TY  - JOUR
PY  - 2017//
TI  - Screening for disruptive behaviour problems in preschool children in primary health care settings
JO  - Journal of the Canadian Academy of Child and Adolescent Psychiatry
A1  - Charach, Alice
A1  - McLennan, John D.
A1  - Bélanger, Stacey Ageranioti
A1  - Nixon, Mary Kay
SP  - 172
EP  - 178
VL  - 26
IS  - 3
N2  - 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>
LA  - en
SN  - 1719-8429
UR  - http://dx.doi.org/
ID  - ref1
ER  -