Clinical Assessment of Child and Adolescent Behavior

by Vance, H. Booney; Pumariega, Andres J.

• ISBN13: 9780471380467
• ISBN10: 0471380466
• Edition: 1st
• Format: Hardcover
• Copyright: 2001-03-29
• Publisher: Wiley

Summary

An invaluable guide for working with children and adolescents with behavioral disorders, emotional disorders, or bothFeaturing contributions from renowned experts such as Gerald Fuller, Eugenio Rothe, John Lockman, Charles Casat, Freddy Paniagua, and Nancy Winters, Clinical Assessment of Child and Adolescent Behavior details how to use the behavioral assessment process to develop effective treatment and rehabilitation plans for various child and adolescent psychological and psychiatric disorders.This comprehensive guide features step-by-step instruction for successful identi??cation and diagnosis of various behavioral/emotional disorders as well as suggestions for treatment on specialized topics such as Asperger's Syndrome, eating disorders, and disruptive behavior. Carefully edited by H. Booney Vance and Andres Pumariega, it offers the mental health practitioner a wealth of practical information not only on state-of-the-art clinical assessment procedures and techniques but also on applied intervention strategies for each disorder, along with instructive case studies and vignettes. The book also examines the use of medication as part of an integrated treatment approach to managing these challenging behaviors.Addressing the critical advances made in the ??eld in recent years, Clinical Assessment of Child and Adolescent Behavior represents an important step in bridging the gap between various disciplines and improving clinical practice with infants, children, and youth.Topics covered include: Anxiety disorders Attention-De??cit disorder Bulimia and anorexia nervosa Child abuse and psychic trauma Communicative disorders Disorders of infancy and early childhood Learning disorders Mood disorders Pediatric brain injury Pervasive developmental disorders Posttraumatic stress disorder Socially and emotionally maladjusted children and youth

Author Biography

H. BOONEY VANCE, PhD, is Research Director of Child and Adolescent Psychiatry, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, Tennessee. He is the author of Psychological Assessment of Children: Best Practices in Assessment for School and Clinical Settings (Wiley).

Table of Contents

Preface	xiii
Contributor List	xv
Section I Processes and Techniques
The Assessment Process: An Introduction	3	(16)
Parameters of Assessment	3	(1)
Traditional versus New Approaches (Focal Assessment)	4	(2)
Exciting Developments	6	(1)
Brief Example of Focal Assessment	7	(2)
Computer-Assisted Assessment	9	(1)
WISC-III Psychological Interpretive Report	10	(5)
Summary	15	(1)
References	16	(3)
Clinical Assessment of Children and Adolescents: A Place to Begin	19	(13)
A Brief Review of Psychological Assessment: Past to Present	20	(6)
Current and Future Status of Psychological Assessment	26	(2)
References	28	(4)
Functional Analysis and Behavioral Assessment of Children and Adolescents	32	(54)
Introduction	32	(1)
History of the Functional Analysis of Behavior	33	(5)
Expansion of the Functional Analysis of Behavior	38	(4)
Behavioral Assessment of Child and Adolescent Disorders	42	(3)
Comprehensive Behavioral Assessment	45	(16)
Indirect Behavioral Assessment	61	(6)
Behavioral Clinical Case Formulation and Treatment Plan	67	(1)
Case Study	68	(8)
Current Trends in the Functional Analysis and Assessment of Behavior	76	(2)
Special Issues and Populations	78	(1)
References	79	(7)
The Mental Status Exam in Child and Adolescent Evaluation	86	(12)
Definition and Purposes of the MSE	86	(1)
Locating the MSE within the Matrix of Child and Adolescent Clinical Evaluation	87	(1)
Process of the MSE	88	(1)
Content of the MSE	89	(1)
Age-Related Modifications in the Approach and Technique of the MSE	90	(1)
Modifications of the MSE with Special Populations	91	(2)
Recording the MSE	93	(1)
Case Examples	94	(2)
Integration of the MSE and Other Sources of Information in Diagnosis and Treatment Planning	96	(1)
References	96	(2)
Issues in the Forensic Evaluation of Children and Youth	98	(21)
Introduction	98	(1)
Therapeutic versus Legal Practice Contexts	98	(5)
Juveniles and the Law	103	(1)
Selected Juvenile Forensic Practice Contexts	104	(11)
Conclusion	115	(1)
Notes	116	(1)
References	116	(3)
The Assessment of Motor Deficits Following Pediatric Brain Injury	119	(20)
Introduction	119	(1)
Epidemiology	119	(1)
Neuroanatomical Foundations	120	(3)
Neuroanatomy of Motor Functioning	123	(2)
Mechanisms of Injury	125	(1)
Evaluation of Motor Functioning in Children	126	(1)
Motor Impairment Associated with Brain Injury	127	(2)
Special Topics	129	(2)
Psychological Consequences of Brain Injury	131	(1)
Methods of Intervention	132	(1)
Case Study	132	(2)
Summary	134	(1)
References	134	(5)
Section II Disorders of Behaviors, Emotions, and Communications
Learning Disorders: Real Children, Real Problems	139	(31)
Introduction	139	(1)
Complexity of the Field	140	(1)
Definition: What Is a Learning Disability?	140	(1)
History	141	(2)
The Assessment Process	143	(5)
Case Study: Comprehensive Interpretive Psychological Evaluation	148	(7)
Additional Issues	155	(3)
Medical Factors in Learning Disabilities	158	(3)
Approaches to Treatment and Interventions	161	(1)
Remediation: Specific Skill Training	161	(2)
Summary	163	(1)
References	164	(6)
Communicative Disorders	170	(18)
Rationale for Communication Assessment	170	(1)
Developmental Approach	171	(1)
Profiles for Impairment	171	(1)
Diagnostic Profiles	172	(2)
Types of Assessment	174	(6)
Case Example	180	(1)
Assessment to Treatment	181	(1)
Leaders in the Field	181	(1)
Summary	182	(4)
References	186	(2)
Pervasive Developmental Disorders	188	(43)
Introduction	188	(1)
Autism	189	(3)
Asperger's Disorder	192	(1)
Changes in Conceptual Considerations	193	(2)
Current Definitions of Autism	195	(4)
Autism-Related Disorders	199	(2)
Assessment	201	(3)
Specific Scales for Autism	204	(4)
Differential Diagnosis	208	(2)
Interventions	210	(9)
Controversial and Unorthodox Interventions	219	(5)
Summary	224	(1)
References	225	(6)
Disruptive Behavior Disorders: Assessment and Intervention	231	(32)
Disruptive Behavior Disorders	231	(3)
Factors Associated with ODD and CD: Etiology and Correlates	234	(5)
Assessment: Diagnosis and Formulation	239	(4)
Case Study	243	(4)
Interventions	247	(4)
Issues and Implications	251	(4)
Summary	255	(1)
References	256	(7)
Attention-Deficit/Hyperactivity Disorder	263	(44)
Introduction	263	(1)
Evolution of the Diagnosis of ADHD	264	(12)
Treatment Planning	276	(5)
Pharmacotherapy	281	(7)
Case Examples of the Integration of Assessment and Interventions	288	(8)
Outcomes in Adolescence	296	(1)
Outcomes in Adulthood	296	(1)
References	297	(10)
Eating Disorders: Bulimia and Anorexia Nervosa	307	(21)
Introduction and Overview of Eating Disorders	307	(1)
Historical Overview	308	(2)
Past and Present Leaders in the Field	310	(1)
Assessment of Eating Disorders	311	(3)
Diagnosis and Formulation	314	(5)
Clinical Case Studies	319	(2)
Interventions and Rehabilitation	321	(2)
Detection and Prevention	323	(1)
References	324	(4)
Child Abuse and Psychic Trauma in Children	328	(30)
History of Childhood Trauma and Maltreatment	328	(2)
History of Legal Protection of Children	330	(1)
Definitional Issues	331	(1)
Epidemiology of Child Abuse and Childhood Trauma	332	(1)
Causes of Child Abuse and Neglect	333	(1)
The Impact of Abuse and Psychic Trauma in Childhood	334	(4)
Assessment of Child Abuse and Trauma	338	(3)
Diagnosis	341	(2)
Treatment Interventions for Children Experiencing Severe Traumas	343	(5)
Case Examples	348	(3)
References	351	(7)
Disorders of Infancy and Early Childhood	358	(25)
Introduction	358	(1)
Historical Overview	359	(2)
Assessment of Disorders in Infancy and Early Childhood	361	(7)
Special Issues in Assessment of At-Risk Populations	368	(1)
Diagnosing Disorders in Infancy and Early Childhood	369	(8)
Interventions and Rehabilitation: General Comments	377	(1)
Interventions and Rehabilitation: Specific Strategies and Approaches	377	(3)
Future Directions	380	(1)
References	380	(3)
Anxiety Disorders in Children and Adolescents	383	(30)
Introduction	383	(1)
Definition	383	(1)
Historical Perspective	384	(1)
Temperament and Anxiety	385	(1)
Behavioral Inhibition	386	(1)
Ethological Development	387	(1)
Genetic Field Theory	388	(1)
Psychological Factors and Anxiety	389	(1)
Epidemiology	389	(1)
Comorbidity	390	(1)
Assessment	390	(8)
Clinical Syndromes	398	(6)
Course and Outcome	404	(1)
Treatment	405	(2)
Conclusions	407	(1)
References	407	(6)
Childhood Mood Disorders: History, Characteristics, Diagnosis, and Treatment	413	(37)
Introduction	413	(2)
Historical Perspective	415	(2)
Factors and Changes within Childhood Depression	417	(1)
Acute, Chronic, and Masked Childhood Depression	418	(1)
Degrees of Depressiveness	419	(1)
Depression, Affect, and Mood	419	(1)
Childhood Suicide and Depression	420	(1)
Depression and Suicidal Threats	421	(1)
Depression and Learning Disabilities/ADHD	422	(1)
Depression and Aggressive Acting-Out Behaviors	423	(1)
Problems and Practices in Diagnosis	423	(1)
DSM Criteria Used in Diagnosing Various Mood Disorders	424	(3)
MMPI-A Diagnostic Procedures	427	(4)
Treatment Considerations	431	(2)
Which Therapeutic Intervention Works with Depressed Children?	433	(1)
Cognitive-Behavioral Therapy	434	(1)
School-Based Interventions	435	(1)
Family Therapy	435	(1)
Interpersonal Therapy (IPT)	436	(1)
Play Therapy	437	(1)
Dynamic Psychotherapy	437	(2)
Case Studies	439	(3)
Summary	442	(1)
References	443	(7)
Socially and Emotionally Maladjusted Youth	450	(25)
Introduction	450	(1)
Historical Overview and Current Trends	451	(2)
Clinical Assessment Process: Diagnosis and Treatment	453	(4)
Diagnosis and Formulation	457	(5)
Clinical Case Study	462	(2)
Specific Remedial and Treatment Approaches	464	(2)
Psychopharmacology	466	(2)
Special Issues	468	(2)
References	470	(5)
Section III Special Interventions with Children and Adolescents
Psychopharmacological Interventions for Children with Challenging Behaviors	475	(19)
Introduction	475	(1)
Past and Present Leaders	475	(1)
Pharmacological Intervention in Assessment: Its Significance in Relation to Diagnosis, Treatment Intervention, and Habitation	476	(8)
Formulation and Diagnosis	484	(2)
Assessment and Monitoring/Reassessment	486	(1)
Specific and Special Issues	487	(3)
References	490	(4)
Cultural Competence in Treatment Interventions	494	(19)
Rationale for Cultural Competence in Children's Mental Health	494	(1)
Concepts of Culture and Impact on Human Behavior	495	(4)
Cultural Competence Model	499	(2)
Application of Cultural Competence Principles in Clinical Interventions	501	(6)
Challenges to the Cultural Competence of Systems of Care	507	(1)
References	508	(5)
Systems of Care for Children and Adolescents with Serious Emotional Disturbance	513	(20)
Introduction: The Child with Serious Emotional Disturbance	513	(2)
History of Treatment for SED Children	515	(2)
Characteristics of the SED Child	517	(1)
Assessment of the SED Child	518	(2)
The Clinical Model in Systems of Care	520	(2)
Clinical Vignettes Illustrating the Wraparound Approach	522	(1)
Models of Interagency Collaboration in Systems of Care	523	(4)
Accomplishments of Systems of Care Projects	527	(2)
Summary	529	(1)
References	529	(4)
Author Index	533	(14)
Subject Index	547