\\ MERCK MANUAL Levels of Intellectual Disability 19 Ability at Preschool Level [Ogg Age(Birthiog Adaptive Skis at Schoo Age (610 20 Years) ‘Support Required at Adult Age (2s Years and Older) mB Years) ‘Some difficulty learning reading, writing, and math, Often presents as speech-language bat can learn up to about the 6th-grade level by late ‘delay eens ‘Needs guidance and assistance in complex tasks (such as : health care and legal decisions) and ding ines of mila 1Q.52-Often not diagnosed Challenges making plans and managing money “unusual social or economic stress i 69° |until later age Socal immature but canbe expected olea™ cay yyaly achieve enough social and vocational kl for Can develop social #PPropriate social skills self-support land communication |some limitation of judgment and understanding of skills risk—more easily manipulated by others With suport can progres to elementary school evel Poor socal in schoolwork ‘ares for simple personal and household need afer aseareness steed glance May lear to travel alone in familar places Moderate !@.36-|Can profit from Needs supervision and guidance managing money, 51 training in self-help Social judgment and understanding limited but can scheduling, and all but simplest daily tasks Tear some social an occupational kis ‘Can talk or learn to ‘May achieve self-support by doing unskilled or semiskilled communicate Mayhavesucesflfrendshipsand romantic workin supportive environment relationships Can alk earn to communicate about simple, everyday events and learn simple health habits Able to learn some ‘Can develop some useful self-protection skills in seithelpskils Lite understanding of written language, numbers, Can develop some useful Severe 128° Haine apesey Requires support forall aly tasks although may skills Benefits from habit training, ‘contribute partially to self-care under complete Ccan saya few words Usually successful relationships with family members |S4pervision and falar others but sometimes maladaptive behavior Cnlading slurs) May neo musing cared to imited seltcareskll Limited understanding of speech or gest a9 communicates manly nonverbal epee profound {2'9 [Extemecognitve soliton Enjoys company of well-known familyand ate 4 hay yer ited partiipation in selecare Often sensory ‘and or physical impairments| ‘but sensory and physical impairments often limit social activities or subcary of Merck Co, Ie. Kenworth MUSA