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Chapter 28


More than one psychiatric diagnosis present Comorbidity
Alterations is neurotransmitters Biochemical factors
Abuse, overcrowding, low socioeconomic status, foster care Examples of Environmental factors
Information about the childs current matutational level compared with chronological age Developmental Assessment
Specific goals are identified and outlined for each family member Family Therapy
Takes the form of play to introduce ideas and work through issues Group therapy for younger children
Combines play, learning new skills, taking turns, sharing with peers Group therapy for grade-school children
Involves learning skills and talking, focusing largely on peer relationships and working through specific problems Group therapy for adolescents
The mechanism for structuring inpatient, residential, and day treatment programs (safe environment) Milieu Management
Involves rewarding desired behavior to reduce maladaptive behavior Behavioral Therapy
Patients should be monitored this amount of time when in restraints 15 minutes
After restraints are removed, staff should meet to discuss what happened and meeting should be documented Debreifing
A quiet room that is carpeted and supplied with soft objects that can be pinched and thrown Feelings room
A quiet room that containsitems for relaxation and mediation Freedom Room
Requires child to go to a designated room or sitting on the outside of an activity until self control is regained Time Out
Based on the ideas that negative and self defeating thoughts lead to psychiatric pathology and that learning to replace these thoughts with more realistic and accurate appraisals results in improved functioning Cognitive Behavioral Therapy
Child learns to master impulses and adapt to the environment; serves as a means of communication to asses developmental stage and emotional status Play therapy
Characterized by severe and pervasive impairment in reciprocal social interaction and communication skills, usually accompanied by stereotypical behavior, interests and activities Pervasive Development Disorder (PDD)
Language delays, lack of make believe, failure to develop friendships, limited eye contact and facial expressions Autistic Disorder
Exhibits restrictive and repetitive patterns of behavior; idiosyncratic interest such as learning bus schedules, dates, etc. Aspergers Disorder
Only in females, associated with electroencephalographic abnormalties, siezure disorders, abnormal gait, impaired head growth, and severe profound mental retardation Rhetts Disorder
Lack of intellectual development that impairs function, learning, communication, interpersonal skills, and social adjustment Mental Retardation
Sparse hair, small head, flat face profile, broad short neck, short stubby fingers, prodruding abdomen, protruding tongue Downs Syndrome
Show inappropriate degree of inattention, impulsiveness, and hyperactivity Attention Deficit Hyperactivity Disorder (ADHD)
Recurrent pattern of negativistic, disobedient, hostile defiant behavior toward authority figures without serious violation to the basic rights of others Oppositional Defiant Disorder
Characterized by by persistent pattern of behavior in which the rights of others are violated Conduct Disorders
Children become excessively anxious when seperated from their home or parental figures Seperation anxiety Disorder
A persistant reexperiencing of a highly tramatic event to which the individual responded with intense fear, helplessness, or horror Posttraumatic Stress Disorder
Characterized by motor and verbal tics that cause marked distress and significant inpairment in socail and occupational functioning Tourettes Disorder
The repeated regurgitation and rechewing of food without apparent nausea, retching, or gastrointestinal problems Ruminaion Disorder
Created by: jamie.stover