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Functional Assessment for Adults with Disabilities (2019) / Chapter Skim
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1 Introduction
Pages 13-20

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From page 13...
... provides disability benefits through the Social Security Disability Insurance (SSDI) and the Supplemental Security Income (SSI)
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From page 14...
... . In carrying out this study, the Committee on Functional Assessment for Adults with Disabilities was asked by the sponsor to perform several specific tasks, including identifying and describing evidence-based methods to collect information about an individual's physical and mental functional abilities relevant to work requirements; discussing the types of information that support findings of limitations in functional abilities relevant to work requirements; and, in the context of disability assessment, describing for functional abilities relevant to work requirements changes related to the progression of common disease processes, including but not limited to back disorders, cardiac impairments, and depression.
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From page 15...
... . •  escribe the laboratory findings, signs, or symptoms of impairments D that support findings of limitations in functional abilities relevant to work requirements; •  xplain what information, including that which pertains to level of severity E and duration, may be found in medical or other evidence to support a finding that a person is unable to sustain physical and mental work activities on an ongoing and independent basis in the context of functional limitations; and continued
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From page 16...
... – dentify where along the spectrum an individual's ability to perform I functions relevant to work requirements is affected; –  escribe whether the Social Security Administration (SSA) could ex D pect improvement, no improvement, or progressive worsening in the example impairments; –  escribe when significant changes in functional abilities relevant to D work requirements may occur through the aging process for these examples, such as for adults with common age-related physical and mental impairments; –  escribe the efficacy of medications and other treatments on an indi D vidual's ability to perform functional abilities relevant to work require ments for these examples, and whether that treatment causes its own subset of medical and/or psychological problems that negatively affect an individual's functioning and how SSA could request an appropriate assessment of functional changes; and –  escribe how the examples are similar to or different from other D impairments; •  Discuss the advantages and disadvantages of generic functional as sessment questionnaires that address a broad range of impairments and functional abilities relevant to work requirements, and targeted impair ment-specific questionnaires, along with considerations in their use; and •  Describe the best ways to determine the accuracy and validity of self reported functional abilities, for example asking for input over the course of the claimant's interactions with SSA and comparing for consistency.
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From page 17...
... , who addressed the use of functional assessment in different benefit programs that assess disability or vocational capabilities, as well as representatives of several stakeholder organizations, including The Arc, Justice in Aging, Legal Services of New Jersey, and the National Organization of Social Security Claimants' Representatives. In addition, the committee commissioned three papers: on the assessment of (1)
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From page 18...
... , Informing Social Security's Process for Financial Capability Determination (NASEM, 2016) , and The Promise of Assistive Technology to Enhance Activity and Work Participation (NASEM, 2017)
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From page 19...
... 2016. Informing Social Security's process for financial capability determination.
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Key Terms

  • abilities relevant
  • work requirements
  • functional assessment
  • benefit programs
  • security listings

  • security disability
  • assess disability
  • security administration
  • disability insurance
  • vocational capabilities

  • mental functional
  • functional assessments
  • perform functional
  • security benefits
  • security programs

  • disability benefits
  • occupational requirements
  • disability decision
  • cardiac impairments
  • support findings

  • daily living
  • brain injury
  • collect information
  • occupational information
  • requirements survey

  • assessment processes
  • decision process
  • specific physical
  • included experts
  • reported functional


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