Podcast
Questions and Answers
Which factor most significantly complicates the formation of successful friendships for individuals with intellectual disabilities?
Which factor most significantly complicates the formation of successful friendships for individuals with intellectual disabilities?
- A lack of interest in social interaction.
- Difficulties in social judgment and decision-making. (correct)
- Superior emotional regulation skills.
- An advanced understanding of social norms.
What is a primary challenge in diagnosing intellectual disability (ID) in children under 5 years of age?
What is a primary challenge in diagnosing intellectual disability (ID) in children under 5 years of age?
- The presence of advanced cognitive abilities.
- A lack of observable behavioral patterns.
- The absence of standardized testing methods.
- The unreliability of assessment due to their developmental stage. (correct)
Why is the 'Unspecified Intellectual Disability' classification used only in exceptional circumstances?
Why is the 'Unspecified Intellectual Disability' classification used only in exceptional circumstances?
- Because it is the most frequently used and widely accepted diagnosis.
- Because it provides a definitive diagnosis without need for re-evaluation.
- Because it is only used when sensory or physical impairments make accurate assessment impossible. (correct)
- Because it indicates a mild form of intellectual disability easily addressed with early intervention.
What distinguishes 'Global Developmental Delay' from 'Unspecified Intellectual Disability' in the context of diagnosis?
What distinguishes 'Global Developmental Delay' from 'Unspecified Intellectual Disability' in the context of diagnosis?
Which of the following recreational skills would typically require additional support and learning opportunities for individuals with intellectual disabilities?
Which of the following recreational skills would typically require additional support and learning opportunities for individuals with intellectual disabilities?
How does the presence of maladaptive behavior impact individuals with intellectual disabilities?
How does the presence of maladaptive behavior impact individuals with intellectual disabilities?
Beyond academic struggles, what specific challenges do individuals with intellectual disabilities often face in daily practical skills?
Beyond academic struggles, what specific challenges do individuals with intellectual disabilities often face in daily practical skills?
What is the primary reason for re-evaluating individuals diagnosed with 'Global Developmental Delay' or 'Unspecified Intellectual Disability' after a period of time?
What is the primary reason for re-evaluating individuals diagnosed with 'Global Developmental Delay' or 'Unspecified Intellectual Disability' after a period of time?
A child is presented with an incomplete matrix and asked to select the missing piece that completes the pattern. Which subtest of the WISC-V is being administered?
A child is presented with an incomplete matrix and asked to select the missing piece that completes the pattern. Which subtest of the WISC-V is being administered?
Which cognitive abilities are most essential for success on the Fluid Reasoning Index (FRI) of the WISC-V?
Which cognitive abilities are most essential for success on the Fluid Reasoning Index (FRI) of the WISC-V?
A student consistently struggles with tasks requiring the identification of underlying patterns and the application of rules. Based on this, which primary index scale of the WISC-V would be most relevant to assess?
A student consistently struggles with tasks requiring the identification of underlying patterns and the application of rules. Based on this, which primary index scale of the WISC-V would be most relevant to assess?
A child is required to use two-colored blocks to recreate a design viewed from a model. Which primary index scale is being assessed?
A child is required to use two-colored blocks to recreate a design viewed from a model. Which primary index scale is being assessed?
Which of the following cognitive processes is LEAST directly assessed by the Visual Spatial Index (VSI) of the WISC-V?
Which of the following cognitive processes is LEAST directly assessed by the Visual Spatial Index (VSI) of the WISC-V?
A student excels at replicating block designs and solving visual puzzles but struggles with identifying patterns in abstract matrices. Which of the index scores would likely be significantly higher than the other?
A student excels at replicating block designs and solving visual puzzles but struggles with identifying patterns in abstract matrices. Which of the index scores would likely be significantly higher than the other?
What is the primary distinction between the Block Design (BD) and Matrix Reasoning (MR) subtests in terms of the cognitive skills they assess?
What is the primary distinction between the Block Design (BD) and Matrix Reasoning (MR) subtests in terms of the cognitive skills they assess?
A psychologist is evaluating a child with suspected learning difficulties and decides to administer the WISC-V. If the psychologist is particularly interested in assessing the child's ability to understand visual-spatial relationships and construct geometric designs, which primary index scale should they focus on?
A psychologist is evaluating a child with suspected learning difficulties and decides to administer the WISC-V. If the psychologist is particularly interested in assessing the child's ability to understand visual-spatial relationships and construct geometric designs, which primary index scale should they focus on?
Which scenario primarily relies on implicit memory?
Which scenario primarily relies on implicit memory?
What type of memory is most directly involved in recalling the specific details of your high school graduation ceremony, including the emotions you felt and the people you interacted with?
What type of memory is most directly involved in recalling the specific details of your high school graduation ceremony, including the emotions you felt and the people you interacted with?
A student is asked to solve a complex algebraic equation mentally. Which type of memory is MOST crucial for holding the intermediate steps and manipulating them to find the solution?
A student is asked to solve a complex algebraic equation mentally. Which type of memory is MOST crucial for holding the intermediate steps and manipulating them to find the solution?
A child is asked to repeat a series of numbers, both forward and backward. According to the information, which assessment tool and specific subtest is being used?
A child is asked to repeat a series of numbers, both forward and backward. According to the information, which assessment tool and specific subtest is being used?
Which of the following is the BEST example of semantic memory?
Which of the following is the BEST example of semantic memory?
Executive function, as described, encompasses several interrelated abilities. Which of the following scenarios BEST exemplifies the use of executive functions?
Executive function, as described, encompasses several interrelated abilities. Which of the following scenarios BEST exemplifies the use of executive functions?
A researcher is evaluating a patient's ability to plan and organize a complex task. Which cognitive domain is the researcher MOST likely assessing?
A researcher is evaluating a patient's ability to plan and organize a complex task. Which cognitive domain is the researcher MOST likely assessing?
A student is struggling to remember details from a chapter they read for a history class. If the primary issue is with storing the information for later recall (beyond a few minutes), which memory system is MOST likely impaired?
A student is struggling to remember details from a chapter they read for a history class. If the primary issue is with storing the information for later recall (beyond a few minutes), which memory system is MOST likely impaired?
Which cognitive ability is primarily assessed when a participant is asked to identify the missing element in a pattern of pictures or designs?
Which cognitive ability is primarily assessed when a participant is asked to identify the missing element in a pattern of pictures or designs?
A child scores significantly lower on the WISC-V's Fluid Reasoning Index compared to their Verbal Comprehension Index. What might this discrepancy suggest?
A child scores significantly lower on the WISC-V's Fluid Reasoning Index compared to their Verbal Comprehension Index. What might this discrepancy suggest?
What is the most suitable application of the Wechsler Nonverbal Scale of Ability (WNV) for a 5-year-old child?
What is the most suitable application of the Wechsler Nonverbal Scale of Ability (WNV) for a 5-year-old child?
How do the FSIQ, Primary Index Scores, and Ancillary Index Scores of the WPPSI-IV collectively contribute to a comprehensive understanding of a child's cognitive profile?
How do the FSIQ, Primary Index Scores, and Ancillary Index Scores of the WPPSI-IV collectively contribute to a comprehensive understanding of a child's cognitive profile?
A researcher aims to assess the cognitive abilities of children from diverse cultural backgrounds with minimal linguistic bias. Which assessment tool would be most appropriate?
A researcher aims to assess the cognitive abilities of children from diverse cultural backgrounds with minimal linguistic bias. Which assessment tool would be most appropriate?
What implications might arise if the WISC-V is administered to a child outside of the standardized age range, and how should these be addressed?
What implications might arise if the WISC-V is administered to a child outside of the standardized age range, and how should these be addressed?
What distinguishes the Wechsler Nonverbal Scale of Ability (WNV) from other Wechsler scales, such as the WISC-V and WPPSI, in assessing intellectual functioning?
What distinguishes the Wechsler Nonverbal Scale of Ability (WNV) from other Wechsler scales, such as the WISC-V and WPPSI, in assessing intellectual functioning?
If a 4-year-old child taking the WPPSI-IV completes the Core Subtests in 25 minutes, how should this impact the interpretation of the results, if at all?
If a 4-year-old child taking the WPPSI-IV completes the Core Subtests in 25 minutes, how should this impact the interpretation of the results, if at all?
Which of the following accurately describes a core principle of Ayres Sensory Integration (ASI) therapy?
Which of the following accurately describes a core principle of Ayres Sensory Integration (ASI) therapy?
What differentiates Ayres Sensory Integration (ASI) from other sensory-based interventions?
What differentiates Ayres Sensory Integration (ASI) from other sensory-based interventions?
What is a key characteristic of the activities used in Ayres Sensory Integration (ASI)?
What is a key characteristic of the activities used in Ayres Sensory Integration (ASI)?
A therapist is designing an intervention for a child with sensory processing challenges. Which approach would be MOST aligned with the principles of Ayres Sensory Integration (ASI)?
A therapist is designing an intervention for a child with sensory processing challenges. Which approach would be MOST aligned with the principles of Ayres Sensory Integration (ASI)?
Which statement accurately reflects the role of specialized equipment in Ayres Sensory Integration (ASI)?
Which statement accurately reflects the role of specialized equipment in Ayres Sensory Integration (ASI)?
Why is it important to differentiate Ayres Sensory Integration (ASI) from other sensory-based interventions?
Why is it important to differentiate Ayres Sensory Integration (ASI) from other sensory-based interventions?
According to current evidence, which of the following sensory-based interventions has sufficient empirical support?
According to current evidence, which of the following sensory-based interventions has sufficient empirical support?
Which of the following is NOT a defining characteristic of Ayres Sensory Integration (ASI)?
Which of the following is NOT a defining characteristic of Ayres Sensory Integration (ASI)?
Which of the following considerations is MOST crucial when selecting a phonological awareness subtest for a 6-year-old with Down syndrome and articulation difficulties, like Tom?
Which of the following considerations is MOST crucial when selecting a phonological awareness subtest for a 6-year-old with Down syndrome and articulation difficulties, like Tom?
What is the primary distinction between the Adaptive Behavior Assessment System (ABAS-II) and the Diagnostic Adaptive Behavior Scale (DABS) in assessing adaptive functioning?
What is the primary distinction between the Adaptive Behavior Assessment System (ABAS-II) and the Diagnostic Adaptive Behavior Scale (DABS) in assessing adaptive functioning?
A clinician is evaluating a child with suspected intellectual disability. According to the information, what four key areas should the assessment encompass?
A clinician is evaluating a child with suspected intellectual disability. According to the information, what four key areas should the assessment encompass?
Which of the following scenarios would MOST necessitate the use of a hetero-informed adaptive behavior assessment, such as the Diagnostic Adaptive Behavior Scale (DABS)?
Which of the following scenarios would MOST necessitate the use of a hetero-informed adaptive behavior assessment, such as the Diagnostic Adaptive Behavior Scale (DABS)?
When interpreting the results of an adaptive behavior assessment, what is the MOST important consideration for determining the level of support needed by an individual with intellectual disability?
When interpreting the results of an adaptive behavior assessment, what is the MOST important consideration for determining the level of support needed by an individual with intellectual disability?
A researcher aims to investigate the correlation between specific cognitive processes and adaptive functioning in adolescents with Down syndrome. Which assessment approach would provide the MOST comprehensive data for this study?
A researcher aims to investigate the correlation between specific cognitive processes and adaptive functioning in adolescents with Down syndrome. Which assessment approach would provide the MOST comprehensive data for this study?
How do the described assessment instruments account for the varied presentations of adaptive behavior across different age groups?
How do the described assessment instruments account for the varied presentations of adaptive behavior across different age groups?
What is the MOST appropriate initial step when using assessment instruments for individuals with intellectual disabilities?
What is the MOST appropriate initial step when using assessment instruments for individuals with intellectual disabilities?
Flashcards
Intellectual Developmental Disorder
Intellectual Developmental Disorder
A diagnosis indicating significant limitations in intellectual functioning and adaptive behavior.
Global Developmental Delay
Global Developmental Delay
A diagnosis for children under 5 with delays preventing reliable assessment of development.
Unspecified Intellectual Disability
Unspecified Intellectual Disability
A category for individuals over 5 when assessing ID is challenging due to other impairments.
Maladaptive Behavior
Maladaptive Behavior
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Social Judgment Skills
Social Judgment Skills
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Decision-Making Abilities
Decision-Making Abilities
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Progress in Academic Skills
Progress in Academic Skills
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Support and Learning Opportunities
Support and Learning Opportunities
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Implicit Memory
Implicit Memory
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Explicit Memory
Explicit Memory
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Episodic Memory
Episodic Memory
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Semantic Memory
Semantic Memory
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Short-term Memory
Short-term Memory
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Working Memory
Working Memory
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NEPSY-II
NEPSY-II
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Executive Function
Executive Function
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Pattern Completion Task
Pattern Completion Task
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Kaufman Brief Intelligence Test (KBIT)
Kaufman Brief Intelligence Test (KBIT)
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Wechsler Preschool and Primary Scale of Intelligence (WPPSI)
Wechsler Preschool and Primary Scale of Intelligence (WPPSI)
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Wechsler Nonverbal Scale of Ability (WNV)
Wechsler Nonverbal Scale of Ability (WNV)
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Wechsler Intelligence Scale For Children (WISC-V)
Wechsler Intelligence Scale For Children (WISC-V)
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Age Range for WPPSI
Age Range for WPPSI
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Administration Method
Administration Method
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Completion Time for Core Subtests
Completion Time for Core Subtests
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WISC-V
WISC-V
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Visual Spatial Index (VSI)
Visual Spatial Index (VSI)
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Block Design (BD)
Block Design (BD)
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Visual Puzzles (VP)
Visual Puzzles (VP)
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Fluid Reasoning Index (FRI)
Fluid Reasoning Index (FRI)
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Matrix Reasoning (MR)
Matrix Reasoning (MR)
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Inductive Reasoning
Inductive Reasoning
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Quantitative Reasoning
Quantitative Reasoning
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Ayres Sensory Integration (ASI)
Ayres Sensory Integration (ASI)
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Sensory Information Types
Sensory Information Types
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Just Right Challenges
Just Right Challenges
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Adaptive Behavior
Adaptive Behavior
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Therapists Implementing ASI
Therapists Implementing ASI
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Evidence-Based Practice
Evidence-Based Practice
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Sensory Diets
Sensory Diets
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Insufficient Evidence
Insufficient Evidence
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CELF Preschool-3
CELF Preschool-3
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Phonological Awareness
Phonological Awareness
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Articulation Problem
Articulation Problem
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ABAS-II
ABAS-II
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Diagnostic Adaptive Behavior Scale (DABS)
Diagnostic Adaptive Behavior Scale (DABS)
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Diagnostic Assessment
Diagnostic Assessment
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Support Intensity
Support Intensity
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Study Notes
Unit 01 - Intellectual Disability
- Intellectual Disability (ID) is a neurodevelopmental disorder impacting overall cognitive functioning, including reasoning, problem-solving, learning, and social behavior.
- ID compromises the ability to function independently in various aspects of life.
- Originated during the developmental period.
DSM-5 Chapters and Sequence
- The DSM-5 classifies mental disorders into several chapters and subcategories.
- Disorders in the neurodevelopmental chapter include Intellectual Disabilities, Communication Disorders, Autism Spectrum Disorders, Attention-deficit/hyperactivity disorder, Specific Learning Disorder, Motor Disorders, and more.
Intellectual Disability Percentages
- Data on students with special needs in Spanish schools (2021-2022) shows:
- 42% have intellectual disability
- 40% have autism spectrum disorder
- 9% have motor disability
- 6% have hearing disability
- 3% have visual impairment
Intellectual Disability Etiology
- Genetic Factors: Fragile X syndrome, PKU, Down syndrome.
- Prenatal Issues: Fetal alcohol syndrome, maternal infections/illnesses, birth defects.
- Childhood Illnesses & Injuries: Meningitis, encephalitis, inadequate treatment of some childhood illnesses.
- Environmental Factors: Neglect in infancy, malnutrition, or abuse.
Diagnosis of Intellectual Disability
-
Mental retardation: outdated term linked to internal deficits.
-
Intellectual Disability: classification focusing on the fit between individual capabilities and the environment.
-
DSM-5-TR (2022) and ICD-11 (2019) systems provide diagnostic criteria for Intellectual Developmental Disorder.
- Key criteria include deficits in intellectual functioning (reasoning, problem-solving), adaptive functioning in conceptual, social, and practical domains; and onset during childhood.
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Levels of severity: Mild, Moderate, Severe, and Profound, based on IQ scores and adaptive function assessment.
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Global Developmental Delay (GDD): Applies to children under age 5 lacking clear assessment of severity, requiring later reassessment.
-
Unspecified Intellectual Disability (UID): Diagnosis for individuals above age 5 with sensory/physical impairments preventing precise ID assessment, requiring reevaluation.
Adaptive Behavior
- Adaptive behavior refers to learned skills used in daily life. It involves:
- conceptual skills (language, literacy, numbers)
- social skills (interpersonal skills, responsibility)
- practical skills (self-care, occupational skills, healthcare, daily living).
- Standardized tests can measure adaptive behavioral limitations.
Assessment Instruments for Intellectual Functioning
- The document lists various standardized tests for assessing intellectual functioning in children. Examples include:
- Kaufman Brief Intelligence Tests (KBIT-II)
- Wechsler Preschool and Primary Scale of Intelligence (WPPSI)
- Wechsler Nonverbal Scale of Ability (WNV™)
- Wechsler Intelligence Scale for Children, Fifth Edition (WISC-V)
Assessment Instruments (Specific Cognitive Processes)
- Perception and motor skills
- McCarthy Scales of Children's Abilities (MSCA)
- Battelle Developmental Inventory (BDI-3)
- WISC-V (Wechsler Intelligence Scale for Children-5th Ed.): used for IQ assessment, measures different cognitive areas (Verbal Comprehension, Visual-Spatial, Fluid Reasoning, Working Memory, Processing Speed) and helps determine strengths and weaknesses.
- Sensory Profile 2: for evaluating and understanding sensory differences in an individual
- Memory: Different measures like Digit Span tests (WISC-V), or delayed memory test (NEPSY-II).
- Attention & Executive Functioning: Behavior Rating Inventory of Executive Function (BRIEF) is an instrument for measuring executive functioning in children, and the Wisconsin Card Sorting Task assesses cognitive flexibility.
Assessment Instruments (Language)
- CELF-5 (Comprehensive Evaluation of Language Fundamentals)
- CELF Preschool-3: Phonological awareness subtest;
- Illinois Test of Psycholinguistic Abilities (ITPA)
- Peabody Picture Vocabulary Test (PPVT)
- PROLEC-R - Primary school: assessment of reading processes
Assessment Instruments (Adaptive Functioning)
- Adaptive Behavior Assessment System (ABAS-II)
- Diagnostic Adaptive Behavior Scale (DABS)
- Vineland Adaptive Behavior Scales-3 (Vineland-3)
- Battelle Developmental Inventory-3 (BDI-3)
- Scale of Intensity of Supports for Children and Adolescents (SIS-C)
Intervention Strategies
- Sensory Integration® & Snoezelen® rooms provide specific kinds of sensory stimulation.
- Cogmed Working Memory Training is a method to enhance working memory.
- Instrumental Enrichment Program (PEI) and Scientific Brain Training Pro are software-based programs/exercises to enhance executive functioning.
- Learning programs are tailored to an individual's specific needs and learning styles.
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Description
Examine the challenges in forming friendships and diagnosing intellectual disabilities (ID). Explore the distinctions between 'Global Developmental Delay' and 'Unspecified Intellectual Disability,' focusing on recreational and practical skills, and the impact of maladaptive behavior. Understand the circumstances for using 'Unspecified Intellectual Disability' classification.