Perspectives on the International Classification of Functioning, Disability, and Health: Child and Youth version (ICF-CY) and occupational therapy practice
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Updated: May 22, 2026

Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
Heidi Cramm1, Alice B Aiken, Debra Stewart
1School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada. heidi.cramm@queensu.ca
Unlabelled:
Classifying disability for children and youth has typically meant describing a diagnosis or developmental lag. The publication of the International Classification of Functioning, Disability and Health: Child & Youth version (ICF-CY) marks a global paradigm shift in the conceptualization and classification of childhood disability. Knowledge and awareness of the ICF-CY has been slow to diffuse within occupational therapy.
Purpose:
The purpose of this paper is to foster the integration of the ICF-CY into occupational therapy practice with children and youth.
Key Issues:
Research describes positive trends in using the ICF-CY for cross-disciplinary communication; further clarity and development is warranted around activity and participation categories and functional profiles.
Implications:
Occupational therapy can contribute to the evolution of the ICF-CY, but must clarify its complementary perspective and knowledge base. If the ICF-CY can be further integrated into occupational therapy systems, it holds promise for shifting practice patterns and creating professional opportunities.
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