5 - Paeds - Safeguarding - CAMHS - Tantrums, Aggressive behaviour + Conduct disorder Flashcards Preview

CP2 > 5 - Paeds - Safeguarding - CAMHS - Tantrums, Aggressive behaviour + Conduct disorder > Flashcards

Flashcards in 5 - Paeds - Safeguarding - CAMHS - Tantrums, Aggressive behaviour + Conduct disorder Deck (10):
1

Tantrums are a ...
what guides your history?

ordinary response to failure

take history and analyse with ABC :
-Antecedents - what happened in minutes before
-Behaviour - what did episode consist of?
-Consequences - what happened as result? eg what parent did and outcome of that

2

Tantrums - After history..? what medical factors could contribute?

examine child
global/language delay, hearing impairment and meds with bronchodilators/anticonvulsants

3

MGMT - before tantrum?

affection/attention before, distraction, avoid antecedents

4

MGMT - during tantrum?
after?

ignore with no surrender
time out for + reinforcement (go away and return when quietens)
use naughty chair/sibling separation
hold firmly if acting dangerously

star chart to prevent future episodes

5

Aggressive behaviour - how to manage? what is 1-2-3 principle?

same rules as tantrums apply
1 - stop doing that because ..
2 - if you don't stop that, you must go to your room
3 - go to your room

6

Conduct disorder - what is it? things they may do?

antisocial behaviour so severe it handicaps general functioning
steal, lie, disobey, light fires, destroy things and pick fights

7

Conduct disorder - typically from where?

homes of discord, with coercive r'ships and poor supervision/limited boundaries

8

Conduct disorder - 1st intervention? problems with this?

parent mgmt training - minimal benefit if poor parental cooperation

9

Conduct disorder - what other mgmt options are there?

anger mgmt, indiv/group based interventions focused on problem solving

10

Conduct disorder - MGMT needs what? and who?

need motivation from child

all need psychiatrists, teachers, police, parents

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