The application of the ICF CY model in specific learning difficulties: A case study

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The application of the ICF CY model in specific learning difficulties: A case study

Background: The International Classification of Functioning, Disability and Health for children and adolescents (ICF CY) has been proposed as a possible framework for evaluating assessment and rehabilitation practice in children with Specific Learning Difficulties (SpLDs).

Aim: The aim of this case report is to describe an evaluative and diagnostic process based on the ICF CY framework for a SpLD patient to show its applicability to this kind of developmental problem.

Method: A 10-year-old boy with difficulties in reading and writing was assessed both traditionally administering a set of cognitive and language test batteries and, innovatively, with the ICF CY checklist aimed to estimate the functioning profile of the child.

Results: The reasons for implementing the recent ICF CY as a framework to assess SpLD in children and to set the goals of interventions were supported. Whereas traditional assessment gives a validated parameter to evaluate the cognitive level and specific difficulties in reading and writing, ICF CY enhances the traditional diagnosis embracing both impairment and social factors to consider when selecting appropriate goals to bring about change in the lives and in the school experiences of children with SpLD, and it gives important cues to teachers, rehabilitators and therapists.

Conclusion: ICF CY gives caregivers the opportunities to work together not only to provide direct intervention with the child, but also to work in partnership with the child's family, friends, school and society.

  • Achenbach, T., Bilenberg, N. Bird, H., & the Epidemiological International comparisons group (2007). Behavioural and Emotional Problems Reported by Parents of Children Ages 6 to 16 in 31 societies. Journal of Emotional and Behavioural Disorders, 15, 130-142.

  • American Psychiatric Association (1999). DSM-IV. Diagnostic and Statistical Manual of Mental Disorders. Arlington: American Psychiatric Press.

  • Beery, K. E. & Buktenica N., (2000) The developmental test of visual-motor integration: Administration, scoring and teaching manual (4th ed.). Cleveland, OH: Modern Curriculum Press.

  • Beitchman, J. H., Wilson, B., Johnson, C. J., Atkinson, L., Young, A. & Adlaf, E. (2001). Fourteen-year follow-up of speech/language-impaired and control children: Psychiatric outcome. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 75-82.

  • Berger, M. (2005). The NSF Mental Health Standard 9: the Devil is in the Delivery. Child and Adolescent Mental Health, 10, 123-126.

  • Bishop, D. & Adams, C. (1990). A prospective study of the relationship between specific language impairment, phonological disorders and reading retardation. Journal of Child Psychology and Psychiatry and Allied Disciplines, 31, 1027-1050.

  • Bishop, D. & Snowling, M. (2004). Developmental dyslexia and specific language impairment: same or different? Psychological Bulletin, 130, 858-886.

  • Bishop, D. (2004). Specific language disorder: Diagnostic dilemmas. In L. Verhoeven & H. van Balkom. (Ed), Classification of developmental language disorders: Theoretical issues and clinical implications (pp. 309-326), Mahwah, NJ: Lawrence Erlbaum Associates.

  • Bjorck-Akesson, E., Hollenweger, J., Lollar, D., Martinuzzi, A., Leonardi, M., & Simeonsson, R. J. (2003), Applying the International Classification of Functioning, Disability and Health (ICF) to measure childhood disability. Disability and Rehabilitation, 25, 602-610.

  • Blosser, J. L. & Neidecker, E. A. (2002). School programs in speech-language pathology: Organization and service delivery, Boston, MA: Allyn and Bacon.

  • Botting, N. & Conti-Ramsden, G. (2004). Social difficulties and victimization in children with Specific Language Impairments at 11 years of age. Journal of Speech, Language and Hearing Research, 47, 145-161.

  • Brinton, B. & Fujiki, M. (1993). Language, social skills, and socio-emotional behaviour. Clinical Forum: Language and social skills in the school age population, Language Speech and Hearing Services in Schools, 24, 194-198.

  • Campbell, W. N. & Skarakis-Doyle, E. (2007). School-aged children with specific language impairments: The ICF as a framework for collaborative service delivery. Journal of Communication Disorders 40, 513-535.

  • Conners, C. K. (2002). Conners' continuous performance test. Toronto, Canada, Multi-Health System.

  • Conti Ramsden, G. & Knox, E. (2003). Bullying risks of 11-year-old children with specific language impairment (SLI): does school placement matter? International Journal of Language and Communication Disorders, 38, 1-12.

  • Conti-Ramsden, G., Durkin, K., Simkin, Z., & Knox, E. (2009). Specific language impairment and school outcomes. I: Identifying and explaining variability at the end of compulsory education. International Journal of Language and Communication Disorders, 44, 15-35.

  • Cornoldi C. & Colpo G. (1998). Prove di lettura MT per la scuola elementare [trad. Reading Tests for Primary School]. Firenze: O. S. Ed.

  • Darzins, P., Darzins, S., & Fone, S. (2006). The International Classification of Functioning, Disability and Health can help to structure and evaluate therapy. Journal of Australian Occupational Therapy, 53, 127-131

  • Felsenfeld, S., Broen, P. A., & McGue, M. (1992). A 28-year follow-up o adults with a history of moderate phonological disorder: Linguistic and personality results. Journal of Speech and Hearing Research, 35, 1114-1125.

  • Gillberg, M. (Ed.) (2007). A clinician's handbook of child and adolescent psychiatry, Cambridge: BMA Medical Book Awards.

  • Hart, K., Fujiki, M., Brinton, B., & Hart, C. (2004). The relationship between social behaviour and severity of language impairment. Journal of Speech, Language, and Hearing Research, 47, 647-662.

  • Humphrey, N. (2002). Teacher and pupil ratings of self esteem in developmental dyslexia: the role of teachers and peers. British Journal of Special Education 29, 29-36.

  • Humphrey, N. (2003). Facilitating a positive sense of self in pupils with dyslexia: the role of teachers and peers. Support for Learning, 18, 130-136.

  • Willcutt, E. G. & Pennington, B.F (2000). Comorbidity of reading disability and attention-deficit/hyperactivity disorder: differences by gender and subtype. Journal of Learning Disabilities, 33, 179-191.

  • Kearney, P. M. & Pryor, J. (2004). The International Classification of Functioning, Disability and Health (ICF) and nursing. Journal of Advanced Nursing 46, 162-170.

  • Leong, C. K. (1999). Psychological and educational aspects of Specific Learning Difficulties. Journal of Paediatrics, 4, 151-159.

  • Lollar, D. & Simeonsson, R. J. (2005). Diagnosis to function: Classification for children and youths. Journal of Developmental Behavior and Pediatrics, 26, 323-330.

  • Lollar, D. (2008). Function, impairment, and long-term outcomes in children with ADHD and how to measure them. Psychiatric Annals, 38, 15-33.

  • Lollar, D., Simeonsson R. J., & Nanda U. (2000). Measures of outcomes for children and youth. Archives of Physical Medicine & Rehabilitation, 81, 46-52.

  • Macintyre, C. & Macintyre, C. (2004). Identifying and supporting children with Specific Learning Difficulties: a holistic approach. USA: Routledge Ed.

  • McLeod, S. (2004). Speech pathologists' application of the ICF to children with speech impairment. Advances in Speech-Language Pathology 6, 75-81.

  • Mc Neil, M. R. & Prescott, T. (1978) Revised Token Test, Baltimore MD: University Park Press.

  • Nathan, L., Stackhouse, J., Goulandris, N., & Snowling, M. J. (2004). Educational consequences of developmental speech disorders: Key stage 1 national curriculum assessment results in English and mathematics. British Journal of Educational Psychology, 74, 173-186.

  • Newacheck, P. W., Halfon, N., Hughes, D. C., & Stoddard, M. D. (1994). Children With Chronic Illness and Medicaid Managed Care. Pediatrics, 93, 497-500.

  • Paulesu, E., Démonet, F., Fazio, F., McCrory, E., Chanoine, V., Brunswick, N., Cappa, F. S., Cossu, G., Habib, M., Frith, C. D., & Frith, U. (2001). Dyslexia: Cultural diversity and biological unity, Science 16, 2165-2167.

  • Rauch, A., Cieza, A., & Stucki, G. (2008). How to apply the International Classification of Functioning, Disability and Health (ICF) for rehabilitation management in clinical practice. European Journal Physical Rehabilitation Medicine, 44, 329-342.

  • Raven, J., Raven, J. C., & Court, J. H. (2003). Manual for Raven's Progressive Matrices and Vocabulary Scales. San Antonio, TX: Harcourt Assessment.

  • Segal, O. (1983), Boston Naming Test. Philadelphia, PA: Lea & Febiger

  • Simeonsson, R. J., Scarborough, A., & Hebbeler, K. (2006). ICF and ICD codes provide a standard language of disability in young children. Journal of Clinical Epidemiology 59, 365-373.

  • Skarakis-Doyle, E. & Doyle, P. (2008). The ICF as a framework for interdisciplinary doctoral education in rehabilitation: Implications for speech-language pathology. International Journal of Speech-Language Pathology, 10, 83-91.

  • Snowling, M. J. (2005). Specific learning difficulties. Psychiatry, 4, 110-113.

  • Stackhouse, J. & Wells, B. (1993). Psycholinguistic assessment of developmental speech disorders. European Journal of Disorders of Communication, 28, 331-48.

  • Stucki, G., Cieza, A., & Ewert, T. (2002). Application of the International Classification of Functioning, Disability and Health (ICF) in clinical practice. Disability and Rehabilitation, 24, 281-282.

  • Tate, R. L. & Perdices, M. (2008). Applying the International Classification of Functioning, Disability and Health (ICF) to clinical practice and research in acquired brain impairment. Brain Impairment 9, 282-292.

  • Travis, E., Threats, T., & Worrall, L. (2008). An introduction to the International Classification of Functioning, Disability and Health (ICF) for speech-language pathology: Its past, present and future. International Journal of Speech-Language Pathology, 10, 2-8.

  • World Health Organization (1992). The ICD-10 Classification of Mental and Behavioural Disorders, Geneva: CH, WHO Ed.

  • World Health Organization (2001). ICF the International Classification of Functioning, Disability and Health, Geneva: CH, WHO Ed.

  • World Health Organization (2007). ICF CY the International Classification of Functioning, Disability and Health for Children and Adolescents, Geneva: CH, WHO Ed.

  • Zentall, S. S. (1993). Research on the educational implications of attention deficit hyperactivity disorder. Exceptional Children, 60, 143-153.

Journal Information

CiteScore 2016: 0.24

SCImago Journal Rank (SJR) 2016: 0.200
Source Normalized Impact per Paper (SNIP) 2016: 0.380


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