The Development of a Clinic to Manage Disruptive Behaviour Disorders not Responding to Conventional Psychological and Psychostimulant Treatments

Abstract

Objective: The development of a specialised Disruptive Behaviour Disorders clinic to assess, treat and monitor clinically referred primary school-age children with Attention Deficit Hyperactivity Disorder-combined type (ADHD-CT), oppositional defiant disorder (ODD) and conduct disorder (CD) who are not responding to conventional psychological and psychostimulant medication treatments is described.

Conclusions: Systematic clinical research and ongoing evaluation of complex Disruptive Behaviour Disorder cases is achievable within a metropolitan Child and Adolescent Mental Health Service.

References

Rutter M

.Practitioner Review: Routes from Research to Clinical Practice in Child Psychiatry: Retrospect and Prospect.Journal of Child Psychology and Psychiatry. 1998;39:805-816

Kotter JP

.Leading Change: why transformation efforts fail.Harvard Business Review. March–April, 1995;:59-67

1998:

Vance ALA

Luk ESL

Costin J

Tonge BJ

Pantelis C

.Attention Deficit Hyperactiv-ity Disorder: anxiety phenomena in children treated with psychostimulant medication for six months or more.Australian and New Zealand Journal of Psychiatry. 1999;33:399-406

Kempton S

Vance A

Maruff P

Luk ESL

Costin J

Pantelis C

.Executive function and attention deficit hyperactivity disorder: stimulant medication and better executive function performance in children.Psychological Medicine. 1999;29:527-538

Conners CK

.Parent Symptom Questionnaire.Psychopharmacology Bulletin. 1985;21:816-822

Achenbach TM

Edelbrock CS

Manual for the Child Behaviour Checklist and Behaviour Profile. Burlington: University of Vermont; 1983:

Wechsler D

Wechsler Intelligence Scale for Children3rd edn. Texas: The Psychological Co-operation; 1991:

Jastak S

Wilkinson GS

Wide Range Achievement Test-Revised. Jastak Assessment Systems: Wilmington E; 1984:

10.

Neale MD

Neale Analysis of Reading Ability Revised. Melbourne Australian Council of Educational Research; 1988:

11.

Taylor E

Schachar R

Thorley G

Wieselberg M

.Conduct disorder and hyperactiv-ity: I, Separation of hyperactivity and antisocial conduct in British child psychiatric patients.British Journal of Psychiatry. 1986;149:760-767

12.

Silverman WK

Albano AM

Anxiety Disorders Interview Schedule for DSM-IV. Texas: Graywind; 1996:

13.

Derogatis LR

Lipman RS

Rickels K

Uhlenhuth EH

Covi L

.The Hopkins Symptom Checklist (HSCL): a self-report symptom inventory.Behavioural Science. 1974;19:1-15

14.

Epstein NB

Baldwin LM

Bishop DS

.The McMaster Family Assessment Device.Journal of Marital and Family Therapy. 1983;9:171-180

15.

Rutter M

Graham P

.The Reliability and Validity of the Psychiatric Assessment of the Child: 1. Interview with the Child.British Journal of Psychiatry. 1968;114:563-579

16.

Sandberg ST

Rutter M

Taylor E

.Hyperkinetic Disorder in psychiatric clinic atten-ders.Developmental Medicine and Child Neurology. 1978;20:279-299

17.

Reeves RA

.Does this patient have hypertension? How to measure blood pressure.Journal of the American Medical Association. 1995;273:1211-1218

18.

Reynolds CR

Richmond BO

Revised Children's Manifest Anxiety Scale: Manual. Los Angeles, CA: Western Psychological Services; 1985:

19.

Kovacs M

Devlin B

.Internalising Disorders in Childhood.Journal of Child Psychology and Psychiatry. 1998;39:47-64

20.

Plizka SR

.Comorbidity of Attention Deficit Hyperactivity Disorder and Overanxious Disorder.Journal of the American Academy of Child and Adolescent Psychiatry. 1992;31:197-203

21.

Nie NH

Hull Hadlai C.

Jenkins JG

Steinbrenner K

Bent DH

Statistical Package for the Social Sciences. New York: McGraw Hill; 1970: