A 90-point scale used
assess the quality of an infant-parent ( or caretaker) relationship based on
a continuum from well adapted to grossly impaired. It should be completed only
after a thorough clinical evaluation of the infant's (0-5) problems. The relationship
problems may stem from within the infant, within the caregiver(s), between the
infant and the caregiver, or from the larger social environment. The PIR-GAS
does not directly correlate to the C-GAS and GAF. Rather it is a supplement
to the DC03 Axis II (personality disorder/mental retardation) diagnostic classification.
DCO3 , Diagnostic Classification of Mental Health and Developmental Disorders
of Infancy and Early Childhood (0-5). The system is designed to help clinicians
recognize individual differences in ways infants and young children relate to
their primary care giver.
The scale evolved from
work conducted by a task force of clinicians and through the National Center
for Clinical Infant programs, Zero to Three.
The group has developed a diagnostic framework using a systematic developmentally
based approach to classification of mental health and developmental disabilities
in a child's first five years of life.
The PIR-GAS is not a standard
global assessment scale. It measures the relationship between the infant or
toddler and its primary caretakers. These scale should be used to document level
of functioning or relationship (in the case of the PIR-GAS) at the time of evaluation
and at the end of treatment. Periodic interim assessments should be made for