Lecture 3: Prevention in children and adolescents Flashcards
Preventive interventions for children and adolescents should emphasize…
- Promoting competence
- Reducing ineffective resolution
- Age-specific developmental opportunities and constraints
Ineffective resolution = when a problem or conflict is not successfully resolved or addressed
Research suggests that we can identify…
… particular groups of children and families who are at risk to develop problems, and that we can intervene before problems become serious
What is developmental psychology?
The study of the development of psychological disorders with a life course perspective
Provide some examples of developmental tasks
7 items
- Physiological homeostasis
- Differentiation and regulation of affects (understand, express and manage emotions)
- Attachment development
- Development of self, self-esteem, identity
- Representational capacities (allows people to think, reason and remember)
- Effective relationships with peers
- Adjustment to school
Developmental pathways can, for example, …
…deviate toward anxious attachment and depression (due to life events) or toward hostility and delinquency (due to life events).
What are (general) risk factors for mental health problems?
2 key subjects - 9 examples
- Quality of relationships
- Safety of environment
E.g.:
- Psychopathology in family member(s)
- Marital conflicts between parents
- Single parent family
- Strict inconsistent disciplining
- Parents low in warmth and involvement
- Insecure attachment relationships
- Conflicts with siblings/ peers
- Unsafe neighbourhood
- Low SES
What can be the focus of family/ relational interventions?
- Reducing the risk for developmental delays
- Improving the quality of parenting behavior
- Prevention of child maltreatment
What are different preventive intervention methods for families?
- E-mental health
- Unstructured home visits
- Psycho-education
- Video feedback
- Meetings with parents
What is meant by preventions focused on ‘at risk for developmental delays?
Prevention aimed at subgroups with a possible risk for developmental delays (e.g. language development)
What are examples of interventions aimed at the quality of parent behavior?
- The provision of soft baby carriers to increase physcial contact
- Video-feedback intervention to promote positive parenting (VIPP)
- STEEP/ instapje (method: educational material, coach and playpartner, Design: control + experimental)
Why is prevention of maltreatment needed? And what provide 3 example interventions
Insecure disorganized attachment is an important risk factor for the development of mental disorders
Example interventions:
- Attachment and Behavioral Catch-up (ABC)
- Child Parent Psychotherapy (CPP)
- Parent Child Interaction Therapy (PCIT)
What is the goal, working mechanism and content of the Attachment and Behavioral Catch-up (ABC) intervention?
Goal:
- Decrease frightening behavior and enhance sensitive nurturing care among parents at risk for child maltreatment
Working mechanism:
- Attachment theory
Content:
- 10 sessions encourage the parent to provide sensitive care when the child is distressed, avoid frightening behavior and follow the childs’ lead when in a calm state.
What are risk factors for maltreatment by parent?
5 items
- Low SES
- Unemployment
- Ethnic minority
- Large Family
- Single parent
What are possible ways to improve the quality of peer relationships?
3 items
- Cooperative learning
- Peer and cross-age tutoring
- Anti bullying interventions
What is the Good Behavior Game? (GBG)
And what are its main components?
In intervention aimed at reducing aggressive behavior in primary school
Components:
- Team membership
- Classroom rules
- Monitoring behavior
- Reinforcing appropriate behavior