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Psyc4121 > Systems Of Care > Flashcards

Systems Of Care Flashcards

1
Q

What are the 5 red flags that alert parents that something may not be right with their child?

A
  1. Delayed milestones
  2. Not interested in play
  3. Unusual behaviour
  4. No gestures
  5. Loss of language
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2
Q

When was the word Autism first used?

A

1943

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3
Q

Why was the word Autism chosen?

A

It means auto and self

Lack of interest in other people

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4
Q

What were the first symptoms noted for Autism in 1943?

A

Lack of interest in other people

‘Sameness ‘ routines and if that changes it causes distress

Childhood psychosis

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5
Q

What were the views on Autism in 1970?

A

Intellectual impairment

Rejection of psychiatric illness

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6
Q

What were the views on Autism in the 1980s?

A

Autism first entered the DSM-3

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7
Q

What has changed for Autism in the DSM-5 2013

A

Called Autism spectrum disorder asd

  1. Deficit in social communication and interactions
  2. Behavioural patterns interests
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8
Q

What is the prevalence of autism?

A

10/16:10,000 Children aged 8years have been diagnosed

164,000 Australians

Rates increasing

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9
Q

What information was gathered from Jacobs first interview at the children’s clinic? List 8 points

A
  1. Screams at people/no interest in other children
  2. Temper tantrums
  3. Speech regression
  4. Delayed walking/no crawling
  5. Difficultly sleeping/sensitivities to light and noise
  6. Uneventful pregnancy and birth
  7. Family history of autism
  8. Cared for at home/ recently moved house
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10
Q

What information do you want to know more about in a child’s first interview at a clinic?

A
  1. History taking (development, medical social family psychological goals)
  2. Semi structured interview using the DSM-5 as criteria to guide questioning
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11
Q

What are the criteria in the DSM-5 for Autism? List 5

A
  1. Deficits in social communication and social interaction Must be in ALL of the following:
    Social-Emotional reciprocity
    non verbals
    relationships/play
  2. Restricted, repetitive patterns of behaviour, interests or activities, manifested by at least TWO of the following:
    Repetitive movement /objects/speech
    Sameness/routine
    Fixated interests
    Hyper/hypo reactivity to sensory environment
  3. Symptoms present early
  4. Clinically significant impairment of functioning
  5. Not better explained by intellectual disabilities
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12
Q

What is the Eyesburg child behaviour inventory? What is in it? What does it ask?

A

Validated Questionnaire Adds to interview

36 items, 2 subscales

Asks: how often certain behaviours occur?

Parents rate on scale of never to always

Parents also asked if this behaviour is a problem for them

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13
Q

What is the Parenting Scale? What does it ask? How is it used?

A

30 items, 3 subscales

Looks at different styles of parenting

Subscales : parenting styles

  1. Laxness
  2. Hostility
  3. Over reactivity
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14
Q

What is the relationship quality index? Why would parents need to complete it and what does it ask?

A

Measures relationship quality as having a challenging child can cause stress in the relationship

6 item measure

How satisfied with relationship
Degree of happiness

Completed by both parents

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15
Q

What is the DASS? Why would parents complete it? What does it ask?

A

DASS= depression anxiety stress scales

42/21 items 3 subscales

Information on whether parents are having depression/anxiety/stress symptoms

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16
Q

How do observations contribute to a child’s clinical interview?

A

Psychologists observe child’s behaviour during interviews

What does he do?
How does he relate to family/psychologists

Can take patients out to natural settings for observation (daycare/school)

17
Q

What does ADOS stand for?

A

Autism
Observation
Diagnostic
Schedule

18
Q

How is ADOS administered ?

A

A standardised Test

Done in social situations that are standardised

Ask patient to engage in play/social interactions

Observe and score

19
Q

What are the disadvantages of ADOS?

A

Takes hours to do and resource intensive

20
Q

When is ADOS used?

A

When there is a grey area case for autism / not sure if child meets criteria

21
Q

What are the 6 different types of diagnostic assessment used for autism?

A
  1. Semi-structured interview
  2. Child observation
  3. ADOS
  4. Parent Questionnaires
  5. Medical exam
  6. OT speech physio Assessments
22
Q

What is the gold standard diagnostic assessment for autism?

A

MDT case conference

23
Q

What is the MTD case conference for autism?

A

Multidisciplinary case conference

Gold standard Diagnostic assessment for autism

All health professionals involved come together and talk about evidence that might meet criteria and evidence against

The group work towards recommending if child meets autism criteria

24
Q

What question do psychologists ask and seek to answer when assessing a child for autism?

A

But why is THIS child having THIS type of problem NOW?

25
Q

What is a Formulation?

A

Involves developing hypotheses about causes and maintaining factors

Treatment planning

26
Q

What is the 5 Ps model of formulation?

A
  1. What is the Problem?
  2. Predisposing - what made this child vulnerable?
  3. Precipitants- triggers- why now?
  4. Perpetuating- what keeps the problem going?
  5. Positives - what strengths does the child have?
27
Q

What are 4 child focused early interventions for autism?

A
  1. Medication/nutrition
  2. Applied Behavioural Analysis
  3. Social skills training
  4. Psychology/speech/physio/occupational therapy
28
Q

What is Stepping Stones Triple P?

A

Parenting Intervention Developed for parents and children with developmental disabilities

Support parents to foster positive relationships with child

encouragement positive behaviours

Manage negative behaviours

29
Q

What is the evidence for Stepping Stones?

A

Meta-analysis (12 studies)

For child problems, parenting style, program satisfaction, parental relationships-large to moderate effect styles

30
Q

What are the 6 courses in Stepping Stones?

A
  1. Positive Parenting
  2. Promoting children’s development
  3. Teaching new skills and behaviours
  4. Managing misbehaviour
  5. Planning ahead
  6. Implementing parenting routines
31
Q

What is the cognitive triangle?

A
  1. Thoughts
  2. Feeling
  3. Behaviours
32
Q

What is the circle of security?

A

Evidence based intervention

Parents attending to children’s needs

Focus on positive relationships

Parents need to be bigger stronger wiser and kind
Follow child’s needs and take charge

Secure base and safe haven

33
Q

What are 4 things to consider as a practitioner when doing an intervention for a child?

A
  1. Consider parents goals
  2. Timing of interventions
  3. Therapeutic relationship
  4. Perpetuating factors
34
Q

What therapy’s work for Children with anxiety and autism?

A

Muscle relaxation

35
Q

What are 3 obstacles when translating research into practice in health services?

A
  1. Limited access to psychologists
  2. Long waiting lists
  3. Population increases
36
Q

What is involved in designing a System of Care?

A

Ensure families get:

Right care

Right time

Right place

37
Q

What are 5 things Perceived injustice is associated with?

A
  1. Pain
  2. Depression
  3. Anger
  4. Catastrophic thinking
  5. Disability
38
Q

4 ways Clinical psychologists are good at identifying gaps in services and research

A
  1. Ask questions
  2. Reason
  3. Integrate theory and research
  4. Research training
39
Q

Caldwell et al (2011) Research and evidence model views health professionals as what 3 things?

A
  1. Research consumers
  2. Research participants
  3. Research generators

Psyc4121 (11 decks)

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