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Child&AdolescentPsychiatricMentalHealth by
DSM-5-TRNeurodevelopmentalDisorders y
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IntellectualDisability:DiagnosticCriteria by
Intellectualdevelopmental disorder(intellectual disability) isadisorderwith onset duringthe developmentalperiod that by by by by by by by by mm
includes both intellectual and adaptivefunctioning deficits in conceptual, social, and practical domains. The following
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threecriteriamust bemet:
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A. Deficits inintellectualfunctions,suchasreasoning, problem solving,planning, abstractthinking,judgment,
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academiclearning,and learningfromexperience,confirmed by both clinicalassessmentand
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individualized, standardizedintelligencetesting.
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B. Deficits inadaptivefunctioningthatresult in failuretomeetdevelopmental and socioculturalstandards for
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personal independence andsocial responsibility. Without ongoing support, the adaptive deficitslimit
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functioning in oneormoreactivities of daily life, such as communication, social participation, and
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independent living, across multipleenvironments, such as home, school, work, and community.
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C. Onset ofintellectual and adaptivedeficits during thedevelopmental period.
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Note: Theterm intellectualdevelopmentaldisorder is used to clarify its relationship withthe WHOICD-11 classification
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system, which uses the term Disordersof Intellectual Development. Theequivalent term intellectual disabilityisplaced in
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parenthesesforcontinueduse.Themedical and researchliteratureusebothterms,whileintellectual
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disabilityis theterm incommonusebyeducational and otherprofessions,advocacygroups,and the lay public. In the
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United States,Public Law 111-256(Rosa’s Law) changed all referencesto “mentalretardation”infederal lawsto
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“intellectualdisability.”Specify currentseverity(seeTable1):F70Mild
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F71Moderate
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F72Severe m
F73Profound
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,IntellectualDisability:Table1–Severitylevelsforintellectualdisability
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, Global DevelopmentalDelay
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Thisdiagnosisis reserved forindividualsundertheage of 5yearswhen the clinicalseveritylevel cannotbe reliably
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assessed during early childhood. This category is diagnosed when an individual fails to
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milestones in several areas of intellectual
m functioning and applies to individuals who are unable undergo systematic
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assessments
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by of intellectual functioning, including children who are too young to participate standardized testing .This
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in
category requires reassessment after aperiodof time. by mm mm
3