Disruptive Behavior and Noncompliance

  • Anne ReaganEmail author
  • Emily Mudd
  • Courtney Landau Fleisher
Part of the Issues in Clinical Child Psychology book series (ICCP)


Pediatric psychologists are frequently consulted by pediatric and subspecialist physician colleagues to address disruptive behavior and noncompliance in the medical setting. Externalized behaviors that interfere with medical care can impede health improvement and outcomes, putting pediatric patients at risk for longer hospitalizations and medical complications, and places increased demand on the already limited resources of the healthcare system. Both inpatient and outpatient approaches for addressing disruptive behavior and noncompliance are presented in this chapter. Assessment and intervention models are discussed, as well as strategies for pediatric psychologists consulting and collaborating with medical colleagues in a joint effort to improve patient care and health outcomes. Influences of family systems and the role of medical trauma as contributing factors in disruptive behaviors and noncompliance are highlighted.


Inpatient disruptive behavior Medical setting outpatient Medical noncompliance Pediatric inpatient consult Pediatric psychology consult Pediatric psychology behavior Behavioral intervention Pediatric consultation Behavioral dysregulation 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Anne Reagan
    • 1
    • 2
    Email author
  • Emily Mudd
    • 3
    • 4
  • Courtney Landau Fleisher
    • 5
    • 6
  1. 1.Golisano Children’s HospitalSyracuseUSA
  2. 2.Department of PediatricsSUNY Upstate Medical UniversitySyracuseUSA
  3. 3.Cleveland ClinicClevelandUSA
  4. 4.Cleveland Clinic Lerner College of Medicine of Case Western Reserve UniversityClevelandUSA
  5. 5.University of Vermont Medical CenterBurlingtonUSA
  6. 6.Departments of Psychiatry and PediatricsRobert Larner MD College of MedicineBurlingtonUSA

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