The admission assessment for intellectual disability should indicate manifestations as defined in which manual?

• A. The DSM-5 must be used to label the condition
• B. Clear manifestations per DSM-5 should be indicated
• C. DSM-5 is optional
• D. DSM-4 should be used

Answer: (B)

Understanding intellectual disability requires applying DSM-5 criteria to what you document. DSM-5 defines the condition as deficits in intellectual functioning and adaptive functioning that originate during the developmental period and require supports. In an admission assessment, you should clearly describe manifestations that align with these criteria—such as below-average performance on standardized cognitive tests and noticeable difficulties in practical daily living skills, social skills, and communication that limit independent functioning.

Documenting these manifestations using DSM-5 terminology provides a consistent, up-to-date basis for diagnosis, service planning, and communication with other professionals. DSM-4 is outdated and not aligned with current practice, and the aim isn’t just labeling but accurately detailing how the individual meets DSM-5 criteria.