Intellectual Disability Flashcards
diagnoses associated with ID
- global developmental delay
- down syndrome
- williams syndrome
- fragile x syndrome
- angelman syndrom
- cri du chat syndrome
- prader-willi syndrome
- autism spectrum disorder
global developmental delay
- umbrella term
- significantly delayed in 2+ areas of development
- language, motor, cognitive, sensory
down sydrome
- one extra copy of chromosome 21
- affect physical development and learning abilities
williams syndrome
- rare genetic condition
- developmental and cognitive delays, ID (usually mild), heart problems, physical traits
fragile x syndrome
- inherited genetic disorder
- physical abnormalities, behavioral issues, developmental delay, ID
angelman syndrome
- caused by genetic change
- delayed development, speech and balance problems, ID, and seizures
cri du chat syndrome
- rare genetic disorder (missing chromosome pieces)
- ID, developmental delay, small head, low birth weight, hypotonia
prader-willi syndrome
- rare genetic disorder
- physical, mental, cognitive, behavior problems
- speech delay
barriers to successful communication in ID
- environment
- limited social network and communication partners
- staff often over-rely on verbal communication
- few opportunities to engage as equal communication partners
- interactions tend to be more directive than discursive
- comprehension difficulties under-estimated
- choice making is limited
assessment resources
- formal standardized assessment
- informal assessment
- role of peers, caregivers, siblings
- degree of difficulty
early communication skills
- preverbal intentional communication (gaze, gesture, vocalizations)
- expressive vocab
- receptive vocab is larger
assessment goals
- enhance communication (not identify problems)
- what impact does partner behavior have
- describe deficits and determine how it will affect the child’s daily functioning
communication partner requirements
- pleasure and affect (verbal and nonverbal cues)
- responsiveness to the child’s cues of readiness
- acceptance of the child’s style and temperament
importance of the environment
- sensory issues
- group and individual work
- barriers to participation
assessment considerations in older children/adolescents
- interests
- motivation
- functional, practical
what to assess
- domains of language (receptive, expressive, form, content, use)
- nonverbal communication
- AAC
- language in context
assessment resources
- standardized and non-standardized assessments
- relevant materials
- interviews and questionnaires
- criterion-referenced procedures
- observations
- dynamic assessment
- functional assessment
AAC considerations
- recognize and value all communication modalities (verbal and nonverbal)
- speech, intonation, sign language, pictures, symbols, gestures, body language, behavior
total communication approach (AAC) purpose
establish a positive communication environment that compliments a person’s communication profile
mild ID (IQ and DSM-V criteria)
- IQ: 50 - 69
- criteria: can live independently with minimum levels of support
average IQ range
85 - 115 (average 100)
moderate ID (IQ and DSM-V criteria)
- IQ: 36 - 49
- criteria: independent living with moderate levels of support (group homes)
severe ID (IQ and DSM-V criteria)
- IQ: 20 - 35
- criteria: requires daily assistance with self-care activities and safety supervision
profound ID (IQ and DSM-V criteria)
- IQ: < 20
- criteria: requires 24/7 care