Baseline functional assessment

A baseline functional assessment for adults with developmental disability in their 30s or early 40s will assist in the detection of subsequent functional decline and diagnosis of age-related conditions (eg dementia, sarcopenia, hearing or vision decline, osteoporosis), which can occur at a younger age than in the general population. This assessment is particularly important in people with Down syndrome, who should have a baseline functional assessment recorded around the age of 30 (because functional decline can occur from 35 years of age in this group).

Baseline functional assessment should be reviewed periodically. Ensure baseline findings are documented and a copy is kept with the patient record.

Appropriate allied health support for baseline functional assessment includes an occupational therapist, physiotherapist or behavioural specialist. Specialised functional assessment is funded through the National Disability Insurance Scheme (NDIS), and can also inform a person’s NDIS support plan; NDIS Early intervention may be appropriate if functional needs are identified.

Baseline functional assessment should also be informed by people involved in the person’s long-term care, and any personal health records (eg My Health Record) that describe the person’s abilities and preferences.