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Measuring Adaptive Behavior

Measuring Adaptive Behavior. Antonio E. Puente, Ph.D. University of North Carolina Wilmington NOSSCR 05.12.2011. Diagnosing Mental Retardation. IQ = Approximately 70 or below (lower 2 % of population) Concurrent Deficits in Adaptive Functioning Onset Before the Age of 18.

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Measuring Adaptive Behavior

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  1. Measuring Adaptive Behavior Antonio E. Puente, Ph.D. University of North Carolina Wilmington NOSSCR 05.12.2011

  2. Diagnosing Mental Retardation • IQ = Approximately 70 or below (lower 2 % of population) • Concurrent Deficits in Adaptive Functioning • Onset Before the Age of 18

  3. AAMR & Adaptive Deficits • Collection of Conceptual, Social and Practical Skills • To Function in Everyday Lives

  4. ApA & Adaptive Deficits • Ability to Cope With Everyday Demands • How They Meet Standards of Personal Independence • Expected for Their Age Group, Socio-cultural Background & Community Settings

  5. A Deconstructed Definition • Independent Functioning • Physical Development • Self-Direction • Personality Responsibility • Vocational Activity • Functional Skills • Social Skills

  6. Difference Between Intellectual & Adaptive Skills • Adaptive: What it is… • Intellectual: What can be…

  7. Measuring of Adaptive Deficits: Basics • Communication • Self-Care • Home Living • Social Skills • Community Use • Self-Direction • Health & Safety • Functional Academics • Leisure • Work (2 of 10)

  8. Measuring of Adaptive Deficits: Challenges • Retrospective Analyses • Completer of Form • Normative Data Set • Intended Use for These Scales

  9. Measurement of Adaptive Deficits:Scales • Vineland • Adaptive Behavior Assessment System • AAMR Adaptive Behavior Scales • Scales of Independent Living • Comprehensive Test of Independent Living

  10. Case Illustration: Procedure • Interview • 2 (2 hrs) • Collateral • Testing • 2 (10 hrs) • Neuropsychological, Intellectual & Achievement • Review of Records • Individual (school and medical) • Family

  11. IQ Scores • WAIS: 64 • BETA: 58 • CTONI: 56

  12. Adaptive Deficits • Communication • Tests (Woodcock) • Other (work performance) • Self-Care • Tests (Category) • Other (self-dressing and hygiene) • Home Living • Tests (WCST) • Other (eating)

  13. More Adaptive Deficits • Work • Tests (WAIS; e.g., math) • Other (work history) • Community Use • Tests (WAIS) • Other (health care providers) • Social Skills • Tests (behavior exemplified) • Other (no relationship, even with parents)

  14. Additional Adaptive Deficits • Functional Academics • Tests (IQ tests) • Other (school transcripts & collateral interviews)

  15. Summary: Required • Useful for: • Mental Retardation Diagnosis • Part B of Mental Impairment Listings • Requirement • Reliable • Congruent • Valid • Scientific

  16. Summary: Suggestions • Testing (neuropsych, IQ, adaptive) • Collateral Interviews • Affidavits • Records • Place Client in a Socio-Historical-Cultural Context

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