Assessments

Assessments examine a defined configuration in context. They are intended to distinguish the person from the conditions under which functioning is occurring.

MEASUREMENT

Assessments

Assessments examine a defined human or human-world configuration to identify capacities, demands, supports, constraints and possible routes to change.

Assessments are the structured methods through which Human Capacity becomes observable in a particular case, context or question. They can examine capacities, current availability, functioning, demands, resources, supports, responsibilities, barriers, recovery, environmental fit and the gap between current and required functioning.

An assessment may focus primarily on the individual, on a life configuration, on a role, or on the interaction between the person and an environment. The unit of analysis depends on the question.

A person who cannot currently perform a function may lack the underlying capacity, may have the capacity but not enough current availability, may face an inaccessible environment, may lack information or support, or may be carrying competing demands that make execution impossible. An assessment should distinguish these possibilities rather than translating all of them into personal deficit.

Once the relevant capacities, requirements and conditions are visible, assessment can identify where change is possible. The route may be development of capacity, restoration or recovery, training, support, accommodation, redistribution of responsibility, removal of barriers or redesign of the environment.

Human Capacity questions often require more than one kind of measure. Depending on the problem, an assessment architecture can combine behavioral performance, self-report, physiological measures, environmental conditions, institutional information, validated instruments, longitudinal trajectories and functional outcomes.

The Human Balance Sheet and related structural accounting work are examples of assessment architectures within this category: ways of representing what a person is carrying, what resources and supports are available, and whether the resulting life configuration is sustainable. They are not a separate fifth branch of Measurement.

Defined human / human–world configurationCapacities + requirements + conditions + support + environmentContextual assessment

Evidence & scientific lineage

World Health Organization. WHO Disability Assessment Schedule (WHODAS 2.0). Cross-cultural measurement of functioning across cognition, mobility, self-care, getting along, life activities and participation. WHO — WHODAS 2.0

World Health Organization. International Classification of Functioning, Disability and Health (ICF). Contextual framework for functioning and disability, including environmental factors. WHO ICF

COSMIN. Selecting the most suitable outcome measurement instrument. Guidance on content validity, internal consistency and evaluation of measurement properties. COSMIN — Selecting a measurement instrument