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(Ebook) Adaptive Behavior Strategies for Individuals with Intellectual and Developmental Disabilities: Evidence-Based Practices Across the Life Span (Autism and Child Psychopathology Series) by Russell Lang, Peter Sturmey ISBN 9783030664404, 3030664406 All Chapters Instant Download
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(Ebook) Health Care for People with Intellectual and
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Russell Lang
Peter Sturmey
Editors
Adaptive Behavior
Strategies
for Individuals
with Intellectual
and Developmental
Disabilities
Evidence-Based Practices
Across the Life Span
Autism and Child Psychopathology Series
Series Editor
Johnny L. Matson, Department of Psychology
Louisiana State University, Baton Rouge, LA, USA
Brief Overview
The purpose of this series is to advance knowledge in the broad multidisciplinary
fields of autism and various forms of psychopathology (e.g., anxiety and depression).
Volumes synthesize research on a range of rapidly expanding topics on assessment,
treatment, and etiology.
Description
The Autism and Child Psychopathology Series explores a wide range of research
and professional methods, procedures, and theories used to enhance positive
development and outcomes across the lifespan. Developments in education,
medicine, psychology, and applied behavior analysis as well as child and adolescent
development across home, school, hospital, and community settings are the focus of
this series. Series volumes are both authored and edited, and they provide critical
reviews of evidence-based methods. As such, these books serve as a critical reference
source for researchers and professionals who deal with developmental disorders and
disabilities, most notably autism, intellectual disabilities, challenging behaviors,
anxiety, depression, ADHD, developmental coordination disorder, communication
disorders, and other common childhood problems. The series addresses important
mental health and development difficulties that children and youth, their caregivers,
and the professionals who treat them must face. Each volume in the series provides
an analysis of methods and procedures that may assist in effectively treating these
developmental problems.
This Springer imprint is published by the registered company Springer Nature Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
v
vi Preface
chapter illustrates the evidence available to guide practice in this area. Access to the
community often does not occur, merely by being located in a community setting.
Chapter 6 by Ayres, Tyson, White, and Herrod reviews one important aspect of
enhancing the community presence of individuals with intellectual and develop-
mental disabilities using an ecological framework. Chapter 7 by Didden, Jonker,
Delforterie, and Nijman systematically reviews research on teaching community
safety skills, such as responding to lures, being lost in the community, road safety,
bullying, first aid, and putting out a fire, which are essential as people live in com-
munity settings. Teaching adaptive behavior on the scale needed to impact the lives
of many people with intellectual and developmental disabilities cannot and perhaps
should not be done by a few experts and professionals in clinics and centers. Thus,
the chapter by Hansen, DeMarco, and Etchison reviews a relatively and surprisingly
sparse literature on training family members and community staff to do so in com-
munity settings, such as families. We are living in a new age of web-based technolo-
gies that have transformed everyone’s lives, including the lives of individuals with
intellectual and developmental disabilities. Thus, in the final chapter Wehmeyer,
Tanis, Davies, and Stock provide a comprehensive review of teaching this technol-
ogy thoughtfully framed within a disability rights perspective.
We hope that this book will be suited for graduate students and professionals in
the fields of clinical child, school, and developmental psychology, family studies,
behavior analysis, special education, developmental disability, and public health
interested in both practical and applied aspects as well as theoretical implications
and scientific processes inherent to teaching life skills and supporting adaptive
behavior in people with intellectual and developmental disabilities. We thank the
chapter authors for their work on this volume. We chose them because of their high
level of expertise and international reputations in this field: We were not
disappointed.
vii
viii Contents
Index������������������������������������������������������������������������������������������������������������������ 219
Contributors
ix
x Contributors
So Yeon Kim recently received a PhD from the College of Education, Purdue
University. Her research focuses on teaching reading skills to students with devel-
opmental disabilities and using technology as an instructional tool.
papers and multiple book chapters concerning the education and treatment of peo-
ple with intellectual and developmental disabilities. His primary research interest is
in the treatment of challenging behaviors and the acquisition of play and leisure
skills in children with autism spectrum disorders.
Shea Tanis is the director for Policy and Advocacy at the Coleman Institute for
Cognitive Disabilities at the University of Colorado and is also on the faculty of the
Department of Psychiatry at the University of Colorado. Her research interests
include the definition of intellectual disability, measurement of adaptive behavior
and support need, the construct of self-determination, federally funded supports and
services for people with intellectual and developmental disabilities, and their fami-
lies, and self-directed employment strategies, applied cognitive technology sup-
ports, cognitive accessibility, and advancing the rights of people with cognitive
disabilities to technology and information access.
Marc J. Tassé
Adaptive behavior involves skills that people learn throughout their life and put
forth to meet the demands and expectations of their environment and society at
large. Adaptive behavior is a broad construct that encompasses practical skills (e.g.,
self-care, toileting, cooking, cleaning, caring for one’s home, money concepts, and
work skills), social skills (e.g., interpersonal skills, managing one’s emotions), and
conceptual skills (e.g., functional academics, communication skills, concept of
time, money management, and self-direction; American Psychiatric Association,
2013; Schalock, Luckasson, & Tassé, 2021; Tassé et al., 2012). The complexity of
the adaptive behavior increases with chronological age and the onset of diverse
social roles and responsibilities (e.g., going to school, participating in sports and
leisure activities, maintaining friendship, dating, independence/interdependence,
financial responsibilities, following rules, social responsibilities, employment, and
raising children).
Impairment in adaptive behavior is a crucial diagnostic criterion for a number of
neurodevelopmental disorders, including autism spectrum disorder (American
Psychiatric Association, 2013) and intellectual disability (APA, 2013; Schalock
et al., 2021; World Health Organization, 1992). The presence of deficits in adaptive
behavior is also present in a number of other conditions, including attention deficit/
hyperactivity disorder, emotional and behavioral disorders, hearing and motor
impairments, communication disorders, and learning disabilities (Harrison &
Oakland, 2003). Research has shown that the strength of adaptive skills is a strong
predictor of success of post-high school outcomes for students with disabilities
(Dell’Armo & Tassé, 2019). Conversely, the loss of adaptive skills in aging adults is
M. J. Tassé ()
Nisonger Center, The Ohio State University, Columbus, OH, USA
e-mail: [email protected]
an early indicator of age-related decline (Takata et al., 2013) and the onset of
dementia in persons with Down syndrome (Zigman, Schupf, Urv, & Silverman,
2009; Zigman, Schupf, Urv, Zigman, & Silverman, 2002).
Deficits in adaptive behavior are attributable to a number of independent and
overlapping variables. Some of these factors include: (a) opportunities to develop/
learn a skill/behavior, (b) opportunities to perform or practice a learned skill, (c)
intrinsic or extrinsic motivation to perform a learned skill when called upon, (d) the
awareness that a particular skill or behavior is needed in a particular situation, (e)
physical or mental health problems, and/or (f) brain disease or impairment. One’s
context also influences significantly a person’s adaptive behavior, situationally (e.g.,
in a demand setting where the person is rewarded for emitting a specific adaptive
behavior) or permanently (e.g., growing up in a severely impoverished environment
where there was a paucity of opportunities to learn adaptive skills).
Although the concept of adaptive behavior has evolved over time, it remains
remarkably similar to the definition initially proposed by the American Association
on Intellectual and Developmental Disabilities (AAIDD) more than 50 years ago
(see Heber, 1959). Heber (1959) first proposed introducing this concept into the
diagnostic criteria of intellectual disability in a draft version of the American
Association on Mental Deficiency’s (now AAIDD) terminology and classification
manual. Heber defined this second diagnostic criterion as deficits in at least one of
the following: “maturation, learning, and social adjustment” (see Heber, 1959; p. 3).
After receiving feedback and comments from the field, Heber (1961) revised slightly
the AAIDD diagnostic criteria for intellectual disability proposed in 1959 and for-
mally introduced in the definition of intellectual disability the concept of “adaptive
behavior.” Heber described the concurrent impairments in adaptive behavior as con-
sisting of deficits in one of the three previously mentioned domains: maturation,
learning, and/or social adjustments (see Heber, 1961; p. 3). The Diagnostic and
Statistical Manual for Mental Disorders (DSM) incorporated AAIDD’s (Heber,
1961) proposed construct of adaptive behavior in its revision of the DSM, published
in 1968 (DSM-II; American Psychiatric Association, 1968).
Fast forward 50 years, and our current diagnostic definitions of intellectual dis-
ability look surprisingly similar to these two earlier definitions of AAIDD (Heber,
1961) and DSM-II (American Psychiatric Association, 1968); (see Tassé, Luckasson,
& Schalock, 2016). The current AAIDD definition (see Schalock et al., 2021) and
DSM-5 (APA, 2013) both require the presence of significant impairments in adap-
tive behavior when diagnosing intellectual disability and operationalize it as the
presence of deficits in one or more of the following: conceptual (aka learning),
social (aka social adjustment), and/or practical adaptive skills (aka maturation).
There are a number of conditions and situations in which the assessment and teach-
ing of adaptive behavior is a critical and essential component of the clinician’s or
educator’s responsibility. Before we discuss some of these specific conditions, it is
1 Adaptive Behavior and Functional Life Skills Across the Lifespan: Conceptual… 3
important to point out that the presence of problem behavior may at times coexist in
a person who has deficits in adaptive behavior. First, we much mention that problem
behavior (e.g., aggression, stereotypy, and elopement) are not necessarily “mal-
adaptive” or purposeless, nor are problem behavior and adaptive behavior on oppo-
site ends of the same construct. Problem behavior can, in fact, be very “adaptive”
and serve as an effective response to the person’s environment and the contingencies
in the environment (e.g., scream to get someone’s attention and hit a teacher to get
out of a task). Problem behaviors most often serve a function (e.g., get something,
avoid something, communicate a desire, and sensory regulation), and a function-
based intervention will use teaching and reinforcing of alternative behaviors to
replace the problem behavior. Often, these alternative behaviors are adaptive skills.
For example, if the function of a student’s problem behavior of slapping a classmate
is motivated by a desire to escape the demands of the classroom by being removed
from the classroom contingently on the aggressive behavior, perhaps an alternative
behavior to this aggression might be to teach the student to ask for help, or com-
municate (e.g., words, picture/symbol, and sign language) more effectively when
he/she is feeling overwhelmed by a task or demand that is too difficult.
Incorporating the teaching of alternative adaptive skills should be considered an
essential component of all behavior change interventions. Research has shown that
conducting parent training that focuses on enhancing adaptive behavior and behav-
ior management strategies results in improved adaptive behavior and a reduction in
challenging behaviors (Scahill et al., 2012, 2016). There is a growing body of
research that has shown that poor adaptive behavior in childhood is a barrier to
achievements in social relationships, inclusion, independence, and employment
(Bruininks, Hill, & Morreau, 1985; Papazoglou, Jacobson, & Zabel, 2013).
1.2.1 Developmental Disabilities
around the person’s social communication deficits and their restricted and repetitive
behaviors. Hence, interventions almost always focus on teaching and enhancing
these adaptive skills to impact the core features of autism spectrum disorder and
directly reduce the severity of the condition and ameliorate the prognosis.
1.2.3 Intellectual Disability
It is not surprising that the exact relationship between intelligence and adaptive
behavior is misunderstood and erroneously confounded as causal. In fact, earlier
definitions of intelligence incorporated elements in its definition that included terms
such as “adaptation” or “one’s ability to respond to their environment’s expectations
and demands” (see Binet & Simon, 1905; Sternberg et al., 2000; Thorndike, 1920).
Nonetheless, in a study of the relationship between adaptive behavior and intelli-
gence, Keith and his colleagues (Keith, Fehrman, Harrison, & Pottebaum, 1987)
tested three hypotheses of the relationship between these two constructs: (a)
6 M. J. Tassé
separate but related constructs, (b) completely independent constructs, or (c) differ-
ent facets of a unitary construct. Based on their findings, they concluded that adap-
tive behavior and intelligence are related but separate constructs. This finding has
been supported over the years by a number of research studies examining the cor-
relational relationship between adaptive behavior and intelligence that has consis-
tently reported that the correlation between FSIQ and composite adaptive behavior
score is moderate (De Bildt, Kraijer, Sytema, & Minderaa, 2005; Harrison, 1987;
Harrison & Oakland, 2003; McGrew, 2012; Papazoglou, Jacobson, McCabe,
Kaufmann, & Zabel, 2014; Sabat, Tassé, & Tenorio, 2019). The correlation between
IQ and adaptive behavior is strongest between the full-scale IQ score and concep-
tual adaptive skills and to a lesser extent with social and practical adaptive skills
(Carpentieri & Morgan, 1996; Sabat et al., 2019).
There may be concern that the correlation coefficients may be attenuated
between these two constructs on account of range restrictions of scores on the
intelligence and adaptive behavior tests. Alexander and Reynolds (2020) in a
large meta-analytic study of 148 samples containing a total of 16,464 partici-
pants, after correcting for range restriction and attenuation, reported an estimated
population correlation coefficient = 0.51. These results confirmed an overall
moderate relationship between intelligence and adaptive behavior. Alexander
also reported that moderator analyses confirmed that the correlation coefficients
between IQ and adaptive behavior were strongest as the IQ score decreased;
hence, it is ever more crucial to consider adaptive behavior measures as intellec-
tual abilities increase.
Meyers, Nihira, and Zetlin (1979) eloquently summarized the differences
between these two related but separate psychological constructs as follows: “(a)
adaptive behavior emphasizes everyday behavior, whereas intelligence emphasizes
thought processes; (b) adaptive behavior focuses on common or typical behavior
whereas intelligence focuses on maximum performance; and (c) adaptive behavior
stresses non-abstract, non-academic aspects of life, whereas intelligence stresses
those aspects that are abstract and academic.” (pp. 433–434).
The importance of adaptive behavior has only grown over the last century of
research and intervention in the field of intellectual disability. A person’s function-
ing in terms of adaptive behavior and intellectual skills must be weighed equally
and considered jointly when diagnosing intellectual disability (Tassé et al., 2016).
In fact, both AAIDD and DSM have moved to place equal, if not more, importance
on adaptive behavior than intellectual functioning in their conceptualization of
intellectual disability. For example, the DSM-5 has abandoned the use of IQ scores
in defining the severity of a person’s intellectual disability and has replaced IQ with
the person’s level of adaptive behavior (American Psychiatric Association, 2013).
Hence, the determination of severity of intellectual disability (mild, moderate,
1 Adaptive Behavior and Functional Life Skills Across the Lifespan: Conceptual… 7
severe, profound) is best determined on the basis of the severity of deficits in adap-
tive behavior rather than intellectual functioning, the reason being that deficits in
adaptive behavior are a better correlate with intensity of support needs than deficits
in intellectual functioning (American Psychiatric Association, 2013; Simões,
Santos, Biscaia, & Thompson, 2016), and, equally important, research has shown
that higher levels of adaptive behavior are strongly correlated with improved quality
of life (Claes et al. 2012; Nota et al. 2007; Simões et al., 2016).
There is a growing consensus on the importance of focusing our interventions
and treatments on increasing the learning and performance of adaptive behavior.
This book has, to that end, several chapters that present different interventions and
approaches to teaching adaptive behavior and functional skills across the lifespan.
In this chapter, we will present the important elements related to the concepts and
assessment of adaptive behavior, which are a critical first step to the identification
of strengths and areas of needed intervention. We will present some of the tools that
exist that can aide in assessing the outcomes and effectiveness of an intervention.
Coulter and Morrow (1978) observed that the field’s interest in the assessment of
adaptive behavior falls into two primary purposes. Adaptive behavior assessment
continues to be driven essentially by these two goals: (1) establish a diagnosis/deter-
mine eligibility (i.e., does the person present with significant deficits in adaptive
behavior) and (2) identify areas of deficits and relative strengths that can inform
intervention objectives and strategies (i.e., individual education plan, individual
support plan, identify strengths and weaknesses).
Edgar Doll (1936) was the first person to recognize the importance of adaptive
behavior and develop a standardized measure, called the Vineland Social Maturity
Scale. Since the first publication of the Vineland Social Maturity Scale, more than
200 measures of adaptive behavior and functional skills have been identified
(Reschly, Myers, & Hartel, 2002; Schalock, 1999). Some of these instruments might
consist of a brief inventory, checklist, or questionnaire dealing with a very specific
skill area (e.g., social skills, communication, motor skills, vocational skills) and
most of these 200 assessments are not comprehensive measures of adaptive behav-
ior. Some are direct measures, while others are created to assess the person’s adap-
tive behavior by getting input from a third-party respondent (e.g., parent, caregiver,
teacher, direct support professional, etc.). Almost all rating scales are designed to
allow the respondent to complete the scale on their own by entering their ratings
directly onto the form. A few more rigorous standardized scales, predominantly
developed for diagnostic purposes, rely more heavily on a semi-structured interview
procedure between a trained professional and the respondent (e.g., parent/caregiver,
teacher or direct support staff, etc.).
Although there was a time when the validity and psychometric properties of
adaptive behavior scales were viewed with skepticism (see Witt & Martens, 1984;
8 M. J. Tassé
Zigler, Balla, & Hodapp, 1984), this has changed over the last couple of decades.
There are currently several existing standardized adaptive behavior scales that have
been robustly developed and have strong psychometrically properties that rely on
comprehensive norm-based evaluations of adaptive behavior across the lifespan and
include well-written items that encompass all three critical domains: conceptual
(i.e., communication, functional academics, self-direction, budgeting/paying bills),
social (i.e., interpersonal skills, emotion regulation, social problem solving, wari-
ness, following rules and laws), and practical (i.e., self-care, domestic skills, money
and time concepts, vocational/work skills) adaptive skills. These are several of these
instruments that are considered examples of “gold standard” measures of adaptive
behavior and include: Adaptive Behavior Assessment System, third edition (Harrison
& Oakland, 2015); Adaptive Behavior Diagnostic Scale (Pearson, Patton, &
Mruzek, 2016); Diagnostic Adaptive Behavior Scale (Tassé et al., 2019); and
Vineland Adaptive Behavior Scales, third edition (Sparrow, Cicchetti, & Saulnier,
2016). We do not include in this list, the Scales of Independent Behavior, Revised
(SIB-R; Bruininks et al., 1996). Despite being a highly respected, well-constructed,
and psychometrically robust measure of adaptive behavior, the SIB-R has become
somewhat outdated since its last revision and re-norming in 1996 (i.e., almost
25 years ago). Unlike with tests of intelligence, aging norms on scales of adaptive
behavior do not cause a spurious rise in adaptive behavior scores (i.e., the Flynn
effect). It remains, nonetheless, important to periodically revise item content and
refresh normative data on these tests. Item content on measures of adaptive behavior
needs to be periodically refreshed to keep up with changing societal norms and
expectations. For example, more current adaptive behavior scales may include more
technology items such as using a cell phone or microwave and should have deleted
outdated items such as using a pay phone or using a telephone book to find a phone
number. We will briefly present these four aforementioned standardized adaptive
behavior instruments.
The Adaptive Behavior Assessment System: Third Edition (ABAS-3; Harrison &
Oakland, 2015) is in its third edition, having been first published in 2000. The
ABAS-3 was the first comprehensive norm-referenced measure of adaptive behav-
ior to offer standard scores for the three adaptive behavior domains: conceptual,
social, and practical adaptive skills. The ABAS-3 can be used for multiple purposes,
including: (1) making the determination of intellectual disability, developmental
disabilities, learning disability, and behavioral and emotional disorders; (2) identi-
fying functional limitations of people with autism spectrum disorder, attention defi-
cit/hyperactivity disorder, and Alzheimer disease; (3) establishing an individual’s
eligibility for services and supports under Individuals with Disabilities Education
Act (IDEA), social security administration benefits, and intensity of need for other
types of supports and services; (4) identifying and measuring intervention goals and
1 Adaptive Behavior and Functional Life Skills Across the Lifespan: Conceptual… 9
progress in adaptive behavior and functional limitations interventions, and (5) being
used as an outcome measure in program evaluations and interventions. It has robust
norms drawn from the general population and it can be used to assess adaptive
behavior across the lifespan, including the ages of 0–89 years.
The ABAS-3 consists of five distinct survey forms:
• Parent or Primary Caregiver Form (0–5 years old): appropriate for the assess-
ment of adaptive behavior in infants and preschoolers in the home. The respon-
dent providing adaptive behavior information on this form is the child’s parent or
other primary caregiver.
• Teacher or Daycare Provider Form (2–5 years old): used for the assessment of
adaptive behavior in toddlers and preschool-aged children in daycare, preschool,
and other similar setting. The respondent for the Teacher or Daycare Provider
Form is typically the child’s daycare or preschool teacher or teacher’s aide or
some other childcare or preschool personnel.
• Parent Form (5–21 years old): appropriate for the assessment of adaptive behav-
ior in children and adults and having been observed at home and other commu-
nity settings. The respondent completing the Parent Form is generally the child’s
parent or other caregiver who lives with the child or adult.
• Teacher Form (5–21 years old): used to assess adaptive behavior in children or
adults in the context of the classroom and school (Kindergarten to 12th grade).
The respondent for this form is generally the student’s teacher, teacher’s aide,
and other school personnel.
• Adult Form (16–89 years old): appropriate for the assessment of adaptive
behavior in adolescents and adults in the context of their home and across com-
munity settings. The respondent on the Adult Form is most often a parent/care-
giver or other family member but can also be completed, when the respondent
has sufficient knowledge of the person’s adaptive behavior, a spouse/significant
other, co-worker, work supervisor, friend, or other knowledgeable person who
has good familiarity with the individual’s everyday functioning. The ABAS-3
Adult Form is the only adaptive behavior form that has been developed and
normed for self-report by the individual him or herself. Self-reported adaptive
behavior information is most valuable for the identification and prioritization of
teaching and training goals targeting adaptive skills.
Although the ABAS-3 User’s Manual (Harrison & Oakland, 2015) indicated that
the administration time is approximately 15–20 minutes, a more realistic time of
administration is probably closer to 30–40 minutes to complete the adult form. The
ABAS-3 continues to be the only standardized adaptive behavior scale that provides
a self-report administration and norms for self-reported adaptive behavior using the
Adult Form.
The ABAS yields standard scores (Mean = 100; standard deviation = 15) pre-
senting an overall assessment of adaptive behavior (i.e., General Adaptive Composite
[GAC]) and the three adaptive behavior domains: conceptual, social, and practical
skills. The ABAS-3 forms also provide more discrete standard scores (mean = 10
and standard deviation = 3) across the following 10 subscales: (1) communication,
10 M. J. Tassé
(2) functional academics, (3) self-direction, (4) leisure, (5) social, (6) community
use, (7) home/school living, (8) health & safety, (9) self-care, and (10) work (com-
pleted only when assessed person has a part-time or full-time job). These subscale
scores are probably the most informative sources of measurement when looking to
assess adaptive behavior/functional limitations for the purpose of intervention plan-
ning and evaluation.
The ABAS-3 has been in use for more than two decades and has good psycho-
metric properties (Henington, 2017; Wu, 2017). Harrison and Oakland (2015)
reported internal consistency for the ABAS-3 GAC Cronbach alphas ranging from
0.96 to 0.99 and from 0.85 to 0.99 for conceptual, social, and practical domains.
Harrison and Oakland also reported very good score stability for the ABAS-3 aver-
age GAC correlation coefficient of r = 0.86, average correlation coefficients of
r = 0.76 for the domain standard scores, and an average r = 0.70 across the 10 adap-
tive skill areas.
The Adaptive Behavior Diagnostic Scale (ABDS; Pearson et al., 2016) is one of the
newer standardized adaptive behavior scales. Although an entirely new adaptive
behavior scale, the ABDS was developed by Pro-Ed and is a replacement for the
Adaptive Behavior Scale: School Edition (Lambert, Nihira, & Leland, 1993) and
Adaptive Behavior Scale: Residential and Community (Nihira, Leland, &
Lambert, 1993).
The ABDS is an interview-based scale that assesses adaptive behavior with
robust general population norms for individuals from 2 to 21 years. This instrument
was specifically developed using the conceptual model of adaptive behavior
domains, including conceptual, social, and practical skills. The ABDS consists of a
total of 150 items, with 50 discrete adaptive skill items across each of the three
domains. Administration of this instrument is approximately 15–20 minutes. The
results of the ABDS yield standard scores (mean = 100 and standard deviation = 15)
for each of the three domains: conceptual, social, and practical, as well as an overall
Adaptive Behavior Index.
Pearson et al. (2016) reported excellent psychometric properties, including inter-
nal consistency coefficients for all domain and overall index standard scores above
0.90. Pearson et al. reported sensitivity coefficient of 0.85 (accuracy of ABDS to
correctly identify people with intellectual disability) and specificity coefficient of
0.99 (accuracy of ABDS to correctly identify people who do not have intellectual
disability).
1 Adaptive Behavior and Functional Life Skills Across the Lifespan: Conceptual… 11
The Diagnostic Adaptive Behavior Scale (DABS; Tassé et al., 2017) is the newest
of the comprehensive adaptive behavior scales available. Like the ABDS, the DABS
was developed and refined to accurately measure adaptive behavior according to the
conceptual model adopted by AAIDD (Schalock et al., 2010) and the DSM-5
(American Psychiatric Association, 2013). The DABS construction used item
response theory (IRT) to select and include the most precise and relevant items/
skills that inform about a person’s adaptive behavior across the ages of 4–21 years
(Tassé et al., 2016, 2017). The DABS’s item pool includes items that are often miss-
ing from more traditional adaptive behavior scales, items measuring concepts of
higher order social skills, such as gullibility, vulnerability, and social naiveté.
The DABS consists of the fewest number of total items among all the compre-
hensive standardized adaptive behavior scales described in this chapter. It consists
of a total of 75 items across all three adaptive behavior domains: conceptual, social,
and practical skills (25 items per domain). The DABS is administered via a semi-
structured interview between a professional (i.e., DABS interviewer) and a respon-
dent (e.g., parent, grandparent, caregiver, teacher, etc.). The time needed to
administer the DABS is generally estimated to be approximately 20 minutes.
Because the DABS uses IRT to score the responses and yield individualized stan-
dard error or measurement, the scoring of the DABS can only be done via online
computerized scoring (see https://aaidd.org/dabs). This scoring provides standard
scores (mean = 100 and standard deviation = 15) for each of the three domains
(conceptual, social, and practical) as well as Overall or Total Adaptive Behavior score.
The DABS was standardized on a large national sample of the general US popu-
lation between the ages of 4 and 21 years (Tassé et al., 2017). The authors of the
DABS (Balboni et al., 2014; Tassé et al., 2017; Tassé et al., 2016) have published
several studies reporting strong psychometric properties, including robust validity
and reliability. Tassé, Schalock, et al. (2016) reported good to excellent concurrent
validity between the DABS and the Vineland-II ranging from r = 0.70 to 0.84. They
also reported strong DABS test score stability, as measured using test–retest reli-
ability coefficients, ranging from r = 0.78 to 0.95 and good interrater concordance
as measured by intraclass correlation coefficients that ranged from 0.61 to 0.87.
Balboni et al. (2014) reported on the DABS sensitivity and specificity. The DABS
sensitivity (correctly identifying someone who has intellectual disability) ranged
from 81% to 98% and specificity (correctly identifying someone who does not have
intellectual disability) ranged from 89% to 91%.
12 M. J. Tassé
The Vineland Adaptive Behavior Scale, 3rd Edition (Vineland-3; Sparrow et al.,
2016) is the oldest and probably best known comprehensive standardized adaptive
behavior scale. The Vineland-3 has its roots in the Vineland Social Maturity Scale
(VSMS; Doll, 1936) and has gone through several revisions since its first edition.
The Vineland-3 measures adaptive behavior in individuals from 0 through 90 years
old and consists of three forms: (1) Interview Form (0 through age 90), (2) Parent/
Caregiver Form (0 through age 90), and (3) Teacher Form (3–21 years old). All
three forms have two versions, depending on the purpose of the evaluation, includ-
ing the Domain-level Form and a longer version called the Comprehensive Form.
The Comprehensive Form is used for the purpose of providing more detailed skill
information needed for intervention planning and evaluation. It yields standard
scores (mean = 100 and standard deviation = 15) for: (a) Composite Score and (b)
three domain scores (daily living skills, communication, socialization). It also pro-
vides standard scores on a scale of mean = 10 and standard deviation =3 for nine
subdomain scores: personal, domestic, community, receptive communication,
expressive communication, written communication, interpersonal relationships,
play and leisure time, and coping skills. The Domain-level Form is shorter and pro-
vides standard scores (mean = 100 and standard deviation = 15) across the three
VABS-3 domains: daily living skills, communication, and socialization (as well as
the optional domain of motor skills) and is most useful for the purpose of making
diagnostic determinations.
The Vineland-3 can be administered via a semi-structured interview using the
Interview Form or be given directly to the parent or caregiver who completes the
instrument directly on their own (i.e., Parent/Caregiver Form). These different
forms consist of approximately comparable number of items but have slightly dif-
ferent item stem wordings. The Comprehensive Form consists of 502 items and
Domain-Level Form consists of 195 items on the interview form and 180 items on
the parent/caregiver form. The Teacher Form is not usually used in isolation but
instead is often used in conjunction with the Interview Form or the Parent/Caregiver
Form. The Teacher Form: Comprehensive Form consists of 333 items and Teacher
Form: Domain-level Form consists of 149 items. Below is a brief description of the
different Vineland-3 forms:
• Interview Form (0–90 years old): The Interview Form is administered via a semi-
structured interview between a professional and the respondent (parent or
caregiver). The Vineland-3 uses an interview procedure that encourages the
interviewer to engage in a conversation with the respondent about the assessed
person’s adaptive behavior and encourages the interviewer to avoid directly elic-
iting ratings from the respondent on the individual item stems but rather instructs
the interviewer complete the item ratings at the end of the interview with the
respondent. The Interview Form has two versions: Comprehensive Form (502
items) or Domain-level Form (195 items). According to the Vineland-3 User’s
1 Adaptive Behavior and Functional Life Skills Across the Lifespan: Conceptual… 13
The Social Skills Improvement System: Rating Scales (SSIS; Gresham & Elliott,
2008) is a revision of the popular Social Skills Rating System (SSRS; Gresham &
Elliott, 1990). The SSIS is a suite of rating scales that are used to measure the social
skills as well as problem behaviors of children and adolescents between the ages of
3 and 18 years old. The SSIS is particularly focused on social skills and problem
behavior that the authors have identified as especially relevant for school success
(Doll & Jones, 2010).
The SSIS can be completed directly by student on a self-report form or com-
pleted by a third-party respondent (e.g., parent form or teacher form). Students,
parents, and teachers provide an individual rating of the frequency and perceived
importance of each social skill item. The student self-report form consists of 46
items, whereas the parent/teacher forms consist of 46 social skill items and an addi-
tional 33 items identifying problem behaviors for the parent to rate or 30 additional
items identifying problem behaviors for the teacher to rate. The administration time
of the SSIS ranges from 10 to 25 minutes.
The SSIS can be scored by hand or using a computerized scoring system. The
scoring of the SSIS yields standard scores (mean = 100, standard deviation = 15)
and a criterion-based evaluation (well-above average, above average, average,
1 Adaptive Behavior and Functional Life Skills Across the Lifespan: Conceptual… 15
below average, well below average) across: social skills, problem behaviors, and
academic competence (teacher ratings only). Perhaps the most practical information
comes in the form of a series of suggested actions and interventions objectives
derived from the results from the SSIS ratings.
In terms of psychometric properties for the SSIS, they are good (Crosy, 2011).
The social skills assessment across all three forms provides practical and psycho-
metrically sound information (Doll & Jones, 2010) and a useful screening tool to
aide teachers in planning interventions targeting social skills (e.g., the accompany-
ing intervention guide; Crosy, 2011; Lee-Farmer & Meikamp, 2010).
The Texas Functional Living Scale (TFLS; Cullum, Weiner, & Saine, 2009) is a
brief performance-based individually administered screening measure that assesses
independent living skills in the areas of time, money concepts and calculations,
communication, and memory. The focus of the TFLS items is on the abilities that
might be most impacted by age-related cognitive decline. Although initially devel-
oped to assess functional living skills in older adults with dementia, the FTLS was
normed on a larger sample of the general population aged from 16 to 90 years old
in the hopes of expanding its utility to include individuals across the lifespan with
other disabilities (e.g., intellectual disability, traumatic brain injury, and schizophre-
nia; Lindsay-Glenn, 2010).
The TFLS consists of 24 items that are administered directly to the assessed
person and requires either a verbal or written response. The total administration
time requires less than 15 minutes. The TFLS yields t-scores (mean = 50, standard
deviation = 10) which are typically more complicated for most practitioners to use
and understand than the more traditional normative scores with a mean = 100 and a
standard deviation = 15. The TFLS has shown some utility in identifying interven-
tion goals as well as measuring treatment outcomes and effectiveness in the defined
independent living skill areas that it assesses.
The psychometric properties of the TFLS are adequate for a screening instru-
ment (Lindsay-Glenn, 2010; Strang, 2010). The internal consistency reliability
ranges from 0.65 to 0.81 and reportedly good test score stability. Its validity evi-
dence was measured using a comparison between the TFLS and the ABAS, second
Edition. These correlation coefficients assessing its concurrent validity were in the
range of 0.41–0.80. Overall, the range of skills assessed is limited but the TFLS has
shown to be a useful screening tool that can inform on performance across the lim-
ited number of functional skills its measures: time, money and calculations, com-
munication and memory (Lindsay-Glenn, 2010).
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TISSUE of Crimson Silk and Gold Thread; pattern, the Blessed Virgin
Mary in glory, amid cherubic heads, and having two angels, one on
each side, standing on clouds. Venetian, 16th century. 1 foot 4
inches by 1 foot.
The subject, a favourite one of the time, is the
Assumption of the B. V. Mary, and the tissue was woven
entirely for the adornment of liturgical furniture.
9047.
CUSHION, elaborately wrought by the needle on fine canvas, and
figured with animals, armorial bearings, flowers, and love-knots, as
well as with the letters I and R royally crowned. Scotch, 17th
century. 11 inches by 8 inches.
We have on the first large pane a rose tree, bearing one
red rose seeded or, barbed vert, and at its foot, but
separating them, two unicorns argent, outlined and
horned in silver thread; above them, and separated by the
red rose, two lions passant, face to face, langued and
outlined in gold thread; above the flower a royal crown or,
and two small knots or, and at each side a white rose
slipped; over each unicorn a gold knot, and a strawberry
proper. Beneath this larger shield are three small ones:
the first, fretty or, and vert (but so managed that the field
takes the shape of strawberry leaves), charged with four
true-love-knots or, and in chief vert, a strawberry branch
or wire or, bearing one fruit proper, and one flower
argent; the second shield gives us, on a field azure, and
within an orle of circles linked together on four sides by
golden bands, and charged with strawberry fruit, and leaf,
and flower proper, and alternating, a plume of Prince of
Wales’s feathers argent, with the quill of the middle
feather marked red or gules, at each of the four corners
there is a true-love-knot in gold; the third small shield is a
series of circles outlined in gold, and filled in with
quatrefoils outlined green; below, on a large green pane,
a white rose slipped, with grapes and acorns; by its side,
the capital letters, in gold, I and R, with a strawberry and
leaf close by each letter, and above all, and between two
love-knots, a regal crown. By the sides of this device are
several small panes, exhibiting fanciful patterns of flowers,
&c.: but in most of them the true-love-knot as well as the
strawberry plant, in one combination or another, are the
principal elements; and in one of the squares or panes the
ornamentation evidently affects the shape of the capital
letter S; upon the other side, with an orle of knots of
different kinds, is figured a mermaid on the sea, with a
comb in one hand, and on one side of this pane is shown
a high-born dame, whose fan, seemingly of feathers, is
very conspicuous. Underneath the mermaid are shown,
upon a field vert, a man with a staff, amid four rabbits,
each with a strawberry-leaf in its mouth, and at each far
corner a stag. As on the other side, so here the larger
squares are surrounded by smaller ones displaying in their
design true-love-knots, strawberries, acorns, roses, white
and red, and in one pane the combination, in a sort of
net-work, of the true-love-knot with the letter S, is very
striking. In Scotland several noble families, whether they
spell their name Fraser or Frazer, use, as a canting charge
in their blazon, the frasier or strawberry, leafed, flowered,
and fructed proper; the buck, too, comes in upon or about
their armorial shields. And this may have been worked by
a member of that family.
9047A.
SILK Damask; ground, white; pattern, wreaths of flowers and fruits,
in net-work, each mesh filled in with two peacocks beneath a large
bunch of red centaurea, or corn-flowers. Sicilian, late 15th century. 2
feet 3½ inches by 1 foot 8 inches.
The garlands of the meshes, made out of boughs of oak
bearing red and blue acorns, have, at foot, two eagles red
and blue; at top, two green parrots beneath a bunch of
pomegranates, the fruit of which is red and cracked,
showing its blue seed ready to fall out. The corn-flower is
spread forth like a fan. This stuff shows the mark of
Spanish rule over the two Sicilies.
9182.
THE Syon Monastery Cope; ground, green, with crimson interlacing
barbed quatrefoils enclosing figures of our Lord, the Blessed Virgin
Mary, the Apostles, with winged cherubim standing on wheels in the
intervening spaces, and the orphrey, morse, and hem wrought with
armorial bearings, the whole done in gold, silver, and various-
coloured silks. English needlework, 13th century. 9 feet 7 inches by 4
feet 8 inches.
9182.
PART OF THE ORPHREY OF THE SYON COPE.
English, 13th century.
Vincent Brooks Day & Son, Lith.
197.
WEB for Orphreys; ground, crimson silk; design, the Assumption, in
yellow silk and gold thread. Florentine, 15th century. 2 feet 2½
inches by 1 foot 2¾ inches.
The same sort of stuff frequently occurs in this collection,
and the present specimen, which consists of two breadths
sewed together, is the same as the one fully described in
No. 4059. In its present shape it may have served as a
back hanging to a little praying-desk in a bed-room.
198.
A Crimson Velvet Stole, with crosses and fringes of green silk.
Spanish, 16th century. 6 feet 8 inches by 2½ inches, and 5½ inches.
The pieces of crimson velvet out of which this stole was
made, not so many years ago, are of a deep warm tone of
colour, and soft rich pile; both so peculiar to the looms of
Spain. The velvet must have been in use for church
purposes before this stole was made out of it.
1207.
A Crimson Velvet Stole, with crosses of poor gold lace, and fringes of
crimson silk. Spanish, 16th century. 7 feet 7 inches by 3 inches, and
8 inches.
Like the foregoing stole in quality of velvet.
254-55.
TWO Crimson Velvet Maniples, with crosses and fringes of green.
Spanish, 16th century. 1 foot 6½ inches by 3 inches, and 5 inches.
These were to match the like kind of stole.
524.
A Crimson Velvet Maniple, with crosses of gold and fringes of
crimson silk. Spanish, 16th century. 1 foot 5½ inches by 3¼ inches,
and 6½ inches.
733.
A Piece of Raised Velvet; ground, yellow silk; design, in velvet pile,
pomegranates, and conventional floriations, enclosing an oval with a
quatrefoil in the middle. Spanish, late 16th century. 1 foot 6 inches
by 7 inches, and by 1 foot 2 inches.
This raised velvet must have been for household
decoration, and may have been wrought at Almeria.
902.
CUT-WORK for furniture purposes; ground, yellow silk; design, vases
of flowers formed in green velvet; the flowers in places embroidered
in white and light blue floss-silk. French, 17th century. 9 feet 9
inches by 1 foot 9 inches.
This specimen well shows the way in which such strips for
pilasters were wrought. At first the green velvet seems the
ground, which, however, is of amber yellow silk, but the
velvet is so cut out and sewed on as to give the vases and
their flowers the right form, and sometimes is made to
come in as foliage. The flowers, mostly fleurs-de-lis and
tulips, are well finished in white silk, shaded either by light
blue in the first, or pink in the second instance, where,
however, there are only five instead of six petals; and the
whole is edged in its design with yellow silk cord.
910.
AN Altar Frontal, silk and thread; ground, yellow; design, vases and
conventional artichokes, amid floriations, all in crimson silk, and
trimmed at the lower side with cut-work, in a flower pattern, of
various-coloured silks, edged with yellow cord. Italian, early 17th
century. 6 feet by 2 feet 8½ inches.
The silk in this stuff is small in comparison with the
thread, which, however, is so well covered as to be kept
quite out of sight in the pattern. The fringe, six inches in
depth, is left quite open.
911.
A BED-QUILT; ground, green silk; design, in the middle the goddess
Flora, around her large flowers and branches, amid which are birds
(doves?), and hares climbing up the boughs, all in floss-silk of very
showy colours, with a deep border of flowers, worked upon dark net.
Italian, 18th century. 8 feet 3 inches by 6 feet.
Such coverlets were, as they still are, used for throwing
over beds in the day-time. The flowers, both on the silk
and the netting, are so embroidered as to show the same,
like East Indian needlework, on both sides. The love for
lively colour, not to say garishness, was such as to lead
the hand that wrought this piece to render the branches
of some of the parts parti-coloured in white and crimson.
Other specimens of embroidered net may be seen at Nos.
623, 624, 4462.
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