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

2. Psychological Assessment of Disruptive Behaviors in Children and Adolescents

3. 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

4. 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

5. 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

6. 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

7. 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