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Mental Retardation

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MENTAL RETARDATION

DEFINISI
Mental retardation refers to significantly subaverage general intellectual functioning resulting in or associated with deficits in adaptive behavior, and manifested during the developmental period (Grossman, 1983)

KLASIFIKASI

Sistem AAMR
- Mild retardation (IQ 50 – 55 s/d 70)
- Moderate retardation (IQ 35-40 s/d 50-55)
- Severe retardation (IQ 20 – 25 s/d 35-40)
- Profound retardation (dibawah 20 - 25)

Sistem Pendidikan
- Educable Mentally Retarded (Kategori mild atau dengan IQ 50 s/d 70 - 75)
- Trainable Mentally Retarded (Kategori moderate atau dengan IQ 25 – 50)

Sistem AAMR – 1992
• Intermittent : anak membutuhkan bimbingan dalam jangka pendek, hanya pada masa transisi
• Limitted : anak membutuhkan bimbingan secara konsisten namun tidak intensif
• Extensive : anak membutuhkan bimbingan secara reguler dengan waktu yang tidak terbatas
• Pervasive : anak membutuhkan bimbingan dengan intensitas yang sangat tinggi dan melibatkan banyak pihak

KARAKTERISTIK

Karakteristik Kognitif
- Rentang perhatian rendah
- Daya ingat rendah
- Mengalami hambatan bahasa
- Prestasi akademik rendah

Karakteristik Kepribadian
- Outer-directed
- External locus of control
- Kemampuan adaptif rendah

Karakteristik Fisik (DS)

Kemampuan Adaptif (AAMD)
Bagian I (Domain Perilaku)
- Independent functioning
- Physical development
- Economic activity
- Language development
- Numbers and time
- Domestic activity
- Vocational activity
- Self direction
- Responsibility
- Socialization

Bagian II (Domain Gangguan Kepribadian dan Perilaku)
- Violent and destructive behavior
- Antisocial behavior
- Rebellious behavior
- Untrustworthy behavior
- Withdrawal
- Stereotype behavior and odd mannerisms
- Inappropriate interpersonal manners
- Unacceptable vocal habits
- Unacceptable or eccentric habits
- Self – abusive behavior
- Hyperactive tendencies
- Sexually aberrant behavior
- Psychological disturbances
- Use of medications

PENYEBAB MR * Prenatal : kelainan kromosom, gangguan metabolisme, pertumbuhan otak yang terganggu, pengaruh obat-obatan, dll. * Perinatal: proses kelahiran tidak normal * Postnatal : infeksi, benturan pada kepala, malnutrisi, keracunan, gangguan degeneratif, lingkungan yang tidak mendukung (psychosocial disadvantage).
PROGRAM PENDIDIKAN
UNTUK MR KATEGORI MILD
Tingkat Pra-sekolah
Penekanan pada readiness skills, meliputi:
• Kemampuan duduk tenang dan memperhatikan guru • Membedakan stimulus
• Mengikuti instruksi
• Pengembangan bahasa
• Koordinasi motorik kasar dan halus
• Pengembangan self-help skills
• Menjalin interaksi dengan kelompok dalam berbagai situasi
• Tingkat sekolah dasar
- Kemampuan akademis
- Classroom skills
- Basic interaction skills
- Coping Skills
- Kemampuan akademis fungsional
• Tingkat pendidikan menengah
- Kemampuan akademis
- Program transisi meliputi:
@ Daily living skills :homemaking and community life, vocational, leisure, and travel
@ Personal social skills
@ Occupational Guidance Program
- Work-study program
PROGRAM PENDIDIKAN UNTUK
MR KATEGORI MODERATE
• Tingkat Pra-sekolah
Penekanan pada pengembangan bahasa dan kesulitan tertentu yang dialami anak
• Tingkat sekolah dasar dan menengah
- Self-help skills
- Vocational skills
PROGRAM PENDIDIKAN UNTUK MR
KATEGORI SEVERELY & PROFOUNDLY
• Penekanan pada basic survival and self-help skills
• Kemampuan yang dikembangkan antara lain: sensorimotor, mobilitas dan koordinasi motorik, self-care, perkembangan bahasa, dan ketrampilan interpersonal
Metode Instruksional
Lebih banyak menggunakan pendekatan behavioral, meliputi: • Pembuatan analisis tugas
• Pengukuran secara rutin dan langsung
• Pemberian kesempatan kepada siswa untuk aktif merespon kegiatan belajar mengajar
• Pemberian feedback terhadap performansi siswa secara sistematik dan segera (langsung)
• Prosedur pengalihan pengendalian stimulus
• Penyusunan strategi untuk mengembangkan ketrampilan pada lingkungan yang berbeda

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