HCS2023 WEEK 11 Flashcards
give a medical/psychiatric definition of SEMH
severe impairment in behaviour, development, learning, mood and social functioning
give an educational definition of SEMH
social, emotional, mental health replacing BESD (behaviour emotional social development) and EBD (emotional and behavioural difficulties)
behaviour is not included, as only a way to communicate something more significant
outline socio-emotional approach of development
those able to positively engage with those around them are able to understand and regulate own emotion
outline importance of social competence in socio-emotional competence and relate to SLC
child engages appropriately in social interaction
need adequate social communication skills to engage appropriate
outline importance of attachment in socio-emotional competence and relate to SLC
child established secure attachments
needs communic intents, encourage caregiver to communicate and vis versa for both communicative and emotionald ev
outline importance of emotional competence in socio-emotional competence and relate to SLC
child aware of their emotions and others, able to regulate and manage its expression
need to learn vocab of emotions and how relate to them,
outline importance of self-perceived competence in socio-emotional competence and relate to SLC
child aware of own strengths/weaknesses in relation to peer, able to use this in motivations
need to be effective communicator
name factors important in socio-emotional competence, and inturn impacting on SLC
social competence, attachment, emotional competence, self-perceived competence, temperament
why are young people with LD more at risk of SEMH
many talking therapy, meaning those with DLD struggle, unable to label feelings so cannot understand
if a child has attachment difficulty how will they present
lacking engagement
disorganised
disruptive
make up stories
cheat to win
short attention and struggle interactions with peers
name 3 defining feature in ADHD
impulsiveness, inattention, hyperactivity
define impulsiveness (ADHD)
persistently interrupt others, engage in impulsive behaviour where they are unable to think about consequences of behaviour, difficulty waiting for their turn, blurts out answers before question finished
define inattention (ADHD)
impaired attention, unable to attend to task sufficiently, easily distract, don’t listen or follow instruction
define hyperactivity (ADHD)
fidget, run around, climb excessive, constantly on go, poor sleep, talkavie
what must be present for ADHD diagnosis
present before 12, significant impact on life
antisocial behaviour, break up family relationship, negatively impact school progress
what is DSM-V update regarding ADHD
now persist for adult, not grow out of, recognises co=morbidity
what is hyperkinetic disorder
severe symptoms in ADHD, usually in hyperactivity domain
what are medical treatments of ADHD
psychostimulants ritalin, amphetamine derivative
what are psychological treatments for ADHD
help child and families understand, facilitate effective strategies to implement, eg sleep hygeine
name 5 evidence based ADHD teaching strategy
`1. externalising info (minimise distractor, use physical reminder, recording device)
2. glucose
3. physical break reuglarly
4. change motivation
5. self-affirming statements
define selective mutism
consistent failure to speak in specific social situations in which there is an expectation for speaking despite speak other time
name 3 main symptomdomains for anxiety part of selective mutism?
apprehension (fear something bad will happen)
motor tension (increases stress)
autonomic activity (fight/flight resp)
name stages of intervention of selective mutism to become confident talkers
- no communication/participation
- co-operation but limited communication
- visual, not verbal communication
- can use non-verbal sounds
- can speak within ‘earshot’ of someone (ie; speak with mum, let you listen)
- single words with certain people
- connected speech with certain people
- generalising to others
- communicating freely
what are treatments of selective mutism
not pharmacological
reduce anxiety around speech, desensitising child and increasing confidence too
