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Intellectual Disability in Children
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Slides CPandID Pediatrics.pdf
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00:01 Intellectual disability is a different phenomenon. 00:04 Let's focus in on that one too. 00:07 Intellectual disability is any significantly impaired cognitive functioning. 00:12 It is no longer called mental retardation. 00:16 We use to call both cerebral palsy and mental retardation MRCP. 00:22 We try to avoid that phrase because people with intellectual disability may find that a pejorative or an unpleasant thing to say. 00:31 In fact, President Obama signed Rosa's Law which officially renamed the condition in the United States from mental retardation to Intellectual disability. 00:42 So intellectual disablity affects about 2% of people. 00:47 It may be associated with genetic mutations. 00:50 The classic example wil be Down's syndrome. 00:52 Where all people with Down syndrome except perhaps some mosaic individuals will be affected by some degree of intellectual disability. 01:01 But more than half of cases there really is no identifiable causes to why intellectual disability has occured. It simply has. 01:12 So, when we are measuring mental disablity, we often use the IQ score. 01:18 Remember than the average person has an IQ score of 100. 01:23 Mild intellectual disability is classified with an IQ score between 50-69. 01:31 Moderate if it's 35-49, and severe if it's 20-34, and profound if it's less than 20. 01:41 So intellectual disability is generally managed through intense cognitive therapy. 01:50 Remember, that children who are having trouble in school have the right to an individualized learning plan, which can help them curtail their education to their individual learning needs. 02:01 The ILP is often instigated by parents and physicians can help parents learn about how ILP's are used to improve their child's outcomes. 02:14 There are special schools available for children with more intensive cognitive therapy. 02:18 But the state needs to be educating all children regardless of their intellectual capacity. 02:24 It's important to work on social skill building. 02:28 We can't just think about cognitive outcomes in terms of being able to do math, reading problems like that. 02:36 We have to help these chidren develop social skills because being inherently social is being inherently human. 02:43 And again, don't forget about the individualized learning plan, that is very important for these children. 02:49 That is a brief summary of Cerebral Palsy and Intellectual disability. 02:53 Thanks for your attention.
About the Lecture
The lecture Intellectual Disability in Children by Brian Alverson, MD is from the course Pediatric Neurology. It contains the following chapters:
- Intellectual Disability
- Diagnosis of Intellectual Disability
- Management of Intellectual Disability
Included Quiz Questions
Which of the following is TRUE about intellectual disability?
- Half of the cases have no identifiable cause.
- It is usually associated with a genetic mutation, like Trisomy 18.
- A patient with an IQ score of 70 has a moderate intellectual disability.
- Patients should receive drug therapy.
- Technically, the condition is called mental retardation
Which of the following is a management option for intellectual disability?
- Intense cognitive therapy
- Cognitive behavioural therapy
- Biofeedback
- Group therapy
- Motivational interviewing
Which of the following is the most appropriate diagnosis for a child with an IQ score of 30?
- Severe intellectual disability
- Mild intellectual disability
- Moderate intellectual disability
- Profound intellectual disability
- Mental retardation
Author of lecture Intellectual Disability in Children
Brian Alverson, MD
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An important topic that does not get much attention. Thank you!
