diana browning wright, behavior/discipline trainings, 2002 odd/cd implications? odd/cd in evidence?...

Diana Browning Wright, Behavior/Discipline Trainings, 2002

ODD/CD

IMPLICATIONS?ODD/CD in evidence? Not responding to behavioral interventions alone?

60% have an underlying disorder that probably accounts for noncompliance and aggression

70% of those with an underlying disorder are treatable psychopharmacologically

42% of serious ODD/CD are not only associated with an underlying disorder, but are treatable with medication

ODD/CD

SCREEN WITH:

Child Behavior Checklist(Achenbach & Edelbrock, 2001)

Child Symptom Inventory(Gadow & Sprafkin, 1994)

Teacher, Parent, Youth Self-ReportPreschool/Childhood/Adolescence

Dozens of studies support validity, sensitivity (Gadow & Sprafkin, 1999)

Diana Browning Wright, Behavior/Discipline Trainings, 2002

I. Resistant to standard behavioral interventions or when attentional/disruptive behaviors suggest possibility of underlying psychiatric disorders.

Screen for disordersII. Screen for secondary disorders to determine nature of

referralsAD/HD alone? Pediatric referralPotential secondary? Psychiatric referral may be warranted

III. Feedback to parentsNature of disorder(s), referrals

IV. Feedback to physiciansChecklists, whom to contact at school, all assessment data

V. Baseline & treatment effectiveness dataVI. Ongoing collaboration

Diana Browning Wright, Behavior/Discipline Trainings, 2002

ODD/CD