Dla 20 assessment pdf 2026

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The document outlines the Daily Living Activities (DLA-20©) assessment tool designed to evaluate the independent functioning of consumers with moderate to severe intellectual and developmental disabilities over the past 30 days. It provides a scoring system for 20 daily living activities, emphasizing the importance of assessing both physical and mental impairments while excluding environmental factors. The scoring ranges from 1 to 7, indicating varying levels of independence and impairment, with guidelines for calculating an average score to determine the severity of illness based on ICD-10 criteria.

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Click ‘Get Form’ to open the DLA 20 assessment PDF in the editor.
Begin by entering the Consumer Name and Consumer ID at the top of the form. This information is essential for identifying the individual being assessed.
Proceed to rate each of the 20 Activities of Daily Living (ADLs) based on the consumer's performance over the last 30 days. Use the provided scale from 'None of the time' to 'Most of the time' to accurately reflect their level of independence.
For each activity, if applicable, enter scores in the designated fields. Remember, if an activity was not assessed, you can mark it as N/A, but do not exceed five N/A entries.
After scoring all activities, sum up your scores and divide by the number of activities rated to calculate the average DLA-20 composite score. This will help determine overall functioning levels.

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