7. NDD Flashcards

1
Q

NDD diagnosed

A

first in infancy, childhood or adolescence

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2
Q

IDD DSM 5 Criteria

A

deficits in intellectual function
deficits in adaptive function. without ongoing support, limit functioning in one or more activities of daily life across multiple environments
onset of intellectual and adaptive deficits during the developmental period

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3
Q

IDD gender differences

A

more in males
more also in middle income versus high income countries

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4
Q

common cooccurring conditions with IDD

A

ADHD, depressive and bipolar disorders, anxiety disorders, ASD, stereotypic movement disorder, impulse control disorders, major neurocognitive disorder

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5
Q

Intellectual functioning assessment

A

WISC-V
SB-V
D -ABC
W-J IV

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6
Q

Non-verbal assessments

A

leiter international performance scale - 3
weschler nonverbal scale of ability
test of non verbal intelligence - 4
raven’s standard or coloured progressive matrices
UNIT-2

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7
Q

developmental assessments (younger children)

A

WPPSI-IV
Bayley scales of infant and toddler development - III
Griffiths Mental Developmental Scales - III
Mullen Scales of Early learning

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8
Q

Adaptive skills

A

Vineland 0-90YO
ABAS 0-89 YO
SIB-R 0-80+ YO

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9
Q

Intellectual functioning IDD diagnosis

A

current deficits 2 or more SDs below M
IQ 70 or below
IQ measures less valid in the lower end of the IQ range

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10
Q

Adaptive functioning IDD diagnosis

A

needs to be 2 or more SDs below mean (independnet functioning expected of someone that age and socioeconomic and cultural background)
severity defined based on adaptive functioning, determines level of support needed (mild, moderate, severe, profound)

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11
Q

SLD DSM-V-TR criteria

A

Impairments in reading, written expression or mathematics
Criteria:
learning diff for >6MO despite targeted help
academic skills sig below level expected for their age
learning diff began during school age years
not better accounted for by ID, uncorrected visual or auditory acuity, other mental or neurological disorder, psychosocial adversity, lack of proficiency in language or inadequate educational instruction

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12
Q

SLD with impairment in reading

A

word reading accuracy
reading rate or fluency
reading comprehension

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13
Q

SLD with impaired written expression

A

spelling accuracy
grammar and punctuation accuracy
clarity or organisation of written expression

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14
Q

SLD with impaired mathematics skills

A

deficits in:
number sense
memorisation of arithmetic facts
accurate or fluent calculation and accurate math reasoning

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15
Q

SLD diagnostic criteria based on history of

A

developmental
medical
family
educational
school reports
psychoeducational assessment

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16
Q

assessment battery

A

IQ test
achievement test
other tests of specific cognitive processing

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17
Q

possible underlying cognitive deficits

A

language comprehension
fluid reasoning
long term retrieval
visual spatial reasoning
phonological processing
processing speed
STM

18
Q

language free intelligence tests

A

nods and pointing only
WNV
TONI
Ravens matricesA

19
Q

Academic achievement assessments

A

WIAT
WRAT-4
Woodcock johnson-III

20
Q

possible alternative explanations for learning difficulties or contributing factors

A

emotional and motivation issues
attention and behaviour problems disrupting testing and engagement
poor educational opportunities
cultural considerations or ESL
differential diagnosis with ID, DLD, ADHD
SLD deficits should be evident in excess of these issues

21
Q

common assessment referral reasons

A

secondary mental health conditions
emotion regulation
challenging behaviour

22
Q

why MI more common in NDD

A

awareness of differences
social difficulties cause avoidance
harder to make friends
difficulties in ambiguous/unstructured times
more likely bullied
intolerance of uncertainty linked strongly to anxiety
sensory processing differences
difficulties with self regulation (poor awareness/interoception)
stressful when change/transition occurs

23
Q

anxiety

A

high rates with ID and FASD
most common MI in ASD
anxiety may look different- behaviour may be better indicator than words
40% iwth ASD had at least 1 comorbid anxiety disorder

24
Q

depression

A

risk of suicidal thoughts or attempts more common in NDD
may exacerbate social challenges, harder to express mood/feelings

25
Q

considerations and modifications for therapy

A

may not be motivated by same things as others- need to find motivator, focus on strengths, talents and expanding areas of interest
less questioning and reflection, use visuals to elicit information, teach this skill
might have difficulty with organisation- may need to be structured and systematic

26
Q

timer

A

may be used to warn of transition
turn taking
may use with schedules
time more tangible

27
Q

bottom up approaches

A

help clients cope with raw emotions and defence mechanisms
yoga, EMDR, comprehensive resource model, sensorimotor psychotherapy
emotion triggered by sensory stimuli (e.g. threat) responds better to bottom up strategies

28
Q

top down approaches

A

how to help clients think differently
MBCT, CBT
emotion triggered by thoughts/appraisals respond better to top down strategies

29
Q

building emotion skills

A

identify and understand emotions
recognise level of emotions and build vocabulary
coping and self regulation skills

30
Q

risk for developing challenging behaviour in NDD increases with

A

ID severity
decreased communication skills and other adaptive behaviours

31
Q

Why are individuals with NDD more vulnerable to challenging behaviour

A

communciation difficulties
poor udnerstanding of social expectations/theory of mind
social motivational differences
cognitive processing issues
cognitive inflexibility
pervasive self reinforcing self stimulatory behaviours
typical behaviour management strategies may be less effective

32
Q

functional assessment

A

improves likelihood of success of behavioural inteventions
functions of behaviour- tangible (want), escape (don’t want), sensory stimulation, attention

33
Q

pyramid for changing behaviour from bottom to tip

A

proactive strategies
teaching new skills
reactive strategies

34
Q

proactive strategies

A

structuring/manipulating envionrment
reinforcement and prompting

35
Q

teaching new skills

A

what to do instead

36
Q

skills people may need explicit teaching to do

A

communciating ‘no’
making choices
asking for help
communicating confusion
asking for something

37
Q

making choices

A

start with definite preferred and definite non-preferred
work up to choosing between desirably options
new is sometimes avoided due to cognitive inflexibility

38
Q

using reinforcement for desirable behaviour

A

may not find social praise/attention rewarding
aim to use highest level that is effective
intrinsic, praise and attention, contingent access and attention, tangible and attention, edible and attention

39
Q

break v time out

A

break can be an accidental reward if funciton is to escape
teach to ask for a breka and honour this

40
Q

reactive strategies

A

planned ignoring for minor safe behaviours
logical consequences
verbal de-escalation
isolation/remove peers and keep safe when very distressed
physical/chemical restraint

41
Q
A