Intellectual Disabilities Flashcards
What is the definition of ID?
Onset during the developmental period that includes both intellectual and adaptive functioning deficits
What are the 2 criteria for ID?
- Deficits in intellectual functioning
- Deficits in function confirmed by clinical assessment / WAIS
When does ID begin?
During the developmental period
What are the IQ ranges for mild, moderate, severe, profound and unspecified for ID?
Mild = [55-70] Moderate = [35 -55] Severe = 25-35 Profound = 20-25 Unspecified = untestable
What is the SE of WAIS?
5 points
What is the score that indicates MR on the WAIS scale? What else must be present to correctly diagnose this?
75
Limitations in adaptive functioning
What are the issues with IQ testing? (3)
- Marked discrepancy between scores and verbal testing
- Testing must be normed for socio-economic background
- Co-occurring disorders of communication or motor/function may mislead
What is the adaptive functioning bit of mental testing?
Personal independence and social responsibility
Can you use education records, mental health evals to diagnose ID?
Yes
Are the specifiers for ID more influenced by IQ scores, or adaptive functioning?
Adaptive functioning
True or false: at the preschool level, there is no difference between mild MR pts and non-MR patients
True
What are the mild ID pts responses to problems, as compared to their peers?
Express more concrete solutions compared to age
What are the two ways to assess for intellectual disabilities?
- Clinical assessment
- Standardized tests
Deficits in adaptive functioning in the diagnosis of MR is defined as having problems in what three areas without ongoing support?
- Communication
- independent living
- social participation
True or false: individual profiles based on neuropsychological testing, is better than a single IQ score for diagnosing MR
True
What is meant by the term adaptive functioning? What is diagnostic for MR in this area?
Personal independence and social responsibility
Met when one domain is sufficiently impaired that ongoing support is needed
What are the three major areas of adaptive functioning?
- Conceptual/academic
- Socially
- Practically
Specifiers in diagnosing MR are based largely on what component of the diagnostic criteria?
Adaptive functioning, not IQ scores
What are the social characteristics of mild MR? (3)
- Immature perception of peer’s social cues
- Problems with regulating behavior
- Limited understanding of risk and judgement
What is the major social issue with mild MR patients?
the person is at risk of being manipulated
True or false: for patients with mild MR, they are largely function independently in terms of personal care and complex ADLs
True
What are the three major areas where pts with mild MR need help functioning?
- Health care
- Legal decisions
- Raising a family
What is true regarding the conceptual domain for moderate MR pts?
Conceptual skills lag behind peers all through development
True or false: at the preschool level, there is no difference between moderate MR pts and non-MR patients
False–skils are slow to develop