La classificazione internazionale del funzionamento (ICF) e le dipendenze: verso un inquadramento "dinamico"

Among professionals involved in the care of addictions is emerging the need to develop interventions aimed at activation of personal and social skills as well as prevention of disabilities related to addiction. The approaches based only on medical care seem to be insufficient: it is appropriate to adopt a broader perspective about the addiction disorders, which is able to consider the person in the totality of his condition of life and health, and in synchronous way pursues the cure of addiction and the psycho-social rehabilitation. An important aspect of this process is the definition of tools that allow an objective assessment of skills and the definition of personalized programs. The ICF allows to describe the condition of each individual through a series of domains, that include all aspects of life, from those biological to psychological and social factors. In the Department of Addiction of Local Health Agency 13 (Veneto, Italy) is in progress a research that involves the application of a core set of codes of component of the ICF called Activities and Participation in a group of patients, through which it defines a "functioning profile" built on the interaction between the performance of the subject and the environmental factors. This profile provides support in the definition of individualized rehabilitation paths and of improvement targets, with the involvement of patient.