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Services for people with intellectual disabilities in Greece can be described as versatile and based on both old and new structures, old, over‐crowded institutions co‐existing with new, alternative structures for independent living. Distinguishing features of the support system are limited financial resources, a strong orientation to medical categories in psychiatry and lack of specific services. There are still many people with intellectual disabilities being treated in mental health services. The gap in services is filled by informal networks, which face a crisis because of the increasing participation of women in the labour market. One of the major deficiencies of the present system is the lack of any sound knowledge of how many people with intellectual disabilities there are, who they are, how they cope with their disabilities and what services they use. This article gives an overview of the current situation.

The purpose of the present study was to evaluate the role of context in the identification of learning disabilities (LD) within the responsiveness-to-intervention (RTI) model. In Study 1, using a sample of students with and without LD (N=167) and data from a reading assessment, we tested whether the decision making regarding literacy disabilities is significantly different if we take into account variability within the schools and school characteristics. Initially a logistic multilevel model was fit to the data to assess prevalence rates of LD identification. The validity of these estimates was substantiated by bootstrapping the sample's parameters using 1,000 replications and by evidencing negligible bias parameters. Subsequently, the relationship between reading ability and LD identification was established by means of a multilevel model including random effects. The significant slopes linking reading to LD identification (i.e., fluency and overall reading ability ratings by teachers) were predicted by cross-level interactions involving schools' location (rural, urban, and suburban). The results of Study 1 demonstrated the moderating role of school context, as the slopes linking fluency and reading achievement to LD placement were moderated by the area in which a school was located. Study 2 was designed to present a relative discrepancy identification model by taking into account information from the school (i.e., district). Using 29 students from one district, whose writing ability was evaluated three times within the semester, comparisons were made between a specific low-ability student and the rest of his/her class. Through fitting a multilevel model in which within-student and between-student variance was assessed, Study 2 demonstrated that the specific pattern of responsiveness of a target student can be tested against the norm of his/her school district in order to have a more sensitive relative criterion of what constitutes both responsiveness and the norm. Thus, by utilizing a multilevel framework that involves school characteristics into our assessment we demonstrated that decision making is much more informative and likely more “accurate” under the RTI model. Certainly more research is needed to verify the usefulness and applicability of the proposed “relative slope-difference discrepancy model.”