Week 10 - Child Disorders Flashcards
(15 cards)
What is different when assessing children?
- brains and bodies function differently
- incapable of independent living
- learn interpersonal and intrapersonal skills from family and external world
- incapable of providing full info for assessment
What is the pyramid for individual differences for children?
- whanau context
- medical context
- wider social context
What is the process of child assessment?
- same processes as usual: formulation, clinical/psychometric assessment
- additionally: more third-party info and direct observations
Ethical issues when working with children
- consent (parent) and assent (child)
- confidentiality (involving caregivers)
Safety to consider when working with children (DASH)
- domestic violence
- abuse and neglect (phys, emo, sexual)
- self-harm and suicide
- harm from others
Bronfenbrenner’s ecological systems
- child
- microsystem: family, school
- mesosystem: interactions between microsystems
- exosystem: parent resources
- macrosystem: cultural attitudes
- chronosystem: environmental changes over lifespan
What are 2 contextual models
- Bronfenbrenner’s ecological systems
- Te Whare Tapa Wha
Cultural bias when working with children
- be careful of Westernised parenting expectations
- be careful of your personal experiences of parenting
Consider power dynamics when working with children (2), and how to reduce these (3)
- parent has most power
- child may be intimidated by authority
- helps to have toys
- dress comfortably
- use their language (find ways to relate to them)
What is the circle of security in attachment theory?
Parents provide a secure base and safe haven for children to explore and learn.
What are genograms used for?
To identify:
- relationships over generations
- emotional relationships
- mental and physical conditions
Initial child assessment (5)
- clinical interview: child + family (3rd party info)
- presenting problems: use HEEADSSS assessment
- behavioural observation: school, home, social, therapy room
- psychometrics
- case formulation
What is a limitation of involving whanau in child assessment?
What is a limitation of child assessment tools?
- Time-consuming: clinical interviews require 90 minutes instead of one hour.
- Gather information from each person (family, teachers)
- Poor inter-rater reliability between parents and child
What are 4 types psychometric tools for child assessment?
- parent forms
- teacher forms
- self-report forms
- cognitive and academic assessment
What is an example of a psychometric tool used for child assessment? What does it measure and who are the informants?
Conners Comprehensive Behaviour Rating Scale
CCBRS: questionnaire for Disruptive Behaviour, Mood Disorders, Anxiety Disorders, Learning & Language Disorders, and ADHD.
Informants: parent, teacher, youth self-report