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Considerations for Improving the Korean Guidelines for Disability Severity Determination: Focusing on Developmental Disabilities(Intellectual Developmental Disorder and Autism Spectrum Disorder)

Abstract

We reviewed the current paradigm and issues around the Korean disability registration policy, service contents, as well as the determination guidelines, including the appropriate use of the psychological measures and comparison of diagnostic systems (i.e., DSM and ICD). Subsequently, we discussed three tenets to ensure the validity and reliability of the disability determination procedures: First, it is critical to follow diagnostic guidelines given by the latest editions of the diagnostic systems. Second, evidence-based psychological and comprehensive assessments should integrate multiple sources of information, which can maximize clinical judgment for differential diagnoses. Third, the assessment of the disability service provision, which includes administration and interpretation of psychological tests, should be carried out by qualified professionals, and the qualification requirements need to be specified more clearly. We expect this article could encourage clinical psychologists’ active involvement in the practice and research for the Korean developmental disability determination process.

keywords
장애정도 판정, 발달장애, 지적장애, 자폐, 근거기반 심리평가, disability severity determination, developmental disorder, intellectual developmental disorder, autism, evidence-based psychological assessment

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