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Behavior Modification
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*Child Mental Health
*Developmental Disabilities
*Mental Health
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Assessing Psychopathology in Individuals with Developmental Disabilities

Karena S. Rush

Lynn G. Bowman

Shannon L. Eidman

Lisa M. Toole

Kennedy Krieger Institute, Johns Hopkins University School of Medicine

Bruce P. Mortenson

Towson University

Individuals with developmental disabilities are at high risk for developing mental health problems. The prevalence of psychopathology is approximately 4 times higher than that found in the general population. Yet there is a tendency to underdiagnose psychiatric disorders in the developmentally delayed population because of diagnostic overshadowing, the lack of appropriate diagnostic criteria, and the paucity of appropriate assessment measures. Over the past decade, there has been an emergence of scales developed specifically to screen for psychopathology in individuals with developmental disabilities. In addition, advancements have been made in observation techniques, thus facilitating the ability to objectively observe behaviors often described as internal events. Adescription of a multimethod approach to assessing psychopathology in individuals with developmental disabilities is provided incorporating the recent advancements in the field, as well as suggestions for future research.

Key Words: developmental disabilities • dual diagnosis • mental retardation • psychopathy

Behavior Modification, Vol. 28, No. 5, 621-637 (2004)
DOI: 10.1177/0145445503259830
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