Assessment and Management of ID in Childhood

Intellectual disability is a neurodevelopment disorder that affects the intellectual and adaptive functioning. The individual fails to meet standards of personal independence and social responsibility in one or more aspects of daily life, including communication, social participation, academic or occupational functioning, and personal independence at home or in community settings. There is an immense need to understand and be aware of the signs and symptoms of the disorder. This chapter focuses on the process of the assessment which is necessary to identify intellectual deficiency and also the issues that should be taken care of during the process. The various principles and tools of assessment, which can be used to measure IQ, are mentioned. It also focuses on the various challenging behaviors and functional analysis. It also focuses on recent and efficient management strategies that can be used to help the affected person cope and acquire new skills.

Reflecting on Crime and Legal Issues in People With Intellectual Disabilities

This chapter discusses research findings on intellectual disability (ID), criminal law, and the different forms of aggressive behavior such as sexual violence, homicide, theft, arson, and alcohol-drug abuse. ID is a generalized neurodevelopmental disorder, characterized by significantly impaired and varying intellectual-adaptive functioning. Given that a number of legal issues have been raised over the past decades regarding individuals with ID and civil as well as criminal law, particular attention will also be given to neuropsychological research regarding civil law and the most common problems for individuals with ID, such as financial capacity and capacity for medical consent. Finally, there will be a section for the most important issues regarding the trial and conviction for individuals with ID, and a presentation of a research on attitudes toward ID and legal issues. The chapter concludes with suggestions for reform of the law relating to ID and the need for further research.

Awareness Towards Intervention for Individuals With Intellectual Disability

Intellectual disability is sub-average intellectual functioning with impaired adaptive functioning. The limitations in their adaptive skill hampers the ability to cope with stressful life events. There are many issues which require attention while dealing with them like parental level, peer groups, schools, presence of comorbid conditions, etc. Interventions at right stage under efficient supervision can lead to healthy and smooth functioning of cases with ID and with good outcomes. Difficulties like lack of human resources, quality training of clinical psychologists in India, scarcity of effective clinical guidelines, conflicts among the team approach, acceptance in the family and society requires attention in current scenario. There are many things that can be offered but what we need is their acceptance in our society and awareness towards Intervention. This chapter aims at acknowledging these issues to create awareness amongst the responsible caregivers. Timely recognition of treatable causes of intellectual disability can be very rewarding and prevent a lifelong disability.

Parent-Mediated Interventions for Children and Adolescents With Autism Spectrum Disorders: A Systematic Review and Meta-Analysis

There has been increasing interest in parent-mediated interventions (PMIs) for children with autism spectrum disorders (ASDs). The objective of this systematic review and meta-analysis was to examine the effect of PMIs compared to no PMI for children with ASD aged 2–17 years. The primary outcome was adaptive functioning rated by a parent or clinician. The secondary outcomes were long-term adaptive functioning rated by the parents, adverse events, core symptoms of ASD, disruptive behavior, parental well-being, quality of life of the child rated by the parents and anxiety. The MEDLINE, PsycInfo, Embase, and CINAHL databases were searched in March 2020. The Cochrane Risk of Bias Tool was used to rate the individual studies, and the certainty in the evidence was evaluated using GRADE. We identified 30 relevant randomized controlled trials (RCTs), including 1,934 participants. A clinically relevant effect of PMIs on parent-rated adaptive functioning was found with a low certainty of evidence [Standard mean difference (SMD): 0.28 (95% CI: −0.01, 0.57)] on Vineland Adaptive Behavior Scales (VABS), whereas no clinically relevant effect was seen for clinician-rated functional level, with a very low certainty of evidence [SMD on Clinical Global Impressions (CGI)-severity scale: SMD −0.45 [95% CI: −0.87, −0.03)]. PMIs may slightly improve clinician-rated autism core symptoms [SMD: −0.35 (95% CI: −0.71, 0.02)]. Additionally, no effect of PMIs on parent-rated core symptoms of ASD, parental well-being or adverse effects was identified, all with a low certainty of evidence. There was a moderate certainty of evidence for a clinically relevant effect on disruptive behavior [SMD: 0.55 (95% Cl: 0.36, 0.74)]. The certainty in the evidence was downgraded due to serious risk of bias, lack of blinding, and serious risk of imprecision due to few participants included in meta-analyses. The present findings suggest that clinicians may consider introducing PMIs to children with ASD, but more high-quality RCTs are needed because the effects are not well-established, and the results are likely to change with future studies. The protocol for the systematic review is registered at the Danish Health Authority website (www.sst.dk).

Effects of a physical exercise program on the quality of life in individuals with intellectual disability: systematic review

Review question / Objective: The objective of the present study is, through the methodology of systematic review, to identify the benefits in QoL, starting from a PE program in individuals with ID and relate them to the model of Schalock et al. (2002). Condition being studied: In individuals with ID, characterized by a deficit of intellectual and adaptive functioning in the conceptual, social and practical domains, identified with mild, moderate, severe and profound degrees and develops before 18 or 22 years old (American Psychiatric Association, 2013; Schalock et al., 2010; 2021), measuring QoL allows: i) to understand their degree of satisfaction; ii) understand personal perceptions; iii) support decision-making; iv) evaluate the intervention; v) evaluate theoretical models. This measurement allows us to direct the individual to the life he likes and values (Schalock & Verdugo, 2002). Thus, the objective of the present study is, through the methodology of systematic review, to identify the benefits in QoL, starting from a PE program in individuals with ID and relate them to the model of Schalock et al. (2002).

Emotional Intelligence and Day-To-Day Emotion Regulation Processes: Examining Motives for Social Sharing

There is growing interest in the emotion regulation processes that underlie the adaptive functioning of emotionally intelligent individuals. This study uses experience sampling to examine whether the emotional intelligence (EI) of undergraduate students (N = 84) relates to their day-to-day use of five emotion regulation processes over a five-day period. We also test whether EI predicts motives for one of the emotion regulation processes (social sharing). We measure both ability EI (the brief Situational Test of Emotion Management) and self-rated EI (the Self-Rated Emotional Intelligence Scale). Self-rated EI significantly predicts more social sharing, direct situation modification and reappraisal. Ability EI does not significantly predict any of the five regulation processes. Both ability and self-rated EI are significantly related to greater bonding and relief motives for social sharing. Self-rated EI is also related to recovery motives. These results suggest that it is the self-beliefs about one’s emotional abilities, rather than emotion knowledge, which influence the emotion regulation processes people use in daily life.