@article{ref1,
title="Screening for disruptive behaviour problems in preschool children in primary health care settings",
journal="Journal of the Canadian Academy of Child and Adolescent Psychiatry",
year="2017",
author="Charach, Alice and McLennan, John D. and Bélanger, Stacey Ageranioti and Nixon, Mary Kay",
volume="26",
number="3",
pages="172-178",
abstract="Disruptive behaviour problems in preschool children are significant risk factors for, and potential components of, neurodevelopmental and mental health disorders. Some non-compliance, temper tantrums and aggression between two and five years of age are normal and transient. However, problematic levels of disruptive behaviour, specifically when accompanied by functional impairment and/or significant distress, should be identified because early intervention can improve outcome trajectories. This position statement provides an approach to early identification using clinical screening at periodic health examinations, followed by a systematic mental health examination that includes standardized measures. The practitioner should consider a range of environmental, developmental, family and parent-child relationship factors to evaluate the clinical significance of disruptive behaviours. Options within a management plan include regular monitoring accompanied by health guidance and parenting advice, referral to parent behaviour training as a core evidence-based intervention, and referral to specialty care for preschool children with significant disruptive behaviours, developmental or mental health comorbidities, or who are not responding to first-line interventions.<p /> <p>Language: en</p>",
language="en",
issn="1719-8429",
doi="",
url="http://dx.doi.org/"
}