Using ICF and ICHI to promote sexual health

Figures & data

Table 1. ICF categories related to sexual health

ICF-code	ICF title	ICF definition
b130	Energy and drive functions	General mental functions of physiological and psychological mechanisms that cause the individual to move towards satisfy specific needs and general goals in a persistent manner
b640	Sexual functions	Mental and physical functions related to the sexual act, including the arousal, preparatory, orgasmic and resolution stages
b670	Sensations associated with genital and reproductive functions	Sensations associated with sexual intercourse, menstruation, and related genital or reproductive functions
d570	Looking after one’s health	Indicating or managing actions to ensure one’s physical and mental well-being and to avoid harms to health
d5706	Managing one´s sexual health	Caring for oneself by maintaining or improving sexual activity for physical, emotional, mental and social well-being, such as following safe sex practices (including using condoms) and engaging in satisfactory sexual activity
d770	Engaging in intimate relationship	Creating and maintaining close or romantic relationships between individuals, such as husband and wife, lovers or sexual partners.
e115	Products and technology for personal use in daily living	Equipment, products and technologies used by people in daily activities, including those adapted or specially designed, located in, on or near the person using them.
e310	Support of immediate family	Individuals related by birth, marriage or other relationship recognized by the culture as immediate family, such as spouses, partners, parents, siblings, children, foster parents, adoptive parents and grandparents.
e410	Individual attitudes of immediate family members	General or specific opinions and beliefs of immediate family members about the person or about other matters (e.g., social, political and economic issues), that influence individual behaviour and actions.
s630	Structure of reproductive systems

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Table 2. Examples of relevant ICHI codes targeting sexual function and intimate relationships

ICHI code	ICHI title	ICHI description
NUA.AA.ZZ	Assessment of sexual function	Evaluating mental and physical functions related to the sexual act, including the arousal, preparatory, orgasmic and resolution stages—to describe functioning, or establish a diagnosis, or identify need for appropriate intervention(s)
NUA.PH.ZZ	Training for sexual function	Teaching, enhancing or developing skills of mental and physical functions related to the sexual act, including the arousal, preparatory, orgasmic and resolution stages
NUA.PM.ZZ	Education about sexual function	Providing information to improve knowledge about mental and physical functions related to the sexual act, including the arousal, preparatory, orgasmic and resolution stages
NUA.PH.ZZ	Advising about sexual function	Providing advice to encourage a change of or to maintain mental and physical functions related to the sexual act, including the arousal, preparatory, orgasmic and resolution stages in relation to health (or risks)
NUA.PP.ZZ	Counseling for sexual function	Providing therapeutic and/or supportive communication in relation to changing the mental and physical functions related to the sexual act, including the arousal, preparatory, orgasmic and resolution stages
NUA.PQ.ZZ	Psychotherapy for sexual function	Providing therapeutic communication, based upon the systematic application of psychological theory, in relation to mental and physical functions related to the sexual act, including the arousal, preparatory, orgasmic and resolution stages
SSM.AA.ZZ	Assessment of interpersonal interactions in intimate relationships	Evaluating the ability to create and maintain close or romantic relationships between individuals in a contextually and socially appropriate manner—to describe functioning, or establish a diagnosis, or identify a need for appropriate intervention(s)
SSM.AC.ZZ	Test of engaging in intimate relationships	Using a questionnaire, rating scale or other instrument to test the ability to create and maintain close or romantic relationships between individuals in a contextually and socially appropriate manner
SSM.PM.ZZ	Education about engaging in intimate relationships	Providing information to improve knowledge about creating and maintaining close or romantic relationships between individuals
SSM.PN.ZZ	Advising about engaging in intimate relationships	Providing advice to encourage a change of or to maintain the ability to create and maintain close or romantic relationships between individuals in relation to health (or risks)
SSM.PP.ZZ	Counseling for intimate relationships	Providing therapeutic and/or supportive communication in relation to changing the ability to create and maintain close or romantic relationships between individuals
SSM.PQ.ZZ	Psychotherapy for intimate relationships	Providing therapeutic communication, based upon the systematic application of psychological theory, in relation to the ability to create and maintain close or romantic relationships between individuals
SSM.RC.ZZ	Emotional support for intimate relationships	Providing comfort, empathy or motivational support to the person in relation to creating and maintaining close or romantic relationships between individuals

Table 3. Examples of ICF and ICHI at different steps in the care process

Step	Step in the care process	Example of ICF-categories with qualifiers	Example of interventions (ICHI- codes)
1	Perceive a demand for care, due to a health concern	Difficulties with engaging in intimate relationship (d770.8)
2	Assess health care investigation needs
3 + 4 + 5	Plan and perform investigation activities and evaluate investigation results	Functioning: Severe difficulties in engaging in intimate relationships (d770.3) Moderate difficulties with managing one’s sexual health (d5706.2) No problems with sensations associated with genital and reproductive functions (b670.0)	Planned/performed interventions: Test of engaging in intimate relationships (SSM.AC.ZZ) Assessment of looking after one’s health (SMH.AA.ZZ) Assessment of sensations associated with genital and reproductive functions (NUK.AA.ZZ)
6 + 7 + 8	Assess health care treatment needs and plan, perform treatment activities	Goal: Mild difficulties with engaging in intimate relationships (d770.1) Mild difficulties with managing one’s sexual health (d5706.1)	Planned/performed interventions: Psychotherapy for engaging in intimate relationships (SSM.PQ.ZZ) Advising about looking after one’s health (SMH.PN.ZZ)
9	Evaluate treatment results	Functioning at follow-up: Moderate difficulties in engaging in intimate relationships (d770.2) Mild difficulties with managing one’s sexual health (d5706.1) Goal achievement: Engaging in intimate relationships (d770)—goal partly achieved Managing one’s sexual health (d5706)—goal achieved	Planned/performed interventions: Test of engaging in intimate relationships (SSM.AC.ZZ) Assessment of looking after one’s health (SMH.AA.ZZ)