enhanced content GAF scale with free online training.
The Global Assessment of
Functioning scale or GAF is a scale intended to represent the continuum of Mental Health to
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0 - Not
11-20 attempt without expectation of death
1-10 attempt with expectation of death
31-40 some psychosis
21-30 behavior influenced by delusions or hallucinations
11-20 some danger because of delusions or
1-10 persistent danger because of delusions or
51-60 mild thought disorder; circumstantial,
41-50 none noted
31-40 moderate thought disorder; sometimes illogical
21-30 severe thought disorder; sometimes incoherent
11-20 complete inability to communicate; generally
incoherent or mute
g. dysfunction; suicide risk; differentiation between
range from 71-100 is one that represents "normal" symptoms and
functioning. These individuals are actively and effectively
involved with the world around them. If there are issues, they are
short lived and effectively coped with. Treatment is not called
for, but guidance and reassurance can be helpful.
severity begins to shift from routine
at this point.
Depression; Insomnia; Some truancy or
Moderate Depression; flat
affect; panic attacks; few friends; trouble with
Depression; suicidal ideation;
severe obsessive rituals; frequent shoplifting;
no friends, can't keep a job
is the transitional point where you decide if you have an Emergency.
The decision is especially difficult because you must decide if the
individual's functioning is stabile enough to to allow the individual to
stay in the community or warrants imposing safety controls, even if against
Occasional psychotic symptoms; Impairment in reality testing; Speech is
sometimes illogical, obscure or irrelevant; Multiple
impairment might be a depressed man avoiding family and friends while
being unable to work or a child who is having school, peer and family
Hallucinations and delusions influence behavior; sometimes
incoherent, acts grossly inappropriately, suicidal preoccupation; An individual who is without
a home, job or friends who spends all day in bed.
Some danger due to hallucinations or delusions; Suicide
attempts without clear expectation of death; frequently violent; manic; an
individual who smears feces or may be generally incoherent or mute.
danger due to hallucinations or delusions; This individual is a
persistent danger to self/others; completely unable to take care of
themselves. Suicidal act
with clear expectation of death.