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Geriatric Rehabilitation and Restorative Assessment System

P. Andrew Clifford, PhD, Kristi D. Roper, PhD, and Daisha J. Cipher, PhD

Assesses the emotional and behavioral dysfunction associated with medical and psychiatric comorbidities within geriatric populations living in long-term care settings
Paper and pencil, Download, E-Manual
Age range:
55 years to 99 years
Approximately 15 minutes per form
Qualification level:
A degree, certificate, or license to practice in a health care profession or occupation, including (but not limited to) the following: medicine, neurology, nursing, occupational therapy and other allied health care professions, physician's assistants, psychiatry, social work; plus appropriate training and experience in the ethical administration, scoring, and interpretation of clinical behavioral assessment instruments. Certain health care providers may be eligible to purchase selected "B" and "C" level instruments within their area of expertise. Specifically, relevant supervised clinical experience using tests (i.e., internship, residency, etc.) in combination with formal coursework ( i.e., Tests and Measurement, Individual Assessment, or equivalent) qualifies a health care provider to purchase certain restricted products. Any PAR Customer already qualified to purchase a "B" or "C" level product, is also qualified to purchase an "S" level product. If you are not already qualified to purchase a "B"or "C" level product from PAR, please download and complete the special Qualification Form for Medical and Allied Health Professionals. (You will need Adobe Acrobat to view.) Close

Designed to assess emotional and behavioral dysfunction associated with medical and psychiatric comorbidities of geriatric individuals who reside in long-term care (LTC) settings, the GRRAS documents the frequency, duration, and intensity of symptoms and plays an important role in establishing medical necessity for mental health services.

Three clinician rating forms gather targeted information

  • The Psychosocial Resistance to Activities of Daily Living Index (PRADLI) rating form is an 8-item measure that assesses the level of LTC residents’ resistance to and cooperation with staff in performing activities of daily living.
  • The Geriatric Multidimensional Pain/Illness Inventory (GMPI) rating form is a 14-item measure that assesses the perceptual, functional, and emotional concomitants of pain and illness as they have affected the resident’s abilities to perform activities.
  • The Geriatric Level of Dysfunction Scale (GLDS) rating form assesses the intensity, frequency, and duration of 20 behaviors that can potentially interfere with care provided in the LTC setting, such as agitation, wandering, and unsafe/impulsive behaviors.

Easily score and monitor progress over time

  • Percentile ranks and predetermined clinical raw score ranges were established based on a criterion-referenced approach.
  • Item and scale analyses ease progress tracking over time and monitoring response to intervention.
  • Visual profiles of single or repeated administrations enable you to easily identify trends in an individual’s rehabilitation process.
  • The unlimited-use GRRAS-SP scores and generates reports after hand-entry of demographic information and GRRAS scores. Three reports are available: a Score Report, a Progress Monitoring Report, and a Quick Note Report (for easy placement in a chart). To obtain comparisons between the client’s scores and those of others, the examiner can choose a comparison group (i.e., general unaffected, general affected, dementia, pain) for each report.