1. IDID A2H©
Identification of Intellectual Disabilities Framework (Children, Young People and Adults) <ADD PRESENTER NAME> Presentation Author: Dr Mark Lovell Consultant Child and Adolescent Learning Disability Psychiatrist Middlesbrough LDCAMHS July 2017
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2. What is an Intellectual Disability?
IQ 70 or below (DSM 5), 69 or below (ICD-10)
Significant difficulties with adaptive behaviours
Levels- mild, moderate, severe, profound
A.k.a. Learning Disability
Overlaps with Learning Difficulty (mod-severe and below) - educational term
Overlaps with global developmental delay –paediatric term
Caution: US learning disability includes specific learning difficulties eg dyslexia

3. The IDID A2H©
A framework for considering whether a child, young person or adult has an Intellectual Disability
Not diagnostic in its own right
Used to assist in decision making
Long and short versions, evidence framework and parent/carer leaflet.

4. Academic What are expected attainment levels for their age (NB range)?
What is their current/past academic attainment?Levels, exams
Do they have a specific learning difficulty? Eg dyslexia, dyscalculia
Information from educational establishment (past and current)
Any specific academic skill test results?
Do/did they have a statement of educational need or EHCP? What for?

5. Behaviours of everyday living
Are there any specific standardised test results? eg ABAS, ABS, Vineland
Parental/carer report
Educational report

6. Cognitive assessments
Are there any results from standardised cognitive tests? Eg WNV, WIPPSI, WISC, WAIS, BAS, kbit2
Are there any results from more specific tests? Eg WRAML
Has a diagnosis been made already?
Were results interpretable?

7. Development
Have any standardised tests already been done?eg SOGS, Denver2, CELF, BPVS, Baileys etc
Information from Paediatrics, Physiotherapy, Occupational Therapy, Speech and Language Therapy, Health Visitor, GP, Portage?
Are there any existing diagnoses of specific or global developmental delays?

8. Development continued
Speech, language and communication
Gross motor
Fine motor
Social skills
Play skills
Behaviour
Sensory

9. Environment
Information about home setting including parenting style, stability of placement
Information about school setting, specialist provision, school attendance and peer group
Is/was the child looked after or adopted?
Information from social care including safeguarding, VEMT
Past experiences

10. Factors Mental Health Behavioural conditions eg ASD, ADHD
Physical health eg epilepsy, head injury, FASD, hearing, eyesight
Genetic conditions
Attachment
Past/present abuse

11. General Impression
With the collected information is it likely the child/adult has normal intelligence, learning difficulties or an intellectual disability?
Can anything else explain the child/adult’s presentation?
Do they have any co-morbidities?
What are their strengths and difficulties?

12. How to meet their needs
Generate a needs based plan

13. IDID A2H© resources www.ACAMH.org IDID A2H© IDID A2H© : short version
IDID A2H© : evidence framework
IDID A2H© : Parent/carer version

14. Any questions? Thank you for listening
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