Global Assessment of Functioning (GAF) Scale
Domain
|
1 - 10
|
11 - 20
|
21 - 30
|
31 - 40
|
41 - 50
|
51 - 60
|
61 - 70
|
71 - 80
| 81 - 90 | 91 - 100 |
Symptom Severity
|
Persistent danger of severely hurting self or others (e.g., recurrent violence)
Or
serious suicidal act with clear expectation of death.
Or
|
Some danger of hurting self or others (e.g., suicide attempts without clear expectation of death; frequently violent; manic excitement)
Or
Gross impairment in communication (e.g., largely incoherent or mute)
Or
|
Behavior is considerably influenced by delusions or hallucinations
Or
serious impairment in communication or judgment (e.g., sometimes incoherent, acts grossly inappropriately, suicidal preoccupation)
Or
|
Some impairment in reality testing or
communication (e.g., speech is at time illogical, obscure or irrelevant)
Or
|
Serious symptoms (e.g., suicidal ideation, severe obsessional rituals, frequent shoplifting).
Or
|
Moderate symptoms (e.g., flat affect and circumstantial speech, occasional panic attacks)
Or
|
Some mild symptoms (e.g., depressed mood and mild insomnia)
Or
|
If symptoms are present, they are transient and expectable reactions to psychosocial stressors (e.g., difficulty concentrating after family argument
|
Absent or minimal symptoms (e.g., mild anxiety before an exam),
Generally satisfied with life.
No more than everyday problems or concerns (e.g., an occasional argument with family members).
|
No symptoms
|
Level of Functioning
|
Persistent inability to maintain minimal personal hygiene
|
Occasionally fails to maintain minimal personal hygiene (e.g., smears feces)
|
Inability to function in almost all areas (e.g., stays in bed all day, no job, home or friends)
|
Major impairment in several areas, such as work or school, family relations, judgment, thinking, or mood (e.g., depressed man avoids friend, neglects family, and is unable to work; child frequently beats up younger children, is defiant at home and is failing in school).
|
Any serious impairment in social, occupational, or school functioning (e.g., no friends, unable to keep a job).
|
Moderate difficulty in social, occupational, or school functioning (e.g., few friends, conflicts with co-workers).
|
Some difficulty in social, occupational or school functioning (e.g., occasional truancy, or theft within the household), but generally functioning pretty well, has some meaningful interpersonal relationships..
|
No more than slight impairment in social, occupational, or school functioning (e.g., temporarily falling behind in school work).
|
Good functioning in all areas, interested and involved in a wide range of activities, socially effective,
|
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 |
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