The following guideline is offered for determining level of involvement: no need, low, moderate, and high. This information may be useful for service planning, but this level of detail is not required for determining whether criteria are met in this domain.

A person with NO NEED

• Memory: Intact memory. Does not need cueing.

• Orientation: Fully oriented to person, place, and time.

• Communication: Able to communicate information in an intelligible manner. Able to understand information conveyed.

• Judgment: Solves everyday problems well. Makes appropriate decisions.

A person with LOW need

• Memory: Slight, inconsistent deficits. May need occasional cueing.

• Orientation: Only slight problems with time relationships.

• Communication: Minor/inconsistent problems with name/word finding, or with expressive or receptive understanding.

A person with MODERATE need:

• Memory: Has moderate memory loss, especially for recent events. Needs frequent cueing.

• Orientation: Occasional disorientation to person/place/time, but able to function semi-independently in familiar surroundings.

• Communication: Moderate or consistent problems with name/word finding and with expressive or receptive understanding.

• Judgment: Moderate difficulty in solving problems. Judgment occasionally to frequently poor. Needs monitoring or guidance in decision making.

A person with HIGH need:

• Judgment: Mild impairments in solving problems. Occasional poor judgement, especially in complex or unfamiliar situations.

• Memory: Has severe memory loss, retaining only highly learned information. Needs continual reminding by others.

• Orientation: Frequent disorientation to person/place/time, even in previously familiar surroundings. Oriented only to person. Totally disoriented.

• Communication: Severe or consistent problems with communication and understanding. Unable to communicate intelligibly.

• Judgment: Severe impairment in solving problems. Consistently makes poor decisions. Unable to solve simple problems or make appropriate judgements.