Developmental Cognitive Disability (DCD)

Based on information in the Evaluation Report and the student file, the student must meet the requirements in A and B below.

A. Adaptive Behavior

The student demonstrates below-average adaptive behavior in school by a composite score at or below the 15th percentile on a nationally normed, technically adequate measure of adaptive behavior.
Adaptive behavior test name: __________
Composite score percentile: ____________
The student demonstrates below average adaptive behavior at home by a composite score at or below the 15th percentile on a nationally normed, technically adequate measure of adaptive behavior.

Adaptive behavior test name: _________
Composite score percentile: ___________

and

Documentation of needs and the level of support required in at least four of the seven adaptive behavior domains across multiple environments.

and

Is supported by both of the following:

A systematic observation
Parent input

Other sources of documentation may include checklists, classroom or work samples, interviews, criterion-referenced measures, educational history, medical history or pupil self-report.

B. General Intellectual Functioning
The student demonstrates significantly below-average general intellectual functioning as measured by an individually administered, nationally normed test of intellectual ability.
Intellectual Ability Test: _____________ Full Scale Score: _____ SD: ____

Mild-moderate range = two standard deviations below the mean (+ or – one standard error of measurement)

Severe-profound range = three standard deviations below the mean (+ or – one standard error of measurement) 

and

The student’s significantly below-average intellectual functioning is verified through:

A written summary of results from at least two systematic observations with consideration for culturally relevant information, medical and education history and at least one of the following:

Supplemental tests of specific abilities
Alternative methods of intellectual assessment
Criterion-referenced tests
Clinical interviews with family members
Observation and analysis of behavior across multiple environments

Note: DCD does not include conditions primarily due to sensory or physical impairment, traumatic brain injury, autism spectrum disorder, severe multiple impairments, cultural influences or inconsistent educational programming.

Review of Eligibility Determination
To determine compliance with eligibility determination, one of the following must be checked:

_____ The documentation supports the team decision
_____ The documentation does not support the team decision