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A Conceptual Harmonization between the SSA Disability Determination Process and ICF and DOT Frameworks: A Guide to Assessing the Mental Residual Functional Capacity of Individuals with Autism Spectrum Disorders

Sechrist, Sarina and McCue, Michael and Schutte, Jamie and Costantini, Patricia and Seelman, Kate D. (2015) A Conceptual Harmonization between the SSA Disability Determination Process and ICF and DOT Frameworks: A Guide to Assessing the Mental Residual Functional Capacity of Individuals with Autism Spectrum Disorders. Master's Thesis, University of Pittsburgh. (Unpublished)

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Abstract

The aim of the current project is to create a useful product that cross-walks the Social Security Administration’s (SSA) Mental Residual Functional Capacity Assessment (MRFCA) with the International Classification of Functioning (ICF) and the Dictionary of Occupational Titles (DOT) applied to a population of individuals with Autism Spectrum Disorders (ASD). SSA’s MRFCA is cross-walked with the ICF in order to allow for a more in depth and functional breakdown of the purposefully more generic categories of the MRFCA. Worker Functions derived from the DOT are then added to the SSA/ICF crosswalk in order to better operationalize the functional manifestations associated with disability states as they occur in a natural (work) environment. Finally, a decision tree is developed from the crosswalk to increase ease of use of the product, titled the MRFCA Decision Tree. ASD was chosen as an exemplar to test this process. Inter-rater reliability on the MRFCA Decision Tree is assessed. The outcomes are the following: (a) A MRFCA Decision Tree that will allow a disability examiner to derive a more reliable disability decision when assessing individuals with ASD,(b) A breakdown of the current DDP process including problem areas and improvement suggestions based on the implementation of the decision tree, and (c) A narrative review of how coordinating the DOT with the ICF can provide a deeper understanding of how functional manifestations of a disability relate to job demands. Plans for future research aimed at improving the decision tree are discussed.


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Details

Item Type: University of Pittsburgh ETD
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Sechrist, Sarinasls131@pitt.eduSLS131
McCue, MichaelMMccue@pitt.eduMMCCUE
Schutte, Jamiejcs85@pitt.eduJCS85
Costantini, Patriciapac20@pitt.eduPAC20
Seelman, Kate D.kds31@pitt.eduKDS31
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairMcCue, Michaelmmccue@pitt.eduMMCCUE
Committee MemberSchutte, Jamiejcs85@pitt.eduJCS85
Costantini, Patriciapac20@pitt.eduPAC20
Seelman, Kate D.kds31@pitt.eduKDS31
Date: 28 September 2015
Date Type: Publication
Defense Date: 23 March 2015
Approval Date: 28 September 2015
Submission Date: 7 April 2015
Access Restriction: 2 year -- Restrict access to University of Pittsburgh for a period of 2 years.
Number of Pages: 59
Institution: University of Pittsburgh
Schools and Programs: School of Health and Rehabilitation Sciences > Health and Rehabilitation Sciences
Degree: MS - Master of Science
Thesis Type: Master's Thesis
Refereed: Yes
Uncontrolled Keywords: Residual Functional Capacity Autism Spectrum Disorders Assessment Disability Determination Process ICF Crosswalk
Date Deposited: 28 Sep 2015 19:01
Last Modified: 28 Sep 2017 05:15
URI: http://d-scholarship.pitt.edu/id/eprint/24620

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