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Prevention of Conduct Problems in Integrated Pediatric Primary Care

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Handbook of Evidence-Based Prevention of Behavioral Disorders in Integrated Care

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Abstract

Conduct problems, which include disruptive and oppositional behavior as well as delinquency, are common in childhood and adolescence. If left untreated, conduct problems can lead to significant short- and long-term consequences for both the individual and for society in general. Children and teens with conduct problems may present with oppositional defiant disorder or conduct disorder, both of which are characterized primarily by externalizing behavior problems. Both disorders are highly comorbid with and exacerbated by attention deficit hyperactivity disorder (ADHD). Genetic, individual, family, and environmental influences interact to produce cascading profiles of risk over time. Key risk factors for conduct problems include being male; having callous-unemotional personality traits and other temperamental vulnerabilities; experiencing dysfunctional and invalidating family, school, and peer environments; and living in poverty. Effective screening, prevention, and early intervention are critical for disrupting this pattern of cascading developmental risk, and the pediatrician is often the first person caregivers turn to for support around these behaviors. Therefore, pediatricians and integrated pediatric behavioral health providers are well poised within the stepped care prevention model to consult with families and, when indicated, directly provide or make referrals for the appropriate interventions.

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Authors and Affiliations

  1. Department of Psychology, Tulane University, New Orleans, LA, USA

    Deborah Y. Pickford & Courtney N. Baker

  2. Department of Psychology, University of Texas Health Science Center at Tyler, Tyler, TX, USA

    Trenesha L. Hill

  3. Departments of Health and Behavioral Sciences, Columbia University, New York, NY, USA

    Prerna G. Arora

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  1. Deborah Y. Pickford
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  2. Trenesha L. Hill
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  3. Prerna G. Arora
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  4. Courtney N. Baker
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Correspondence to Courtney N. Baker .

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  1. Psychology Department, University of Nevada, Reno, NV, USA

    William O’Donohue

  2. Psychology Department, University of Nevada, Reno, NV, USA

    Martha Zimmermann

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Pickford, D.Y., Hill, T.L., Arora, P.G., Baker, C.N. (2021). Prevention of Conduct Problems in Integrated Pediatric Primary Care. In: O’Donohue, W., Zimmermann, M. (eds) Handbook of Evidence-Based Prevention of Behavioral Disorders in Integrated Care. Springer, Cham. https://doi.org/10.1007/978-3-030-83469-2_9

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