A wide range of environmental affect intelligence and mental retardation. B
iological risk factors for mental retardation include malnutrition; exposur
e to toxins such as lead, alcohol, and PCBs, and being born at LBW. Social
influences from homes, schools, and cultures are related to intelligence an
d mental retardation although the direction of Effect is difficult to deter
mine. Randomized early intervention studies with children in poverty provid
e the best data showing that increased intelligence and adaptive behavior i
s possible, although significant and sustained effects only result from int
ensive services of long-term duration.