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functional-impairment-interview

npx machina-cli add skill rhavekost/clinical-toolkit/functional-impairment-interview --openclaw
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Functional Impairment Interview (Non‑Validated)

Description

This is an original, non‑validated interview guide for functional impact. It does not replace validated disability instruments.

Interactive Mode (Lightweight)

Use this mode when the clinician asks to go step-by-step.

  1. Confirm this is a non-validated interview guide and check readiness.
  2. Ask one domain at a time from the interview guide and wait for a response.
  3. Summarize functional impacts and confirm accuracy before moving on.
  4. At the end, synthesize impairment patterns and suggested next steps.
  5. If safety concerns arise, pause and follow appropriate safety protocols.

Interview Guide

See: assets/domain-checklist.md

Goal Tracking

See: references/goal-tracking.md

Source

git clone https://github.com/rhavekost/clinical-toolkit/blob/main/dist/consumer/claude/functional-impairment-interview/SKILL.mdView on GitHub

Overview

This is an original, non-validated interview guide to assess functional impact across work, social, and home domains. It does not replace validated disability instruments and is intended for structured, domain-by-domain inquiry. The guide supports clinicians with a lightweight interactive mode and references to domain-checklist and goal-tracking resources.

How This Skill Works

In interactive mode, confirm that the guide is non-validated, then ask one domain at a time and wait for responses. After each domain, summarize impacts and confirm accuracy before moving on. At the end, synthesize impairment patterns and outline suggested next steps, pausing if safety concerns arise.

When to Use It

  • You need a structured, domain-spanning view of functional impact in a non-validated interview
  • Intake or baseline assessment where validated tools are not available or suitable
  • When a lightweight, step-by-step interview is preferred to gather cross-domain functioning information
  • Clinical notes require organized documentation of work, social, and home functioning
  • You want to reference the domain-checklist and goal-tracking resources during evaluation

Quick Start

  1. Step 1: Confirm this is a non-validated interview and check readiness
  2. Step 2: Ask one domain at a time from the interview guide and wait for responses
  3. Step 3: Summarize functional impacts and synthesize impairment patterns with suggested next steps

Best Practices

  • Confirm the interview is non-validated at the start and set expectations with the patient
  • Ask one domain at a time and wait for responses before proceeding
  • Summarize functional impacts after each domain and verify accuracy with the patient
  • Synthesize impairment patterns and plan next steps at the end of the interview
  • Pause and follow appropriate safety protocols if concerns about safety or risk arise

Example Use Cases

  • Primary care intake documenting cross-domain functional impairment (work, social, home) using a structured interview
  • Mental health evaluation assessing daily functioning and social participation
  • Occupational health assessment to inform workplace accommodations and supports
  • Rehabilitation planning session mapping impairment patterns to targeted interventions
  • Clinical research pilot to map functional impairment without using validated instruments

Frequently Asked Questions

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