Behandling av små barn med store atferdsforstyrrelser.
12. mai 200009:00-10:45
Storefjelltoppen 2
Presentør
Willy-Tore Mørch |
Abstract
The incidence of aggression in children i escalating - and at younger ages. Studies indicate that anywhere from 7-20% of preschool and early school age children meet the diagnostic criteria for Oppositional Defiant Disorder (ODD) and Conduct Disorder (CD). Emergence of "early onset" ODD/CD in preschool children is stable over time and appears to be the single most important behavioral risk factor for antisocial behavior for boys and girls in adolescence. Since conduct disorder becomes increasingly resistant to change over time, interventions that begins in early childhood is clearly a strategic way to prevent substance abuse, delinquency and mental illness in adolescence. Recent projections suggests that fewer than 10% of the children who need mental health services for ODD/CD actually receive them, and less than half of those receive empirically validated interventions (US figures).
The BASIC parent training series is a 12-week program for parents, involving group discussion of a series of 250 video vignettes and is guided by behavioral literature. The program teaches parents interactive play and reinforcement skills, nonviolent dicipline techniques, logical and natural consequences and problem solving strategies. In 1987 and 1992 respectively, a supplementary ADVANCE program that addresses other family risk factors such as depression, marital discord, poor coping skills etc, and SCHOOL AGE parent training series for use as a prevention oriented program. The parent programs can be performed in combination with THE DINOSAUR SCHOOL program, a child group program focusing on how to make new friends, how to talk to friends, how to understand feeling and how to do better in school.
The programs meet the APA Section 1 Task forces's criteria for empirically supported psychosocial treatment. The parent and child program, separate and in combination are significantly superior to control groups measures by parents reports, parent/child home observations an peer interactions.
The Universities of Tromsø and Trondheim (ABUP and RBUP) are now building up Webster-Stratton's Parent and Child Video Series program in cooperation with the psychiatric out-patient clinics (BUP) and Child Protection Research Units (BUS) in Trondheim and Tromsø respectively. A pre/post randomized comparison and waiting-list control group replication stydy will be conducted at the two university sites in order to measure the effects of the program in Norway.