Table 1.

Overview of sections within the BelRAI Screener and BelRAI Social Supplement used in Stage II: Phase 2

BelRAI Social Supplement

BelRAI Screener

A. Environmental assessment Number of people living in the household, description of the living arrangements, living conditions, other environmental factors, and access to basic services. B. Civic engagement Mobility indoors and outdoors, Use of aids, communication skills, and daytime activities. C. Psychosocial well-being Social engagement, unsettled relationships, care denial, feelings of loneliness and social isolation, self-reported mood, strengths, stress, guidance in religion, frequency of social interactions, and financial vulnerability. D. Informal care and support Providing care and support to others, Receiving care and support from others, and characteristics of key family caregivers.

A. IADL(Performance and capacity) Meal preparation, ordinary housework, managing finances, managing medications, phone use, stairs, shopping, and transportation. B. ADL Personal hygiene, mobility, toilet use, and eating. C. Cognition Cognitive skills for daily decision making, short-memory problem, procedural memory problem, and making self understood. D. Psychological problems Danger to self, danger to others, inability to care for self, addiction/dependency, and psychiatric symptoms. E. Behavioral problems Wandering, verbal abuse, physical abuse, socially inappropriate behavior, inappropriate sexual behavior, and resists care.