[Capacity impairments and participation restrictions : Assessment and qualifying in the sociomedical evaluation of mental disorders].

Participation is defined, according to the International Classification of Functioning, Disability and Health (ICF), as inclusion in life. Participation restrictions are the result of a mismatch between capacities and context requirements. Mental disorders are more impairing than many somatic disorders.There are instruments to assess and operationalize capacity and participation restrictions like the ADL-scales, the GAF, the ICF-AT-50, the ICFPsych A&P, the IMET, the ICF-Coresets, the WHODAS, or the Mini-ICF-APP, which differ in respect to indications, differentiation between function, capacity or context and context-adjusted qualifying.In addition to the type of participation restrictions, their chronicity must also be assessed. This is done in reference to the present mental disorder, the course, and the earlier treatment in respect to functions, capacities, and context.The assessment and qualifying of participation restrictions needs an adjustment to the environment or context. This is not only a problem for the individual but also for societal developments.