DUAL DIAGNOSIS DEVELOPMENTAL DISABILITY MENTAL RETARDATION Mental Retardation v Intellectual Disability: Current debate in the field Since 2001 the American Association on Mental Retardation has debated changing its name (AAMR to AAID) Intellectual Disability term used more widely in Europe International Association for the Scientific Study of Intellectual Disabilities (IASSIA)World Health Organization (WHO) Mental retardation term value as a diagnostic and specific clinical entity, entitlement programs, death penalty, etc. “Disability” is a common consistent term used across a variety of disabilities Intellectual disability does not necessary connote the developmental nature of the deficit Mental Retardation and Mental Health: Trends & Shifting Services: MR/DD are living in neighborhoods & communities, not segregated institutions Changing perspective of range & extent of psychiatric disorders in MR/DD Strain produced on both the MR & the MH systems- a messy system Use of generic & community services Needs- cross training and education, interagency collaboration & planning FEDERAL DEFINITION: DEVELOPMENTAL DISABILITIES: The term "developmental disability" means a severe, chronic disability of an individual that - (i) is attributable to a mental or physical impairment or combination of mental and physical impairments;
(ii) is manifested before the individual attains age 22; (iii) is likely to continue indefinitely; (iv) results in substantial functional limitations in 3 or more of the following areas of major life activity: (I) Self-care
(II) Receptive and expressive language
(III) Learning (IV) Mobility
(V) Self-direction (VI) Capacity for independent living (VII) Economic self-sufficiency;