Oppositional, Defiant & Disruptive Children and Adolescents: Non-medication Approaches to the Most Challenging Behaviours

CPD

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

Handouts

Speaker

Jennifer Wilke-Deaton, MA, LPA Related seminars and products

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Jennifer Wilke-Deaton, MA, LPA, is a licensed behavioral health therapist working in a private practice setting in Richmond and Lexington, KY, and a nationally recognized school consultant. Jen has 25 years of experience working with crisis management, psychological testing, inpatient/outpatient treatment, groups, families, and the court system. A tireless and passionate advocate for children and families, she developed a parent training program recognized by the Governor’s Commission for the Treatment of Children & Families and Kentucky’s Child Protective Services. Jen helped create a regional children’s crisis stabilization unit, children’s advocacy center, and an intensive after-school program for behaviorally challenged youth. She has published the Creative Parenting Handbook, Parenting Better Children, CD Awareness in Focus: Modern Guided Imagery Techniques for Immediate Practice, CD Awareness in Focus by Kids for Kids, and The Mandela Workbook: Activities Across the Lifespan.

In addition to delivering her nationally recognized training programs for PESI and keynote presentations, Jen regularly speaks on mental health issues and child abuse for Morehead State University, Eastern Kentucky University, KY Child Protective Services, and National Public Radio; as well as serving as the psychometrician for the Center for Academic and Tutoring Services (CATS) – University of Kentucky, and providing psychological evaluations and therapeutic support services for the Department of Disability Determinations and the Office of Vocational Rehabilitation. Jennifer consults regularly for private/state foster care organizations, social services, schools, psychiatric hospitals, Head Start programs, in-home therapy programs, and case management services. Her specialties are in the areas of child abuse, PTSD, DBT, behavioral disorders, anxiety, autistic spectrum, and attachment. Jen shares time-tested, real approaches from the trenches, using humor, energy and passion for helping others.

 

Speaker Disclosures:
Financial: Jennifer Wilke-Deaton has employment relationships with the University of Kentucky and Hundley Psychological Services. She receives compensation as a guest speaker and royalties as a published author. Jennifer Wilke-Deaton receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Jennifer Wilke-Deaton has no relevant non-financial relationships.

Objectives

1. Utilise clinical strategies to reduce the frequency, duration and severity of behaviours that challenge therapists, educators, professionals and parents.
2. Implement both proactive and reactive strategies for oppositional, defiant and disruptive behaviour in children and youth.
3. Discriminate between the clinical presentation of behavioural episodes and psychiatric symptoms to inform treatment.
4. Communicate how a skilled observation of behaviour informs your treatment approach.
5. Develop clinical skills for establishing a therapeutic rapport to overcome treatment resistance in children and adolescents.
6. Effectively develop a behaviour intervention plan and safety plan across all settings including home and school.

Outline

• Tantrums
• Running out/away
• Noncompliance
• Nagging
• Refusing to work/help
• Yelling/screaming
• Bullying
• Panic/anxiety reactions
• Lack of follow through
• Not following directions

• Oppositional Defiant Disorder
• ADHD
• Mood disorders
• Anxiety disorders
• Attachment issues/disorder, conduct disorder, autism spectrum disorders

• The Functions of Behaviour
  • Fear-based (Fight, Flight, Freeze or Submit)
    • Escape
    • Attention
    • Sensory
    • Pain
    • Control

• The power of skilled observations
• The interview
• Comparison to the group
• The FBA-Incredibly powerful assessment tool
• The art of choosing a diagnosis (if you have to at all!)

Limitations of the Research and Potential Risks

Treatment Strategies Part I

• Proactive
  • Behaviour plans
  • Motivational incentives
  • Set the stage for success
  • Remember the initial goal
  • Appropriately address the functions of the behaviour

• Reactive
  • Corrective measures
  • It’s like playing chess in a tornado

• Specific Strategies for the Following Behavioural Challenges
  • Tantrums
  • Running out/away
  • Noncompliance
  • Nagging
  • Refusing to work/help
  • Yelling/screaming
  • Bullying
  • Panic/anxiety reactions
  • Lack of follow through
  • Not following directions

• Specific Strategies for the Following Disorders
  • ODD
  • ADHD
  • Mood disorders
  • Anxiety disorders
  • Working with unsafe behaviours

• Special Populations & Circumstances
  • Asperger’s disorder
  • Divorce, separation
  • Abuse and neglect
  • Parent misbehaviour
  • Foster care

Target Audience

• Counsellors
• Social Workers
• Psychologists
• Marriage and Family Therapists
• Speech-Language Pathologists
• Teachers
• School Guidance Counsellors
• Case Managers
• Nurses
• School Administrators
• Physicians
• Educational Paraprofessionals
• Occupational Therapists
• Occupational Therapy Assistants
• Other Helping Professionals who Work with Children

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