Attachment & Parenting
Child unable to be comforted upon parent leaving and/or returning
What is a sign of attachment concerns?
To know whether observed behaviors are developmentally appropriate/typical for age
Understanding how a child might act or what a child might learn at different ages and stages will help you know what to expect from a child in your care; be better prepared to identify when concerns arise
What are "reasons why it is important to understand typical child development"?
Often fidgets with or taps hands and feet
Difficulty waiting turns or often interrupts others
"Driven by a motor"
What are "three symptoms that would suggest ADHD, predominantly hyperactive/impulsive type"?
Children living in low income urban areas have been found to have more behavior problems than other children. These are (2) two factors that contribute to this higher level and (2) two factors that have been shown to lessen this risk.
What are "bias during assessment/diagnosing, exposure to violence and lack of needed developmental resources" and "positive parenting skills, access to community supports, etc."?
Parent ignores child in distress, does not provide comfort
What could be a sign of Insecure/Anxious-Avoidant attachment?
You are conducting an assessment of ADHD for a child who is five years old and in kindergarten. These are the individuals you would want to collect information from.
Who are parents, teachers and/or other caregivers?
This type of ADHD is seen at higher rates in girls compared to boys.
What is "ADHD - Attentive type"?
Evidence-based treatment for Oppositional Defiant Disorder.
What is Parent training and/or Parent Child Interaction Therapy?
Building structure, routine; rewarding positive behavior; model wanted behavior; set limits; etc.
School-age children perform best with a combination of school-based intervention, parent-management training, and individual therapy. For adolescents, individual therapy along with parent-management training has been shown to be the most effective form of treatment.
Parent inconsistent, insensitive; Child has angry distress
What are signs of possilbe Insecure/Anxious-Resistant attachment?
James, 10 years old, is a client transferred to you for mental health services by a social worker who recently left your agency (a community mental health agency in Chicago). In James’ chart, you see that he has diagnoses of oppositional behavior disorder (moderate) and conduct disorder (mild). You see that James has participated in a boy’s group that he enjoyed the year before. He also saw the social worker individually every other week. When you call his mother to schedule, she agrees to come in with her son for the first session. In your first meeting, what are two things that you will try to accomplish?
What is: hx of symptoms/experience, hx of family, hx of interventions/what worked/what didn't?
Showing lack of remorse/guilt
Lying, destruction of property
Violence towards people and/or animals
Violating social norms and/or the basic rights of others
What are symptoms that would meet the symptom criteria for conduct disorder, and could suggest that a child or adolescent has conduct disorder if other criteria are met?
Edward is a nine year old who has just been diagnosed with ADHD by a school psychologist. As a school social worker, you have helped the family set up an appointment with a psychiatrist. A large study discussed in the readings and in class, the Multimodal Treatment of ADHD, changed some assumptions about the best treatment for ADHD. This is what the study suggests likely to be most effective in reducing his ADHD symptoms.
What is: medical, educational, behavioral interventions and parent training?
Multimodal treatment for ADHD is a comprehensive approach to treatment that includes: Medical intervention, Educational intervention, Behavioral intervention, Psychological intervention.
Depending on the age of the individual with ADHD, multimodal treatment may include: Parent training, Medication.
Other therapies that may be used include:
"Warm, high expectations with high supports"... This is the type of parenting style (e.g. Baumrind) is associated with the most positive mental health outcomes.
Authoritative
T/F. There is a specific mental health disorder that children who have experienced sexual abuse will usually have.
F. There is no specific mental health disorder. However, sexual abuse in childhood is in correlation with higher levels of depression, guilt, shame, self-harm, eating disorders, somatic symptom disorder, anxiety, dissociative disorders, sexual problems and problems related to interpersonal relationships, as well as psycho- active substances abuse.
Minimal social and emotional responsiveness to others
Child rarely or minimally seeks and/or responds to comfort when distressed
Limited positive affect / Episodes of unexplained irritability, sadness, or fearfulness –even during nonthreatening interactions with adult caregivers
What are "symptoms of Reactive Attachment Disorder"?
T/F There is an effective treatment for curing attachment disorders.
F. Attachments Disorderes cannot be cured.
No evidence-based approach to treating RAD. Two different approaches, relationship-based attachment therapy and holding therapy, are widely mentioned in literature.
Goals of treatment are to help ensure that the child: Has a safe and stable living situation. Develops positive interactions and strengthens the attachment with parents and caregivers.
The ongoing process beginning between 6-12 months of age of establishing and maintaining an emotional bond with parents or other significant individuals.
What is "Infant Caregiver Attachment"?
The DSM-IV childhood diagnosis reactive attachment disorder had two subtypes: emotionally with- drawn/inhibited and indiscriminately social/disinhibited.
In DSM-5, these subtypes are defined as distinct disorders: reactive attachment disorder and disinhibited social engagement disorder.
What is the significant change in how attachment disorders are now diagnosed in DSM-5?
Individuals with conduct disorder who meet criteria for the limited prosocial specifier tend to have a relatively more severe form of the disorder and require a different treatment response.
Why is understanding whether an individual’s conduct disorder is “callous/ unemotional with limited prosocial emotions” important?
) Sarah is a five-year-old girl who has been diagnosed with oppositional defiant disorder and ADHD (combined presentation). She was assessed and initially treated by a psychiatrist who prescribed a slow-release stimulant and then referred her to you for additional treatment. In the first meeting with her parents, they say they are skeptical about her diagnoses and aren’t sure they want to give her a drug, which they worry about in terms of safety and her social development. They note that she already appears to be rejected by other children her age. Your response includes current treatment recommendations for a child this age.
What is "continuing to provide parents with education aroound ODD and ADHD diagnoses, potential impact on socialization and how medication may actually support Sarah's safety and development"?