Ch 3 Assessment and Treatment of Childhood and Adolescent Disorders

Question 1

What is the purpose of assessment?

Answer 1

Is to diagnose the nature of the problem in order that the most appropriate treatment can be selected

Question 2

What are the key steps in assessment?

Answer 2

Determining individual differences, and diagnosing signs and symptom presentations that are suggestive of the specific mental disorders

Question 3

What is the purpose of diagnosis?

Answer 3

To classify the problem within the context of other known behavioral clusters or disorders for the purpose of being able to draw on clinical knowledge regarding Etiology (cause)

Question 4

What are the three questions that guide assessment?

Answer 4

1. What is the nature of the child’s problem?
2. How should I evaluate the problem?
3. How should I intervene to correct the problem?

Question 5

What are the two main systems for classifying child and adolescent disorders?

Answer 5

1. The categorical classification system (DSM)

2. Empirical dimensional classification system (which looks at symptoms of disorders long a developmental trajectory)

Question 6

What is the Achenbach System of Empirically based Assessment (ASEBA)

Answer 6

One of the most popular rating scales used clinically and in research to identify problem behaviors in children and youth.

• Includes Parent child checklist
• Teacher rating forum
• And for youth 11-18 Youth Self-report

Question 7

T-scores have a mean of what?

Answer 7

50, and SD’s of 10

Question 8

What are Taxometric Studies?

Answer 8

Studies that determine which psychiatric disorders are typologically distinct from normal functioning

Question 9

What is Trichotillomania Disorder?

Answer 9

The need to pull-out ones hair

Question 10

What is excoriation disorder?

Answer 10

The need to pick at skin

Question 11

What is case formulation?

Answer 11

This is built as the assessment continues to identify the influences that cause and maintain the maladaptive behavior

Question 12

What is multimodal assessment model?

Answer 12

where many people are that observe the individual’s account are taken into consideration when helping to diagnose the problem behavior

Question 13

What is the multimethod process

Answer 13

A process in assessment where you can use interviews, questionnaires, rating scales, standardized tests, and self-report data

Question 14

What is a clinical interview?

Answer 14

A clinical interview is a goal directed interaction between the clinician and the client that provides information that will assist in the clinical decision making process.

Question 15

What is a mental status evaluation?

Answer 15

it uses series of questions as probes to determine a child’s general orientation (name, place, date, time), long-short term memory, general information and personal history, insight, abstract reasoning, and concentration or attention

Question 16

What is behavioral observation?

Answer 16

Once the goals of the assessment are established, the clinician may have several potential hypothesis to consider. Thus general observation is needed for later in-depth observation

Question 17

What are norm-based assessments?

Answer 17

Concerned with the degree to which behavior deviates from the norm

Question 18

What is a functional assessment?

Answer 18

Functional assessments are more concerned with the reason the specific behavior is occurring and the situational determinants of the behavior

Question 19

What are evidence based treatments?

Answer 19

Treatments that are well-established interventions that have solid internal efficacy and treatment effectiveness external validity

Question 20

In Europe what is the most common system used for diagnosis?

Answer 20

The international classification of diseases

Question 21

What is one of the major criticisms for use of the DSM and childhood disorders?

Answer 21

The DSM considers mental disorders to be present or absent and does not take into account developmental presentations of disorders into consideration, and was primarily designed for use with adults

Question 22

The Achenbach System of Empirically based assessment (ASEBA) provides behavioral ratings according to the

a. dimensional system
b. categorical system
c. medical model
d. dimensional and categorical systems

Answer 22

Dimensional and categorical systems

Question 23

When a child is brought in for emergency treatment the psychiatrist asks a series of questions as probes to determine the childs general orientation, long & short term memory, insight, and concentration or attention. This is called what?

Answer 23

Mental status evaluation

Question 24

The outcome of Larry P. vs. Riles case was that?

Answer 24

The use of IQ tests on black children for education placement was deemed unconstitutional

Question 25

In their study of the Pygmalion effect in the classroom Rosenthal and Jacobson (1968) found that at the end of the school year random students identified as intelligent were?

Answer 25

Given preferential treatment by teachers, resulting in increased IQ scores.

Question 26

Which of the following is a criticism of functional behavioral assessment approach (FBA)

a. lack of norm-referenced information
b. lack of multiple vantage points
c. linking behaviors to situational determinants
d. lack of research report

Answer 26

Lack of norm-referenced information

Question 27

The Dodo verdict refers to

Answer 27

Lack of specificity of treatment effects