To determine how independent a person from the LGBTQI+ community—whether lesbian, gay, bisexual, transgender, or intersex—is in everyday life and what skills they still possess, six key life areas are examined. The modules address physical, mental, and psychological limitations. These life areas are weighted differently in the overall assessment:
Module 1: Mobility
This module assesses whether the person is able to change their body position independently (e.g., turn over in bed) and move around. Only physical mobility counts in this module. Any limitations due to intellectual impairments are addressed in the next module (Cognitive and Communication Skills).
Module 2: Cognitive and communicative skills
This module focuses on comprehension and speaking. Can the person recognize their surroundings? Is they able to perform goal-oriented actions, such as getting dressed or dressing appropriately for the weather? It assesses how well the person can orient themselves mentally and communicate – motor skills are not considered here.
Module 3: Behaviors and psychological problems
Behaviors such as aimless wandering, aggression, or refusing caregiver assistance fall into this category. Nighttime restlessness or delusions are also observed. This involves recording how frequently such behaviors occur and how stressful they are – both for the person in need of care and for the caregiver.
Module 4: Self-sufficiency
This module covers daily activities such as washing, showering, dressing, eating, drinking, and using the toilet. It assesses how independently the person can perform these tasks.
Module 5: Dealing with illness- and therapy-related requirements
Here it is checked whether the person is able to carry out medically prescribed measures independently, such as taking medication or treating wounds, and how often help is needed.
Module 6: Organizing everyday life and social contacts
This module focuses on the ability to organize daily life independently and maintain social contacts, such as making phone calls or leaving the house. It assesses whether and how well the person can maintain social interactions without support.
Queer-sensitive care and LGBTQI+ care advice
It's especially important to consider queer-sensitive aspects when assessing queer care recipients. AlleFarben Alltagshilfe offers specially tailored consultations and supports you in optimally preparing for the assessment appointment – always with a focus on your individual needs.
Point allocation and weighting of life areas
When classifying a care level, the six areas of life are weighted differently:
Mobility (10%)
Cognitive and communication skills (15%)
Behavioral and psychological problems (15%)
Self-sufficiency (40%)
Illness and therapy-related requirements (20%)
Organizing everyday life and social contacts (15%)
The classification is based primarily on how independently the person can function in everyday life. For example, whether someone can no longer wash themselves or brush their teeth is given greater weight than whether they have difficulty walking.
Care levels instead of care stages
As of January 1, 2017, as part of the care reform, care levels have been replaced by care grades. The reform introduces a new definition of care need and a new assessment system. Instead of the previous need for assistance, the degree of independence is now determined, enabling a more differentiated and holistic assessment.
