Week 4 Assessment Formulation Intervention Flashcards
What does the decision-making process start with?
assessment
What do clinical assessments encompass?
Using systematic problem-solving strategies to understand children with disturbances and their family and school environments
Strategies include an assessment of the child’s emotional, behavioral and cognitive functioning + environmental factors
What are the strategies in clinical assessments based on?
scientific evidence and expertise
they form the basis of a flexible and ongoing process of hypothesis testing
What is the ultimate goal of clinical assessments?
Achieve effective solutions to the problems one is facing
They can result in practical and effective interventions
Vital to have a close and continuing partnership between assessment and intervention.
The focus of clinical assessment is to obtain an ___________ case formulation, which is a detailed understanding of the child or family as a unique entity.
idiographic case formulation.
What is a nomothetic formulation?
Formulation that emphasizes broad general inferences that apply to large groups of individuals
How do nomothetic knowledge and idiographic case formulations complement each other?
A clinician’s nomothetic knowledge about general principles of psychological assessment, normal and abnormal child and family development, and specific childhood disorders is likely to result in better hypotheses to test at the idiographic level
Basically use N to inform I
How can age inform a clinician’s intervention plans for the child?
Use age to identify developmental functions and capacities at various ages
Implications in judging deviancy and selection of most appropriate treatment methods and assessment
E.g don’t use CBT on younger children
Boys are about 3-4 times more likely to display ______ disorders, whereas girls are more likely to display disorders that have their onset in _________.
early-onset like ADHD ASD
adolescence: depression ED etc
Why is it that boys might have lots of referrals but girls have less?
Externalizing vs internalizing behavior
Boys: Overactivity and aggression
Girls: React in less observable ways - e.g sadness, fear –> might be overlooked
What is one issue with regard to aggression when formulating interventions for females?
Relational aggression could be an issue.
Adjustment problems - behavior intended to physically harm others, self-serving behavior etc
children who engage in forms of social
aggression that are not typical of their sex (overtly
aggressive girls and relationally aggressive boys) are
significantly more _______ than are children who
engage in gender-normative forms of aggression
maladjusted
What was included in the DSM-5 to allow for more room for cultural differences?
framework for developing a cultural formulation of the child’s disorder based on various factors, such as child’s cultural identity, cultural concepts of distress, psychosocial stressors, cultural aspects
Cultural formulation interview - got module for children and adolescents to gather information about the impact of culture on the child’s presenting problems and implications for treatment
