Comparing status and function
If a client has health conditions such as serious mental illness symptoms that impact functioning, the functional assessment should distinguish which condition is causing which functional impairment. The link of mental illness to functioning can determine the medical necessity of mental health or other health services that a case manager may refer to.
Comparing Status and Function Example (brief example)
| Domain | Status |
Functional Description |
Functional Limitations Link to MI or other condition (if any) |
Vocational Functioning |
Does not have a job |
Difficulty following instructions, difficulty in persisting in completing tasks, difficulty with punctuality |
(discussed next) |
Medical Health |
Has diabetes |
Does not recognize symptoms of diabetes, self-care limited in managing food intake, does not take medications are prescribed, does not consistently maintain follow up appointment with doctor |
(discussed next) |