SOP 508.24-att-2: Abnormal Involuntary Movement Scale (AIMS) Assessment Form

SOP 508.24
Attachment 2

8/15/22

GEORGIA DEPARTMENT OF CORRECTIONS Facility: _________________________________

MENTAL HEALTH SERVICES Name: ___________________________________

"ABNORMAL INVOLUNTARY MOVEMENT ID#: _________________ DOB: ______________

SCALE (AIMS)" Race: ___________________ Sex: ____________

Neuroleptic: ________________________________________ Dose: _________________________________

Instructions: Complete examination procedures on page 2 before making ratings.
Movement Ratings: Rate highest severity observed.
Code: 0 =None; 1 =Minimal, may be extreme normal; 2 = Mild; 3 =Moderate; 4 = Severe

(Circle one)

|Facial and Oral
Movements|1. Muscles of facial expression. (e.g., movements of forehead, eyebrows,
peri-orbital area, checks; including frowning, blinking, smiling, grimacing)|0 1 2 3 4|
|---|---|---|
|Facial and Oral
Movements|2. Lips and perioral area.(e.g., puckering, pouting, smacking.)|
0 1 2 3 4|
|Facial and Oral
Movements|3. Jaw.(e.g., biting, clenching, chewing, mouth opening, lateral movement.)|
0 1 2 3 4|
|Facial and Oral
Movements|4. Tongue.(Rate only increase in movement both in and out of mouth, not
inability to sustain movement.)|
0 1 2 3 4|
|Extremity
Movements|5. Upper (arms, wrists, hands, fingers). (e.g., include choreic
movements. i.e., rapid, objectively purposeless, irregular spontaneous;
athetoid movements, i.e., slow irregular, complex, serpentine. Do not include
tremor, i.e., repetitive, regular rhythmic.).|
0 1 2 3 4
|
|Extremity
Movements|6. Lower (legs, knees, ankles, toes). (e.g., lateral knee movement, foot
tapping, heel dropping, foot squirming, inversion, and eversion of foot.)|
0 1 2 3 4|
|Trunk
Movements|7. Neck, shoulders, hips.(e.g., rocking, twisting, squirming, pelvic
gyrations, include diaphragmatic movements.)|
0 1 2 3 4|
|Global
Judgments|8. Severity of abnormal movements.(Score based on highest single score
on items 1-7 above.)|
0 1 2 3 4|
|Global
Judgments|9. Incapacitation due to abnormal movements.|0 1 2 3 4|
|Global
Judgments|10. Patient's awareness of abnormal movements.(Rate only patient's
report.)|
0 1 2 3 4|
|Dental Status|11. Current problems with teeth and/or dentures.
|No (0) Yes (1)|
|Dental Status|12. Does patient usually wear dentures?|No (0) Yes (1)|

____________________________________________________________________________  ________________
Signature/Title of Rater Date

Form no. M60-01-02 Page 2 of 2

Retention Schedule: Completed forms shall be placed in the offender’s medical file (section 5). At the end of the offender’s need for mental health services
and/or sentence, the mental health file shall be placed within the offender’s health record and retained for 10 years.

SOP 508.24
Attachment 2

8/15/22

Examination Procedure:

Either before or after completing the Examination Procedure, observe the patient unobtrusively, at rest
(e.g., in the waiting room).

The chair to be used in this examination should be hard, firm and without arms.

1. Ask patient whether there is anything in their mouth (i.e., gum, candy, etc.) and if there is, to

remove it.

2. Ask patient about the current condition of their teeth. Ask patient if they wear dentures. Do teeth or
dentures bother the patient now?

3. Ask patient whether they notice any movements in mouth, face, hands, or feet. If yes, ask to
describe and to what extent they currently bother patient or interfere with their activities.

3. Have patient sit in chair with hands on knees, legs slightly apart, and feet flat on floor. (Look at

entire body for movements while in this position.)

5. Ask patient to sit with hands hanging unsupported. If male, between legs; if female and wearing a
dress, hanging over knees. (Observe hands and other body areas.)

6. Ask patient to open mouth. (Observe tongue at rest within mouth.) Do this twice.

7. Ask patient to protrude tongue. (Observe abnormalities of tongue movement.) Do this twice.

*8. Ask patient to tap thumb, with each finger, as rapidly as possible for 10 to 15 seconds.
Separately with right hand, then with left hand. (Observe facial and leg movements.)

9. Ask patient to stand up. (Observe in profile. Observe all body areas again, hip included.)

- 10. Ask patient to extend both arms outstretched in front with palms down. (Observe trunk, legs, and
mouth.)

*11. Have patient walk a few paces, turn, and walk back to chair. (Observe hands and gait.) Do this

twice.

*Activated movements.

Form no. M60-01-02 Page 2 of 2

Retention Schedule: Completed forms shall be placed in the offender’s medical file (section 5). At the end of the offender’s need for mental health services
and/or sentence, the mental health file shall be placed within the offender’s health record and retained for 10 years.