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Early Childhood Education
Inclusion of Children with Special Needs
Meeting the Needs of Children and Families - Part
One
ECEP 233
Section 062
For: Lisa McCaie-Watters
From: Yanjiao Deng
Due Date: April 2, 2013
Conduct Disorder
Hi, my name is Billy. I am a school age
children, and I am living with my Fathers.
When I am at school, I do not know what’s
happen with myself. All my teachers are
feeling very frustrated with me in the
program. One day, my Fathers had a meeting
with the teacher, and they told her that I had
been diagnosed with Conduct Disorder.Video Time: http://www.youtube.com/watch?v=g58qUHEq6fU
Contents
Introduction to the child and family
……………………………………………………… 4
Introduction to the individual special need
………………………………………………7
Meeting the needs in the child care center
…………………………………………… 18
Overview of referred agencies/resources
……………………………………………….. 21
References …………………………………………………………………………………
23
Introduction to the child and family
Child:
• Billy (name)
• School age
• Conduct disorder
Family:
• Same-sex couple
(males)
Key Information
Introduction to the child and family
• Attachme
ntThe needs of the child
• Medication
• Treatments
• Quality child care
• A safe, secure and nurturing environment
• Social Skills Training
• Respect, Support and Encouragement
• Friends
Introduction to the child and family
Training and Therapy:
• Parent Management
Training
• Parenting skills Training
• Family Therapy
Research and
Observation:
• Get accurate information
about conduct disorder
from libraries, Internet,
hotlines, or other sources
• Pay careful attention to
the signs, try to
understand the
underlying
reasons/causes
Communication:
• Talk with a mental health or social
services professional (teacher,
counselor, psychiatrist, or psychologist
specializing in childhood disorders)
• Talk with the child
• Talk to other familiesThe needs of
the family
Introduction to the individual special need – Conduct Disorder
1. DefinitionConduct Disorder is “generally used to describe a pattern of repeated and persistent misbehaviour. This misbehaviour is much worse than would normally be expected in a child of that age. (American Psychiatric Association, 2000)”1
disobedient aggressive antisocial challenging behaviour oppositional defiant delinquent conduct problems
The essential feature is, “a persistent pattern of conduct in which the basic rights of others and major age-appropriate societal norms and rules are violated (American Psychiatric Association, 2000)”1.
“Conduct disorder is just a way to pathologize kids who misbehave.”2
√ While all children act out and are sometimes unkind, children with conduct disorder misbehave repeatedly and persistently, and this misbehaviour is more worse than normal children do.
“Children with conduct disorder are just bad children.” 2
√ Children with conduct disorder has “difficulty following rules and behaving in a socially acceptable manner”3, and they need time and practice to improve their social skills.
Introduction to the individual special need – Conduct Disorder
2. Myths and Facts
“Conduct disorder is the result of not enough discipline.”2
√“Lax discipline doesn’t cause conduct disorder.” 2 Setting clear limits, clear consequences for misbehaviour and positive reinforcement for desired behaviors can help behave appropriately.
“Conduct disorder is the result of too much discipline.” 2
√ Very harsh discipline does not always lead to conduct disorder. “Many children who develop it come from families with ordinary parenting styles.” 2
2. Myths and Facts
Introduction to the individual special need – Conduct Disorder
“Parents want their children on medicine so they'll be docile.” 2
√“Medication isn't a treatment recommended for conduct disorder, but it may be helpful when kids also have other disorders, such as depression, ADHD, or post-traumatic stress disorder. ” 2
2. Myths and Facts
Introduction to the individual special need – Conduct Disorder
Firstly, conduct disorder is the common children’s public mental health problems.
• “Approximately 5.5% of Ontario children aged 4 to 16 years are affected.”4
• “Affects 5-15% of school age children, more common in boys”5
3. Prevalence
Introduction to the individual special need – Conduct Disorder
Secondly, “each year, approximately 10% of Canada’s 2 million youths aged 12 to 17 years have contact with the police because of their criminal activities.” 4
Thirdly, “the costs of conduct disorder to human services and justice systems are heavy, as are the costs of lost human potential and costs to victims. ” 4
4. Signs and Symptoms
1) Children with Conduct Disorder act aggressively to people and animals.5
often bullies, threatens, or intimidates others often initiates physical fights has used a weapon that can cause serious physical harm to
others (e.g., a bat, brick, broken bottle, knife, gun) has been physically cruel to people or animals has stolen while confronting a victim (e.g., mugging, purse
snatching, extortion, armed robbery) has forced someone into sexual activity
Introduction to the individual special need – Conduct Disorder
2) Destruction of property5 :
has deliberately engaged in fire setting with the intention of causing harm
has deliberately destroyed others’ property (other than by fire setting)
3) Deceitfulness or theft5 :
has broken into someone’s house, building, or car often lies to obtain goods or favours or to avoid obligations (i.e.,
“cons” others) has stolen items of nontrivial value without confronting a victim
(e.g., shoplifting, forgery)
Introduction to the individual special need – Conduct Disorder
4. Signs and Symptoms
Conduct Disorde
r
4) Serious violation of rules5 :
often stays out at night starting before age 13 years has run away from home overnight at least twice (or once
without returning for a lengthy period) is often truant from school starting before age 13 years
4. Signs and Symptoms
Introduction to the individual special need – Conduct Disorder
the presence of any three (or more) of the above criteria in the past 12 months, with at least one
criterion present in the past 6 months
Research shows that “no specific cause of conduct disorder has been identified”6.
The following are the possibly factors that may contribute to the development of conduct disorder:
1) Child Factors Genetics“It is likely that biochemical underpinnings and genetic vulnerabilities interact with environmental forces and individual characteristics to cause conduct disorders.”7
Brain damageMany conduct disordered children have learning problems, and this would leads to poor language skills, social skills and etc. Failure in school Traumatic life experiences
Introduction to the individual special need – Conduct Disorder
5. Causal Factors
Introduction to the individual special need – Conduct Disorder
2) Parenting Factors Poor parenting skills“There is a strong correlation between children diagnosed with conduct disorder and poor parenting practices.” 8
Mental health problems in parents Child abuse
3) Environmental Factors “Social disadvantage, homelessness, low socio-economic status,
poverty, overcrowding and social isolation are broader factors that predispose children to conduct disorder (Hausman & Hammen,1993; American Academy of Child and Adolescent Psychiatry, 1997; Carr, 1999).” 9
5. Causal Factors
1) Early intervention , including early parent or family interventions, school-based interventions and community interventions. “Prognosis may best be improved by prevention of conduct disorder before it becomes so resistant to treatment.”10
Introduction to the individual special need – Conduct Disorder
6. Prevention Strategies
2) Education and TrainingFor example, parent skills training that includes education about normal child development, child problem-solving and family communication skills.
3) FundingPrevention is also not without costs.
Meeting the needs in the child care center
Environment: Environment as the third teacher
• Create an environment with low staff/student ratios; most importantly, provide one to one opportunity
• Provide materials that are age-appropriate, positive, and relevant to the life of children
• Allow children with conduct disorder have equal play opportunities as the normal children
1
Meeting the needs in the child care center
Teaching Strategies:
• Have an appropriate level curriculum for the child with Conduct Disorder, or make a individual program plan for the child
• Praise the child with Conduct Disorder sincerely• Remain calm and respond the child with Conduct Disorder with
respect• Maximize the performance of children with conduct disorder
through the use of cues, prompting, chaining and shaping etc.• Systematically teach social skills - anger management, conflict
resolution strategies and an appropriate manner. For example, scripted stories can be used to help all children understand social interactions, expectations and social cue.
• Structure activities so the student with conduct disorder is not always left out or the last one picked
• Establish clear and fair classroom rules• Teach other children how to work with children with conduct
disorder
2
Meeting the needs in the child care center
For Parents:
• Help parents connect to the supporting agencies
• Provide information for parent through e-mail, posters, pamphlets, etc.
• Invite parents to participate in the program
• Provide parents education/training opportunities
3
1. Canadian Mental Health Association, Ontariohttp://www.ontario.cmha.ca/index.asp
Overview of referred agencies/resources
The Canadian Mental Health Association, Ontario works to improve services and support for people with mental illnesses and their families, and to promote mental health for all Ontarians.
Populations they serve:
Aboriginal People/First
Nations Children and Youth
Immigrants and
Refugees Women Seniors
Parents can: Get more information about
Conduct Disorder Find services and supports
through the website Access to education and training
programs ……
Overview of referred agencies/resources
http://acposb.on.ca/practice/intervention.html
2. The Association of Chief Psychologists with Ontario School Boards
A voluntary professional organization dedicated to the promotion and development of psychological services in schools in the best interests of the students, parents and the school community
Populations they
serve:
Students Parents Teachers Others
Parents can: Get more information about
Conduct Disorder Find services and supports
through the website ……
3. Conduct Disorder Services Guidelines: https://www.msd.govt.nz/documents/about-msd-and-our-work/publications-resources/service-guidelines/conduct-disorder-services-guidelines.pdf
References
1. http://www.rcpsych.ac.uk/files/samplechapter/80_3.pdf
2. http://www.childmind.org/en/myths-about-conduct-disorder/
3. http://www.thirdage.com/hc/c/what-is-conduct-disorder
4.
http://ww1.cpa-apc.org/French_Site/publications/CJP/supplements/october1999/s
up2-oct.pdf
5. Lisa, Handout – Children with Behavioural & Social/Emontional Disorders
6. http://www.thirdage.com/hc/c/conduct-disorder-causes
7. http://www.aacap.org/cs/root/publication_store/your_child_conduct_disorders
8. http://www.minddisorders.com/Br-Del/Conduct-disorder.html#ixzz2P8yaIgve
9. http://www.rcpsych.ac.uk/files/samplechapter/80_3.pdf
10. http://www.minddisorders.com/Br-Del/Conduct-disorder.html
References
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THANK YOU !