15-30 min periods; comparison of observations with expected play behaviors; play age score is derived by comparing observed behaviors to expected agespecific behaviors Population: children Name: Vocational Interest Inventory-Revised Purpose: measurement of student interest in employment areas Method: questionnaire with 8 areas and 112 forced choice statements related to familiar job activities and titles; selections are compared to norms Population: high school students who are unclear about their vocational pursuits Name: Milwaukee Evaluation of Daily Living Skills Purpose: assesses performance of needed basic living skills Method: screening form is used and then evaluation (basic communication, personal hygiene, med management, personal health care, time awareness, eating, dressing safety in home, safety in community, use of phone, transportation, maintenance of clothing, use of money); performance observation based; all items are scored Population: adults 18 or older who have chronic mental illness (2+ years) and who have resided (6 months +), in psychiatric hospital, halfway house, group home, SNF, or participated in OP day tx program Name: Vocational Interest, Temperament, and Aptitude System Purpose: assesses vocational interests, temperament, and aptitudes to assist with career guidance/vocational placement Method: completion of up to 22 work samples and a vocational interest interview; time and quality of performance are scored based on observations Population: adolescents aged 14 and older; adults Name: Routine Task Inventory Purpose: measures level of impairment in ADLs by Allen’s model Method: 6 physical scales, 8 instrumental scales; observation, selfreport, report of caregiver; item is rated according to Allen’s levels 1-6 Population: adults and elders with cognitive impairments Name: Worker Role Interview Purpose: determines psychosocial/environmental factors related to past work experience, job setting, and ability to return to work Method: structured interview; 1-4 scale; 1= problems to 4= supports Population: adults involved in a work hardening program Name: Scoreable Self-Care Evaluation Purpose: measures functional performance and identifies difficulties Method: 18 basic living tasks in 4 main areas (personal care, housekeeping chores, work/leisure, financial management); motivational questionnaire then performance is observed and scored Population: adolescents, adults, and elders with psychiatric illnesses in acute hospital settings or living in the community