Clinical Guide to Psychiatric Assessment of Infants and Young Children

1. Front Matter

   Pages i-xx

   PDF

2. Introduction Assessment in Early Childhood

   • Rachel Stein, Wanjiku F. M. Njoroge, Dena M. Dunn

   Pages 1-20

3. The Art and Science of Obtaining a History in Infant and Early Childhood Mental Health Assessment

   • Gerard Costa, Carmen Rosa Noroña

   Pages 21-76

4. Caregiver Perceptions of the Young Child: Assessment and Treatment Implications

   • Amy Dickson, Shannon Bekman

   Pages 77-105

5. Observational Assessment of the Dyad

   • Sherryl Scott Heller, Kate Wasserman, Anna Kelley, Roseanne Clark

   Pages 107-141

6. Observational Assessment of the Young Child

   • Diane Misch, Giovanni Billings, Ji Su Hong, Joyce Harrison

   Pages 143-183

7. Assessing the Inner World of the Young Child

   • Theodore J. Gaensbauer, Sarah Gray, Virginia I. Hatch

   Pages 185-216

8. Rating Scales for Social-Emotional Behavior and Development

   • Leandra Godoy, Alison E. Chavez, Rachel A. Mack, Alice S. Carter

   Pages 217-251

9. Diagnosis in Young Children: The Use of the DC:0-5™ Diagnostic Classification of Mental Health and Developmental Disorders in Infancy and Early Childhood

   • Kathleen Mulrooney, Helen Egger, Stephanie Wagner, Lauren Knickerbocker

   Pages 253-283

10. Psychopharmacologic Considerations in Early Childhood

    • Julianna Finelli, Mary Margaret Gleason

    Pages 285-326

11. Constructing a Joint Clinical Case Formulation and Treatment Plan with Families

    • Vivian L. Tamkin, Bhavin Dave, Adeela T. N. Whittaker, Karen A. Frankel

    Pages 327-355

12. Back Matter

    Pages 357-367

    PDF

This book provides a clinical guide to the psychiatric assessment of infants and young children, birth through five years, and their families. It offers a comprehensive, data-rich framework for conducting mental health assessments of infants, toddlers, and preschoolers. The book includes a step-by-step guide for evaluation and assessment, reviewing relevant literature and best practices for working with very young children. It begins with an overview of the purpose and principles of psychiatric assessment and offers a protocol for planning and executing a thorough evaluation. Chapters examine critical aspects of the assessment process, including children’s relationships with parents/caregivers, assessment of parents, cultural considerations, and play behaviors. Chapters also provide illustrative case vignettes and information on specialized tools that can be adapted for use in a private office or training clinic.

Topics featured in this book include:

• Play-based assessment models for accessing the inner world of young children.
  
• The effect of caregivers and their reflective functioning on the mental health of young children.
  
• The use of adult-report rating scales in the clinical assessment of young children.
  
• Psychopharmacologic considerations in early childhood.

The Clinical Guide to Psychiatric Assessment of Infants and Young Children is a must-have resource for researchers, clinicians, and related professionals, and graduate students in infancy and early childhood development, pediatrics, social work, psychiatry, and public health.                                         

“The volume is both highly practical and up to date, impressively bridging the gap between science and practice. The book is an invaluable guide for students and trainees and an important reference for seasoned clinicians.”

David Oppenheim, Ph.D., University of Haifa

“The book integrates relational, developmental and social-emotional health dimensions within each chapter, reviewing subjective and objective measures in a range of domains. The book is clear and user-friendly.  I wholeheartedly recommend it!”

Daniel S. Schechter, M.D., New York University School of Medicine

“This important new volume provides multiple perspectives on the entire range of assessment methods and procedures used in early childhood mental health. This is a vital read for students and practitioners.”

Charles H. Zeanah, M.D., Tulane University

• Clinical assessment and formulation of treatment plans
• Clinical infant mental health
• Culture and psychiatric assessment of infants and young children
• Diagnosis of infant mental health problems
• Early Childhood Screening Assessment (ECSA)
• Evaluation of infant mental health problems
• Infant and early childhood mental health
• Interviewing techniques for infants and very young children
• Medication assessment of infants and very young children
• Observational assessment of infants and very young children
• Parent-child relational assessment
• Preschool mental health
• Psychiatric assessment of infants and very young children
• Psychiatric assessment of parent-child relationships
• Psychiatric assessment of preschoolers
• Psychiatric diagnosis for infants and very young children
• Psychopharmacological treatment of very young children
• Screening tools for infants and very young children
• Standardized interviews of caregivers and children
• Treatment planning for infants and very young children

“This information-packed volume presents integrative and up to date assessment approaches in infant and early childhood mental health. The chapters cover the entire assessment process from the initial contact with the family, through history taking and a review of a wide variety of assessment tools and methods, leading to diagnosis and case formulation. Importantly, throughout the book the critical importance of forming safe and warm relationships with the child and her family are emphasized as essential for an accurate appreciation of the child's difficulties. The volume is both highly practical and up to date, impressively bridging the gap between science and practice. The book is an invaluable guide for students and trainees doing their first steps in the field, and an important reference for seasoned clinicians who will be able to consult it around assessment dilemmas and questions.” (David Oppenheim, PhD, Salt Lake City, USA) 

“Professionals and trainees alike offer the biggest of thanks to Karen A. Frankel, Joyce Nolan Harrison, and Wanjiku F. M. Njoroge for this wonderful book that is a precious resource on the assessment of infants, young children, their relationships with their parents and families in all their complexity.  The book integrates relational, developmental and social-emotional health dimensions within each chapter, reviewing subjective and objective measures in range of domains. The book is clear and user-friendly.  I wholeheartedly recommend it!” (Daniel S. Schechter, M.D.  Barakett Associate Professor of Child & Adolescent Psychiatry, New York University School of Medicine, and Director of the Geneva Early Childhood Stress Project, University of Geneva Faculty of Medicine, Switzerland) 

“This important new volume provides multiple perspectives on the entire range of assessment methods and procedures used in early childhood mental health. This is a vital read for students, practitioners, those concerned with program development, and for everyone who wants to appreciate the range and reach of our approaches to diagnosis, formulation and treatment planning.” (Charles H. Zeanah, M.D. Professor of Psychiatry and Pediatrics, Vice Chair for Child and Adolescent Psychiatry, New Orleans, USA)

• Department of Psychiatry, Irving Harris Program in Child Development and Infant Mental Health, University of Colorado School of Medicine, Aurora, USA

  Karen A. Frankel

• Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, USA

  Joyce Harrison

• Child and Adolescent Psychiatry Fellowship, Philadelphia, USA

  Wanjiku F. M. Njoroge

• Young Child Clinic, Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children’s Hospital of Philadelphia, Philadelphia, USA

  Wanjiku F. M. Njoroge

• Policy Lab, Children’s Hospital of Philadelphia, Philadelphia, USA

  Wanjiku F. M. Njoroge

• Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA

  Wanjiku F. M. Njoroge

Karen Frankel, Ph.D., is Associate Professor of Psychiatry at the University of Colorado School of Medicine and Director of the Harris Program in Child Development and Infant Mental Health.  Dr. Frankel is a licensed clinical psychologist who has specialized in the assessment and treatment of young children for more than 30 years.  She is the supervising psychologist for the University of Colorado Young Child Clinic, the Executive Director for Fussy Baby Network Colorado, and a national trainer for the Diagnostic Classification of Mental Health and Developmental Disorders in Infancy and Early Childhood (DC:0–3R™).  Dr. Frankel received her bachelor’s degree from Oberlin College and her doctoral degree in clinical psychology from Indiana University.  She completed an internship at the University of Washington School of Medicine and a postdoctoral fellowship through the Developmental Psychobiology Research Group at the University of Colorado School of Medicine.

Joyce Harrison, M.D., is Assistant Professor in the Division of Child Psychiatry at Johns Hopkins University. She received her bachelor’s in psychology from Harvard University and her M.D. from Dartmouth Medical School.  She completed an internship in pediatrics in the Triple Board Program at Tufts/New England Medical Center, residency in adult psychiatry at University of Maryland Medical Center, and child psychiatry residency at Johns Hopkins Hospital, where she was chief resident. Dr. Harrison has received numerous grants and teaching awards, most recently a Special Achievement Award from the American Academy of Pediatrics. Dr. Harrison has been a member of the American Academy of Child and Adolescent Psychiatry’s Infant and Preschool Committee since 2010. She is a staff psychiatrist at the Kennedy Krieger Institute’s Preschool Interdisciplinary Clinic and is currently Project Director for a U.S. Department of Health and Human Services funded project of Early Childhood Mental Health Tele-education.

Wanjiku Njoroge, M.D., is Assistant Professor at the University of Pennsylvania, Perelman School of Medicine and Medical Director of the Young Child Clinic at the Children Hospital of Philadelphia (CHOP).   Dr. Njoroge is the Program Director for the Child and Adolescent Psychiatry Fellowship Training Program in the Department of Child and Adolescent Psychiatry and Behavioral Sciences at CHOP. She received her bachelor’s at Columbia University and her M.D. from Baylor College of Medicine.  She completed her adult psychiatry residency training at the University of Pennsylvania, and child psychiatry fellowship at the Yale Child Study Center. Dr. Njoroge also completed postgraduate training programs with the Harris Infant Psychiatry fellowship at the Yale Child Study Center as well as a postdoctoral, NIMH research fellowship at the Yale Child Study Center.  In addition, she was also a post-doctoral fellow at Yale University’s Edward Zigler Center in Child Development and Social Policy, and a Solnit fellow in the Zero to Three program based in Washington, D.C.  Dr. Njoroge successfully received multiple research development awards from the National Institute of Mental Health (NIMH) and Eunice Shriver National Institute of Child and Human Development (NICHD), and teaching awards, most recently from the University of Pennsylvania School of Medicine.

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