Adaptive skills used to define and determine severity of intellectual disability

Adaptive domain	Skills
Conceptual	These skills include language, reading, and writing (literacy); money, time, and number concepts (mathematics); reasoning; memory; self-direction; and judgment in novel situations.
Social	These skills include interpersonal social communication, empathy, ability to relate to peers as friends, social problem-solving, social responsibility, and self-esteem. Gullibility, the ability to follow rules, and avoiding victimization may also be included.
Practical	These skills include activities of personal care or daily living, such as eating, dressing, mobility, and toileting. Additional skills may include following a schedule or routine, using a telephone, managing money, preparing meals, occupational skills, and abilities in transportation/travel, health care, and safety.

A diagnosis of intellectual disability (ID) requires impaired intellectual AND adaptive functioning in at least one of these domains. Impairment in ID generally affects participation in multiple settings (home, community, and/or school) and requires support. The severity of ID is defined according to the level of adaptive impairment and the level of supports needed.

Adapted from the following sources:

American Psychiatric Association. Intellectual Disability (Intellectual Developmental Disorder). In: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, American Psychiatric Association.
American Association of Intellectual and Developmental Disabilities (AAIDD), Definition of Intellectual Disability, available at: http://aaidd.org/intellectual-disability/definition (Accessed on July 17, 2018).

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Adaptive skills used to define and determine severity of intellectual disability