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  • Establish a classification grouping subjects according to the intensity and type of service required for the maintenance of autonomy
  • Include 14 profiles to represent needs qualitatively and quantitatively
  • Allow an assessment with the same settings for all environments
  • Promote interdisciplinary work and are simple to use
  • Are a tool for organizing services

Iso-SMAF profiles have been developed for clinical and management purposes. They correspond to homogeneous groups of people who have similar characteristics and require similar services according to the living environment. The classification in 14 Iso-SMAF profiles is based on 29 items of the SMAF’s first 5 dimensions (excluding the 6th one: social dimension).


  • Category 1 (Iso-SMAF profiles 1,2 and 3): Predominant Loss in Instrumental Activities of Daily Life
  • Category 2 (Iso-SMAF profiles 4,6 and 9): Predominant Loss in Mobility Functions
  • Category 3 (Iso-SMAF profiles 5,7, 8 and 10): Predominant Loss in Cognitive Functions
  • Category 4 (Iso-SMAF Profiles 11, 12, 13 and 14): Serious Mixed Alterations

Iso-SMAF profiles are used to establish the profile of clients residing in establishments where residents have been assessed with the SMAF evaluation grid. They offer a way to estimate the required time of intervention on a collective level and to calculate an «index of burdensomeness of the clientele»  which allows for comparing different environments (residential settings) or units of analysis.

Clinically useful, this valuable information is a powerful management tool since the cost associated with providing services to a group of individuals with similar characteristics can be identified and contextualized. The Iso-SMAF profiles have been selected by the Government of Québec for all health and social service establishments.  They guide establishments by allowing to better target the clientele they can serve.

Used by researchers and decision makers in many countries, the Iso-SMAF profiles hold enormous economic potential. The purpose of this clinical tool is 1) to help healthcare professionals to better tailor care and services according to customer needs and 2) to help managers establish more equitable methods of allocating resources.



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Did you know that...

In Quebec, more than 12 300 professionals were trained on the SMAF and use it on a daily basis.