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An Overview of Intellectual Disability: Definition, Diagnosis, Classification, and Systems of Supports (12th ed.)
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An Overview of Intellectual Disability: Definition, Diagnosis, Classification, and Systems of Supports (12th ed.)
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An Overview of Intellectual Disability: Definition, Diagnosis, Classification, and Systems of Supports (12th ed.)
An Overview of Intellectual Disability: Definition, Diagnosis, Classification, and Systems of Supports (12th ed.)
Journal Article

An Overview of Intellectual Disability: Definition, Diagnosis, Classification, and Systems of Supports (12th ed.)

2021
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Overview
The American Association on Intellectual and Developmental Disabilities (AAIDD) has published terminology and classification manuals since 1921. Their goals over the last 100 years have been consistent: To fulfill the Association's continued responsibility to be the primary repository of intellectual disability-related research and best practices; to publish a scientific definition of intellectual disability (ID) and its assumptions based on research and one that provides a long, stable definitional history; to provide a singular focus on ID and the lives of people with ID and their families; and to communicate professional standards, ethics, and best practices regarding diagnosis, classification, and planning supports. Consistent with these historical goals, the goals of the 12th edition of the AAIDD manual (Schalock et al. 2021) are to: (a) integrate material published in the 11th edition (Schalock et al., 2010) of the AAIDD manual with post-2010 developments and historical markers; (b) develop a user-friendly manual that combines the theoretical and conceptual thoroughness of a manual with the practical aspects of a user's guide; (c) describe a systematic approach to the diagnosis, optional subgroup classification, and planning of supports for people with intellectual disability based on conceptual models, a clear rationale and purpose, and evidence-based practices; (d) combine current empirical knowledge and best practices into an integrative approach to intellectual disability; and (e) provide practice guidelines that frame best practices, increase understanding, and facilitate precise, valid, and effective decisions, recommendations, and actions. The content of the 12th edition reflects the transformation that is occurring in the field of ID. This transformation, which is occurring to various degrees internationally, is characterized by using precise terminology, incorporating a functional and holistic approach to ID, embracing the supports model and evidence-based practices, implementing outcome evaluation, empowering individuals and families, understanding better the multidimensional properties of context, and incorporating an explicit notion of professional responsibility (Schalock et al., in press). As a result of this transformation, the manual contains both modifications of previous concepts and terminology, and the addition of new terms and concepts. These modifications and additions are reflected in the definition of intellectual disability, the evidence-based approach to diagnosis and optional postdiagnosis subgroup classification, the operationalization of systems of supports, and the incorporation of an integrative approach to ID. Throughout the manual, human functioning is viewed from a systems perspective towards understanding human functioning, which includes human functioning dimensions, interactive systems of supports, and human functioning outcomes.