Persons with an internalized behaviors view events as controlled largely by their own efforts, whereas persons with an externalized behaviors interpret the outcome of events as due largely to luck, chance, fate, or other events outside of their own influence. Attributing success to external factors and failures to lack of personal ability fosters an external behavior (Perry, 1999). Students that have behavior problems frequently have a high externalized behavior, unable to view the cause of events as related to their own behavior. For this reason, they are not motivated to change events that are undesirable to them because they feel there is little they can do to improve the situation. Identifying Characteristics Adolescent problem behaviors have been frequently dichotomized into two empirically established syndromes reflecting internalizing disturbances (including depression, anxiety, withdrawal, and eating disorders) and externalizing disturbances (including aggression, oppositional disorders, delinquency, and school problems; Achenbach, 1991). Although some adolescents ' problems are primarily internalizing or externalizing, these problems co- occur at high rates in children and adolescents (Angold & Costello, 1995; Nottelmann & Jensen, 1995). Nevertheless, in research with community-based samples, few children are expected to meet criteria for specific mental disorders. Thus, the empirically derived syndromes have an advantage as assessments of early indicators of
The correlation of mental health and substance use in adolescence is very problematic. Many believe that the relationship between the two are so strong that it plays a causative role in the development of adolescents. It places adolescents at risk for problems within their families, communities, and as an individual. This disease can be severe enough that it impairs the adolescent 's ability to function as a person. Both mental health and substance abuse are entangled within one another, that it makes it difficult to decipher which condition is causing each symptom. However, several research studies concluded that adolescents who suffer from mental illness may self-medicate their symptoms by using drugs. The juvenile justice systems suffer from adolescents with mental health disorders, substance abuse or even both.
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
The Externalizing Problems Composite measures behaviors, which are typically “under controlled” by the child and are often seen as disruptive to both peers and adults within the school or home environment. This composite was measured on the teacher rating form, which included the Hyperactivity, Aggression, and Conduct Problems scales. Mrs. Simpson reported in school, Gustave exhibits typical classroom behavior and self-control. Also, Gustave does not act aggressively or demonstrate any rule breaking behaviors. Overall, Gustave’s behavior in school is within the average Range and similar to peers his age.
Children’s mental illness affects approximately one fifth of youth worldwide, and although it is the children who experience symptoms directly, implications associated with mental illness can impact entire families (Richardson, Cobham, McDermott & Murray, 2013). As such, healthcare systems are being redesigned to include a focus on family-centeredness. In the case of children’s mental health specifically, family-centered coordinated care represents an understanding of treatment, not only derived from the child’s experience, but also from the parents’ and caregivers’ perspectives (Olin, Hemmelgarn, Madenwald, & Hoagwood, 2015). Unlike other interventions in children’s mental health, this treatment approach acknowledges the vital role that families play in promoting the health and wellbeing of children, and it serves to empower family members by including them in treatment practices and decision-making processes (McGinty, Worthington, & Dennison, 2008; Olin et al., 2015). Through this collaborative approach to children’s mental health, partnerships can be established among health care providers, patients, and families, who each contribute to continued stabilization (Johnson, 2000; McGinty et al., 2008). Moreover, family-centered coordinated care serves to link children and adolescents with appropriate treatment interventions, while correspondingly introducing families to resources that foster parental
Adolescence is a critical time of development. During this period there are significant changes in brain development, emotions, cognition, behavior, and personal relationships. It is during this time that most major mental health disorders appear, many of which carry over into adulthood. Behavior patterns such as substance abuse also often develop during this time and may continue throughout adulthood. Many adolescents struggling with mental health issues begin to exhibit symptoms such as acting out at home or in school, showing a decreased interest in activities that they previously enjoyed, or bringing home poor grades. Others ultimately are charged with offenses ranging from status
With the prevention of mental and physical health difficulties and the advancement of well-being and health, there is emphasis on reducing the breach between mental health needs that are not met among youngsters and teenagers and operational evidence-based services to meet them (Rones and Hoagwood 2000; U.S. Department of Health and Human Services 1999; U.S. Public Health Service 2000 as cited in Flaspohler, Meehan, Maras, & Keller, 2012). Despite evidence that school viciousness and other main problems among youth may have declined or leveled off, a significant need for effective prevention programming is still necessary. Current data suggests that of “11.3 % of young people in this country, about 7.4 million youth altogether, have at least one diagnosable emotional, behavioral, or developmental condition; 40 % of these youth are diagnosed with two or more of these conditions” (U.S. Department of Health and Human Services 2010).
Psychosocial issues such as anxiety and depression can contribute to medical problems, substance abuse, and a life of crime. If psychosocial issues are not treated, they may affect the child health and wellness. It is very important for the child to learn ways to cope with these issues to be able to live a healthy and fulfilled life. Anxiety and depression can cause a child to withdraw from society and have problems trusting people. Children and adolescents with psychosocial problems often lead a destructive lifestyle. These children and adolescents are at risk for becoming alcoholics and committing crimes as teenagers and/or adults (James,
The selected youth were living in foster care, and were free of active bipolar 1 disorder, eating disorders, chronic illnesses (cancer, cardiovascular disease, and autoimmune disorders), psychotic disorders, and suicidality. Weight and height were measured for each individuals BMI, to assess and measure cortisol and protein levels, saliva was collected. Other participants and caregivers completed tests of psychosocial measures along with 12 other tests and questionnaires. The child behavior checklist – Parent version (CBCL). (Achenbach and Rescorla 2001) was a form that was completed by the adolescent’s parent, caregiver or legal guardian. They were asked questions that described the adolescent’s emotional and behavioral problems. It contained 113 problems that were rated from zero being “not true” to two being “mostly true”. The quick inventory of depressive symptomatology—self-report (QIDS-SR). (Rush et al. 2003). This was a 16 item measure of the adolescent’s severity of depression symptoms. These questions were based on 9 symptoms of depression on the DSM-IV. This sample resulted in sufficient central consistency. The state-trial anxiety inventory-trait subscale (STAI-T). (Spielberger et al. 1983) was a 20-item scale that measured anxiety. Scores were rated from 0-60, higher scores marked higher anxiety. Functional assessment of self-mutilation. (FASM). (Lloyd et al. 1997). The
Depression is a major predictor of a myriad of negative outcomes such as poor academic achievement, low self-esteem, decreased pro-social relationships, and higher risks of substance abuse (Healy, 2016). Additionally, these negative outcomes experienced by depressed teens may be even more apparent if the depression remains untreated. Findings mentioned earlier by Jones (2013) have also confirmed that this sensitive period in an individual’s life is particularly vulnerable to depressive symptoms that could lead to dire outcomes. These negative outcomes found by Jones (2013) concur with many of the same outcomes Healy mentioned. Moreover, research by Jaycox, Stein, and Paddock (2009) further delves into the impact of teen depression on these negative outcomes. Their study broadens knowledge on negative outcomes in teen depression by examining them over a long period of time. The data is compared to teens that are not depressed, but experience the same negative consequences. Results from the research concluded that the negative outcomes such as school achievement and poor relationships were significantly more severe in depressed teens. After stating the major consequences depressed adolescents experienced, their study further found that treating adolescents may not only have clinical symptom benefits, but also greatly
Externalizing behaviors are negative behaviors in which a person might act upon, such as aggression, impulsivity, property or personal destruction, and verbal insults (Meany-Walen, Kottman, Bullis, and Dillman Taylor, 2015). This type of behavior may typically lead to more significant underlying problem(s) in the future. According to Meany-Walen et al., (2015) children that display externalizing behaviors such as aggression, and who do not receive the proper intervention have a higher risk of experiencing problems throughout their lives. Additionally, Olson, Bates, Sandy, & Lanthier (2000) state that children experiencing such behaviors are at greater risk for academic failure, rejection by peers, conflicts with family and with educators, delinquency, low educational and occupational attainment, and adult criminality. Preschool children who particularly display high levels of aggression along with social, and emotional issues are also at a higher risk for continuing this form of conduct as well (Davenport & Bourgeois, 2008). It is important to consider the familial contribution to the child’s externalizing behaviors, such as aggression. Papalia, Feldman, & Martorell (2014) consider the family atmosphere as a key influence on the development of children, and the frequency of the externalizing behaviors occurring in children who derive from families with higher levels of conflict. Without intervention
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The researchers advance the scientific knowledge base by adding to the current knowledge, contributed to the theory, and met the qualifications for a valuable research (Capella, 2016). According to Reising et al., (2016), the study was to address parental depression, social economic status (SES), and community disadvantage for internal and external issues in children and adolescents. Also, taking to account that parental negligence is also a factor that is connected to the internal and external problems in children and adolescents. In addition, concurring to the previous research (Fear, et al., 2009) (Flynn & Rudolph 2011), (Lewis, Collishaw, Thapar, & Gordon, 2014), (McCarthy, Downes, & & Sherman), & (Sondheimer, MD, 2010), all came into
Identifying and understanding the causes of Emotional and Behavioral Disorder (EBD) can help in developing successful interventions and prevention strategies. Research has been unable to show that any specific factors cause EBD, but causal risk factors seem to concur with EBD. These risk factors are categorized as either internal (biological) or external (family, school, and culture) (Yell, Meadows, Drasgow, and Shriner, 2009).
Anxiety and depression (internalizing problems) have increasingly become an issue in youths, with nearly 20% of youths across the world suffering from some form of psychiatric disorder (Eisenberg & Neighbors, 2007). In addition to being widespread, these mental health problems have proven strongly debilitating and impairing for youth quality of life (Costello, Mustillo, Erkanli, Keeler, & Angold, 2003) and positively associated with poor academic achievement and increased suicide risk (Gould, et al., 1998). Moreover, the impacts of these issues on youth mental health carry over into adulthood (Weissman, et al., 1999) and adults who experienced psychiatric problems as children display poorer lifelong functioning if the onset of the problem was earlier in life (Copeland, 2015). As such, it is imperative that researchers develop a better understanding of the risk factors associated with the development of internalizing problems in youth populations.
School-age children(7-11 Years) have poor school performance. The child finds studying and learning difficult when the child cannot stop worrying about what happened at home the night before or who is going to get hurt that night, or maybe even killed later on. The child will also have behavior problems with peers and adults. Because of the lack of observable