Clifton Assessment Procedures for the Elderly

Clifton Assessment Procedures for the Elderly
Pattie and Gilleard‚ 1975
Information and Orientation
Correct recall of: Name‚ Hospital/address‚ Colour of British flag‚ Age‚ City‚ Day‚ D.o.B.‚ P.M.‚ Month‚ Ward/place‚ U.S. President‚ Year
Mental Ability
Ability to count 1 to 20 (timed)
Reciting alphabet (timed)
Write name
Reading a list of pre-se‎lected words
The patient is asked to draw around a pre-printed spiral maze‚ avoiding “obstacles” drawn in the pathway; performance is timed.
Physical Disability‚ Bathing and dressing‚ Walking ability‚ Continence‚ Staying in bed during the day‚ Confusion (unable to find way around‚ loses things)‚ Appearance‚ Apathy‚ Would need supervision if allowed outside‚ Helps out in the home or ward‚ Keeps occupied‚ Socializes‚ Accepts suggestions to do things‚ Communication Difficulties‚ Understands what is communicated to him/her‚ Able to communicate‚ Social Disturbance‚ Objectionable to others during day‚ Objectionable to others during night‚ Accuses others of wrongdoing‚ Hoards apparently meaningless items‚ Sleep pattern
1. When bathing or dressing‚ he/she requires
·         no assistance (0)
·         some assistance (1)
·         maximum assistance (2)
2. With regard to walking‚ he/she:
·         shows no sign of weakness (0 )
·         walks slowly without aid‚ or uses a stick (1)
·         is unable to walk‚ or if able to walk‚ needs frame‚ crutches or someone by his/her side (2)
3. He/she is incontinent of urine and/or faeces (day or night):
·         never (0)
·         sometimes (once or twice per week) (1)
·         frequently (3 times per week or more) (2)
4. He/she is in bed during the day (bed does not include couch‚ settee‚ etc):
·         never (0)
·         sometimes (1)
·         almost always (2)
5. He/she is confused (unable to find way around‚ loses possessions‚ etc):
·         almost never confused (0)
·         sometimes confused (1)
·         almost always confused (2)
6. When left to his/her own devices‚ his/her appearance (clothes and/or hair) is:
·         almost never disorderly (0)
·         sometimes disorderly (1)
·         almost always disorderly (2)
7. If allowed outside‚ he/she would:
·         never need supervision (0)
·         sometimes need supervision (1)
·         always need supervision (2)
8. He/she helps out in the home/ward:
·         often helps out (0)
·         sometimes helps out (1)
·         never helps out (2)
9. He/she/keeps him/herself occupied in a constructive or useful activity (works‚ reads‚ plays games‚ has hobbies‚ etc):
·         almost always occupied (0)
·         sometimes occupied (1)
·         almost never occupied (2)
10. He/she socialses with others:
·         does establish a good relationship with others  (0)
·         has some difficulty establishing good relationships (1)
·         has a great deal of difficulty establishing good relationships (2)
11. He/she e is willing to do things suggested or asked of him/her:
·         often goes along (0)
·         sometimes goes along (1)
·         almost never goes along (2)
12. He/she understands what you communicate to him/her (you may use speaking‚ writing or gesturing):
·         understands almost everything you communicate (0)
·         understands some of what you communicate (1)
·         understands almost nothing of what you communicate (2)
13. He/she communicates in any manner (by speaking‚ writing or gesturing):
·         well enough to make him/herself easily understood at all times (0)
·         can he understand sometimes or with some difficulty (1)
·         can rarely or never be understood for whatever reason (2)
14. He/she is objectionable to others during the day (loud or constant talking. pilfering‚ soiling furniture‚ interfering with affairs of others):
·         rarely or never (0)
·         sometimes (1)
·         frequently (2)
15. He/she is is objectionable to others during the night (loud or constant talking‚ pilfering‚ soiling furniture‚ interfering with affairs to others):
·         rarely or never (0)
·         sometimes (1)
·         frequently (2)
16. He/she accuses others of doing him/her bodily harm or stealing his/her personal possessions – if you are sure the accusations are true‚ rate zero‚ otherwise rate one or two:
·         never (0)
·         sometimes (0)
·         frequently (2)
17. He/she hoards apparently meaningless items (wads of paper‚ string‚ scraps of food‚ etc):
·         never (0)
·         sometimes (1)
·         frequently (2)
18. His/her sleep pattern at night is:
·         almost never awake (0)
·         sometimes awake (1)
·         often awake (2)
(tick which applies)
·         can see (or can see with glasses)
·         partially blind
·         totally blind
 (tick which applies)
·         no hearing difficulties‚ without hearing aid
·         no hearing difficulties‚ though requires hearing aid
·         has bearing difficulties which interfere with communication
·         is very deaf
The Cognitive Assessment Scale (CAS) and the Behavior Rating Scale (BRS).

Pattie‚ A.H.‚ Gilleard‚ C.J. (1975). A brief psychogeriatric assessment schedule: validation against psychiatric diagnosis and disch‎arge from hospital. The British Journal of Psychiatry‚ 127:489–493.

Pattie‚ A.H.‚ Gilleard‚ C.J. (1976). The Clifton Assessment Schedule – further validation of a psychogeriatric assessment schedule. The British Journal of Psychiatry‚ 129 (1) 68-72;

Pattie‚ A.H.‚ Gilleard‚ C.J. (1979). Manual of the Clifton Assessment Procedures for the Elderly (CAPE). Sevenoaks‚ Kent‚ UK: Hodder and Stoughton.

Pattie‚ A. H. (1981)‚ A survey version of the Clifton Assessment Procedures for the Elderly (CAPE). British Journal of Clinical Psychology‚ 20: 173–178.

Smith‚ A.H.W.‚ Ballinger‚ B.R.‚ Presly‚ A.S. (1981). The reliability and validity of two assessment scales in the elderly mentally handicapped. The British Journal of Psychiatry‚ 138:15–16.

Lesher‚ E.L.‚ Whelihan‚ W.M. (1986). Reliability of mental status instruments administered to nursing home residents. J Consult Clin Psychol‚ 54:726–727.

McDowell‚ Ian. (2006). Measuring Health: A Guide to Rating Scales and Questionnaires‚ Third Edition. OXFORD UNIVERSITY PRESS