Ch 3 Assessment and Treatment of Childhood and Adolescent Disorders Flashcards
What is the purpose of assessment?
Is to diagnose the nature of the problem in order that the most appropriate treatment can be selected
What are the key steps in assessment?
Determining individual differences, and diagnosing signs and symptom presentations that are suggestive of the specific mental disorders
What is the purpose of diagnosis?
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)
What are the three questions that guide assessment?
- What is the nature of the child’s problem?
- How should I evaluate the problem?
- How should I intervene to correct the problem?
What are the two main systems for classifying child and adolescent disorders?
- The categorical classification system (DSM)
2. Empirical dimensional classification system (which looks at symptoms of disorders long a developmental trajectory)
What is the Achenbach System of Empirically based Assessment (ASEBA)
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
T-scores have a mean of what?
50, and SD’s of 10
What are Taxometric Studies?
Studies that determine which psychiatric disorders are typologically distinct from normal functioning
What is Trichotillomania Disorder?
The need to pull-out ones hair
What is excoriation disorder?
The need to pick at skin
What is case formulation?
This is built as the assessment continues to identify the influences that cause and maintain the maladaptive behavior
What is multimodal assessment model?
where many people are that observe the individual’s account are taken into consideration when helping to diagnose the problem behavior
What is the multimethod process
A process in assessment where you can use interviews, questionnaires, rating scales, standardized tests, and self-report data
What is a clinical interview?
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.
What is a mental status evaluation?
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
What is behavioral observation?
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
What are norm-based assessments?
Concerned with the degree to which behavior deviates from the norm
What is a functional assessment?
Functional assessments are more concerned with the reason the specific behavior is occurring and the situational determinants of the behavior
What are evidence based treatments?
Treatments that are well-established interventions that have solid internal efficacy and treatment effectiveness external validity
In Europe what is the most common system used for diagnosis?
The international classification of diseases
What is one of the major criticisms for use of the DSM and childhood disorders?
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
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
Dimensional and categorical systems
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?
Mental status evaluation
The outcome of Larry P. vs. Riles case was that?
The use of IQ tests on black children for education placement was deemed unconstitutional
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?
Given preferential treatment by teachers, resulting in increased IQ scores.
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
Lack of norm-referenced information
The Dodo verdict refers to
Lack of specificity of treatment effects
