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Evidence-Based Assessment and Intervention for Oppositional Defiant Disorder and Conduct Disorder in School Psychology

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Handbook of Australian School Psychology

Abstract

Disruptive behaviour disorders (DBD’s) are highly prevalent childhood psychological disorders associated with pervasive impairment. They can affect the individual’s social adjustment and educational achievement, disrupt family harmony, place strain on resource-limited learning environments, impact juvenile justice systems and challenge wider society. This chapter reviews, from an international perspective, the theoretical underpinnings of DBDs including diagnostic systems, aetiological factors and current controversies in the literature. Commonly used assessment measures are discussed for both universal and selective screening of at-risk school populations and individual assessment of indicated youth. This is followed by a synopsis of evidence-based interventions, which are considered the gold standard in treating youth with externalising disorders in schools. The chapter concludes with a case study illustrating some of the challenges associated with the implementation of these types of interventions.

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Notes

  1. 1.

    Youth refers collectively to children and adolescents.

References

  • Achenbach, T. M. (2009). The Achenbach System of Empirically Based Assessemnt (ASEBA): Development, findings, theory, and applications. Burlington, VT: University of Vermont Research Center for Children, Youth, & Families.

    Google Scholar 

  • Achenbach, T. M., & Rescorla, L. (2001). ASEBA school-age forms & profiles. Burlington, VT: Aseba.

    Google Scholar 

  • American Psychiatric Association (APA). (2013). The diagnostic and statistical manual of mental disorders: DSM V. Washington, DC: Author.

    Book  Google Scholar 

  • Biederman, J., Faraone, S. V., Milberger, S., Jetton, J. G., Chen, L., Mick, E., … Russell, R. L. (1996). Is childhood oppositional defiant disorder a precursor to adolescent conduct disorder? Findings from a four-year follow-up study of children with ADHD. Journal of the American Academy of Child & Adolescent Psychiatry, 35(9), 1193–1204.

    Google Scholar 

  • Brennan, L., & Shaw, D. (2013). Revisiting data related to the age of onset and developmental course of female conduct problems. Clinical Child and Family Psychology Review, 16(1), 35–58. doi:10.1007/s10567-012-0125-8.

    Article  PubMed  Google Scholar 

  • Canino, G., Shrout, P. E., Rubio-Stipec, M., Bird, H. R., Bravo, M., Ramirez, R., … Ribera, J. (2004). The DSM-IV rates of child and adolescent disordersin Puerto Rico: Revalence, correlates, service use, and the effects of impairment. Archives of General Psychiatry, 61(1), 85–93.

    Google Scholar 

  • Conduct Problems Prevention Research Group. (2011). The Fast Track project: Preventing severe conduct problems in school-age youth. In Clinical handbook of assessing and treating conduct problems in youth (pp. 407–433). New York, NY: Springer.

    Chapter  Google Scholar 

  • Conners, C. K. (2008). Conners 3rd edition (Conners 3). North Tonawanda, NJ: Multi-Health System.

    Google Scholar 

  • Crone, D. A., Hawken, L. S., & Horner, R. H. (2010). Responding to problem behavior in schools: The behavior education program. New York, NY: The Guilford Press.

    Google Scholar 

  • Dadds, M., & Hawes, D. (2006). Integrated family intervention for child conduct problems: A behaviour-attachment-systems intervention for parents. Bowen Hills, QLD: Australian Academic Press.

    Google Scholar 

  • Dandreaux, D. M., & Frick, P. J. (2009). Developmental pathways to conduct problems: A further test of the childhood and adolescent-onset distinction. Journal of Abnormal Child Psychology, 37(3), 375–385. doi:10.1007/s10802-008-9261-5.

    Article  PubMed  Google Scholar 

  • Department of Education and Early Childhood Development. (2008). The state of Victoria’s young people 2007: A report on how Victorian young people aged 12-24 are faring. Melbourne: DEECD.

    Google Scholar 

  • Department of Education and Training. (2016a). Retrieved March 1, 2016, from https://www.det.nsw.edu.au/media/downloads/reports_stats/spec_ed.pdf

  • Department of Education and Training. (2016b). Retrieved from http://www.dec.nsw.gov.au/detresources/about-us/statistics-and-research/key-statistics-and-reports/sssb.pdf

  • Dishion, T. J., McCord, J., & Poulin, F. (1999). When interventions harm: Peer groups and problem behavior. American Psychologist, 54(9), 755–764. doi:10.1037/0003-066X.54.9.755.

    Article  PubMed  Google Scholar 

  • Drummond, T. (1993). The Student Risk Screening Scale (SRSS). Grants Pass, OR: Josephine County Mental Health Program.

    Google Scholar 

  • Duncombe, M. E., Havighurst, S. S., Holland, K. A., & Frankling, E. J. (2012). Psychometric evaluation of a brief parent- and teacher-rated screen for children at risk of conduct disorder. Australian Journal of Educational and Developmental Psychology, 12, 1–11.

    Google Scholar 

  • Duncombe, M. E., Havighurst, S. S., Kehoe, C. E., Holland, K. A., Frankling, E. J., & Stargatt, R. (2016). Comparing an emotion-and a behavior-focused parenting program as part of a multisystemic intervention for child conduct problems. Journal of Clinical Child & Adolescent Psychology, 45(3), 320–334.

    Article  Google Scholar 

  • Eapen, V., al-Gazali, L., Bin-Othman, S., & Abou-Saleh, M. (1998). Mental health problems amongst schoolchildren in United Arab Emirates. Journal of the American Academy of Child & Adolescent Psychiatry, 37(8), 880–886.

    Article  Google Scholar 

  • Eyberg, S. M., Boggs, S. R., & Algina, J. (1995). Parent-child interaction therapy: A psychosocial model for the treatment of young children with conduct problem behavior and their families. Psychopharmacology Bulletin, 31(1), 83–91.

    PubMed  Google Scholar 

  • Fives, A., Pursell, L., Heary, C., Nic Gabhainn, S., & Canavan, J. (2014). Parenting support for every parent: A population-level evaluation of Triple P in Longford Westmeath. Final report. Athlone: Longford Westmeath Parenting Partnership (LWPP).

    Google Scholar 

  • Fleitlich-Bilyk, B., & Goodman, R. (2004). Prevalence of child and adolescent psychiatric disorders in southeast Brazil. Journal of the American Academy of Child & Adolescent Psychiatry, 43(6), 727–734.

    Article  Google Scholar 

  • Ford, T., Goodman, R., & Meltzer, H. (2003). The British child and adolescent mental health survey 1999: The prevalence of DSM-IV disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 42(10), 1203–1211.

    Article  Google Scholar 

  • Frick, P. J., & Viding, E. (2009). Antisocial behavior from a developmental psychopathology perspective. Development and Psychopathology, 21(04), 1111–1131.

    Article  PubMed  Google Scholar 

  • Glover, R. & Albers, C. (2007). Considerations for evaluating universal screening assessments. Journal of School Psycholoogy, 45, 117–135.

    Google Scholar 

  • Greenberg, M. T., Kusche, C. A., Cook, E. T., & Quamma, J. P. (1995). Promoting emotional competence in school-aged children: The effects of the PATHS curriculum. Development and Psychopathology, 7(01), 117–136.

    Article  Google Scholar 

  • Greene, R. W. (1998). The explosive child. New York, NY: Harper Collins.

    Google Scholar 

  • Greene, R. W., Biederman, J., Zerwas, S., Monuteaux, M. C., Goring, J. C., & Faraone, S. V. (2002). Psychiatric comorbidity, family dysfunction, and social impairment in referred youth with oppositional defiant disorder. American Journal of Psychiatry, 159(7), 1214–1224.

    Article  PubMed  Google Scholar 

  • Gresham, F., & Elliott, S. N. (2008). Social skills improvement system (SSIS) rating scales. Bloomington, MN: Pearson Assessments.

    Google Scholar 

  • Havighurst, S. S., Duncombe, M., Frankling, E., Holland, K., Kehoe, C., & Stargatt, R. (2014). An emotion-focused early intervention for children with emerging conduct problems. Journal of Abnormal Child Psychology, 43(4), 749–760.

    Article  Google Scholar 

  • Havighurst, S., & Harley, A. (2007). Tuning in to kids: Emotionally intelligent parenting: Program manual. Parkville: University of Melbourne.

    Google Scholar 

  • Hawes, D. J., Price, M. J., & Dadds, M. R. (2014). Callous-unemotional traits and the treatment of conduct problems in childhood and adolescence: A comprehensive review. Clinical Child and Family Psychology Review, 17(3), 248–267.

    Article  PubMed  Google Scholar 

  • Kamphaus, R. W., & Reynolds, C. R. (2007). Behavior Assessment System for Children — Third Edition (BASC-3): Behavioral and Emotional Screening System (BESS). Bloomington, MN: Pearson.

    Google Scholar 

  • Kim-Cohen, J., Caspi, A., Moffitt, T. E., Harrington, H., Milne, B. J., & Poulton, R. (2003). Prior juvenile diagnoses in adults with mental disorder: Developmental follow-back of a prospective-longitudinal cohort. Archives of General Psychiatry, 60(7), 709–717. doi:10.1001/archpsyc.60.7.709.

    Article  PubMed  Google Scholar 

  • Kimonis, E. R., & Frick, P. J. (2010). Oppositional defiant disorder and conduct disorder grown-up. Journal of Developmental & Behavioral Pediatrics, 31(3), 244–254.

    Article  Google Scholar 

  • Lane, K. L., Kalberg, J. R., Parks, R. J., & Carter, E. W. (2008). Student risk screening scale: Initial evidence for score reliability and validity at the high school level. Journal of Emotional and Behavioral Disorders, 16(3), 178–190. doi:10.1177/1063426608314218.

    Article  Google Scholar 

  • Lawrence, D., Johnson, S., Hafekost, J., Boterhoven De Haan, K., Sawyer, M., Ainley, J.,& Zubrick, S. R. (2015). The mental health of children and adolescents. Report on the second Australian Child and Adolescent Survey of Mental Health and Wellbeing. Canberra: Department of Health.

    Google Scholar 

  • Lochman, J. E., Bierman, K. L., Coie, J. D., Dodge, K. A., Greenberg, M. T., McMahon, R. J.,& Pinderhughes, E. E. (2010). The difficulty of maintaining positive intervention effects: A look at disruptive behavior, deviant peer relations, and social skills during the middle school years. The Journal of Early Adolescence, 30(4), 593–624. doi:10.1177/0272431609340513.

  • Lochman, J. E., & Wells, K. C. (2002). The Coping Power program at the middle-school transition: Universal and indicated prevention effects. [Clinical Trial Randomized Controlled Trial Research Support, U.S. Gov’t, Non-P.H.S. Research Support, U.S. Gov’t, P.H.S.]. Psychology of Addictive Behavior, 16(4 Suppl), S40–S54. doi:10.1037/0893-164X.16.4S.S40.

    Article  Google Scholar 

  • Loeber, R., Burke, J. D., Lahey, B. B., Winters, A., & Zera, M. (2000). Oppositional defiant and conduct disorder: a review of the past 10 years, part I. Journal of the American Academy of Child & Adolescent Psychiatry, 39(12), 1468–1484. http://dx.doi.org/10.1097/00004583-200012000-00007.

    Article  Google Scholar 

  • Loeber, R., Burke, J., & Pardini, D. (2009). Development and etiology of disruptive and delinquent behavior. Annual Review of Clinical Psychology, 5, 291–310. doi:10.1146/annurev.clinpsy.032408.153631.

    Article  PubMed  Google Scholar 

  • Maughan, B., Rowe, R., Messer, J., Goodman, R., & Meltzer, H. (2004). Conduct disorder and oppositional defiant disorder in a national sample: Developmental epidemiology. Journal of Child Psychology and Psychiatry, 45(3), 609–621.

    Article  PubMed  Google Scholar 

  • Merikangas, K. R., He, J. P., Brody, D., Fisher, P. W., Bourdon, K., & Koretz, D. S. (2010a). Prevalence and treatment of mental disorders among US children in the 2001–2004 NHANES. Pediatrics, 125(1), 75–81.

    Google Scholar 

  • Merikangas, K. R., He, J. P., Burstein, M., Swanson., Avenevoli, S., Cui, L., … Swendsen, J. (2010b). Lifetime Prevalence of Mental Disorders in US Adolescents: Results from the National Comorbidity Study-Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 49(10), 980–989. doi:10.1016/j.jaac.2010.05.017

  • Merikangas, K. R., He, J. P., Burstein, M., Swendsen, J., Avenevoli, S., Case, B., … Olfson, M. (2011). Service utilization for lifetime mental disorders in U.S. adolescents: Results of the National Comorbidity Survey-Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 50(1), 32–45. doi:10.1016/j.jaac.2010.10.006

  • Mitchell, B. S., Stormont, M., & Gage, N. A. (2011). Tier two interventions implemented within the context of a tiered prevention framework. Behavioral Disorders, 36(4), 241–261.

    Google Scholar 

  • Moffitt, T. E., Arseneault, L., Jaffee, S. R., Kim-Cohen, J., Koenen, K. C., … Viding, E. (2008). Research review: DSM-V conduct disorder: Research needs for an evidence base. Journal of Child Psychology and Psychiatry, 49(1), 3–33. doi:10.1111/j.1469-7610.2007.01823.x

  • Mooney, M., Dobia, B., Barker, K., Power, A., Watson, K., & Yeung, A. S. (2008). Positive behaviour for learning: Investigating the transfer of a United States system into the New South Wales Department of Education and Training Western Sydney Region Schools. Penrith: University of Western Sydney. ISBN 978-1-74108-164-0.

    Google Scholar 

  • Murrihy, R. C., Kidman, A. D., & Ollendick, T. H. (2010). Assessing and treating conduct problems in youth. New York, NY: Springer.

    Google Scholar 

  • Nock, M. K., Kazdin, A. E., Hiripi, E., & Kessler, R. C. (2006). Prevalence, subtypes, and correlates of DSM-IV conduct disorder in the National Comorbidity Survey Replication. Psychological Medicine, 36(05), 699–710.

    Article  PubMed  PubMed Central  Google Scholar 

  • Nock, M. K., Kazdin, A. E., Hiripi, E., & Kessler, R. C. (2007). Lifetime prevalence, correlates, and persistence of oppositional defiant disorder: Results from the National Comorbidity Survey Replication. Journal of Child Psychology and Psychiatry, 48(7), 703–713.

    Article  PubMed  Google Scholar 

  • Odgers, C. L., Caspi, A., Broadbent, J. M., Dickson, N., Hancox, R. J., Harrington, H., … Moffitt, T. E. (2007). Prediction of differential adult health burden by conduct problem subtypes in males. Archives of General Psychiatry, 64(4), 476–484.

    Google Scholar 

  • Odgers, C. L., Moffitt, T. E., Broadbent, J. M., Dickson, N., Hancox, R. J., Harrington, H., … Caspi, A. (2008). Female and male antisocial trajectories: From childhood origins to adult outcomes. Development and Psychopathology, 20(2), 673.

    Google Scholar 

  • Ollendick, T. H., Greene, R. W., Austin, K. E., Fraire, M. G., Halldorsdottir, T., Allen, K. B., … Wolff, J. C. (2015). Parent management training and collaborative & proactive solutions: A randomized control trial for oppositional youth. Journal of Clinical Child and Adolescent Psychology, 1–14. doi:10.1080/15374416.2015.1004681

  • Patterson, G. R. (1982). Coercive Family Process. Eugene, OR: Castalia.

    Google Scholar 

  • Pardini, D., & Frick, P. J. (2013). Multiple developmental pathways to conduct disorder: Current conceptualizations and clinical implications. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 22(1), 20.

    PubMed  PubMed Central  Google Scholar 

  • Prinz, R. J., & Sanders, M. R. (2007). Adopting a population-level approach to parenting and family support interventions. Clinical Psychology Review, 27(6), 739–749.

    Article  PubMed  Google Scholar 

  • Reinke, W. M., & Walker, H. M. (2006). Deviant peer effects in education. In K. A. Dodge, T. J. Dishion, & J. E. Lansford (Eds.), Deviant peer influences in programs for youth: Problems and solutions (pp. 122–140). New York, NY: Guilford Press.

    Google Scholar 

  • Reynolds, C. R., & Kamphaus, R. W. (2004). BASC-3: Behavior assessment system for children. Upper Saddle River, NJ: Pearson Education.

    Google Scholar 

  • Rowe, R., Costello, E. J., Angold, A., Copeland, W. E., & Maughan, B. (2010). Developmental pathways in oppositional defiant disorder and conduct disorder. Journal of Abnormal Psychology, 119(4), 726–738. doi:10.1037/a0020798.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rutter, M., & Schaffer, D. (1980). DSM-III : A step forward or back in terms of the classification of child psychiatric disorders? Journal of the American Academy of Child Psychiatry, 19(3), 371–394. doi:10.1016/S0002-7138(09)61060-8.

    Article  PubMed  Google Scholar 

  • Sanders, M. R. (1999). Triple P-Positive Parenting Program: Towards an empirically validated multilevel parenting and family support strategy for the prevention of behavior and emotional problems in children. Clinical Child and Family Psychology Review, 2(2), 71–90. doi:10.1023/A:1021843613840.

    Article  PubMed  Google Scholar 

  • Sanders, M. R. (2012). Development, evaluation, and multinational dissemination of the Triple P-Positive Parenting Program. Annual Review of Clinical Psychology, 8, 345–379.

    Article  PubMed  Google Scholar 

  • Sanders, M. R., Kirby, J. N., Tellegen, C. L., & Day, J. J. (2014). The Triple P-Positive Parenting Program: A systematic review and meta-analysis of a multi-level system of parenting support. Clinical Psychology Review, 34(4), 337–357.

    Article  PubMed  Google Scholar 

  • Sanders, M. R., Ralph, A., Sofronoff, K., Gardiner, P., Thompson, R., Dwyer, S., & Bidwell, K. (2008). Every family: A population approach to reducing behavioral and emotional problems in children making the transition to school. The Journal of Primary Prevention, 29(3), 197–222.

    Google Scholar 

  • Sanders, M. R., Turner, K. M. T., & Markie-Dadds, C. (2002). The development and dissemination of the Triple P—Positive Parenting Program: A multilevel, evidence-based system of parenting and family support. Prevention Science, 3(3), 173–189.

    Article  PubMed  Google Scholar 

  • Sawyer, M. G., Arney, F. M., Baghurst, P. A., Clark, J. J., Graetz, B. W., Kosky, R. J., … Zubrick, S. R. (2001). The mental health of young people in Australia: Key findings from the child and adolescent component of the national survey of mental health and well- being. Australian and New Zealand Journal of Psychiatry, 35(6), 806–814. doi:10.1046/j.1440-1614.2001.00964.x

  • Schultz, D., Izard, C. E., & Bear, G. (2004). Children’s emotion processing: Relations to emotionality and aggression. Development and Psychopathology, 16(2), 371–387. doi:10.1017/S0954579404044566.

    Article  PubMed  Google Scholar 

  • Stormont, M., Reinke, W. M., Herman, K. C., & Lembke, E. S. (2012). Academic and behavior supports for at-risk students: Tier 2 interventions. New York, NY: Guilford Press.

    Google Scholar 

  • Sugai, G., Sprague, J. R., Horner, R. H., & Walker, H. M. (2000). Preventing school violence the use of office discipline referrals to assess and monitor school-wide discipline interventions. Journal of Emotional and Behavioral Disorders, 8(2), 94–101. doi:10.1177/106342660000800205.

    Article  Google Scholar 

  • Thompson, A. M., Reinke, W. M., & Herman, K. C. (2015). The value, practice, and evaluation of teaching social emotional learning to students with and without disabilities. In C. R. Massat, M. S. Kelly, & R. Constable (Eds.), School social work: Practice, policy, and research (8th ed.). New York, NY: Oxford.

    Google Scholar 

  • Viding, E., Blair, R. J. R., Moffitt, T. E., & Plomin, R. (2005). Evidence for substantial genetic risk for psychopathy in 7-year-olds. Journal of Child Psychology and Psychiatry, 46(6), 592–597. doi:10.1111/j.1469-7610.2004.00393.x.

    Article  PubMed  Google Scholar 

  • Vujnovic, R., Fabiano, G., Morris, K., Norman, K., Hallmark, C., & Hartley, C. (2014). Examining school psychologists’ and teachers’ application of approaches within a response to intervention framework. Exceptionality, 22, 129–140. doi:10.1080/09362835.2013.865530.

    Article  Google Scholar 

  • Walker, B., Cheney, D., Stage, S., & Blum, C. (2005). Schoolwide screening and positive behavior supports: Identifying and supporting students at risk for school failure. Journal of Positive Behavior Interventions, 7(4), 194–204. doi:10.1177/10983007050070040101.

    Article  Google Scholar 

  • Walker, H. M., & Severson, H. H. (1992). Systematic screening for behavior disorders (SSBD). Longmont, CO: Sopris West.

    Google Scholar 

  • Webster-Stratton, C., Reid, M. J., & Hammond, M. (2004). Treating children with early-onset conduct problems: Intervention outcomes for parent, child, and teacher training. Journal of Clinical Child and Adolescent Psychology, 33(1), 105–124. doi:10.1207/S15374424JCCP3301_11.

    Article  PubMed  Google Scholar 

  • Wyn, J., Cahill, H., Holdsworth, R., Rowling, L., & Carson, S. (2000). MindMatters, a whole-school approach promoting mental health and wellbeing. Australian and New Zealand Journal of Psychiatry, 34(4), 594–601. doi:10.1046/j.1440-1614.2000.00748.x.

    Article  PubMed  Google Scholar 

  • Zwirs, B. W., Burger, H., Schulpen, T. W., Wiznitzer, M., Fedder, H., & Buitelaar, J. K. (2007). Prevalence of psychiatric disorders among children of different ethnic origin. Journal of Abnormal Child Psychology, 35(4), 556–566.

    Article  PubMed  Google Scholar 

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Acknowledgements

The authors wish to express appreciation to Anna Dedousis-Wallace, senior research associate, who assisted us with various aspects of this project..

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Correspondence to Rachael C. Murrihy .

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  1. 1.

    It has been argued that the DSM criteria does not accurately capture the full picture of the female expression of aggression. What does this mean with regards to available treatments—are they relevant and appropriate for girls with disruptive behaviour problems?

  2. 2.

    What are the crucial characteristics that differentiate between an Oppositional Defiant Disorder and a Conduct Disorder diagnosis?

  3. 3.

    As a practitioner what co-morbidities would you be alert for in a child referred for behavioural issues?

  4. 4.

    We are guided by the United States with many of the gold standard assessments and treatment approaches. What can you take from this chapter that might be adopted for use within the Australian system?

  5. 5.

    What is the Collaborative and Proactive Solutions approach and how does it depart from standard behavioural management approaches?

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Murrihy, R.C., Burns, J.R., Reinke, W.M., Herman, K.C., King, K.R. (2017). Evidence-Based Assessment and Intervention for Oppositional Defiant Disorder and Conduct Disorder in School Psychology. In: Thielking, M., Terjesen, M. (eds) Handbook of Australian School Psychology. Springer, Cham. https://doi.org/10.1007/978-3-319-45166-4_17

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