HCS2023 WEEK 11

Question 1

give a medical/psychiatric definition of SEMH

Answer 1

severe impairment in behaviour, development, learning, mood and social functioning

Question 2

give an educational definition of SEMH

Answer 2

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

Question 3

outline socio-emotional approach of development

Answer 3

those able to positively engage with those around them are able to understand and regulate own emotion

Question 4

outline importance of social competence in socio-emotional competence and relate to SLC

Answer 4

child engages appropriately in social interaction
need adequate social communication skills to engage appropriate

Question 5

outline importance of attachment in socio-emotional competence and relate to SLC

Answer 5

child established secure attachments
needs communic intents, encourage caregiver to communicate and vis versa for both communicative and emotionald ev

Question 6

outline importance of emotional competence in socio-emotional competence and relate to SLC

Answer 6

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,

Question 7

outline importance of self-perceived competence in socio-emotional competence and relate to SLC

Answer 7

child aware of own strengths/weaknesses in relation to peer, able to use this in motivations
need to be effective communicator

Question 8

name factors important in socio-emotional competence, and inturn impacting on SLC

Answer 8

social competence, attachment, emotional competence, self-perceived competence, temperament

Question 9

why are young people with LD more at risk of SEMH

Answer 9

many talking therapy, meaning those with DLD struggle, unable to label feelings so cannot understand

Question 10

if a child has attachment difficulty how will they present

Answer 10

lacking engagement
disorganised
disruptive
make up stories
cheat to win
short attention and struggle interactions with peers

Question 11

name 3 defining feature in ADHD

Answer 11

impulsiveness, inattention, hyperactivity

Question 12

define impulsiveness (ADHD)

Answer 12

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

Question 13

define inattention (ADHD)

Answer 13

impaired attention, unable to attend to task sufficiently, easily distract, don’t listen or follow instruction

Question 14

define hyperactivity (ADHD)

Answer 14

fidget, run around, climb excessive, constantly on go, poor sleep, talkavie

Question 15

what must be present for ADHD diagnosis

Answer 15

present before 12, significant impact on life
antisocial behaviour, break up family relationship, negatively impact school progress

Question 16

what is DSM-V update regarding ADHD

Answer 16

now persist for adult, not grow out of, recognises co=morbidity

Question 17

what is hyperkinetic disorder

Answer 17

severe symptoms in ADHD, usually in hyperactivity domain

Question 18

what are medical treatments of ADHD

Answer 18

psychostimulants ritalin, amphetamine derivative

Question 19

what are psychological treatments for ADHD

Answer 19

help child and families understand, facilitate effective strategies to implement, eg sleep hygeine

Question 20

name 5 evidence based ADHD teaching strategy

Answer 20

`1. externalising info (minimise distractor, use physical reminder, recording device)
2. glucose
3. physical break reuglarly
4. change motivation
5. self-affirming statements

Question 21

define selective mutism

Answer 21

consistent failure to speak in specific social situations in which there is an expectation for speaking despite speak other time

Question 22

name 3 main symptomdomains for anxiety part of selective mutism?

Answer 22

apprehension (fear something bad will happen)
motor tension (increases stress)
autonomic activity (fight/flight resp)

Question 23

name stages of intervention of selective mutism to become confident talkers

Answer 23

1. no communication/participation
2. co-operation but limited communication
3. visual, not verbal communication
4. can use non-verbal sounds
5. can speak within ‘earshot’ of someone (ie; speak with mum, let you listen)
6. single words with certain people
7. connected speech with certain people
8. generalising to others
9. communicating freely

Question 24

what are treatments of selective mutism

Answer 24

not pharmacological
reduce anxiety around speech, desensitising child and increasing confidence too