Goal 1: Goal 2: Goal 3: Time Line



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Goal Attainment Scaling Form
Goal Attainment Scaling Goals

Goal 1:

Goal 2:
Goal 3:
Time Line



ICF-CY
Component



Level of Attainment Much less
-2
than expected Somewhat less
-1
than expected
Expected level
0
of outcome
Somewhat more
+1
than expected
Much more
+2
than expected
Comments:
Source: Janette McDougall, Thames Valley Children's Centre

Source Janette McDougall, Thames Valley Children's Centre
GOAL ATTAINMENT SCALING FORM

Goal Area
ICF-CY Component Time Line
-2

-1 0
+1
+2

Source Janette McDougall, Thames Valley Children's Centre

List of Chapters in the ICF-CY, their Level-One Codes, and Basic Content
Body Functions/Impairments
b1. Mental functions (temperament, energy, attention, memory, emotion, cognition) b. Sensory functions and pain (seeing, hearing, taste, smell, touch, pain) b. Voice and speech functions (articulation, fluency) b. Functions of cardiovascular, haematological, immunological, respiratory systems b. Functions of the digestive, metabolic, and endocrine systems b. Genitourinary and reproductive functions b. Neuormusculoskeletal and movement-related functions (involuntary, reflex, gait) b. Functions of the skin and related structures (skin, hair, nails)


Activity and participation/activity limitations and participation restrictions
Environmental factors
Goal attainment scaling (gas)
Brown et al. (1998)
Ekström et al. (2005)
King, mcdougall, tucker et al. (1999)
Palisano et al. (1992)
Steenbeek et al. (2005)
Description of gas
Potential benefits
Ways to improve reliability
Guidelines for using gas
Criteria for writing goals in gas format
Demonstrating the reliability of the gas rating procedure
Appendix b - common errors in writing gas scales
Unequal scale
Using different
Baseline level
Appendix c - goal attainment scaling checklist
Appendix d - examples of goals written in gas format
Example 2 of gas scale for physical therapy
Example 3 of gas scale for physical therapy
Example 1 of gas scale for speech-language pathology
Example 2 of gas scale for speech-language pathology
Example 3 of gas scale for speech-language pathology
Example 1 of gas form for occupational therapy
Example 2 of gas form for occupational therapy
Therapy discipline


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