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PSCL 479 > Dual Diagnosis and Challenging Behavior > Flashcards

Dual Diagnosis and Challenging Behavior Flashcards

1
Q

Child with DD may face which types of problems

A

mental and physical that’s personal to their disability symptoms

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2
Q

Developmental Disorders can alter what in other disorders?

A

symptomatic presentation which makes accurate diagnosis more difficult

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3
Q

When comorbidites and dual diagnoses are not recognized, children can fail in which settings doing what?

A

education, social, unmanagability at home

showing aggression and self injury

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4
Q

What happens to long term effects if disability is identified and managed early

A

They are minimized

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5
Q

Why do kids self injury

A

sensory seeking, attention seeking, feeling hurt/sick

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6
Q

There is a high prevalence of what health problems and what in what type of disorder?

A

Mental Health Problems, Behavior Disorders, ID

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7
Q

Within __ and ___ Health & ___ Disorders dual diagnosis, there is greater difficulty in what

A

ID, Mental, Behavioral, Greater difficulites in assessment, evalution, and treatment interventions

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8
Q

Why is it hard to assess IDD difficulties

A

Tools rely on communication and concept understanding

Treatment/interventions (talk therapy (communication, too abstract))

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9
Q

mental health and behavior disorder undermine the person’s ___

A

quality of life

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10
Q

Difficulty in evaluation and treatment leads to

A

greater frustration and stress in caretakers

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11
Q

Despite the difficulties, mental health and what kind of disorder should be what?

A

behavior, diagnosed and receive specific treatment

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12
Q

What is hard about mental disorder vs psychiatric disorder vs challenging behaviors

A

There can be unofficial comorbid diagnosis

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13
Q

What’s included in prevalence rates

A

Some rates include ADHD and ASD as comorbidities for ID/DD

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14
Q

Challenging behavior definition

A

Any repeated pattern of behavior that interferes with learning or engagement in pro social interactions with peers and adults

Behaviors that are not responsive to the use of developmentally appropriate guidance procedures (typical treatment doesn’t work)

Impacts daily functioning

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15
Q

Examples of challenging behavior

A

Prolonged tantrums, physical and verbal aggression, disruptive vocal and motor behavior, screaming, sterotypy, property destruction, self-injury, noncompliance, withdrawal

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16
Q

Why growth hormones is a problem to family of PWS

A

Make the kid stronger a problem if they’re aggressive

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17
Q

The definition for behavior disorders includes

A

Product of mental health disorder and physical conditions

behavior phenotype

non adaptive behaviors

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18
Q

Examples of behavioral problems

A

Self injury, manipulation, destructive behavior, aggressiveness, shouting, oppositional attitude, sterotypy, cries, explicit sexual

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19
Q

What is stereotypy

A

Repetitive behaviors that don’t impact child in the moment

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20
Q

The challenges of stereotypy

A

Impedes child’s ability to do other things

Physical safety risk

Can be distracting to others

21
Q

Some genetic syndromes are characterized by what

A

well established behavioral patterns that are inherit to these conditions eg/ hyperphagia in PWS

22
Q

These types of inappropriate behaviors are often easier to treat

A

learned

23
Q

The types of anxiety disorders

A

Generalized anxiety disorder, panic disorder, social anxiety disorder, OCD, PTSD, Skin picking disorder

24
Q

Generalized anxiety disorder

A

excessive anxiety and worry about family, health, finances, school, or work

25
Q

Panic disorder

A

panic attacks that recur; usually beginning during puberty

26
Q

social anxiety disorder

A

intense fear of acting in a way or showing anxiety symptoms that will be negatively evaluated

27
Q

OCD

A

recurrent thoughts, images, or impulses that are intrusive, inappropriate, and anxiety causing repetitive behaviors or mental acts done to neutralize and obsession or as part of following rigid rules

28
Q

How much more likley is a IDD kid to develop mental health disorder

A

4-5x greater than TD rate

29
Q

1 in ____ children/adolescent within ID/DD receive specialized mental health services

A

10

30
Q

Dual diagnosis influences this more than that

A

parents well being more than severity of ID/DD

31
Q

Reasons why kids with DD are higher risk for psyhciatric disorders

A

higher rates for certain psychiatric disorder in specific syndromes

impairment in acquisition of age dependent coping skills

multiple hospitals stays for treatment of associated medical problems

Physical differences readily seen by peers

Family history of psychiatric disorders

Changes in school, classmates, living situations, and family

32
Q

Early signs and symptoms that there are mental health disorder in people with ID/DD

A

Changes in routines, likes and dislikes, sleep and feeding patters, unmotivated important weight changes, isolation, apathy, unmotivates cries; smiles; or laughs, Talking to him or herself, Externalized aggression, Self-injury, Unexplained sadness, Inappropiate affect, Intriguing and/or worrying behaviors

33
Q

Developmental trajectories of verbal and physical aggression and tantrums in Down Syndrome, PWS, Williams, Fragile X

A

REOD THIS ONE

variablitiy in age range

Down:

PWS: starts less likley and increases with age

Williams: most likley at start and less likely as goes on

FXS:

tantrums: williams decreases with and age down and FXS. PWS is more consistent

34
Q

What does this mean for individuals with ID/DD

A

complex disorder with moving parts

challenges and concerns can change with age and by environment

Every child is unique: present with individual strengths and areas of need, important for providers to know some of the associated difficulties or concerns so that they can keep an eye out for them, understanding all of the associated components of ASD allows a child to have access to the best treatment plan possible that is tailored for him or her

35
Q

The Biopsychosocial model for mental health categories and examples of each

A

many things go into it no one factor:

Social - peers, family circumstances, school, drug effects, family relationship, trauma

psychological - self esteem, coping skills, social skills, family relationship, trauma, temperament, IQ

biological - physical health, disability, genetic vulnerabilities, drug effects, temperament, iq

36
Q

In challenging behavior, what are important things in the child’s life to consider?

A

protective environment, vulnerability, adversity, resilience

37
Q

Challenging behavior

A

doesn’t act the same way across individuals – extending to manifestations and how intervention should be approached

38
Q

Two lines of intervention that are really taking off in last 5 - 10 years with those with IDD

A

clinical drug trials – having fda approved specific drug trials

telehealth services – for rural environments and getting expert knowledge where there is none especially for rare disorders

39
Q

What are some treatement options

A

Medication, CBT, Speech Therapy, Occupational Therapy, Physical Therapy, Tutoring and school services

40
Q

Physical aggression in Down, PWS, FXS, Williams

A

Goes down, PWS is higher than the rest though

41
Q

Tantrums in Down, Williams, FXS, PWS

A

All go down but Williams starts the highest, PWS, stays at a constant high

42
Q

Mean verbal aggression in Down, Williams, FXS, PWS

A

Down and FXS are level then increase, Down starts high then decreases, PWS starts low then smooths out high

43
Q

Prenatal exposure to alcholo leads to higher rates of which behavioral disorders

A

conduct disorder

44
Q

What are the common co-occruring disorders with ID/DD

A

4-5x rates of psychiatric disorders

45
Q

What are the common co-occruring disorders with Neurodevelopmental disorders

A

Behavioral/psychiatric disorders: ADHD, MDD, Anxiety disorders, mood disorders, Self-injury

46
Q

What are the common co-occruring disorders with down syndrome

A

Behavior disorders (ADHD, aggression, autism)

47
Q

What are the common co-occruring disorders with PWS

A

OCD, Bipolar, Mood disorders, Social phobias, MDD

48
Q

What are the common co-occruring disorders with Fetal Alcohol syndrome

A

Suicide, depression, bipolar

49
Q

What are the common co-occruring disorders with Williams syndrome

A

ADHD, phobias, GAD

PSCL 479 (14 decks)

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