INTELLECTUAL DISABILITY Notes

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 6

INTELLECTUAL DISABILITY

• The term Intellectual Disability (intellectual developmental disorder) as a DSM-5 diagnostic term
replaces “mental retardation” used in previous editions of the manuals.
• These revisions bring DSM into alignment with terminology used by the World Health Organization’s
International Classification of Diseases, other professional disciplines and organizations, such as the
American Association on Intellectual and Developmental Disabilities (AAIDD), and the U.S. Department
of Education.
• Refers to the significantly sub-average general intellectual functioning functioning resulting or
associated with concurrent impairments in adaptive behavior and manifested in the developmental
period (AAMR)

Components to the definition of Intellection Disability


Significantly sub- Defined as an IQ of 70 or below but permits clinical judgement to extend this as
average far as 75

Means one’s ability to reason, to understand the consequences of one’s


General intellectual
actions, to make generalizations, to deal with abstractions and other related
functioning
abilities thought to reflect “intelligence”

Means the degree to which an individual meets the “standards of maturation,


Impairments in
learning, personal independence and/or social responsibility” expected for his
Adaptive Behavior
or her age level and cultural group

Developmental
Means the time between conception and 18th birthday
period

Refers to the extent to which a person adapts successfully to various


Adaptive behavior environments, takes care of personal needs and reflects age-appropriate
communication, social and situational competencies

The Normal or Bell-Shaped Curve of Intelligence Distribution

Disorder Characteristics
• Intellectual disability involves impairments of general mental abilities that impact adaptive
functioning in three domains, or areas. These domains determine how well an individual copes
with everyday tasks:

– The conceptual domain includes skills in language, reading, writing, math, reasoning,
knowledge, and memory.

– The social domain refers to empathy, social judgment, interpersonal communication


skills, the ability to make and retain friendships, and similar capacities.

– The practical domain centers on self-management in areas such as personal care, job
responsibilities, money management, recreation, and organizing school and work tasks.

DSM IV – TR Definition MENTAL RETARDATION/INTELLECTUAL DISABILITY


• Significantly below average intellectual functioning: IQ of approximately 70 or below on an
individually administered IQ test
• Accompanied by significant limitations in adaptive functioning in at least 2 skill areas:
– Communication, self-care, home living, social/interpersonal skills, use of community
resources, self-direction, functional academic skills, work leisure, health, and safety
(American Psychiatric Association, 2000, p. 41)
• Onset before age 18

Levels of Mental Retardation


• Mild MR
– 55-70 IQ
– Adaptive limitations in 2 or more domains
• Moderate MR
– 35-54 IQ
– Adaptive limitations in 2 or more domains
• Severe MR
– 20-34 IQ
– Adaptive limitations in all domains
• Profound MR
– Below 20 IQ
– Adaptive limitations in all domains

Classification of Mental Retardation According to Measured Intelligence

Educational and AAMR Classification


Educational AAMR General Description of Functioning

Educable Mild • with appropriate educational


• IQ range usually • IQ range opportunities a child can learn academic
from 50 to 70 – from 50 – skills
75 55 to 70 • can maintain themselves independently
in the community
• may require minimal assistance
Trainable Moderate • will be limited in achievement of
• IQ below 50 • IQ range academic skills
• Eligibility for from 35 – • can learn to function successfully in
programming 40 to 50 – some work settings with supervision
may depend on 55 • may require continued family or
other types of community sponsored assistance and
functional super vision throughout life
assessment • Greater variation between individuals at
“top
and “bottom” of the classification than
in other classification levels
• many labels used Severe • will require supervision and assistance
relating to severe IQ range from 20 – in almost all aspects of daily living
and profound 25 to 30 – 45
• dependent status
as viewed by the Profound
school • IQ below
20

Assessment
Two Major Areas of Assessment for Children with Intellectual Disabilities
• Intelligence
• Adaptive skills

Intelligence
• Measured by intelligence tests which usually consists of a series of questions and problem
solving tasks assumed to require certain amounts of intelligence to answer or solve correctly
• IQ is based on the relationship between the individual’s chronological age (CA) and mental age
(MA)
• Despite some limitations, intelligence tests when used appropriately can be highly useful in
making special educational eligibility decisions and can be of real value in the design of
appropriate instructional programs
Adaptive Skills
• Generally cover communication, home-living, self direction, self-care, social skills, health and
safety, leisure, functional academics and work
• Adaptive functioning measure is required in the identification of mental retardation à an
individual must clearly be below normal measurements in adaptive behavior
• There are clear deficits in the effectiveness or degree to which the individual meet the societal
standards of personal independence and social responsibilities that are expected of his age and
social group

Causes of Intellectual Disability


• Prenatal (before birth)
– chromosomal, maternal infections, environmental factors, unknown influences
• Perinatal (during birth)
– gestational disorders, neonatal complications
• Postnatal (after birth)
– infections and intoxicants, environmental factors

Educational Placements
Educational consideration
• Functional academics/functional curriculum
• Community-based instruction

IEP teams must consider: student and family preferences, student’s age and years left in school, rate of
learning, current and future settings, other skill needs

Effective Instructional Techniques


• High expectations
• Task analysis
• Cooperative learning
• Scaffolding
• Inclusion strategies:
– Modify instruction, materials, and assessments
– Teach organizational skills
– Monitor progress of all students
– Collaborate with families

Sg  2015

You might also like