Development of a modular ICF-based core set for the German substance use disorders treatment

Abstract

Purpose

We aimed to develop a modular Core Set based on the International Classification of Functioning, Disability and Health (ICF) for describing functioning in patients with substance use disorders (SUDs). To match the structure of the German health service system, the Core Set was split into modules for different service segments.

Methods

We followed a consensus process including several preparatory studies. To identify candidate ICF categories, we performed an ICF linking of guideline-recommended assessments, patient focus groups and patient and expert surveys. Categories were prioritized for different service segments and compiled into preliminary modules. The Core Set was tested in 13 treatment sites. Health professionals rated each category’s relevance, and contents of the Modular ICF-based Core Set for SUDs (MCSS) were compared to patient-reported treatment goals. An advisory board decided on revisions to the MCSS.

Results

The MCSS consists of a basic module (25 categories) and five additional modules for these treatment segments: counselling (8), qualified withdrawal (6), orientation (7), rehabilitation (32), and social integration services (10).

Conclusions

The MCSS provides a framework for harmonizing communication, documentation and interface management in German SUD health services. The basic module, consisting of 25 categories, can be employed as a Brief ICF Core Set.

Implications for rehabilitation

• The MCSS can serve as a standard for describing functioning in patients with SUDs in Germany, as well as harmonize communication and reporting of treatment relevant information.

• In clinical practice, the MCSS can be used for the structured assessment of psychosocial problems and participation restrictions, goal setting, and outcome evaluation.

• Although the MCSS was developed in Germany, its proximity to the themes frequently identified in the literature regarding SUDs internationally suggests that it may be of use in other countries as well.

• The basic module may be employed as a Brief ICF Core Set.

Keywords:

• ICF
• functioning
• activities and participation
• substance use disorders
• standardisation
• health services
• Core Set

Correction Statement

This article has been corrected with minor changes. These changes do not impact the academic content of the article.

Disclosure statement

The authors declare that they have no conflict of interest related to this work.

Notes

1 The ICF categories covered by the assessments were taken from the manuals, where possible.

2 In order to keep the interviews at a reasonable length, only 2nd level categories (a higher level of the ICF that aggregates the content of the full version in broader categories) were presented.

Additional information

Funding

This work was supported by the Association for the Promotion of Rehabilitation Research in Hamburg, Mecklenburg-Vorpommern and Schleswig-Holstein.