Disabling Effects

People with a mild functional restriction are likely-:

• Not to have been referred for trauma focussed psychological treatment
• Be under GP care only
• Not be attending day centre or day hospital
• Have no associated psychiatric disorder

Mobility

They will have no physical difficulty in getting around.

They should not have difficulty finding their way around unfamiliar places and should not require guidance or supervision.

Care

They should not normally exhibit significant self-neglect.

They should not normally have any significant functional loss that will result in a reduction of their ability to carry out normal day-to-day activities.

Disabling Effects

People with a moderate functional restriction are likely to:

• Have current involvement of or awaiting assessment by counsellor, CPN, psychologist, occupational therapist
• Not be attending day centre or day hospital
• Have mild associated psychiatric disorder(s)

Mobility

They will have no physical difficulty in getting around.

They should not have difficulty finding their way around unfamiliar places and should not require guidance or supervision.

Care

They should not normally exhibit significant self-neglect.

They should not normally have any significant functional loss that will result in a reduction of their ability to carry out normal day-to-day activities.

Disabling Effects

People with a severe functional restriction are likely to:

• Be unable to resume their occupation because of avoidance behaviour
• Have been treated with trauma focussed psychological treatment and drug treatment (drug treatment at maximum tolerated limit or use of olanzapine)
• Have current involvement of or awaiting assessment by psychiatrist within the community mental health team
• Attend day centre or day hospital or be discharged due to failure to respond to treatment or failed to attend due to severity of symptoms
• Have severe associated psychiatric disorder(s)

Mobility

They will have no physical difficulty in getting around.

Their psychological avoidance may make it difficult for them to carry out certain activities, depending upon the nature of the traumatic event. For example they may have difficulty getting into a car, getting onto a bus or the tube etc.

Alternatively they may only be able to carry out these activities with a companion for reassurance.

However, they are unlikely to be unable to find their way around in unfamiliar surroundings.

Care

The majority of people will have no care requirements. However, in a minority, if there is a severe associated psychiatric disorder, the following care requirements may be necessary-:

• Need encouragement to get out of bed in the morning
• Need encouragement to wash, dress and maintain hygiene
• Assistance in preparing meals
• Encouragement to go out and engage in social activities
• Help with domestic crises
• Assistance with taking medication and obtaining prescriptions
• Attendance at doctors appointments, hospital appointments and day hospital
• Help with correspondence, financial matters and paying bills