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Intellectual and Developmental Disabilities (IDDs)
Used to describe situations in which intellectual disability and other
disabilities are present. Usually manifest at birth and negatively involved in the trajectory of children’s or person’s physical, intellectual, and/or emotional development. Most of these circumstances disturbed various body parts or systems. Formerly known as Intellectual Disability (ID) or as Mental Retardation (MR) Intellectual Disability (ID) A neurodevelopmental disorder characterized by impairment of mental capacity. Children with this kind of disability struggle to learn and adapt with their environment since their mental capacity do not match with their chronological age. Mental Retardation (MR) The word retarded was lifted a Latin word retardare meaning delay, slow or hinder. This makes the definition of mental retardation as mental delay. Back then, the term mental retardation does not give any shame, it became a replacement to terms such as idiot, imbecile, moron, mongoloid or mongolism. During 1960s, the term started to acquire a disgraceful and derogatory effect because this is being used as an insult. At present, the term intellectual disability or mentally challenge are used because it is more respectful that the term retarded. The Diagnostic and Statistical Manual of Mental Disorder list 3 Main Diagnostic Criteria for Intellectual Disability 1. Impairment of intellectual functioning. Intellectual functioning also known as Intellectual quotient (IQ). This refers to the ability of the person to learn reason, solve problems and make decisions. The intelligence is measured by an IQ test. The average IQ is 100 and if the person scores 70 or below then he is considered as intellectually disabled. 2. Impairment in adaptive skills. The adaptive skills are life skills needed by a person to function in his daily life. 3 Categories of Adaptive Skills i) Conceptual skills that include reading, writing, counting, time, money communication skills. ii) Social skills or intrapersonal skills which include following social customs and obeying laws. iii) Practical life skills which includes self-care, home living, and use of community resources, self-direction, functional academic skills, leisure, health and safety. (Reynolds. T. et al. 2015) Adaptive skills are assessed using a standardized test. The score of the individual is compared to the average score of the general population. There is a problem in adaptive functioning if the score is below 97.5% of the population. The onset is 0-18 years of age. 3. Classification of Intellectual Disability. In the training module on mental retardation for teachers of Aida Damian (1996), intellectual disability was classified according to the degree of mental retardation and educational category. a. Mild Mental Retardation IQ level 50-55 to approximately 70 Acquired academic skills until the last part of elementary years Support oneself totally or particularly at an adult level to some degree of economic help b. Moderate Mental Retardation IQ level 35-40 to 50-55 Can be trained in self-help skills such as dressing, feeding, toileting, social adjustment at home and to neighborhood and to some degree of economic usefulness c. Severe Mental Retardation IQ level 20-25 to 35-40 Master the basic self-help skills and some communication skills d. Profound Mental Retardation IQ level below 20 or 25 Results in severe limitation in self-care and communication
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