[Classification of handicaps in elderly citizens]

As a preliminary result of our research with the ICIDH we propose a classification scheme of disability for older people. The patient classification in a consistent manner is possible applying a questionnaire for assessing functional disability (mobility, self-care, housecare, mental state). The suitability of the questionnaire was evaluated using a sample of non-institutionalized severely dependent elderly. The classification scheme categorizes patients according to the "interval of need" (Isaacs and Neville) for personal assistance. Levels of dependency are specified identifying the housing and support service needs for the elderly in the community. The applications of the classification scheme to both social services planning and case decision-making are discussed. Further investigation is necessary before screening inventories and criteria can be designed.