ECPY 621 – Class 4 Disorders of Childhood

Overview  Review last week  Review Case Conceptualization homework  Follow up on Ethics Codes  Childhood Dx

Case Concept  Format - Morris1995.html Morris1995.html  Example 1 Example 1  Example 2 Example 2  Notes: avoid 1 st person, make goals measureable

Ethics  APA 6.06 Accuracy in Reports to Payors and Funding Sources 6.06 Accuracy in Reports to Payors and Funding Sources  ACA Ethics.pdf

Dx of Childhood  Intellectual and Cognitive D/O  Disruptive and Self Injurious D/O  Information Exchange D/O  Other D/O of Childhood

Dx of Childhood  Intellectual and Cognitive D/O Mental Retardation  Mild (50/55 – 70)  Moderate (35/40 – 50/55)  Severe (20/25 – 30/25)  Profound (> 20/25) Learning D/O  Reading  Math  Written Expression

Dx of Childhood – 2  Intellectual and Cognitive D/O cont’ Motor Skills D/O  Developmental Coordination D/O Tic D/O  Tourette’s D/O  Chronic Motor or Vocal Tic D/O  Transient Tic D/O Other  Stereotypic Movement D/O

Dx of Childhood – 3  Disruptive and Self Injurious D/O ADHD D/O  Inattentive Type  Hyperactive-Impulsive Type  Combined Type Disruptive D/O  Conduct D/O  Oppositional Defiant D/O

Dx of Childhood – 4  Disruptive and Self Injurious D/O cont’ Feeding and Eating D/O of infancy  Pica  Rumination  Feeding D/O Elimination D/O  Encopresis  Enuresis

Dx of Childhood – 5  Disruptive and Self Injurious D/O cont’ Other  Separation Anxiety D/O  Reactive Attachment D/O

Dx of Childhood – 6  Information Exchange D/O Pervasive Developmental D/O  Autistic D/O  Rett’s D/O  Childhood Disintegrative D/O  Asperger’s D/O Communication D/O  Expressive Language D/O  Mixed Receptive-Expressive Language D/O  Phonological D/O  Stuttering

Dx of Childhood – 7  Other D/O of Childhood Selective Mutism

Needed Information  Times of Developmental Milestones  Capacity to communicate  Language Impairment  Capacity for human relations  Quality of interactions  Abnormal motor movements  Hyperactivity/inattention/impulse control problems  Abnormal Behaviors  Enuresis/encopresis

Developmental Milestones  LOGY/DPC/mileston.htm LOGY/DPC/mileston.htm

Example of page TWO TO FIVE MONTHS Remember to use your child’s corrected age when comparing her accomplishments to a developmental chart! If your baby went home from the hospital in generally good health and is able to feed from breast or bottle you may expect that sometime from two to five months she will begin to:  smile and coo.  watch a person’s face intently.  follow people and objects with her eyes  laugh out loud.  lift her head and chest when on her stomach.  independently hold her head steady when pulled to sit. .grasp a rattle placed in her hand.  startle when she hears a loud sound.  EXCEPTIONS CONCERNS EXCEPTIONSCONCERNS

Specifics  Table 2-2 pg 54  Conduct D/O