3.6 Role- relationship pattern Flashcards

1
Q

What is the first and most important relationship a child has

A

the one with their parent

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2
Q

Where are healthy patterns of behaviour first learned

A

in the home

then in social settings

the parent–child relationship is the one that most strongly affects emotional and behavioural functioning

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3
Q

What are the ABCDEs of strengthening parent child relationships for providers

A

A- ask questions
B- build on family strengths
C- counsel with family-centred guidance
D- develop plans for changing problematic behaviours
E- educate about positive parenting strategies

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4
Q

Concerns regarding crying, sleep, and difficult behaviours are common reasons parents come in with kids- what opportunity do these visits give providers?

A

opportunity to offer guidance and resources for parents

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5
Q

What is the strongest modifiable determinant of behavioural and emotional health in children?

A

parenting practices

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6
Q

When supporting the parents the provider should:
* help parents build ___
* accept that there are reasons for all ___
* help mitigate the impact of ___

A
  • help parents build loving responsive relationships with children (rich with interaction, predictable, emotionally responsive, and secure)
  • accept that there are reasons for all behaviours (challenging behaviours can be managed through secure relationships, loving and attentive home environment and purposeful guidance)
  • help mitigate the impact of early adverse childhood experiences (by encouraging protective factors)
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7
Q

What is the toxic stress response in early childhood

A

an adapative response to stress during childhood

can set kid on path to negative health outcome

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8
Q

What type of interviewing techniques are best when parents are presenting with concerns regarding attachment, crying, sleeping, and difficult behaviours

A

motivational interviewing

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9
Q

At what age range are crying episodes frequent and prolonged

A

2 weeks-4 months

inexplicable and inconsolable crying is developmntally normal during this time period

peaks at 6-8 weeks of age
settles by 3-4 months of age

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10
Q

How can parents best respond to crying to promote secure attachement

3

A

consistently, quickly, and warmly

Parents cannot ‘spoil’ an infant by responding with warmth and comforting whenever crying escalates or by cuddling or rocking to soothe

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11
Q

What is a first line strategy for preventing sleep issues in infants and young kids

A

parent education

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12
Q

What are good behav mod strategies for kids/infants at bedtime

infants > 6 months

2

A

controlled comforting and differential reinforcement

basically nuture desired behavs and ignore problematic behavs

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13
Q

What is positive discipline

A

guidance that teaches children appropriate behaviour rather than punishing them for inappropriate behaviour

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14
Q

What does positive discipline assume

A

children are capable with help of problem solving and self control

Positive discipline encourages parents to use ‘I’ statements such as “I don’t like it when you do that” (as opposed to “What’s wrong with you?”).

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15
Q

The aim of positive discipline is to never ___ or ___

A

never shame or punish

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16
Q

What age range in childhood is noncompliant, disruptive, or aggressive behaviour expected

A

between 2-5 years old

17
Q

Is there a role for phsyical punishment with children

A

no

At no time should parents use physical punishment—spanking, slapping, hitting—or behaviour that shames children. Disciplinary methods that are angry or violent are detrimental to both parent and child health and well-being

18
Q

Offering ___ proactively before a child loses emotional control is key to responsive, positive parenting

A

offering comfort

19
Q

How to parents and kids learn emotional competencies best

A

by staying engaged and involved during difficult interactions

20
Q

What is the first priority when discussing disciplinary concerns with parents

3

A

listen, empathize, and make sure kids are safe at home

investigate antecedants to the behav and then how parents respond

21
Q
A
22
Q

Parenting strategies that ___ then ___ are at the hearts of time-ins in positive parenting

A

connect then redirect

onnection helps move both child and adult from reactivity to receptivity and builds relationships Connective principles also involve letting go of previous, unhelpful patterns or fears, or of misinterpreting behaviour (e.g., “He’s doing it on purpose”). Parents should focus on why a behaviour may be occurring, and concentrate on their own response: what to say and how to say it. Connective strategies include communicating comfort (e.g., from below a child’s eye level, with a gentle nod or touch or an empathetic look), which can sometimes diffuse a difficult situation and ensure resolution.

23
Q

For sleep issues parents should prioritize strategies of ___ over ___

A

self soothing over night-waking prevention

24
Q

What are two important principles of redirection

A
  • wait until child and parent are emotionally ready to reengage
  • be consistent without being rigid
25
Q

FYI- REDIRECT strategy

  • Reduce words,
  • Embrace emotions,
  • Describe (without lecturing),
  • Involve the child in discipline,
  • Reframe a ‘no’ into a ‘yes’ (with conditions),
  • Emphasize the positive,
  • Creatively approach a disciplinary situation, and
  • Teach.
A
26
Q

What is the premise of time out

A

attention feeds behaviour
Stopping behaviour involves creating a break in all attention

27
Q

What is the premise of a time in

A

caregiver invites kid to sit and talk about their feelings and behaviour
emphasizes connection and comfort

28
Q

Are time outs or time ins preferred

A

time ins

still use time outs selectively in kids over 3 years old

29
Q

What is first line intervention for serious distruptive intractable child behavs

A

referral to parent management training program

early recognition is essential