Dangerous Children: Assessment and Management of Risk

Abstract

Background: Workers in the field of child health appear to be presented with increasing numbers of young people who exhibit behaviours that pose a potential or actual risk to the safety of others. Method: A review of the current literature on the assessment and management of these children and adolescents was conducted. Results: A history taking check‐list has been devised on the basis of what is known about current associations with background and current factors and violent acts directed to others. There is emerging evidence of interventions that may be effective in reducing long‐term risks in such youths. However, these are often resource intensive and may be less effective in older children and adolescents. Conclusions: Faced with the challenge of assessing and managing severely conduct disordered children, child and family mental health teams should develop formalised assessment procedures and protocols for managing risk factors in a multi‐agency context.

Gender and Comorbid Psychopathologies in Toddlers With Autism Spectrum Disorders

“…Additionally, children in this group tend to show more aggression, greater impulsivity, greater social alienation, and neuropsychological disturbances (Frick et al, 2003). Studies indicate that aggressive children are at a higher risk for depression, anxiety, severe conduct problems and emerging psychopathology (Tiffin & Kaplan, 2004). It has been estimated by the World Health Organization that 50% of children with conduct disorder may have an additional diagnosis of attention, specifically impulsivity, disorder.…”

Triagem em saúde mental infantil

“…A síndrome Externalizante é descrita em termos de padrões comportamentais manifestos desajustados, denominados também problemas de comportamento, como agressividade, agitação psicomotora e comportamento delinqüente. A síndrome Internalizante é descrita em termos de padrões comportamentais privados desajustados, denominados também problemas emocionais, como tristeza e isolamento (Achenbach & Edelbrock, 1983, 1984Cantwell, 1996;Gerhardt & cols., 1999;Hudziak, Copeland, Stanger & Wadsworth, 2004;Kovacs & Devlin, 1998;Silverman & Serafini, 1998 (Hudziak & cols., 2004;Silverman & Serafini, 1998;Tiffin & Kaplan, 2004).…”

Managing Psychotic Illness in Young People: A Practical Overview

“…Command hallucinations may be more likely to be acted on in the presence of persecutory delusions or passivity phenomena (McNiel, 1994). A number of reviews of violence risk assessment in young people are available for further guidance (Tiffin & Kaplan, 2004; Tiffin & Richardson, 2006).…”