Table 2 Example of crosswalk between the interRAI HC assessment and the ICF

B 152 Emotional functions

1. INDICATORS OF POSSIBLE DEPRESSION, ANXIETY, SAD MOOD

Specific mental functions related to the feeling and affective components of the processes of the mind.

Code for indicators observed in past 3 days, irrespective of the assumed cause (note whenever possible, ask person)

0 not present

1 present but not exhibited in last 3 days

2 Exhibited on 1–2 of last 3 days

3 Exhibited daily in last 3 days

a. Made negative statements e.g., "Nothing matters; Would rather be dead; What's the use; Regret having lived so long; Let me die"

Inclusions: functions of appropriateness of emotion, regulation and range of emotion, affect, sadness, happiness, love, fear, anger, hate, tension, anxiety, joy, sorrow, lability of emotion, flattening of affect.

b. Persistent anger with self or others e.g., easily annoyed, anger at care received

Exclusion: temperament and personality functions, energy and drive functions.

c. Expressions (including non-verbal) of what appear to be unrealistic fears e.g., fear of being abandoned, being left alone, being with others; or intense fear of specific objects or situations

Qualifier:

0. No problem

1. Mild problem

2. Moderate problem

3. Severe problem

4. Complete problem

8. Not specified

9. Not applicable

d. Repetitive health complaints e.g., persistently seeks medical attention, incessant concern with body functions

e. Repetitive anxious complaints/concerns (non-health related) e.g., persistently seeks attention/reassurance regarding schedules, meals, laundry, clothing, relationships

f. Sad, pained, or worried facial expression – e.g., furrowed brow, constant frowning

g. Crying, tearfulness

h. Recurrent statements that something terrible is about to happen – e.g., believes he or she is about to die, have a heart attack

i. Withdrawal from activities of interest – e.g. long-standing activities, being with family/friends

k. Expressions, including non-verbal, of a lack of pleasure in life (anhedonia) – e.g.

I don't enjoy anything anymore

2. SELF-REPORTED MOOD

0 not in last 3 days

1. not in last 3 days but often feels that way

2. in 1–2 of the last 3 days

3 daily in last 3 days

8 person could not (would not) respond

Ask: "in the last 3 days, how often have you felt..."

a. Little interest or pleasure in things you normally enjoy

b. Anxious, restless, uneasy

c. Sad, depressed, hopeless