Assessment and Case Conceptualization

Author(s):  
Bryce D. McLeod ◽  
Julia R. Cox ◽  
Ruben G. Martinez ◽  
Lillian M. Christon

Evidence-based assessment and case conceptualization are two important components of evidence-based practice. Using assessment data gathered over the course of treatment to inform case conceptualization helps clinicians tailor evidence-based treatments to meet the needs of individual children and adolescents. The main goal of this chapter is to describe and illustrate the roles evidence-based assessment and case conceptualization play in informing the process of psychosocial treatment for children and adolescents from the initial intake through termination. a framework guided by six principles for using assessment to inform the treatment process is presented. Then, how this framework can be used to develop and refine a science-informed case conceptualization through a series of five sequential stages is discussed. This process is illustrated with a case example. The chapter concludes with future research directions for assessment and case conceptualization to better inform evidence-based practice.

2020 ◽  
Vol 45 (3) ◽  
pp. 175-181
Author(s):  
Andrew G. Guzick ◽  
Sophie C. Schneider ◽  
Eric A. Storch

Abstract Despite a rapidly growing understanding of hoarding disorder (HD), there has been relatively limited systematic research into the impact of hoarding on children and adolescents. The goal of this paper is to suggest future research directions, both for children with hoarding behaviours and children living in a cluttered home. Key areas reviewed in this paper include (1) the need for prospective studies of children with hoarding behaviours and those who grow up with a parent with HD; (2) downward extensions of cognitive-behavioural models of adult HD that emphasise different information processing and behavioural biases in youth HD; (3) developmental research into the presentation of emerging HD in childhood compared with adulthood presentations of the disorder, with consideration of typical childhood development and unique motivators for childhood saving behaviours; (4) developmentally sensitive screening and assessment; and (5) the development of evidence-based treatments for this population. The paper concludes with a discussion of methodological suggestions to meet these aims.


Depression ◽  
2019 ◽  
pp. 399-417
Author(s):  
Andrew Diederich ◽  
Jessica M. Jones ◽  
Graham J. Emslie

Early onset depression is prevalent and causes significant morbidity, mortality, and psychosocial impairment. Evidence-based psychosocial and psychopharmacological treatments are available for depressed youth, but many children and adolescents do not receive sufficient treatment. Pediatric and adult depressive disorders involve essentially the same symptoms, with the exception of irritability, as depressed youth may present with irritable mood in the absence of explicit sadness. This chapter examines aspects of depression that are unique to children and adolescents. It focuses on diagnosis and symptomatology, epidemiology, and pharmacological, psychotherapeutic, and other treatments. The chapter also addresses barriers to treatment of early onset depression and future research directions.


2021 ◽  
Vol 11 (10) ◽  
pp. 1361
Author(s):  
Craig B. H. Surman ◽  
Daniel M. Walsh

Background: Sleep disorders and sleep problems commonly occur in adults with ADHD and add to functional impairment. Evidence-based treatments for sleep could improve function in the adult ADHD population. Methods: A literature review was conducted to present the clinical science informing treatment of sleep in adults with ADHD. Results: Six systematic prospective studies of sleep intervention in adults with ADHD were identified. Three of these, all including well-characterized ADHD patients, offered evidence for a significant effect of morning light therapy. Across the studies, preliminary evidence for melatonin, behavioral therapy, and weighted blankets were also found. Implication: Low-risk interventions such as light therapy may improve sleep in adults with ADHD, but many sleep interventions currently in use remain unstudied in the ADHD population. Considerations for evidence-informed practice and future research directions are discussed.


2010 ◽  
Vol 15 (4) ◽  
pp. 238-244 ◽  
Author(s):  
Bruce D Dick ◽  
Rebecca Pillai Riddell

Cognitive function is a critical factor related to a child’s overall developmental trajectory. There is increasing evidence that chronic pain disrupts cognitive function in adults. Little is known about the nature or impact of cognitive disruption in children and adolescents with chronic pain. The present review examines the current literature related to cognitive function in children and adolescents with chronic pain, implications of these findings and future research directions. Nine studies on this topic were found, with a relatively recent increase in publications related to school attendance and subjective studies of school performance. The studies that were found on this topic suggested that chronic pain affects cognitive function in children but the scope of these effects on children’s function and developmental trajectories is not yet clear. While methodological issues surely make it difficult to study cognitive function in children with chronic pain, the potential gains from such research warrant a pursuit of such work. Much remains to be studied on this important topic.


1992 ◽  
Vol 6 (2) ◽  
pp. 105-112 ◽  
Author(s):  
Robert D. Friedberg ◽  
Raymond A. Fidaleo

The therapeutic potential of cognitive therapy in psychiatric hospitals is enhanced through conceptually homogeneous milieus and skillful staff training. This paper describes methods, processes, and issues to be considered in developing staff training programs. An emphasis is placed on case conceptualization and matching training to patients’ needs. Further, a general training program is delineated and challenges facing trainers are discussed. Finally, questions which may guide future research directions are suggested.


Author(s):  
R. Kathryn McHugh ◽  
David H. Barlow

This chapter provides an overview of the current status of clinician training including a description of training procedures, a brief review of the extant literature on the efficacy/effectiveness of training, and a discussion of novel approaches and future research directions in the area of evidence-based psychological interventions.


Author(s):  
Elisabeth Pollio ◽  
Felicia Neubauer ◽  
Esther Deblinger

The significant impact of trauma on children is well documented. This chapter focuses on trauma-specific treatments for children and adolescents that have at least two randomized controlled trials in which one or more standardized outcome measures were used. These treatments address varying traumas, including sexual abuse, physical abuse, exposure to violence or loss, and disasters. The efficacy of one such treatment, trauma-focused cognitive behavioral therapy (TF-CBT), has been documented in over 50 scientific studies, including 22 randomized trials. A more detailed description of TF-CBT is presented in the chapter. Also discussed are future research directions, including specific scientific questions, to advance our knowledge about trauma treatment for children and adolescents.


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