Identification and treatment of children with oppositional defiant disorder: A case study of one state's public service system.

2008 ◽  
Vol 5 (2) ◽  
pp. 139-152 ◽  
Author(s):  
Craig Anne Heflinger ◽  
Kathryn L. Humphreys
Author(s):  
James C. Raines

Obsessive-compulsive disorder (OCD) and related disorders can be debilitating to children and adolescents. Childhood onset of OCD occurs in about 1–3% of all children. When childhood OCD symptoms are particularly sudden and/or suddenly more severe, clinicians should investigate if it is precipitated by infectious or immune problems. The most common comorbid diagnoses are anxiety disorders, followed by oppositional defiant disorder. The Child Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) is the gold standard clinician-completed assessment. Intervention can be titrated using a multitiered system of supports framework. Collaborating with teachers, parents, and community providers is essential for these students. A case study is provided to illustrate chapter recommendations.


2020 ◽  
Vol 4 (1) ◽  
pp. 115
Author(s):  
Krishno Hadi ◽  
Listiana Asworo ◽  
Iradhad Taqwa

This article highlights the importance of a dialogic relationship between government and society in the effort to build more participatory service system innovations. The idea of dialogic innovation itself arises as a logical consequence of the open government system, which replaces outdated service practices. This new idea emphasizes accountability, transparency and participation from the community as the spirit of the public service system. Thus, public service innovation is produced by absorbing bottom-up innovation. This research uses a qualitative approach with a case study model. Data collected through observation, depth interviews and documentation. The results of this study indicate that the Malang Online Service System (SINGO) implemented in the village of Sawojajar, Malang is evidence of the success of dialogic innovation between the community and the government. The android application-based public service system was conceived and created by the Sawojajar community itself, supported by the local government. SINGO’s innovations have succeeded in becoming champions and pioneers for other villages. This shows that dialogical and participatory public services have succeeded in changing the old pathological bureaucratic paradigm into emancipation. Artikel ini menyoroti pentingnya relasi dialogis antara pemerintah dengan masyarakat dalam upaya membangun inovasi sistem layanan yang lebih partisipatif. Gagasan inovasi dialogis sendiri muncul sebagai konsekuensi logis dari sistem open government, yang menggantikan praktik pelayanan yang telah usang. Ide baru ini menitikberatkan pada akuntabilitas, transparansi serta partisipasi dari masyarakat sebagai ruh dari sistem pelayanan publik. Sehingga, inovasi pelayanan publik dihasilkan dengan cara menyerap aspirasi dari bawah (bottom-up innovation). Penelitian ini menggunakan pendekatan kualitatif dengan model studi kasus. Data dikumpulkan melalui observasi, depth interview dan dokumentasi. Hasil penelitian ini menunjukan bahwa Sistem Pelayanan Malang Online (SINGO) yang diterapkan di kelurahan Sawojajar, Malang merupakan bukti dari keberhasilan inovasi dialogis antara masyarakat dengan pemerintah. Sistem pelayanan publik berbasis aplikasi android digagas dan diciptakan oleh masyarakat Sawojajar sendiri, didukung oleh pemerintah setempat. Inovasi SINGO sendiri berhasil menjadi juara sekaligus pionir bagi kelurahan lainnya. Hal ini menunjukkan bahwa pelayanan publik yang dialogis dan partisipatif berhasil mengubah paradigma birokrasi lama yang patologis menjadi emansipatif.


2020 ◽  
Vol 20 (1) ◽  
pp. 39-55
Author(s):  
Catrina A. Calub ◽  
Mark D. Rapport ◽  
Kristi Alexander

Individual cognitive behavioral therapies (CBT) have been shown to be effective in decreasing disruptive behaviors in children and adolescents; however, less is known regarding their efficacy with preschoolers given the developmental limitations accompanying this age range. The current case study extends the use of individual CBT to a preschool aged girl with oppositional defiant disorder (ODD), and is the first to investigate its efficacy in combination with behaviorally-based parent training and classroom teacher consultation. A total of 18 CBT sessions with the child and her parents, in addition to school observations and on-site and phone consultations with teachers, were conducted over a 4-month period. Post-treatment and 2-month follow-up assessments demonstrated significant decreases in physical aggression and property destruction, as well as for parent and teacher reported internalizing and externalizing symptoms. Collectively, results of the case study provide preliminary evidence that a multimodal approach can be applied effectively to treat behavioral problems in preschool-age children.


2012 ◽  
Vol 27 (5) ◽  
pp. 557-562 ◽  
Author(s):  
Ann M. Kledzik ◽  
Michele C. Thorne ◽  
Vivek Prasad ◽  
Kathy H. Hayes ◽  
Lori Hines

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