EVIDENCE BASED TREATMENT FOR CONDUCT DISORDER

EVIDENCE BASED TREATMENTS

Many different measurement tools were used to measure disruptive behaviors in participants including: self-report parent report teacher report public records observed behavior

MULTI-SYSTEMATIC THERAPY

Multi-systematic Therapy is a child based treatment that is used for adolescences with anti-social and delinquent behaviors.

A combination of different interventions are used such as: cognitive-behavioral approaches, behavior therapies, parent training, family therapies, and medications

Probably Efficacious Evidence Based Treatment

CORE PRINCIPLES OF MST

1. Assessing how the problems are influenced by the family’s social setting

2. Emphasizing the positives for the family structure3. Interventions focus on increasing positive/responsibility

behaviors and decreasing negative/irresponsible behaviors

4. Focusing on current problems that are easily trackable5. Coordinating interventions that have a target goal but

cross different systems6. Involving appropriate competencies within systems of

school, work, and peers7. Interventions require continuous effort by child and family8. Evaluating interventions while holding treatment team

accountable for positive progress9. Teaching caregivers skills to address problems in a

general sense across systems.

PARENT CHILD INTERACTION THERAPY

Parent Child Interaction Therapy is family and parent training therapy to support children aged 2-7 who have disruptive behavior problems

Therapy session meet weekly for 1 hour for 12-14 sessions

Two phases of therapy are introduced: Child-directed interaction and Parent-directed interaction

Probably Efficacious Evidence Based Treatment

PHASES OF PARENT-CHILD INTERACTION THERAPY

Child Directed:Parents learn skills to help have positive

parenting and warmth in interactions. These include: Positive attention skills (praise and reflection) Active ignoring skills (less attention for negative

behaviors) Setting clear instruction and following through

with appropriate praise or punishment Parent Directed:Parents receive assignments in which they use

the skills they learned during the child directed phase to apply them at home

PROBLEM SOLVING-SKILLS TRAINING

PSST is a child based therapy for school aged children ages 7-13 with disruptive behavior

Over the course of 20-25 sessions children learn skills and techniques to help with problem solving and solutions by a variety of methods

Probably Efficacious Evidence Based Treatment

PROBLEM SOLVING-SKILLS TRAINING: SKILLS AND TECHNIQUES

Common skills taught during sessions: Identifying the problem Weighing pros/cons Making decisions Evaluating the outcome

Techniques for teaching skills during sessions: Role playing Modeling Practice Social reinforcement Positive feedback

MEDICATIONS FOR THE TREATMENT OF CD AND ODD

This article did not review the use of pharmaceuticals as treatments but did state that they are used in clinical treatments yet are not as common as behavioral therapies

A main problem that medications tend to address is aggressive behaviors that are not the only issues with children with CD or ODD so they are not as effective alone as in combination with behavioral therapies

The use of medication might also be treating underlying co-morbid disorders such as AD/HD or Bi-polar disorder