Functional Assessment

  • Lisa L. Boyle


Although all psychiatric assessments need to consider impact on functioning to help establish psychiatric diagnoses based on the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria, the functional assessment of older adults as part of a comprehensive geriatric psychiatric assessment is more comprehensive. Older adults have higher risks for multimorbidities that can impact functioning. It is helpful to use standardized functional assessment tools. Moreover, social circumstances that become more common as people age may make it more challenging to assess social and occupational functioning especially for widowed or retired older adults. Beyond the bedside functional assessment, additional referrals to neuropsychology, speech, occupational therapy, physical therapy, audiology, or nutritional services can provide additional information to objectively assess an older adult patient’s functioning.


Activities of daily living Instrumental activities of daily living Functional assessment Disability Frailty 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of PsychiatryUniversity of Wisconsin School of Medicine and Public HealthMadisonUSA
  2. 2.William S. Middleton Memorial Veterans HospitalMadisonUSA

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