Management of Emotional and Behavioural Problems ✅ Flashcards
(34 cards)
What are the categories of management of emotional and behavioural problems?
- Social/environmental
- Parenting
- Family therapy and systemic intervention
- Individual psychological therapy
- E-therapies
Why is it important to consider the social and environmental factors when managing emotional and behavioural problems?
Many environments do not support or facilitate parents to provide the basic components for achieving fundamental well-being
Give some examples of interventions at the community level that can improve psychological well-being?
- Making use of green space and open water for activities
- Creating safe play areas
- Connecting relational networks to support and mentor valuable groups
What are the core principles of parenting?
- Positivity
- Responsivity
- Structure
- Consistency
- Patience
Why is a positive parental relationship important in the management of emotional and behavioural problems?
In order for behavioural management to be effective, it needs to be based on a ‘good enough’ relationship
What can help ensure a good relationship between parent and child?
- Shared activities
- Noticing small positive steps
- Specific praise
What shared activities can help build a good relationship between a parent and child?
Any shared activity is worthwhile, but play is paramount for younger children
What should be recommended regarding play to build a good relationship between parent a child?
Play led by the child for a short period (10 minute)
However, any play where adult attention is on the child is useful
What should be advised regarding praise to build a good relationship between parent and child?
Targeted, specific praise, e.g. I like how you did X, is important, whereas vague, general praise has been shown to be worse than none at all
What is meant by responsivity with regard to parenting?
Being available to the child
What needs to be distinguished between when considering resposinsivity?
Listening to the child respectfully and granting the child’s every wish
Why is it important not to give a child everything they want?
Learning to tolerate a degree of frustrating is an important step in emotional development
Why is structure important for children?
A routine is important for children to feel safe and reassure them that the adults are in control
What advice can be given regarding rules for children?
- Should apply to adults and children
- Should be simple, unambiguous, and (initially) few
- Should specifically target unwanted behaviours
Why might it be useful to target one bad behaviour at a time to begin with?
Patterns of behaviour take a long time and a lot of effort to change, so sometimes more productive to target only one at a time to start
What techniques can be used to change bad behaviours?
- Positive and negative reinforcement
- Power of habit
What advice can be given regarding planning for situations?
Prior to entering a situation where parents know the child has a problem, should stop, calmly tell the child what is expected, what is not allowed, and what the consequences of positive and negative behaviour will be
In what respects do parents have to be consistent?
- Over time
- Across all parents/carers
- Across all settings/contexts
What do occasional rule lapses lead to?
‘Intermittent reinforcement’, which results in the continuation of the negative behaviour
What do parents need to be aware of when trying to change their childs behaviour?
An ‘extinction burst’ of increased bad behaviour before things start to improve
For what issues is there evidence for the use of family therapy and systemic interventions?
- Sleep
- Feeding and attachment problems
- Child abuse and neglect
- Childhood behavioural difficulties
- Emotional problems
- Eating disorders
- Somatic disorders
What childhood behavioural difficulties can family therapy and systemic interventions be used for?
- ADHD
- Conduct
- Deliquency
- Drug abuse
What emotional problems can family therapy and systemic interventions be used for?
- Anxiety
- Depression
- Grief
- Bipolar
- Suicidality
What somatic problems can family therapy and systemic interventions be used for?
- Enuresis
- Encopresis
