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TAS Mental Health > Management of Emotional and Behavioural Problems ✅ > Flashcards

Management of Emotional and Behavioural Problems ✅ Flashcards

1
Q

What are the categories of management of emotional and behavioural problems?

A
  • Social/environmental
  • Parenting
  • Family therapy and systemic intervention
  • Individual psychological therapy
  • E-therapies
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2
Q

Why is it important to consider the social and environmental factors when managing emotional and behavioural problems?

A

Many environments do not support or facilitate parents to provide the basic components for achieving fundamental well-being

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3
Q

Give some examples of interventions at the community level that can improve psychological well-being?

A
  • Making use of green space and open water for activities
  • Creating safe play areas
  • Connecting relational networks to support and mentor valuable groups
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4
Q

What are the core principles of parenting?

A
  • Positivity
  • Responsivity
  • Structure
  • Consistency
  • Patience
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5
Q

Why is a positive parental relationship important in the management of emotional and behavioural problems?

A

In order for behavioural management to be effective, it needs to be based on a ‘good enough’ relationship

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6
Q

What can help ensure a good relationship between parent and child?

A
  • Shared activities
  • Noticing small positive steps
  • Specific praise
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7
Q

What shared activities can help build a good relationship between a parent and child?

A

Any shared activity is worthwhile, but play is paramount for younger children

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8
Q

What should be recommended regarding play to build a good relationship between parent a child?

A

Play led by the child for a short period (10 minute)

However, any play where adult attention is on the child is useful

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9
Q

What should be advised regarding praise to build a good relationship between parent and child?

A

Targeted, specific praise, e.g. I like how you did X, is important, whereas vague, general praise has been shown to be worse than none at all

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10
Q

What is meant by responsivity with regard to parenting?

A

Being available to the child

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11
Q

What needs to be distinguished between when considering resposinsivity?

A

Listening to the child respectfully and granting the child’s every wish

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12
Q

Why is it important not to give a child everything they want?

A

Learning to tolerate a degree of frustrating is an important step in emotional development

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13
Q

Why is structure important for children?

A

A routine is important for children to feel safe and reassure them that the adults are in control

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14
Q

What advice can be given regarding rules for children?

A
  • Should apply to adults and children
  • Should be simple, unambiguous, and (initially) few
  • Should specifically target unwanted behaviours
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15
Q

Why might it be useful to target one bad behaviour at a time to begin with?

A

Patterns of behaviour take a long time and a lot of effort to change, so sometimes more productive to target only one at a time to start

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16
Q

What techniques can be used to change bad behaviours?

A
  • Positive and negative reinforcement

- Power of habit

17
Q

What advice can be given regarding planning for situations?

A

Prior to entering a situation where parents know the child has a problem, should stop, calmly tell the child what is expected, what is not allowed, and what the consequences of positive and negative behaviour will be

18
Q

In what respects do parents have to be consistent?

A
  • Over time
  • Across all parents/carers
  • Across all settings/contexts
19
Q

What do occasional rule lapses lead to?

A

‘Intermittent reinforcement’, which results in the continuation of the negative behaviour

20
Q

What do parents need to be aware of when trying to change their childs behaviour?

A

An ‘extinction burst’ of increased bad behaviour before things start to improve

21
Q

For what issues is there evidence for the use of family therapy and systemic interventions?

A
  • Sleep
  • Feeding and attachment problems
  • Child abuse and neglect
  • Childhood behavioural difficulties
  • Emotional problems
  • Eating disorders
  • Somatic disorders
22
Q

What childhood behavioural difficulties can family therapy and systemic interventions be used for?

A
  • ADHD
  • Conduct
  • Deliquency
  • Drug abuse
23
Q

What emotional problems can family therapy and systemic interventions be used for?

A
  • Anxiety
  • Depression
  • Grief
  • Bipolar
  • Suicidality
24
Q

What somatic problems can family therapy and systemic interventions be used for?

A
  • Enuresis

- Encopresis

25
Q

What are the key concepts of family therapy/systemic intervention?

A

‘Symptoms’ are not seen as residing within 1 individual, but are a product of interactional dynamics between people

26
Q

What is the concept of ‘triangulation’ used to describe?

A

A situation where a child is caught in a conflict between parents

27
Q

When does triangulation occur?

A

When parents cannot talk about or resolve a couple’s dispute between themselves, and displace the unresolved conflict into disagreements about their child

28
Q

What is CBT the treatment of choice for?

A

A wide range of emotional and behavioural problems in children and adolescents

29
Q

What is CBT scientifically proven as the treatment for?

A
  • Generalised anxiety
  • Specific phobias
  • Depression
  • OCD
  • Sexual abuse and trauma
  • PTSD
  • Pain management
  • CFS
30
Q

What can increase the effectiveness of CBT?

A

Other interventions, such as parent training and medication

31
Q

What is CBT based on?

A

The idea that how we think about ourselves shapes what we do and how we feel, therefore thoughts, feelings, and actions are casually linked

32
Q

Describe the current evidence for e-therapies?

A

Weak, due to paucity of methodologically high quality studies

33
Q

In what conditions does e-therapy have promising study results?

A

Depression and anxiety

34
Q

What do young people like about e-therapies?

A
  • Individual autonomy

- Active engagement

TAS Mental Health (1 decks)

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