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Charach A, McLennan JD, Bélanger SA, et al. Screening for Disruptive Behaviour Problems in Preschool Children in Primary Health Care Settings. J Can Acad Child Adolesc Psychiatry. 2017;26(3):172-178
Charach, A., McLennan, J. D., Bélanger, S. A., & Nixon, M. K. (2017). Screening for Disruptive Behaviour Problems in Preschool Children in Primary Health Care Settings. Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent, 26(3), 172-178.
Charach, Alice, et al. "Screening for Disruptive Behaviour Problems in Preschool Children in Primary Health Care Settings." Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent vol. 26,3 (2017): 172-178.
Charach A, McLennan JD, Bélanger SA, Nixon MK. Screening for Disruptive Behaviour Problems in Preschool Children in Primary Health Care Settings. J Can Acad Child Adolesc Psychiatry. 2017;26(3):172-178. Epub 2017 Oct 01. PMID: 29056978; PMCID: PMC5642455.
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J Can Acad Child Adolesc Psychiatry. 2017;26(3):172-178. Epub 2017 Oct 01.

Screening for Disruptive Behaviour Problems in Preschool Children in Primary Health Care Settings.

Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent

Alice Charach, John D McLennan, Stacey Ageranioti Bélanger, Mary Kay Nixon

Affiliations

  1. Canadian Paediatric Society, Mental Health and Developmental Disabilities Committee.
  2. Canadian Academy of Child and Adolescent Psychiatry.

PMID: 29056978 PMCID: PMC5642455

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.

Keywords: ADHD; ODD; behaviour problems; preschoolers; primary care; screening

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