Reactive Attachment Disordere(RAD) Flashcards
what type of care is associated with reactive attachment disorder(RAD)
grossly pathological
describe the type of care that contributes to development of reactive attachment disorder(RAD)
persistent disregard for child’s emotional and physical needs, repeated changes of primary caregivers
what can RAD involve in terms of medical signs
malnutrition, growth delay, evidence physical abuse, vitamin deficiencies
what are the different subtypes of RAD
inhibited and disinhibited
describe what inhibited RAD refers to
children who continually fail to initiate and respond to social interactions in a developmentally inappropriate way
give an example of the behaviour seen in a child with inhibited RAD
a child that doesn’t seek comfort from parent/caregiver during times of threat, alarm or distress
describe what disinhibited RAD refers to
a child who has an inability to display appropriate selective attachments
give an example of the behaviour seen in a child with inhibited RAD
child who displays excessive familiarity with strangers, indiscriminate sociability or lack of selectivity in their choices of attachment figure
what is the other name given to inhibited RAD
Disinhibited Social Engagement Disorder(DSED)
what is the prevalence of RAD
<1% in children under 5, but about 20% in looked after children(LAC)
what are some of the differential diagnosis of RAD
conduct disorder(CD), depression, ASD, ADHD
what children are assessed for attachment disorders such as RAD
children/young people wo are adopted from care, in care or are at high risk of going into care
what is involved in the management of attachment difficulties
video feedback programme, parental sensitivity/behavioural therapy, home visiting, parent-child psychotherapy
what is the prognosis for children with attachment difficulties
developmental delay, reduction in academic achievement, increased risk of contact with youth justice
