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Global Assessment of Functioning (GAF) Scale

The GAF scale is commonly used by Mental Health Professionals to determine the overall functioning of an individual. It looks at both the level of functioning and the severity of the presenting symptoms. It also used periodically to assess for progress by comparing the assessment completed during the Intake process and the highest assessment level during the past year with the current level of functioning. The scale is completed by correlating the person's presenting behaviors and attitudes with the descriptions found in the scale. 100 - 91 Superior Functioning in a wide range of activities, life's problems never seem to get out of hand, is sought out by others because of his or her many positive qualities. No symptoms. Absent or minimal symptoms, good functioning in all areas, interested and involved in a wide range of activities, socially effective, generally satisfied with life, no more than everyday problems or concerns If present, symptoms are transient and expectable reactions to psychosocial stressors, no more than slight impairment in social, occupational, or school functioning Some mild symptoms, OR some difficulty in social occupational, or school functioning, but generally functioning pretty well; some meaningful interpersonal relationships Moderate symptoms OR moderate difficulty in social, occupational, or school functioning Serious symptoms OR any serious difficulty in social, occupational, or school functioning Some impairment in reality testing or communication OR major impairment in several areas such as work, school, family relations, judgment, thinking or mood Behavior is considerably influenced by delusions or hallucinations, OR serious impairment in communication or judgment OR inability to function in almost all areas Some danger of hurting self or others OR occasionally fails to maintain minimal personal hygiene OR gross impairment in communication Persistent danger of severely hurting self or others OR persistent inability to maintain minimal personal hygiene OR serious suicidal with clear expectation of death

90 - 81

80 - 71

70 - 61

60 - 51

50 - 41

40 - 31

30 - 21

20 - 11

10 - 1

The Pennsylvania Child Welfare Training Program 308: Adult Mental Health Issues: An Introduction for Child Welfare Professionals

Handout #6, Page 1 of 1

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