The Daily Living Activities (DLA) Functional Assessment is a functional assessment, proven to be reliable and valid, designed to assess what daily living areas are impacted by mental illness or disability. The assessment tool quickly identifies where outcomes are needed so clinicians can address those functional.
Jan 17, 2017 · NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2000 Customer Service Center: 1-800-662-7030 Administrative Office: 919-855-4800.
Adult Services Functional Assessment. Client Name: Date: I. Social (Complete or modify face sheet as needed.) A. Client's/family's perception of client's. social. functioning. B. When the client has a problem, who is the person he/she can most rely on? (name, relationship) C. Dimensions of social functioning.
10. If this is an initial functional assessment for this individual or an initial functional assessment for a particular service, you may include historical status and functioning if you determine it is relevant to current status and functioning.