Questions to consider

CRA Criteria from website.

Does the person have restrictions at least 90% of the time, even with treatment and therapy? 

Yes __ No ___

The effects of the person’s impairment must be those which, even with therapy and the use of appropriate devices and medication, cause the person to be restricted all or substantially all of the time (at least 90% of the time).

Does the person have restrictions in these categories:

• Walking,
• Speaking
• Hearing
• Dressing
• Feeding
• Eliminating, or
• Mental functions?

Basic activities of daily living (ADLs) are walking, speaking, hearing, dressing, feeding, eliminating (bowel or bladder functions), and mental functions necessary for everyday life. (Note that working, housekeeping, managing a bank account, and social or recreational activities are not considered basic activities of daily living).

Is the person markedly restricted, i.e. takes at least 3 times longer than a person without such impairment? 

Yes ___ No ___

The person is considered markedly restricted in performing the mental functions necessary for everyday life (described below) if, all or substantially all of the time (at least 90% of the time), he or she is unable or requires an inordinate amount of time to perform them by himself or herself, even with appropriate therapy, medication, and devices (for example, memory aids and adaptive aids).

Note An inordinate amount of time means that your patient takes three times the normal time required by an average person who does not have the impairment.

Mental functions: Does the person have with mental functions such as:

• Adaptive function
• Memory
• Problem-solving

Yes __ No ___

Mental functions necessary for everyday life include:

• Adaptive functioning (for example, abilities related to self-care, health and safety, abilities to initiate and respond to social interaction, and common, simple transactions);
• Memory (for example, the ability to remember simple instructions, basic personal information such as name and address, or material of importance and interest); and
• Problem-solving, goal-setting, and judgment, taken together (for example, the ability to solve problems, set and keep goals, and make appropriate decisions and judgements).

Note A restriction in problem-solving, goal-setting, or judgement that markedly restricts adaptive functioning, all or substantially all of the time (at least 90% of the time), would qualify.

Examples of markedly restricted in the mental functions necessary for everyday life:

• Your patient is unable to leave the house, all or substantially all of the time (at least 90% of the time) due to anxiety, despite medication and therapy.
• Your patient is independent in some aspects of everyday living. However, despite medication and therapy, your patient needs daily support and supervision due to an inability to accurately interpret his or her environment.
• Your patient is incapable of making a common, simple transaction, such as a purchase at the grocery store, without assistance, all or substantially all of the time (at least 90% of the time).
• Your patient experiences psychotic episodes several times a year. Given the unpredictability of the psychotic episodes and the other defining symptoms of his or her impairment (for example, lack of initiative or motivation, disorganized behaviour and speech), your patient continues to require daily supervision.
• Your patient is unable to express needs or anticipate consequences of behaviour when interacting with others.

Does the person have restrictions at least 90% of the time, even with treatment and therapy?

Does the person have restrictions in these categories:

• Walking,
• Speaking
• Hearing
• Dressing
• Feeding
• Eliminating, or
• Mental functions?

Is the person markedly restricted, i.e. takes at least 3 times longer than a person without such impairment?

Adaptive functioning

• Abilities related to self-care, health and safety,
• Abilities to initiate and respond to social interactions, and common, simple transactions
• Severe problems with minor changes in the environment or routines
• Do they need 1:1 support?

Memory: Any problems with remembering

• Simple instructions,
• Basic personal information such as name, address, phone number;
• Material of importance and interest;
• Understanding concept of time

Problem-solving, goal-setting, and judgment: Any problems with

• Ability to solve problems,
• Set and keep goals,
• Make appropriate decisions and judgments).

What YEAR did the above limitations begin? (This is not necessarily the same year as when the diagnosis was made).