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Developmental-Behavioral Pediatrics, 5th Edition

ISBN: 9780323809726
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Addressing the major advances in biomedical, psychological, social, and environmental sciences over the past decade, Developmental-Behavioral Pediatrics, 5th Edition, remains the reference of choice for professionals in a wide range of fields, including medicine and health care, education, social service, advocacy, and public policy. This foundational, pioneering resource emphasizes children’s assets and liabilities, not just categorical labels. Comprehensive in scope, it offers information and guidance on normal development and behavior, psychosocial, and biologic influences on development, developmental disorders, neurodevelopmental disabilities, and mental health conditions. It also discusses tools and strategies for diagnosis and management, including new assessments that can be used in telehealth encounters.
Key Features
  • Offers a highly practical focus, emphasizing clinical approaches to evaluation, counseling, treatment, and ongoing care.
  • Provides new or expanded information on theoretical foundations of human development and behavior; trauma, adverse childhood events, and resilience across the life span; mechanisms of genetic, epigenetic, and neurological conditions; and principles of psychological assessment, including a broad array of evaluation approaches.
  • Discusses management and treatment for developmental and behavioral conditions, spanning common factors, cognitive behavior therapies, rehabilitative services, integrative medicine, and psychopharmacology.
  • Contains up-to-date chapters on celebrating socio-cultural diversity and addressing racism and bias, acute stress and post-traumatic stress disorder in youth, sexuality and variation, and alternatives to restrictive guardianship.
  • Begins each chapter with a colorful vignette that demonstrates the importance of the human dimensions of developmental-behavioral pediatrics.
  • Offers viewpoints from an interdisciplinary team of editors and contributors, representing developmental-behavioral pediatrics, general pediatrics, psychiatry, psychology, occupational and physical therapy, speech-language pathology, and law.
  • Provides the latest drug information in the updated and revised chapters on psychopharmacology.
  • Includes key points boxes, tables, pictures, and diagrams to clarify and enhance the text.
  • Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Author Information
Edited by Heidi M Feldman , MD PhD , Ballinger-Swindells Professor of Developmental and Behavioral Pediatrics, Stanford University School of Medicine, Stanford, California ; Ellen Roy Elias, MD, Children’s Hospital Colorado, Aurora, Colorado ; Nathan J Blum , MD, Chief, Division of Developmental and Behavioral Pediatrics, Director, Leadership Education in Neurodevelopmental Disabilities Program, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania ; Manuel Jimenez, MD, MS, FAAP, Assistant Professor and Chancellor’s Scholar, Departments of Pediatrics, Family Medicine and Community Health, Director of Developmental and Behavioral Pediatrics Education, The Boggs Center on Developmental Disabilities, Rutgers Robert Wood Johnson Medical School; Attending Developmental and Behavioral Pediatrician, Children’s Specialized Hospital, New Brunswick, New Jersey and Terry Stancin, PhD , Child and Adolescent Psychiatry and Psychology, MetroHealth Medical Center, Cleveland, Ohio

Περιεχόμενα

  • Cover image
  • Title page
  • Table of Contents
  • Copyright
  • Contributors
  • Preface
  • Section 1: Foundations of Developmental-Behavioral Pediatrics
  • 1. An Introduction to the Field of Developmental-Behavioral Pediatrics
  • Key Points/Words and Abstract
  • Rationale for the Field of DBP
  • Historical Grounding for DBP Perspective
  • Emergence of the DBP Field
  • Future Opportunities and Challenges
  • Conclusion
  • References
  • Website References
  • 2. The Biopsychosocial Model: Understanding Multiple, Interactive Influences on Child Development and Behavior
  • Abstract
  • Overview
  • Major Theories
  • Development of Behavioral Problems and Psychopathology
  • Caregiver-Child Relationships
  • Child Stress and Trauma
  • Intergenerational Transmission of Risk
  • Applications of Theories in the Practice of Developmental-Behavioral Pediatrics
  • Conclusion
  • References
  • 3. Theories of Human Development
  • Abstract
  • Overview
  • Stage theories of universal developmental change
  • Sociocultural theories
  • Multisystem probabilistic phase transitions
  • Conclusion
  • References
  • 4. Theories of Learning and Behavior Change
  • Abstract
  • Outline
  • Introduction
  • Classical Conditioning
  • Operant Conditioning
  • Social Learning Theories
  • Cognitive and Constructivist Perspectives
  • Extensions and Contemporary Applications
  • Conclusion
  • References
  • Section 2: Life Stages
  • 5. The Maternal-Fetal Dyad: Challenges and Adaptations
  • Abstract
  • Introduction
  • Physiologic and Psychological Challenges in Pregnancy
  • Perinatal Mental Health
  • Traumatic Birth Experiences
  • Fourth Trimester and Beyond
  • Conclusion
  • References
  • 6. Infancy
  • Abstract
  • Introduction
  • Neurologic Indicators of Neonatal Maturity
  • SOCIAL-emotional development
  • MOTOR development
  • Cognitive Development
  • Communication
  • Physical Growth
  • Conclusion
  • References
  • 7. Toddlerhood and the Preschool Years
  • Abstract
  • Introduction
  • Developmental Domains
  • Overarching Concepts Important for Toddler-Preschool Development
  • Clinical Perspectives: Conditions Commonly Presenting in the Toddler and Preschool Years
  • Recommendations and Evidence-Based Interventions
  • Conclusion
  • References
  • 8. Middle Childhood
  • Abstract
  • Introduction
  • Developmental Progression
  • When Things go Awry—Patterns of Dysfunction
  • Clinical Implications
  • Conclusion
  • References
  • 9. Adolescence
  • Abstract
  • Introduction
  • Developmental Changes During Adolescence
  • Contextual Influences
  • Assessing adolescents’ health and health behaviors
  • Treating Adolescents
  • Special Populations and Developmental Considerations
  • Mental Health in Adolescence
  • Conclusions
  • References
  • 10. Transition to Adulthood
  • Abstract
  • Introduction
  • The Developmental Process
  • Psychosocial Development
  • Health Care Needs and Transition
  • Conclusion
  • References
  • 11. End-of-Life, Death, and Bereavement
  • Abstract
  • Approaching End of Life
  • Death
  • Bereavement
  • Conclusion
  • References
  • Section 3: Social and Environmental Contexts of Children
  • 12. Understanding Child Development and Behavior in the Context of Family Systems
  • Abstract
  • Introduction
  • A Family Systems Perspective on Child Development and Behavior
  • Role of the Family System in Development
  • Family Life Cycle
  • Developmental Delays and Disabilities in a Family Life cycle Context
  • Supporting Families: A Summary and Conclusion
  • References
  • 13. Parenting and Parenting Behavior
  • Abstract
  • Parenting and Child Development
  • Parenting Across the Lifespan
  • Parenting in Context
  • Clinical Implications
  • References
  • 14. Foster Care and Adoption: Implications for Developmental and Behavioral Pediatrics
  • Abstract
  • Introduction
  • Family and Child Preparation
  • Transition Considerations
  • Developmental and Behavioral Outcomes Within the Context of Adoption
  • Identity Development Considerations Postadoption
  • Practice and Policy Implications
  • Conclusion
  • References
  • 15. Trauma, Resilience, and Child Development
  • Abstract
  • Frameworks: Trauma, Toxic Stress, and Resilience
  • Clinical Interventions
  • Systemic Interventions
  • Further Considerations
  • Conclusion
  • References
  • 16. Childcare
  • Abstract
  • Types of Childcare
  • Childcare Arrangements
  • Defining Quality in the Childcare Setting
  • Clinicians’ Roles
  • Conclusion
  • References
  • 17. Peers
  • Abstract
  • Social Development and the Importance of Peer Relationships
  • Problems in Peer Relationships
  • Children with Special Health Care Needs as a Potentially Vulnerable Population
  • Implications for Clinicians
  • Conclusion
  • References
  • 18. Schools as a Milieu
  • Abstract
  • Introduction
  • School Environment
  • Physical Features
  • The School’s Role in Promoting Physical Health and Wellbeing
  • Role of Clinician as an Advocate
  • Conclusion
  • References
  • 19. Neighborhoods and Personal Networks
  • Abstract
  • Defining the Neighborhood and the Personal Network
  • Neighborhood
  • Personal Networks
  • Neighborhoods and Personal Networks: Strategic Activities
  • Conclusion
  • References
  • 20. Celebrating Sociocultural Diversity in the Exam Room and Addressing Racism and Bias
  • Abstract
  • Introduction
  • Defining Racial Terminology
  • Racial Awareness and Racial Identity Development in Childhood
  • Cultural Humility
  • Putting Cultural Humility into Practice: A return to Omari’s case
  • Considerations for Care of Children in Immigrant Families
  • Conclusion: Promoting Resilience by Celebrating Diversity
  • References
  • 21. The Influence of Digital Media on Children and Families
  • Abstract
  • Prevalence of Digital Media
  • Evolution of Digital Media
  • Content
  • Parent Role in Media
  • Associations with Health Outcomes and Children’s Wellbeing
  • Children’s Developmental Stages and Associations with Digital Media
  • Disparities and Access
  • Practical Applications
  • References
  • 22. Natural and Human Disasters
  • Abstract
  • The Impact of Disasters on Children
  • Adjustment Reactions of Children Following Disasters
  • Bereavement in Children
  • Guilt
  • Secondary and Cumulative Losses and Stressors
  • Trauma and Grief Triggers and Anniversary Reactions
  • Effective Communication with Children Following Disasters
  • Social Support from Caregivers and Other Caring Adults
  • Psychosocial Support in the Aftermath of a Disaster
  • Use of Psychotropic Medications
  • Resiliency and Posttraumatic Growth
  • Consultation to Schools
  • Personal Impact of Disasters on Clinicians and Professional Self-care
  • Conclusion
  • References
  • Section 4: Biological Factors, Medical Conditions, and Exposures Affecting Development and Behavior
  • 23. Biological Mechanisms of Human Development and Behavior
  • NON-PRINT ITEMAbstract
  • Introduction
  • Where does one start when assessing children with developmental disabilities for underlying biologic diagnoses?
  • Advances in Medical Care
  • Advances in Genetics
  • References
  • 24. Genetic Disorders and Their Associated Mechanisms
  • Abstract
  • Introduction
  • Epigenetic Mechanisms of Disease
  • Mendelian Disorders of the Epigenetic Machinery
  • References
  • 25. Chromosome Disorders and Inheritance Patterns
  • Abstract
  • Introduction
  • Karyotype
  • Fluorescence in Situ Hybridization
  • Comparative Genomic Hybridization and Microarray
  • Balanced and Unbalanced Translocations
  • Copy Number Variants
  • Aneuploidy
  • Trisomy
  • Monosomy
  • Mosaicism
  • Atypical Chromosome Structure
  • Inheritance Patterns
  • References
  • 26. Sex Chromosome Aneuploidy
  • Abstract
  • Introduction
  • Turner Syndrome
  • Xxy/Klinefelter Syndrome
  • Xyy Syndrome
  • Trisomy X/47,Xxx
  • Tetrasomy And Pentasomy Conditions (Xxyy, Xxxy, Xyyy, Xxxxy, Xxyyy, Tetrasomy X, Pentasomy X)
  • Genetic Research in Sex Chromosome Aneuploidies
  • Patient and Professional Resources
  • Conclusion
  • References
  • 27. Down Syndrome
  • Abstract
  • Down Syndrome
  • History of Down Syndrome
  • Genetics
  • Prenatal Screening and Diagnosis
  • Making the Diagnosis in the Newborn Period
  • Informing the Family
  • Health Concerns in Individuals with Down Syndrome
  • Health Care Guidelines for Children and Adults
  • Growth and Development
  • Education
  • Transition
  • Conclusion
  • References
  • 28. Fragile X Syndrome and FMR1 Variants
  • Abstract
  • Introduction
  • Genetics oF Fragile X
  • Fragile X Syndrome
  • FMR1 Premutation–Associated Disorders
  • Genetic Counseling and Cascade Testing
  • Resources for Providers and Families
  • References
  • 29. Nervous System
  • Abstract
  • Prenatal Brain Development
  • Neuroanatomy
  • Neurologic History and Physical Examination
  • Central Nervous System Malformations
  • Vascular Disease
  • Headache
  • References
  • 30. Neuromuscular Disorders
  • Abstract
  • Overview of Neuromuscular Disorders
  • Specific Neuromuscular Disorders
  • Clinical Implications of a Neuromuscular Diagnosis
  • References
  • 31. Seizures and Epilepsy
  • Abstract
  • Background
  • First-Time Seizure Evaluation and Management
  • Risk of Recurrent Seizures andFuture Epilepsy
  • Epilepsy Diagnosis and Classification
  • Causes of Epilepsy
  • Epilepsy Evaluation
  • Treatment of Epilepsy
  • Other Consequences of Epilepsy
  • Epilepsy Support and Resources
  • References
  • 32. Diffuse Acquired Brain Injury
  • Abstract
  • Introduction to Diffuse Acquired Brain Injury
  • Moderate and Severe Traumatic Brain Injury
  • Mild Traumatic Brain Injury
  • Abusive Head Trauma
  • Anoxic Brain Injuries
  • Conclusions and Future Directions
  • References
  • 33. Congenital Infections
  • Abstract
  • Introduction
  • Congenital Infections and Neurodevelopmental Outcomes
  • TORCH Infections
  • Emerging Congenital Infections
  • Congenital Infections and Hypothetical Risk of Autism Spectrum Disorder
  • The Role of the Developmental and Behavioral Pediatrician
  • References
  • 34. Consequences of Preterm Birth
  • Abstract
  • Introduction
  • Epidemiology of Preterm Births
  • Neonatal Conditions and Assessment of Risk
  • Neurodevelopmental Outcomes
  • Follow-up of the Preterm Infant
  • Conclusion
  • References
  • 35. Nutritional Disorders
  • Abstract
  • Overview of the Brain-Nutrient Interaction
  • Critical Macronutrients
  • Critical Micronutrients
  • Nutrition Status Assessment in Children with Developmental Disability
  • References
  • Pediatric Formulas
  • 36. Inborn Errors of Metabolism
  • Abstract
  • Background
  • General Approach
  • Newborn Screening
  • Disorders Presenting with Hyperammonemia
  • Amino Acid Disorders
  • Organic Acidemias
  • Neurometabolic Disorders
  • Purine and Pyrimidine Disorders
  • Disorders Of Carbohydrate Metabolism
  • Peroxisomal Disorders
  • Mitochondrial Diseases
  • Lysosomal Storage Disorders
  • Disorders of Cholesterol Metabolism
  • Therapeutics
  • Conclusion
  • References
  • 37. Prenatal Exposure of Alcohol, Tobacco, and Drugs
  • Abstract
  • Introduction
  • Alcohol
  • Nicotine
  • Prescription Medications Affecting Development And Behavior
  • Illicit and Recreational Drugs
  • Screening for Exposure
  • References
  • 38. The Impact of Environmental Chemicals on the Developing Brain
  • Abstract
  • Neurodevelopmental Disabilities Caused by Toxic Chemicals in the Environment
  • Ubiquitous Nature of Environmental Chemicals
  • Children’s Unique Vulnerabilities to Toxic Chemicals
  • From Acute Toxicity to Silent Toxicity
  • Environmental Influences on Development
  • Specific Developmental Disabilities: Autism Spectrum Disorder
  • Environmental Health Disparities
  • CONCLUSION: Advice for Developmental-Behavioral Clinicians
  • Conclusion
  • References
  • Section 5: Developmental Disorders
  • 39. Cerebral Palsy and Other Motor Disorders
  • Abstract
  • Definition of Cerebral Palsy
  • Making the Diagnosis
  • Classification of Cerebral Palsy
  • Movement Disorders in Children with CP
  • Orthopedic Issues in CP
  • Evaluation and Management of Pain
  • Bone Health Evaluation and Management
  • Growth
  • Pulmonary Concerns
  • Gynecologic and Urologic Issues
  • Vision and Hearing Issues
  • Mental Health Considerations
  • Life Expectancy and Quality of Life
  • Rehabilitation Therapies
  • Conclusion
  • References
  • 40. Intellectual Disability
  • Abstract
  • Intellectual Disability: Evolution of Terminology
  • Prevalence
  • Etiologic Factors
  • Evaluation of Intellectual Disability
  • Cooccurring Conditions
  • Outcomes and Disparities
  • Prevention
  • Recent and Future therapies and Advances
  • Resources
  • References
  • 41. Autism Spectrum Disorder
  • Abstract
  • Signs and Symptoms of Autism Spectrum Disorder
  • Epidemiology
  • Etiology
  • Diagnostic Criteria
  • Onset and Developmental Course
  • Screening/Assessment/Diagnostic Evaluation
  • Medical Evaluations
  • Interventions
  • Family-Centered, Culturally and Linguistically Competent and Equitable Care
  • Future Directions
  • References
  • 42. Developmental Considerations in Deafness
  • Abstract
  • Terminology
  • Epidemiology
  • Etiology
  • Evaluation
  • Developmental and Behavioral Outcomes
  • Management
  • Conclusion
  • Acknowledgments
  • References
  • Resources
  • 43. Blindness and Visual Impairment
  • Abstract
  • Causes of Blindness and Visual Impairment
  • Pediatric Screening Responsibilities
  • Characteristics and Definitions of Blindness and Visual Impairment
  • Ophthalmologic Interventions and Management
  • Developmental and Educational Implications of Pediatric Blindness/Visual Impairment
  • Conclusion and Recommendations
  • References
  • Resources
  • 44. Language and Speech Disorders
  • Abstract
  • Definitions
  • Normal Development
  • Developmental Variations
  • Developmental Delay
  • Evaluation Procedures
  • Language Disorders
  • Speech Sound Disorders
  • Conclusion
  • References
  • 45. Sensory Processing Disorders
  • Abstract
  • Types of Sensory Processing Disorder
  • Assessment
  • Intervention
  • Outcomes of Sensory Integration Intervention
  • Conclusion
  • References
  • Section 6: Variation in Behavior, Learning, Emotion, and Mental Health
  • 46. Attention-Deficit/Hyperactivity Disorder (ADHD)
  • Abstract
  • What is ADHD?
  • Understanding ADHD
  • The Impact of ADHD
  • Complex ADHD as a Concept and Focus on Improving Functional Outcomes
  • Assessment
  • Treatment
  • Treatment Across the Life span
  • Conclusion
  • References
  • 47. Learning Disabilities
  • Abstract
  • Background, Definitions, and Symptomatology of Learning Disorders
  • Epidemiology and Etiology
  • Coexisting Conditions
  • Diagnostic Approach
  • Treatment
  • Laws Impacting Special Education
  • Prevention
  • Transition to Postsecondary Education and Adult Life
  • Primary Care Provider Role and Establishing Partnerships
  • Conclusion
  • References
  • 48. Talent and Giftedness
  • Abstract
  • Definitions
  • Developmental Concerns
  • Educational Identification and Programming
  • Curriculum Alternatives
  • Special Considerations
  • Conclusion
  • References
  • 49. Mood Disorders in Children and Adolescents
  • Abstract
  • Depressive Spectrum Disorders
  • Brief Overview
  • Epidemiology
  • Clinical Presentation
  • Comorbid Conditions
  • Screening and Assessment
  • Treatment
  • Prevention
  • Suicide in Children and Adolescents
  • Bipolar Spectrum Disorder
  • Brief Overview
  • Epidemiology
  • Clinical Presentation
  • Comorbid Conditions
  • Screening and Assessment
  • Treatment of Bipolar Disorder
  • Prevention
  • Conclusion
  • References
  • 50. Suicide Prevention Care in the Pediatric Setting: A Trauma-Informed Approach
  • Abstract
  • Epidemiology and Presentation of Suicide Risk
  • Factors Increasing Suicide and Self-Harm Risk
  • Traumatic Stress, Adversity, and Social Determinants of Health
  • Care Process Model for Screening, Evaluation, and Management of Suicide/Self-Harm Risk and Traumatic Stress
  • SAFETY-A/FISP Overview and Empirical Support
  • SAFETY-A and ABCD Case Illustration with Carlos
  • Clinical Implications and Conclusions
  • References
  • 51. Anxiety Disorders in Children and Adolescents
  • Abstract
  • Introduction
  • Correlates and Risks Factors
  • Types of Anxiety Disorders
  • Obsessive-Compulsive Disorder
  • Treatments
  • Conclusion and Clinical Implications
  • References
  • 52. Psychotic-Spectrum Disorders in Children and Adolescents
  • Abstract
  • Clinical High-Risk States for Psychosis
  • Clinical Description
  • Differential Diagnosis
  • Assessment
  • Course and Prognosis
  • Treatment
  • Psychotic-Spectrum Disorders in Children and Adolescents
  • Clinical Description
  • Psychotic-Spectrum Disorders
  • Differential Diagnosis
  • Neurobiologic and Genetic Risk Factors
  • Course and Prognosis
  • Treatment
  • Substance Use and Psychosis
  • Conclusion
  • References
  • 53. Substance Use Disorders and Other Risk-Taking Behaviors in Youth
  • Abstract
  • Introduction
  • Adolescent Development
  • Substance Use
  • Screening and Assessment
  • Interventions
  • Parents/Caregivers Who Use Alcohol and Other Substances
  • Conclusion
  • References
  • 54. Dual Diagnosis of Mental Health and Developmental Disorders in Developmental-Behavioral Pediatrics
  • Abstract
  • Prevalence and Epidemiology
  • Diagnostic Considerations
  • Diagnostic Assessment
  • Diagnosis of Specific Mental Disorders
  • Evaluation and Treatment of Medical Conditions
  • Treatment
  • Care Coordination and Consultation
  • Conclusion
  • References
  • 55. Aggression and Disruptive Behavior Disorders
  • Abstract
  • Introduction
  • Defining Disruptive Behavior Disorders
  • Prevalence
  • Role of Aggression in Disruptive Behavior Disorders
  • Etiology of Aggression and Disruptive Behaviors
  • Assessment of Disruptive Behavior
  • Treatment of Disruptive Behavior Disorders
  • Outcomes
  • Conclusion
  • References
  • 56. Acute Stress Disorder and Posttraumatic Stress Disorder in Youth
  • Abstract
  • An Intentionally Circumscribed Overview
  • Phenomenology
  • Conceptualization and Assessment
  • Treatment
  • Conclusions, Implications, and Future Directions
  • Differential Diagnosis
  • Assessment
  • Specific Psychosocial Treatments for Traumatic Stress
  • Pharmacotherapy for Traumatic Stress
  • Conclusions, Implications, and Future Directions
  • References
  • References
  • References
  • References
  • References
  • References
  • 57. Adjustment and Adjustment Disorders in Developmental-Behavioral Pediatrics
  • Abstract
  • Introduction
  • Concepts of Stress and Adjustment
  • Adjustment Disorders
  • Conclusion
  • References
  • Section 7: Developmental and Behavioral Considerations Related to Medical Care
  • 58. Impact of Hospitalization and Acute Medical Care on Children and Families
  • Abstract
  • Impact of Hospitalization on Child and Caregiver Functioning
  • Conceptual Models
  • Intervention
  • Conclusion
  • References
  • 59. Children with Chronic Illness and Medical Complexity
  • Abstract
  • Definitions of Chronic Illness and Medical Complexity
  • Etiology
  • Complexity of Diagnoses and Management
  • An Approach to the Child with Medical Complexity
  • Other Specialized Medical Technologies
  • Conclusion
  • References
  • Resources
  • 60. Survivors of Childhood Brain Tumors: Developmental and Behavioral Considerations
  • Abstract
  • Pediatric Brain Tumors
  • Late Effects of Brain Tumors and their Treatment
  • Medical Late Effects
  • Neuropsychological Late Effects
  • Survivorship Care
  • References
  • 61. Neurodevelopment in Children With Congenital Heart Disease
  • Abstract
  • Etiology of neurodevelopmental deficits in CHD
  • Neurodevelopment in children with CHD
  • Psychiatric outcomes and quality of life
  • Guidelines for Neurodevelopmental Screening and Evaluation
  • Impact of CHD on the Family
  • Transition to Adult Care
  • Therapeutic interventions
  • Conclusion
  • References
  • 62. Medications With Developmental and Behavioral Side Effects
  • Abstract
  • Introduction
  • Antiepileptic Drugs (Anticonvulsants)
  • Antihistamines
  • Corticosteroids (Prednisone, Dexamethasone, Betamethasone, Methylprednisolone)
  • Conclusion
  • References
  • 63. Palliative Care for Children With Medical Complexity
  • Abstract
  • Overview
  • Pain
  • Feeding Intolerance
  • Difficult Conversations
  • Conclusion
  • References
  • 64. Chronic Pain
  • Abstract
  • The Significance of Childhood Chronic Pain
  • Understanding Chronic Pain: A Biopsychosocial Framework
  • Assessment of Chronic Pain in Children
  • Chronic Pain Management in Children
  • Conclusion
  • References
  • Section 8: Variations in Functional Domains
  • 65. Feeding and Swallowing Disorders
  • Abstract
  • Introduction
  • Typical Feeding Development
  • Swallowing Disorders
  • Common Problems
  • Future Directions
  • Conclusion
  • References
  • 66. Growth Faltering
  • Abstract
  • Medical
  • Nutritional
  • Developmental-Behavioral dysfunction
  • Social-Emotional
  • Conclusion
  • References
  • 67. Childhood Obesity
  • Abstract
  • Epidemiology
  • Assessment
  • Taking a Developmental Approach to Prevention and Treatment
  • Conclusion
  • References
  • 68. Urinary Incontinence and Nocturnal Enuresis
  • Abstract
  • Overview
  • Evaluation
  • Management
  • Clinical Implications
  • Future Directions
  • References
  • 69. Toileting and Encopresis
  • Abstract
  • Scope of the Problem
  • Bowel Function and Encopresis
  • Toilet Training
  • Toileting Refusal/Stool Withholding
  • Toilet Training in Special Populations
  • Encopresis/Functional Fecal Incontinence
  • Conclusion
  • References
  • 70. Sleep and Sleep Disorders in Children
  • Abstract
  • Sleep from a Developmental-Behavioral Perspective
  • Basic Sleep Mechanisms
  • The Sleep History
  • Measuring Sleep
  • Developmental Trajectory of Normal Sleep
  • Neurobehavioral and Neurocognitive Impact of Inadequate and Disrupted Sleep in Children
  • Good Sleep Hygeine
  • Common Sleep Disorders in Children
  • Sleep Issues in Special Populations
  • Medications for Sleep
  • Sleep-Related Side Effects of Psychopharmacology
  • Conclusion
  • References
  • 71. Movement Disorders
  • Abstract
  • Background
  • Neurobiology/Pathophysiology
  • Clinical starting point
  • Tic Disorders
  • Nontic Movement Disorders
  • conclusion
  • References
  • 72. Habit Disorders in Children and Adolescents
  • Abstract
  • Classification
  • Etiology
  • Stereotypic Movements
  • Body-Focused Repetitive Behaviors
  • Behavioral Treatment of Stereotypic and Repetitive Behaviors
  • Other Repetitive Behaviors
  • Conclusion
  • References
  • 73. Sexuality and Its Variations
  • Abstract
  • We are Sexual Beings from Birth to Death
  • Typical Sexual Development by Age
  • Experiences Impacting/Complicating the Development of Sexuality
  • Conclusion
  • References
  • Sexuality Education for Parents and Teens
  • Support for LGBTQ+ Youth
  • Support for Survivors of Sexual Assault and Abuse
  • Responding to Bullying
  • HIV Risk and PreExposure Prophylaxis against HIV (PrEP)
  • References
  • 74. Sexuality in Children and Youth With Disabilities
  • Abstract
  • Introduction
  • General Concepts when Addressing Sexuality Needs of individuals with Disabilities
  • Sexual Activity
  • Problem Sexual Behaviors
  • The Role of the Developmental Behavioral Clinician
  • References
  • 75. Gender and Its Variation in Youth
  • Abstract
  • Gender Dysphoria
  • Gender Identity Development
  • Risk and Resilience
  • Gender-Affirmative Interventions
  • Clinical Implications
  • References
  • Section 9: Assessment and Measurement in Developmental-Behavioral Pediatrics
  • 76. Fundamentals of Developmental, Behavioral, and Psychological Assessment
  • Abstract
  • Introduction to Psychological Assessment
  • Test Design and Psychometrics
  • Competencies to Conduct Assessments
  • Assessment Planning
  • Sources of Assessment Data
  • Integrating Information
  • Conclusion
  • References
  • 77. The Interview in Developmental-Behavioral Pediatrics
  • Abstract
  • Initiating and Supporting the Relationship
  • Family History
  • Discussing Diagnosis and Treatment
  • Managing the Challenging Interview
  • Conclusion
  • References
  • 78. The Physical Exam: Laying on of Hands…or Not
  • Abstract
  • Conducting the physical examination
  • Behavioral Observation
  • Relevant physical findings
  • When We are Unable to Lay on Hands: Telehealth
  • Conclusion
  • References
  • 79. Evaluation of Children Who Are Nonverbal/Minimally Verbal
  • Abstract
  • Defining the population of children who are minimally verbal
  • Caregiver interview
  • Critical observations to make of the child during interaction and play
  • Psychological assessment
  • Conclusion and Clinical Implications
  • References
  • 80. Assessment of Temperament
  • Abstract
  • Introduction
  • What Does Temperament Predict?
  • How Temperament Modifies Experience or Response to Environment
  • Assessment of Temperament
  • How And When To Intervene
  • Conclusion
  • References
  • 81. Developmental Surveillance and Screening
  • Abstract
  • Background
  • Identifying Children at Risk for Delays and Disabilities
  • Validation and Evidence for Screening
  • Implementation of Developmental Screening in Clinical Settings
  • Results
  • Referral
  • After Referral
  • Further Reading
  • References
  • 82. Evaluation of Emotion and Behavior
  • Abstract
  • Assessment Methods
  • Implementation of Emotion and Behavior Assessments in Clinical Settings
  • Cultural and Language Considerations
  • Clinical Implications
  • References
  • 83. Evaluation of School Readiness: Beyond ABCs
  • Abstract
  • Introduction
  • What is school readiness?
  • Why should we evaluate school readiness in a child?
  • How should we assess school readiness in a child?
  • How should we interpret school readiness assessments?
  • New Models for Assessing school readiness in Action
  • Clinical implications
  • References
  • 84. Observational Assessment in Developmental-Behavioral Pediatrics
  • Abstract
  • Introduction
  • Observational Assessment Methods
  • Functional Behavior Assessment
  • Published instruments for observational assessment
  • Clinical Implications
  • References
  • 85. Developmental, Cognitive, and Intelligence Testing
  • Abstract
  • History of Intellectual and Developmental Testing
  • Uses and Limitations of Testing
  • Reasons for Referring for Developmental, Intellectual, or Cognitive Testing
  • Testing Process and Interpretation
  • Conclusion
  • References
  • 86. Educational Testing and Evaluation of Academic Performance
  • Abstract
  • Importance of Understanding Educational Testing and Evaluation
  • Policies Related to Educational Testing and Evaluation
  • Types of Assessments
  • A MultiTiered System of Support: A Framework for Assessment and Intervention
  • References
  • 87. Neuropsychology in Developmental-Behavioral Pediatrics Practice
  • Abstract
  • Defining Neuropsychology
  • Who is a Neuropsychologist?
  • Neuropsychological Evaluation Differs from Psychological Evaluation
  • When to Refer for a Neuropsychological Evaluation
  • Neuropsychology in Practice
  • Coding and Billing for Neuropsychological Services
  • Neuropsychological Report
  • Conclusion
  • References
  • 88. Evaluation of Adaptive Functioning
  • Abstract
  • Introduction
  • Adaptive Behavior Definitions and Frameworks
  • Purpose of Adaptive Behavior Assessment
  • Assessment of Adaptive Functioning
  • Conclusion
  • References
  • 89. Assessments of the Central Nervous System
  • Abstract
  • Structural Assessment of the Central Nervous System
  • Brain Imaging
  • Spinal Imaging
  • Vascular Imaging
  • Functional Assessment of the Central Nervous System
  • Neurophysiologic Studies
  • Direct Assessment of The Central Nervous System
  • Lumbar Puncture
  • Conclusion
  • References
  • 90. Integration of Data Sources and Uncertainty
  • Abstract
  • Factors Contributing to Uncertainty in Diagnosis and Care
  • Methods for Approaching Ambiguity in Care
  • conclusion
  • References
  • Section 10: Interventions, Management, and Treatment of Developmental and Behavioral Conditions
  • 91. Counseling and Readiness to Change
  • Abstract
  • Outline
  • Background: Why Readiness to Change Matters
  • Application to Clinical Practice
  • Putting it All Together
  • References
  • 92. Common Factors and Lifestyle Interventions
  • Abstract
  • Common Factor Skills Derived From Psychotherapy
  • Lifestyle Factors Related To Mental Health
  • Conclusion
  • References
  • 93. Behavioral Parent Training and Consultation
  • Abstract
  • Evidence-Based Parent Training Packages
  • Behavioral Counseling During Medical Care
  • Extensions to Improve Access, Engagement, and Outcomes
  • Conclusion
  • References
  • 94. Applied Behavior Analysis for Autism Spectrum Disorder
  • Abstract
  • Introduction to Autism Spectrum Disorder
  • History of Autism Treatment Approaches
  • Principles of Applied Behavior Analysis
  • ABA as an Evidence-based Intervention for ASD
  • ABA For Challenging Behavior
  • Qualifications of ABA Providers
  • Variations in ABA Therapy for ASD
  • Other Behavioral Models
  • Conclusion
  • References
  • 95. Crisis Management in Developmental-Behavioral Pediatrics
  • Abstract
  • Introduction
  • Suicidality and Self-harm
  • Violent Outburst and Aggression
  • Threats of Harm to Others
  • Concerns for Anxiety or Panic
  • Concerns for Disclosure of Abuse, Neglect, Sexual Assault, or Domestic Violence
  • Acute Presentation of Concerns for Psychosis
  • Potentially Intoxicated Child or Caregiver
  • Caregiver Mental Health Crisis
  • Conclusion
  • References
  • 96. Individual Therapy for Children and Adolescents: Play Therapy and Interpersonal Therapy as Developmentally Centered Relational Change Modalities
  • Abstract
  • Effectiveness of Therapy with Children and Adolescents
  • Integrated Behavioral Health
  • Therapeutic Strategies for Medical Clinicians and Supportive Therapy
  • Therapeutic Approaches: The Therapeutic Relationship as the Vehicle of Change
  • Conclusion
  • References
  • 97. Family Systems Therapy and Its Importance in Developmental-Behavioral Pediatrics
  • Abstract
  • What is Family Therapy?
  • Evidence for Family Systems Interventions
  • What is involved in family systems therapy?
  • How do I Help Families, With and Without Family Therapy?
  • Conclusion
  • References
  • 98. Cognitive-Behavioral Therapy in Developmental-Behavioral Pediatrics
  • Abstract
  • Cognitive-Behavioral Therapy
  • Conclusion
  • References
  • 99. Psychopharmacology
  • Abstract
  • Stimulants
  • Alpha-2 Adrenergic Agonists
  • Atomoxetine
  • Selective Serotonin Reuptake Inhibitors
  • Serotonin-Norepinephrine Reuptake Inhibitors
  • Tricyclic Antidepressants
  • Bupropion
  • Antiepileptics
  • Atypical Antipsychotics
  • Miscellaneous Medications
  • Polypharmacy
  • Conclusion
  • References
  • 100. Hypnosis, Biofeedback, and Meditation
  • Abstract
  • Outline
  • Introduction
  • Therapeutic Language
  • Diaphragmatic Breathing
  • Hypnotherapy
  • Biofeedback
  • Meditation
  • Summary
  • References
  • 101. Growth Mindset as a Brief Intervention: Research to Practice
  • Abstract
  • What is Growth Mindset?
  • Why is Growth Mindset Important?
  • How Do We Promote Growth Mindset in Pediatrics?
  • What are the Caveats for Implementing Growth Mindset?
  • How can we apply mindset to public education and public health?
  • Conclusion
  • References
  • 102. Treatment of Developmental, Behavioral, and Mental Health Conditions via Technology
  • Abstract
  • Introduction
  • Telehealth
  • Phone- and Application-Based Treatments
  • Wearable Devices
  • Virtual Reality
  • VideoGames
  • Procedural Technologic Intervention
  • CONCLUSIONS AND Limitations to Treatment with Technology
  • References
  • 103. Early Intervention
  • Abstract
  • What is Early Intervention?
  • A Brief History of Part C Early Intervention
  • Federal Requirements and State Implementation
  • Core Principles
  • Evidence Supporting Part C Early Intervention
  • Early Identification to Intervention Pathway
  • EI Challenges and Innovations
  • conclusion
  • References
  • 104. Special Education Services
  • Abstract
  • Overview of the Individuals With Disabilities Education Act
  • Equity In Special Education
  • Partnering With Children And Adolescents And Their Families
  • The Special Education Process
  • Development Of The Iep Or 504 Plan
  • Resources
  • References
  • 105. Transition to Adulthood for Young Adults With Intellectual and Developmental Disabilities
  • Abstract
  • Introduction
  • Transition to Adult-Based Health Care
  • Psychosocial Issues During Transition Into Adulthood
  • References
  • 106. Rehabilitation Services: Occupational Therapy and Physical Therapy
  • Abstract
  • Historical Perspective and Evolution of the Professions
  • Contemporary Practice
  • Scope of Practice
  • Clinical Implications
  • References
  • 107. Speech-Language Pathology for Developmental-Behavioral Disorders
  • Abstract
  • Introduction to Speech-Language Pathology
  • Settings and Team Members
  • Assessment methods
  • Service Delivery Models Used in Treatment
  • Treatment effectiveness
  • Summary
  • References
  • 108. Art and Music Therapy
  • Abstract
  • Introduction
  • Art Therapy
  • Music Therapy
  • Conclusion
  • References
  • 109. Integrative Medicine for Disorders of Development and Behavior
  • Abstract
  • Introduction
  • Autism Spectrum Disorder and Integrative Medicine
  • Conclusions
  • Attention-Deficit/Hyperactivity Disorder and Integrative Medicine
  • Conclusion
  • Controversial Treatments in Integrative Medicine
  • Conclusion
  • References
  • References
  • 110. Community-Based Interventions
  • Abstract
  • Introduction
  • What is community-based intervention?
  • Considerations in Community-Based Interventions
  • Community-Based Intervention in Action
  • Additional Resources
  • Conclusion
  • References
  • 111. Endocrine and Gynecologic Management of Children With Severe Disabilities
  • Abstract
  • Endocrine management of children with developmental disabilities
  • Gynecologic management of adolescents with developmental disabilities
  • References
  • Section 11: Societal and Legal Contexts of Developmental-Behavioral Pediatrics
  • 112. Social Inclusion
  • Abstract
  • Social Inclusion
  • An era of community membership
  • Legal Foundations
  • Dilemmas of Inclusion
  • References
  • 113. Education Law: Implications for Developmental-Behavioral Pediatrics
  • Abstract
  • Overview
  • Special education: The Individuals with Disabilities Education Act
  • Accountability: The Every Student Succeeds Act
  • Civil rights: Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990
  • Implications for clinicians
  • References
  • 114. Health Care Systems for Children With Disabilities
  • Abstract
  • Introduction
  • Goals of the Health Care System
  • Achieving the Goals of the Health Care System for Children with Disabilities
  • Conclusion
  • References
  • 115. Interprofessional Team-Based Care
  • Abstract
  • Introduction
  • Complexity in Clinical Practice
  • Fragmentation Across Systems
  • Fragmentation Across Providers
  • Delivery of Interprofessional Team-Based Care
  • Hiring and Training
  • Implications for Practice, Payment, and Policy
  • Conclusion
  • Resources
  • References
  • 116. Ethical Considerations
  • Abstract
  • Introduction
  • A Brief Review of Ethical Theories
  • Historical Experiences of Individuals with Disabilities
  • Suggestions for Practical Consideration
  • Conclusion
  • References
  • 117. The Pitfalls of Guardianship (Conservatorship) and the Promise of Alternatives
  • Abstract
  • Overview
  • What is a guardianship?
  • Why be Wary of Guardianships?
  • What are the Alternatives?
  • Conclusion
  • Additional resources
  • References
  • Section 12: Conclusion
  • 118. The Right to Belong, The Right to be Different
  • Abstract
  • The Right to Belong
  • The Right to be Different
  • A Final Word
  • Index