A Modified Global Assessment of Functioning (GAF) Scale for Use in Long-Term Care Settings

Terminology in the Global Assessment of Functioning (GAF) Scale of DSM-IV often is irrelevant to the realities of nursing homes, assisted living centers, and similar facilities in which residents encounter stressors that are unique to their living environment and circumstances. As the mental health needs of long-term care residents are increasingly recognized and addressed, the need for population-congruent assessment becomes more desirable as well. This article suggests revisions to the current GAF that more accurately reflect psychological and social concerns common to the long-term care population. Several indications for the use of the revised scale are also offered.