<CLICK
HERE> to download a PDF of the information below
Definitions
of developmental disability (mental retardation) and levels of disability
- Definition of “Adaptive Behavior”
These
are the definitions used by experts in the U.S. and internationally.
The Texas Department of Aging and Disability Services follows the standards
in the DSM.
Sources:
1. United Nations/ World Health Organization/ International Statistical
Classification of Diseases and Related Health Problems/ 10th Revision/
2007 (WHO)
2. American Psychiatric Association/ Diagnostic and Statistical Manual
of Mental Disorders, 4th Edition (DSM-IV)
Definition
of Mental retardation:
(WHO): A condition of
arrested or incomplete development of the mind, which is especially
characterized by impairment of skills manifested during the developmental
period, skills which contribute to the overall level of intelligence,
i.e. cognitive, language, motor, and social abilities. Retardation can
occur with or without any other mental or physical condition.
(DSM): The DSM lists three
criteria considered necessary for a diagnoses of developmental disability:
1) an IQ below 70; 2) significant limitations in two or more areas of
adaptive behavior (i.e., ability to function at age level in an ordinary
environment); 3) evidence that the limitations became apparent in childhood.
Definitions of levels
of mental retardation (WHO, DSM)
Mild
mental retardation
(WHO) Approximate IQ range of 50 to 69 (in adults,
mental age from 9 to under 12 years). Likely to result in some learning
difficulties in school. Many adults will be able to work and maintain
good social relationships and contribute to society.
(DSM) IQ level 50 – 55 to 70. About 85% of population
identified as having developmental disability or delay.
Moderate
mental retardation:
(WHO) Approximate IQ range of 35 to 49 (in adults,
mental age from 6 to under 9 years). Likely to result in marked developmental
delays in childhood but most can learn to develop some degree of independence
in self-care and acquire adequate communication and academic skills.
Adults will need varying degrees of support to live and work in the
community.
(DSM) IQ level 35 – 49to 50-55. About 10% of
population identified as having developmental disability or delay.
Severe mental retardation:
(WHO) Approximate IQ range of 20 to 34 (in adults,
mental age from 3 to under 6 years). Likely to result in continuous
need of support.
(DSM) IQ level 20-25 to 35-40. About 3% to 4% of population
identified as having developmental disability or delay.
Profound mental retardation:
(WHO) IQ under 20 (in adults, mental age below 3 years). Results
in severe limitation in self-care, continence, communication and mobility
(DSM) IQ level below 20 or 25. About 1% to 2% of population
identified as having developmental disability or delay
Note: Many experts in the United States no longer use the term
“mental retardation,” and many have replaced it with “developmental
disability” or “developmental delay.” The World Health
Organization and the American Psychiatric Association continue to use
the term “mental retardation”.
Definition of Adaptive
Behavior
Adaptive behavior is the collection of conceptual, social,
and practical skills that people have learned so they can function in
their everyday lives. Significant limitations in adaptive behavior impact
a person's daily life and affect the ability to respond to a particular
situation or to the environment.
Limitations in adaptive behavior can be determined by
using standardized tests that are normed on the general population including
people with disabilities and people without disabilities. On these standardized
measures, significant limitations in adaptive behavior are operationally
defined as performance that is at least 2 standard deviations below the
mean of either (a) one of the following three types of adaptive behavior:
conceptual, social, or practical, or (b) an overall score on a standardized
measure of conceptual, social, and practical skills.
(Source for adaptive behavior information: (American Association
on Intellectual and Developmental Disabilities (AAIDD)) |