CHAPTER 8: PERFORMANCE ASSESSMENT OF SELF-CARE SKILLS (PASS)

Description

The Performance Assessment of Self-Care Skills (PASS) is an outcome measure designed to document change in functional status through the observation and rating of an individual’s occupational performance of selected activity of daily living (ADL)/instrumental activity of daily living (IADL) tasks (Holm & Rogers, 2008). PASS is composed of 26 items that are categorized into 1 of 4 functional domains: 5 that relate to functional mobility; 3 to personal self-care; 14 involving IADLs that emphasize cognitive performance; and 4 that emphasize physical performance (Holm & Rogers, 2008). Designed to assist practitioners in both treatment and discharge planning, it can help to identify the type and amount of assistance required for successful task performance, as well as risks to safety and the specific point of task breakdown (Holm & Rogers, 2008). There are two versions of PASS available, the PASS-Clinic and the PASS-Home, where both versions are generally the same with the exception of some materials, which differ for each setting. For example, task materials are provided in the clinic, whereas the home version the client uses task materials typically found in the home (Holm & Rogers, 2008). During the assessment the clinician rates client performance based on their ability to safely, independently, and adequately complete tasks using a progressive system of least to most assistive prompts. Each of the 3 scoring domains uses a 4-point scale (0 to 3) that relate to the type and amount of prompts given as well as level of safety. Time to complete PASS can be as long as 60 minutes.

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