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Classifying communication disability using the ICF
The ICF can be viewed as a language or a lens through which you can describe and see clearly the whole individual
Part of ICF
Description
Speech Example
When absent
Body Structures
Anatomic parts of the body such as
organs, limbs and their components
Could mean a severe impairment
of the vocal folds with a nodule
present
Impairment
Body Function
Physiological and psychological
functions of body systems
Includes language, cognition,
voice, speech and swallowing
Impairment
Activity/
Participation
Activity: "the execution of a task or
action by an individual"
Participation: "involvement in life
situation"
Learning and Knowledge, General
tasks, Communication, Mobility,
Self-care, Domestic Life,
Interpersonal interactions and
relationships, Major life areas,
Community and Social and civic life
Environmental
Factors
Physical, social and attitudinal
environment in which people live
and conduct their lives
Products and Technology
Natural and Human Made
Environments
Support and Relationships
Attitudes
Services, systems and policies
Positive impact: facilitating
Negative impact: barrier
Personal Factors
Factors not directly linked to the
health condition or impairment
Age, race, gender, coping styles,
educational background
Impartial culturally responsive documentation
Impairments may be
Temporary/permanent
Progressive/regressive/static
Intermittent/Continuous
Slight/severe
Fluctuate over time
Activity Limitation/ Participation Restriction
Qualifiers:
Performance
Capacity without assistance
Capacity with assistance