Treatment of Children and Adolescents A Collaborative Approach to Care June 30, 2018 * Tex-CHIP Training Series

Psychological Assessment of Disruptive Behaviors in Children and Adolescents

Understanding Provider Role in Assessing Disruptive Behaviors in Children and Adolescents Use testing to identity signs and symptoms, make accurate diagnoses, and formulate a treatment plan Determine potential antecedents and consequences in the home and at school Identify/access community/Navy/school resources

Considerations when Interacting with Families Looking at the whole system possible abuse or neglect level of family tension or discord Cultural differences, such as whether English is the child/parents first language Consider regional differences with military families Determining parent’s childrearing orientation requires learning about their values Appreciation of differences in attitudes toward medication therapy and diagnosis itself requires careful listening

Our Treatment Plan Healthcare Domain: Behavioral Health Provider: Psychologist Objective: Provide alleviation of disruptive behaviors as indicated by: (a) Teacher report of decreased frequency (b) Parent report of decreased frequency (c) Reduced level of family stress   Goals: a)  Clarify presenting concerns b) Obtain agreement on goals c)  Formulate diagnoses and present a plan Interventions: a)  Parent/teacher/child Interview b)  Standardized behavior checklists and personality inventories  c) Psychometric testing, such as IQ and achievement measures

Measuring Outcomes/ Success Immediate feedback obtained by reaching agreement on a plan. Longitudinal test/re-test measures Parent/teacher report. Includes standardized measures, such as the BASC3, and informal measures, such as verbal report

Communication from Counselors One important reason for a team approach: mitigate risk factors Determine what other professionals want to learn from the test results, what they’ve already done, and how they see my role Select the tools for obtaining that information after clarifying specific referral question