Conduct Disorders

Disruptive Behavior Disorders. Oppositional defiant disorder (ODD), conduct disorder (CD), and attention deficit hyperactivity disorder (ADHD) form a cluster of childhood disorders considered to be “disruptive behavior disorders” (American Psychiatric Association, 2004). Although most violent adolescents have more than one mental disorder and they may have internalizing disorders, for example depression or substance abuse, there appear to be increasingly higher rates of physical aggression found in these adolescents who experience disruptive behavior disorders than for those with other mental disorders. The fact that violent juvenile offenders are more likely to have these diagnoses is not surprising, because impulsive and/or aggressive behaviors are part of their diagnostic criteria. Additionally, there is relatively high co-morbidity with substance abuse disorders, which are also associated with juvenile violence (Moeller, 2001). Individuals with conduct disorder have the following features but this list is not inclusive for example they may have little empathy and little concern for the feelings, wishes, and wellbeing of others, respond with aggression, may be callous and lack appropriate feelings of guilt re remorse, self-esteem may be low despite a projected

TED Talk stated that the greatest risk factors for children who are identified as having conduct problems are that they will end up in prison. 1 in 5 children that are diagnosed with conduct disorder from ages 5 to 6 years of age will cost over $1 million dollars. The book stated that they are often aggressive and psychological cruel to people. They will destroy people’s property, steal, skip school, and many more bad things if you treat it later it will be more difficult. Schools does use some of the strategies and resources that are recommended by The Virtues Project, because it helps to understand the how they should talk to children. I think that families and teachers do not integrate some strategies because sometimes it does not work,

Treatments include but are not limited to: “Brand name” family therapies, diversion, probation, or residential placement. These treatments that youths complete are key to saving money in the future due to reducing the need for future incarceration and the costs that come with it.

Description of duties consisted of providing therapeutic interventions to children, adolescents, and their families as it relates encouraging and facilitating positive developments within the client's functioning within their community, school and household environment. As the client is entered into the OPT/TSF program, the goal is for the client to remain in the community with less intensive services. Through the services, I observe the client's behaviors and become familiar with their referral provided by Delaware Division of Prevention and Behavioral Health. Once an assessment is completed, I develop a treatment plan which consist of long and short-term goals, objectives and interventions goals that would ensure the client's success within the OPT/TSF program.

Behavior health services rendered to child/adolescents who suffer from poor social skills, educational obstacles, grief, physical and sexual abuse. A treatment plan is initiated for children/adolescents and parent the treatment plan will focus on evidence based

As children grow from adolescence to being an adult, an absence of positive developmental traits is directly linked to one’s behavior. As stated by the American Psychiatric Association, "When individuals with conduct disorder reach adulthood, symptoms of aggression, property destruction, deceitfulness, and rule violation, including violence against co-workers, partners, and children, may be exhibited in the workplace and the home, such that antisocial personality disorder may be considered" (American Psychiatric Association, 2013).

The field of child and youth care places emphasis on the acquisition of the skills and knowledge on advocating for youths, their families, and children. In this field, experts work with youths, the children and their families on issues of mental health, residential treatment programs, and many others. Strategies for early interventions are among the key concerns in this field. Also, the assessment of mental issues and

When working with children with behavioural difficulties it is important that practitioners respects the families culture, customs and values. Some children may grow up in a family where they value their father so it is important that practitioners take this into account when working with children with behavioural problems, as the child may listen more to male members of staff than female. Also some children may have been brought up by their grandparents where they are usually spoilt by them and get what they want and in the setting they cant always get their own way. When working with children with behavioural difficulties it is important that the practitioners have some knowledge on the child's background for example the child might have

In order for someone to be diagnosed with Conduct Disorder, they must meet all the criteria A through C, and Criteria A clearly states that a client must have experience 3 of the 15 statements listed in the DSM-V, within the last 12 months. The behaviors include aggression toward people and animals, destruction of property, deceitfulness and stealing, and other serious violations of rules. Eddies actions do not fit into this criteria since he is not aggressive or bullying classmates or friends, and although his parents have stated that he “demolished” the kitchen or living room, it is clear he is not violent or prone to lying and stealing. The only blatant disregard for rules that could be considered dangerous was when Eddie ran out of the house and wandered into the street until someone returned him home. However, that occurred when he was four years old, not in the last 12 months. Eddie does not fit into Criteria A due to a lack of violent nature. Criteria B states that the individuals behaviors cause a significant impairment in social, academic or occupational functioning, however, since Eddies behaviors do not fit into Criteria A, this does not apply. Lastly, Criteria C states that if the client is 18 years or older, they do not meet the criteria for antisocial personality disorder, which also doesn’t apply to Eddie. It is clear after looking through all Criteria A-C, Eddie does not have conduct disorder.

Lasting Change LLC Offers a 15 to 20 bed Residential facility for youth from 12 to 17 years of age with mental health diagnosis, and behavioral issues that disrupt normal life in their homes or other facilities. Using evidence based practices the services that Lasting Change LLC would offer youth and their families is with highly trained staff with multiple programs to provide the best results. Management that would start by shadowing staff on the floor and would also be trained in all the evidence based practices that we offer. We would offer an Individual specialized plan per youth that would include, medication management with a personal psychiatrist, behavior modification plan, a therapy plan, a three month reintegration plan and aftercare option so families won’t feel that they have no back up plan. During the first six months of behavior modification using our evidence based practices the youths guardians have the option to get certified in our evidence based practices. The following 3 months would be a time where the guardians could shadow the staff working with their youth. They would switch roles in the last 3

This program assisted with youth ability to analyze their individuality, gain dignity and engage respectfully within their familial relationships and community (Harvey & Coleman, 1997). In-home therapy is conducted to build a rapport with youth and family members. Meeting the families in their home provides a comfortable environment to discuss concerns. Individual therapy is provided to allow youth to reflect and focus on decision making skills. Youth are given the time to discuss thoughts and communicate underlying issues that influence behaviors (Harvey & Coleman, 1997).

Henggeler, Smith, and Melton (1992) reported treatment of 84 serious juvenile offenders and their families designed to combat antisocial behavior. Each of the families was assigned on a random basis into two groups: first group received the Multisystemic Therapy and the second was treated with the use of the standard services offered by the local Department of Youth Services (DYS). The study was conducted in 1990 through the Family and Neighborhood Services (FANS) in South Carolina. One-hour research evaluations were conducted right before treatment has started and right after it has ended. The therapies lasted 4 months on average and were delivered in home and/or in community locations.

Participants: M. Parker, Guidance Counselor, B. Michael, Social worker, Parent, D. Shaw Principal, S. Roberts, Behavioral Consultant, Classroom Teachers; D. Chemnitz and C. Ragusa

The family checked-in as being “okay” and week was “good.” The family presented in a euthymic mood and it was congruent with affect. During this session, the therapist and family focused on treatment goals accomplished and completion of the therapeutic process. The youth’s mother was asked to identify what was the most difficult challenge she experienced during the therapeutic process. The mother reported it was difficult to handle a teenager with anger management problems while leaning how to adjust to an alternative way of disciplining. She indicated Denae’s attitude is not perfect, but she and her husband has learned how to punish without having to use physical force. The youth reported her greatest challenge was controlling her behavior and anger.

The Attachment, Self-Regulation, and Competency (ARC) Framework is a theoretically grounded, evidence-informed, promising practice used to treat complex trauma in children and adolescents (Arvidson, 2011). This research shows how the application of the ARC model benefits inner city youth who have been diagnosed with Oppositional Defiant Disorder. The goal of this research is to demonstrate that symptoms of ODD can be decreased by exposing inner city youth to ARC therapy over a period of time. The target population is inner city youth in Chattanooga, TN who are diagnosed with Oppositional Defiant Disorder. 50 students were chosen at random at inner city schools in the area. 25 of the youth will be exposed to the therapy, while 25 will not be exposed and serve as the control group. The 25 students will be exposed to ARC therapy over a span of 6 months. After the 6 month period, the behaviors will be rated again and compared to the control group that received no treatment. Complex trauma results from exposure to severe stressors that occur within the caregiver system or with another presumably responsible adult, are repetitive, and begin in childhood or adolescence. As a result, many of these children and adolescents experience lifelong difficulties related to self-regulation, relationships, psychological symptoms, alterations in attention and consciousness, self-injury, identity, and cognitive distortions (Lawson, 2013). Exposure to ARC therapy over a given time will lead to