Assessing Impairment

Impairment and disability are widely used terms, yet considerable disagreement exists as to their relationship—especially when impairment means different things to different professionals in the fields of mental health, medicine, and education. Although diagnostic criteria for various disorders are clearly detailed in the DSM-IV and elsewhere, criteria for impairment remain elusive. And patients with severe limitations but minimal symptoms, or the reverse, further complicate the discussion. The