Assessing the function of functional assessment: a consumer perspective

The person who is most affected by the process of functional assessment is the consumer--the individual with a disability whose functional capacity is being assessed. Consumers want the functional assessment process to be conducted in a dignified manner and the results to be relevant to their needs. Many consumers, influenced by the independent living movement, focus primarily on their ability to live independently in their communities and on environmental barriers that prevent them from doing so. Yet, most functional status measures focus primarily on impairments and functional limitations, rather than on handicapping environmental factors. Consumers should be involved directly in the development and application of functional status measures so that these factors are considered appropriately. Such measures have important implications for defining programme eligibility, determining payment, assuring quality, and enhancing discharge planning.