ID

Question 1

IDD Cx

Answer 1

1) onset must occur during developmental period
2) another medical condition cannot fully explain deficits
3) there must be measurable impairments in intellectual and adaptive functioning

*deficit in one adaptive function domain as well and an intellectual score below 70

Question 2

Standardised test scores

Answer 2

most people sit within the 80th and 120th section

people with IDD sit below 70

Question 3

Adaptive function

Answer 3

how well a person managed everyday life and meets the demand of their environment
- used to determine severity

*need deficit in at least one domain

Conceptual (acadmic)
- skills related to reading, wiritn, time managemtn, math

social:
ability to communicate understand socila rules and form relationships

practicla
- competence in personal care, managing money, organising taskst, functioning at work or school

Question 4

IDD Prevalence

Answer 4

1-3%

2% NZ have as a primary disability

males greater than females

Question 5

ID risk factors

Answer 5

most of the time it is unknown of what cause 24% 40%

Genetic
- there are more than 450 genetic disorders associated with ID e.g down-syndrome, fragile x syndrome

adverse prenatal/postnatal environment
- FAS
- maternal infection
- hypozia, trauam

ASD

other medical conditions
- seizures, infections e.g measles

Question 6

Dx Challenges

Answer 6

not a fixed level of presentation and impairment
- changes in adaptive function and intellectual function

recognition earlier if impairment is severe of reach delayed milestones
- or presence of multiple risk factors

Question 7

What does ID look like

Answer 7

no specific features
may not be obvious

academic and learning achievement
- rate of learning, retention of learning, literacy and numeracy, learning style (relying on rote learning rather than inferential habits)

Question 8

4 areas of complex interaction

Answer 8

Cognitive
- atrneton, concentration, probklem solving

Behavioural:
social difficultuies, withdreawn, difficulty stayin gon task, sensory sensitivities

deelopmental:
- delayed milstones, coordination, language delayes

systme
- discrimination, reduced opportunities, parental stess, relationship discord, anxiety abotu future

Question 9

Comorbidity

Answer 9

Other MH problems 33-40%

Bp
Psyc D
Dementia occurs earlier

Question 10

3 developmental patterns

Answer 10

Typical development:
- young age rapidly learn, peak and then decline slightly with age

delay model (mild ID)
- increase, peak, taper (lower than typical but same pattern)

Difference model (sever ID)
- not about rate of development but more quality of development
- lower than other models but shows variation in learning

Question 11

mental age vs actual age

Answer 11

mental age = age of intellengce
actual age = biological age

e.g A 25-year-old with the “mental age” of a 15-year-old is NOT
THE SAME as a 15-year-old typically developing person

Question 12

ID and impact on parents

Answer 12

Higher rates of stress and mental health issues, financial strain

positive perceptions and benefits too

Question 13

Siblings with ID

Answer 13

differential treatment between siblings

increased maturity as they may have to do some parental type roles

Question 14

Management and support

Answer 14

Skills building, behaviour, adaptive function support, mental health support

Question 15

Enabling good lives NZ

Answer 15

Ministry for disabled people, support network, acitivites

takes strain off families and gives kids with disabilites better support and more enjoyable qol