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General Parenting
Were you surprised by your difficult child's CGAF score?
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<blockquote data-quote="rlsnights" data-source="post: 315769" data-attributes="member: 7948"><p>CGAF scores are very subjective and not very reliable measures of functioning for the most part. They are most helpful when given by the same professional on the same person over a lengthy period of time. Even then their near universal use is because insurance companies are fond of them.</p><p></p><p>Numbers, we love numbers, give us numbers...we don't care if the numbers don't measure anything meaningful or that you can have 10 psychiatrists assess the same person and you'll get 10 different CGAF's, assuming the person is not catatonic.</p><p></p><p>That's not to dismiss your sadness or the accuracy of your perceptions about your child's well-being. It's just that picking a number between 1 and 100 to label a person's ability to function in daily life is really in the eye of the beholder based on that snapshot moment of interaction.</p><p></p><p>Like the labels we use for mental illness, they are only somewhat meaningful and helpful. Mostly labels serve as a general shorthand between professionals. But it's rather like you and I talking over the phone and we each say something is round. OK, but what do we each mean by that? Is it round like a plate or an egg or a hula hoop or a ball? Is it bright yellow or grey with red stripes? We will have to go into a lot more detail before we know what we each mean when we say something is round.</p><p></p><p>Same deal with MI labels and CGAF. It may help distinguish between round and square but it might not be as helpful when you're comparing a square to a rectangle to a triangle.</p><p></p><p>All of which is to say, trust your mom instincts before you trust a bunch of numbers in my humble opinion.</p><p></p><p>I don't need a set of unreliable numbers to evoke my sadness, fear and grief over the challenges my child faces. It's very hard to look past that and focus on the ways my children are overcoming their challenges. But every day they are making progress somewhere in some way. The victories may be big and life-altering or they may be small and short-lived.</p><p></p><p>Either way I try to savor my children and their victories and I do my best to make sure my kids know I am proud of them. I know you do that too.</p><p></p><p>I think we have to try to live in the moment and not give up hope. Sorry I'm a bit down myself today. Think I'm writing more for me than for you. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="rlsnights, post: 315769, member: 7948"] CGAF scores are very subjective and not very reliable measures of functioning for the most part. They are most helpful when given by the same professional on the same person over a lengthy period of time. Even then their near universal use is because insurance companies are fond of them. Numbers, we love numbers, give us numbers...we don't care if the numbers don't measure anything meaningful or that you can have 10 psychiatrists assess the same person and you'll get 10 different CGAF's, assuming the person is not catatonic. That's not to dismiss your sadness or the accuracy of your perceptions about your child's well-being. It's just that picking a number between 1 and 100 to label a person's ability to function in daily life is really in the eye of the beholder based on that snapshot moment of interaction. Like the labels we use for mental illness, they are only somewhat meaningful and helpful. Mostly labels serve as a general shorthand between professionals. But it's rather like you and I talking over the phone and we each say something is round. OK, but what do we each mean by that? Is it round like a plate or an egg or a hula hoop or a ball? Is it bright yellow or grey with red stripes? We will have to go into a lot more detail before we know what we each mean when we say something is round. Same deal with MI labels and CGAF. It may help distinguish between round and square but it might not be as helpful when you're comparing a square to a rectangle to a triangle. All of which is to say, trust your mom instincts before you trust a bunch of numbers in my humble opinion. I don't need a set of unreliable numbers to evoke my sadness, fear and grief over the challenges my child faces. It's very hard to look past that and focus on the ways my children are overcoming their challenges. But every day they are making progress somewhere in some way. The victories may be big and life-altering or they may be small and short-lived. Either way I try to savor my children and their victories and I do my best to make sure my kids know I am proud of them. I know you do that too. I think we have to try to live in the moment and not give up hope. Sorry I'm a bit down myself today. Think I'm writing more for me than for you. :) [/QUOTE]
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Were you surprised by your difficult child's CGAF score?
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