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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
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ODD/CD IMPLICATIONS? ODD/CDin 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 Diana Browning Wright, Behavior/Discipline Trainings, 2002
ODD/CD SCREEN WITH: • Child Behavior Checklist (Achenbach & Edelbrock, 2001) • Child Symptom Inventory (Gadow & Sprafkin, 1994) Teacher, Parent, Youth Self-Report Preschool/Childhood/Adolescence Dozens of studies support validity, sensitivity (Gadow & Sprafkin, 1999) Diana Browning Wright, Behavior/Discipline Trainings, 2002
ODD/CD I. Resistant to standard behavioral interventions or when attentional/disruptive behaviors suggest possibility of underlying psychiatric disorders. • Screen for disorders II. Screen for secondary disorders to determine nature of referrals • AD/HD alone? Pediatric referral • Potential secondary? Psychiatric referral may be warranted III. Feedback to parents • Nature of disorder(s), referrals IV. Feedback to physicians • Checklists, whom to contact at school, all assessment data V. Baseline & treatment effectiveness data VI. Ongoing collaboration Diana Browning Wright, Behavior/Discipline Trainings, 2002