Table Of ContentChild and Adolescent
Mental Health
Theory and Practice
SecondEdition
Margaret Thompson, Christine Hooper,
Cathy Laver-Bradbury, Christopher Gale
First published in Great Britain in 2005 by Hodder Arnold
This second edition published in 2012 by
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Contents
Contributors vii
Foreword x
Acknowledgements x
1 TowardscomprehensiveChildandAdolescentMental Margaret Thompson 1
HealthServices(CAMHS)
2 Earlyinterventionservices Margaret Thompson, Susan 6
Thompson, Diane Henty and
Kirsteen Anderssen
3 Theroleoftheeducationalpsychologist Helena Hoyos 15
4 WhodoeswhatinChildandAdolescentMental Cathy Laver-Bradbury and Andrew 19
HealthServices? O’Toole
5 Nurseprescribing Helen Harris 25
6 Primarymentalhealthinthecommunity Margaret Thompson 30
7 Primarymentalhealthworkwithinaspecialist Roy Smith 33
CAMHSteam
8 Aetiologyandclassification Margaret Thompson 37
9 Epidemiologyofbehaviourproblems Christine Cornforth and 40
Margaret Thompson
10 Genetics Darko Turic and Wai Chen 45
11 Assessingpaediatricandpsychologicaldevelopment Catherine Thompson. Edited by 51
Salvatore Rotondetto and David
Daley
12 Emotionaldevelopmentandattachment Carlos Hoyos and Christopher Gale 62
13 Emotionalwellbeingandliteracy Tania Morris and Helena Hoyos 70
14 Currentlegalframeworkandrelevantlegislation Janet Féat 79
15 Makingtreatmentdecisionswithyoungpeople Suyog Dhakras 91
16 Fosteringandadoption Maggie Rance and Janet Féat 100
17 Theeffectofearlyinstitutionaldeprivationonthe Jana Kreppner 104
brain:findingsfromtheEnglishandRomanian
adopteesstudy
Introductiontoassessment Cathy Laver-Bradbury 111
18 Engagementandmotivation Margaret Thompson 112
19 Structuredassessmentofpreschoolchildren: Margaret Thompson, Margaret 117
observationofparent–childrelationship Hobbs, Fiona McEwan and Christine
Cornforth
20 Parentingstyle Christine Hooper 122
21 Assessmentofyoungerchildrenandfamilies: Cathy Laver-Bradbury 124
individualinterviewofchild
22 Assessmentofolderchildren,youngpeopleandtheir Christopher Gale 128
families
iv Contents
23 Familyassessment Andrew O’Toole and Anne Brewster 131
24 Genograms Christine Hooper 135
25 Narrativetherapy Andrew O’Toole and Anne Brewster 137
26 Theuseofquestionnairesinthediagnosisofchild Christine Cornforth, Kim Cartwright 141
mentalhealthproblems and Margaret Thompson
27 Cognitiveassessmentinchildrenandyoungpeople Rachel Leeke 146
28 Speechandlanguageassessment Janet Stevens 150
29 Occupationaltherapyassessment Claire Pollock 155
Introduction Margaret Thompson 158
30 Temperament Christine Cornforth and Margaret 158
Thompson
31 Crying Christine Cornforth and Margaret 164
Thompson
32 Emotionalityinchildrenandyoungpeopleandlinks Georgia Chronaki 168
topsychopathology
33 Juveniledisruptivebehaviourdisorders:oppositional Christine Cornforth, Graeme 171
defiantdisorder(ODD)andconductdisorder(CD) Fairchild and Margaret Thompson
34 Forensicchildandadolescentpsychiatry Suyog Dhakras 181
35 Substancemisuse Christine Hooper, Margaret 186
Thompson and Claire Samwell
36 Attentiondeficithyperactivitydisorder Anan El Masry, Margaret Thompson 192
and Wai Chen. Edited by David Daley
37 Epilepsy Salvatore Rotondetto and Margaret 205
Thompson
38 Tourettesyndrome Catherine Thompson and Margaret 209
Thompson
39 Autisticspectrumdisorder Erika Harris and Josie Brown 214
40 Educationforchildrenontheautismspectrum Sandy Teal 221
41 Socialstoriesforparentsofautisticchildren Rachel Leeke 226
42 Behaviouralproblemsinchildrenwithlearning Chantal Homan, Chris Hardie, 228
difficulties Catherine Thompson and Ettore
Guaia
43 Anxietyandphobias Roxanne Magdalena 238
44 Obsessivecompulsivedisorder Joanna Barker 243
45 Bodydysmorphicdisorder Christopher Gale 248
46 Mooddisorders Ravi Mehendra, Nischint Warikoo 253
and Christopher Gale
47 Bipolardisorderinchildrenandyoungpeople Matthew Fealey 258
48 Deliberateself-harmandsuicide Anthony Crabb 263
49 Schoolrefusalbehaviour Helen Mabey 268
50 Psychosis Clair Henry 275
51 Eatingdisorders Christopher Gale, Shilpa 279
Balakrishna, Suyog Dhakras and
Sarah Robotham
52 Behaviouralsleepproblemsinchildrenand Catherine M Hill, Simone Holley, 290
adolescents Angela Caulfield and Cathy
Laver-Bradbury
Contents v
53 Feeding/eatingproblemsinyoungchildren Liz McCaughey, Sue Evans and 299
Margaret Thompson
54 Enuresis,constipationandsoiling Melissa Bracewell 303
55 Psychosomaticdisorders;dissociativedisorderand Jason Phillips 311
psychologicaldisorders
56 Anexampleofatherapeuticgroupinterventionfor Kirsteen Stevenson 316
childrenandadolescentswithchronicmedical
conditions:TheIMPACTGroup
57 Chronicfatiguesyndrome/myalgicencephalomyelitis Sally Wicks 318
inchildrenandadolescents
58 Chronicillnessinchildrenandyoungpeople Julie Waine 324
59 Genderidentitydisorder Josie Brown and James Walker 329
60 Managementofgrief,lossandbereavement Sue Ricketts 333
Introduction Christopher Gale 338
61 Workingwithdiversity–culturalcompetenceinchild Karen Davies 338
andadolescentmentalhealth(CAMHS)
62 Youngcarers Charlotte Pyatt 342
63 Asylumseeking,refugeeandhomelessyoungpeople Pam Campbell, Ann Spooner and 347
andfamilies Sarah Gale
64 Youngcarersfromblackandminorityethnic Julia Pelle 351
communities
65 Emergingsexuality Charlotte Young 357
Introductiontotreatmentapproaches Christine Hooper 361
66 Arttherapy Margaret Josephs 362
67 Playtherapy Sarah Holden and Susie Dutton 367
68 Childpsychotherapy Miranda Passey 371
69 Counsellingchildrenandyoungpeople Jacquie Kelly 377
70 Counsellingpsychology Sarah Robotham 381
71 Appliedbehaviouranalysis Hanna Kovshoff 385
72 Cognitivebehaviourtherapy Rachel Leeke 392
73 SocialStories™ Liz Smith 400
74 Familytherapymodelsandpractice Christine Hooper 404
75 Solutionfocusedbrieftherapy Jonathan Prosser 409
76 Parentingprogrammes Cathy Laver-Bradbury 415
77 Principlesofgroupwork Stuart Gemmell 422
78 GroupworkforparentsofchildrenwithADHD:The Cathy Laver-Bradbury 427
NewForestParentingProgramme
79 Groupworkwithadolescents:SafeHouse Charlotte Young 430
80 Inpatientservices Mary Mitchell and Christopher Gale 433
81 Exampleofachildren’sresidentialunit–Bursledon Sally Wicks 439
House,Southampton
82 ForensicCAMHS:BluebirdHouse Lee Bradley and Clare Campbell 443
Appendices
1 Drawingandusingafamilytree 452
vi Contents
2 Familylifecycle 453
3 CAMHSinitialinterview 454
4 ADHDAssessmentSheet(basedonNICESept2008) 460
5 Initiationofmedication 467
6 MCQanswers 469
References 475
Index 509
Contributors
Kirsteen Anderssen,FamilyNursePartnership, Christine Cornforth,Seniorresearchfellow
Southampton,UK Psychology,DevelopmentalBrainBehaviour
Laboratory,SchoolofPsychology,Universityof
Shilpa Balakrishna,SpecialistTrainee,Childand
Southampton,Southampton,UK
AdolescentPsychiatry,Portsmouth,Southamptonand
WessexRotation,UK Anthony Crabb,ConsultantChildandAdolescent
Psychiatrist,UniversityHospitalSouthamptonNHS
Joanna Barker,SpecialistRegistrar,NewForest
FoundationTrustandCareGroup–ChildHealth,
ChildandAdolescentMentalHealthService,Ashurst
DivisionofWomenandChildren,PaediatricMedicine
Hospital,Southampton,UK
MP44,SouthamptonGeneralHospital,Southampton,
Melissa Bracewell,CommunityPaediatrician, UK
AshurstEducationCentre,Southampton,UK
David Daley,ProfessorofPsychologicalIntervention
Lee Bradley,ModernMatron,BluebirdHouse, andBehaviourChange,DivisionofPsychiatry
Calmore,Southampton,UK SchoolofCommunityHealthScience,Universityof
Nottingham,Nottingham,UK
Anne Brewster,FamilyTherapist,DorchesterCAMHS,
TheChildren’sCentre,Dorchester,UK Karen Davies,SeniorPractitioner–Governanceand
QualityLead,BrookvaleYouthMentalHealthService,
Josie Brown,ConsultantChildandAdolescent
Portswood,Southampton,UK
Psychiatrist,PaediatricDepartment,Southampton
GeneralHospital,Southampton,UK Suyog Dhakras,ConsultantChildandAdolescent
Psychiatrist,SolentHealthcareNHSTrust,
Claire Campbell,ClinicalWardManager,Bluebird
Southampton,UK
House,Calmore,Southampton,UK
Susie Dutton,SocialWorkerandPlayTherapist,
Pamela Campbell,Consultant Nurse, Homelessness
TheOrchardCentre,SpecialistMentalHealthTeam,
and Health Inequalities, Homeless Healthcare Team,
WesternCommunityHealthSite,Southampton,UK
Southampton, UK
Anan El Masry,SpecialistTrainee,Childand
Kim Cartwright,PhDstudentPsychologist,
AdolscentPsychiatry,Portsmouth,Southamptonand
DevelopmentalBrainBehaviourLaboratory
WessexRotation,UK
SchoolofPsychology,UniversityofSouthampton,
Southampton,UK Graeme Fairchild,LecturerinClinicalPsychology,
SchoolofPsychology,UniversityofSouthampton,
Angela Caulfield,SpecialistSleepDisordernurse,
Southampton,UK
SouthamptonChildren’sSleepDisorderService,
AshurstEducationCentre,Southampton,UK Matthew Fealey,SpecialistTrainee,Childand
AdolescentPsychiatry,Portsmouth,Southamptonand
Wai Chen,SeniorLecturer/ConsultantChildand
WessexRotation,UK
AdolescentPsychiatrist,ChildandAdolescent
Psychiatry,AshurstHospital,Southampton,UK Janet Féat,RetiredServiceManager,Hampshire
CountyCouncilChildren’sServicesDepartment,now
Georgia Chronaki,Post-doctoralresearchfellow
workingindependently
Psychology,DivisionofClinicalNeuroscience,
DevelopmentalBrainBehaviourLaboratory, Val Forster,ChildPsychotherapist,AshurstHospital,
SchoolofPsychology,UniversityofSouthampton, Ashurst,Southampton,UK
Southampton,UK
Christopher Gale,LecturerinChildandAdolescent
MentalHealth,FacultyofHealthSciences,University
ofSouthampton,Southampton,UK
viii Contributors
Sarah Gale,OutreachandResettlementSupport Helena Hoyos,CharteredandEducational
Worker,StreetHomelessnessPreventionTeam, Psychologist,HampshireCountyCouncil,Local
SouthamptonCityCouncil,Southampton,UK EducationOffice,Havant,UK
Stuart Gemmell,StrategicLead,SolentWest, Leanne Johnson,TraineeClinicalPsychologist,
ChildandAdolescentMentalHealthServices, AshurstChildandFamilyHealthCentre,
Southampton,UK Southampton,UK
Ettore Guaia,ConsultantChildandAdolescent Margaret Josephs,ArtTherapist,Hampshire
Psychiatrist,LearningDifficulties,TheOrchardCentre, SpecialistCAMHS–FarehamandGosport,Fareham,
SpecialistMentalHealthTeam,WesternCommunity UK
HealthSite,Southampton,UK
Jacquie Kelly,CommunityTherapist/Counsellor,
Chris Hardie,AssociateSpecialistCommunity Brookvale Youth Mental Health Service,SouthWest
Paediatrician,AshurstChildandFamilyCentre, Hampshire.UK
LyndhurstRoad,Ashurst,SouthamptonSO47AR
Hanna Kovshoff,SeniorResearch/teachingfellowin
Erika Harris,ConsultantChildandAdolescent psychology,DevelopmentBrainBehaviourLaboratory,
Psychiatrist,CAMHSSussexPartnership,NHS SchoolofPsychology,UniversityofSouthampton,
FoundationTrust,Chichester,UK Southampton,UK
Helen Harris,SeniorNursePrescriberADHD,The Jana Kreppner,LecturerinPsychology,Development
OrchardCentre,SpecialistMentalHealthTeam, BrainBehaviourLaboratory,SchoolofPsychology,
WesternCommunityHospitalSite,Southampton,UK UniversityofSouthampton,Southampton,UK
Clair Henry,SpecialistTraineeinChildand Cathy Laver-Bradbury,ConsultantADHDNurse,
AdolescentPsychiatry,WessexRotation,UK TheOrchardCentre,SpecialistMentalHealthTeam,
WesternCommunityHospitalSite,Southampton,UK
Diane Henty,Lead,FamilyNursePartnership,
Southampton,UK Rachel Leeke,ClinicalPsychologist,AshurstChild
andFamilyCentre,Southampton,UK
Catherine M Hill,SeniorLecturerinChildHealth,
DivisionofClinicalExperimentalSciences,University Helen Mabey,CharteredEducationalPsychologist,
ofSouthampton HampshireCountyCouncil,Winchester,UK
Margaret Hobbs,SeniorNurseTherapist,Ashurst Roxanne Magdalena,SpecialistRegistrar,
ChildandFamilyCentre,Ashurst,Southampton,UK HampshireSpecialistCAMHS–FarehamandGosport,
Fareham,UK
Sarah Holden,TherapeuticSocialWorkerandPlay
Therapist,BehaviourResourceService,Southampton, Liz McCaughey,CommunityPaediatrician,
UK WordsworthHouse,TremonaRoad,Southampton
SO166HU
Simone Holley,Psychologist,SouthamptonGeneral
Hospital,Southampton,UK Fiona McEwan,Researchfellowpsychology,
DevelopmentalBrainBehaviourLaboratory,
Chantal Homan,ClinicalNurseSpecialist(Learning
SchoolofPsychology,UniversityofSouthampton,
DisabilityMentalHealth),TheOrchardCentre,
Southampton,UK
SpecialistMentalHealthTeam,WesternCommunity
HospitalSite,WilliamMacLeodWay,TrebourbaWay, Ravi Mehendra,SpecialistTrainee,Portsmouth,
SouthamptonSO164XE SouthamptonandWessexRotation,UK
Christine M Hooper,RetiredFamilyandMarital Mary Mitchell,ConsultantChildandAdolescent
Therapist Psychiatrist,SouthernHealthNHSFoundationTrust,
LeighHouseHospital,Winchester,UK
Carlos Hoyos,ConsultantChildandAdolescent
Psychiatrist,TheOrchardCentre,SpecialistMental Tania Morris,SeniorLecturerinMentalHealth
HealthTeam,WesternCommunityHospitalSite, Nursing,MentalHealthNursing,Universityof
Southampton,UK Northampton,Northampton,UK
Contributors ix
Andrew O’Toole,PooleCAMHS/Children’sLearning Janet Stevens,SeniorSpeechTherapist,Speechand
DisabilityService,Poole,UK LanguageTherapyDepartment,Southampton,UK
Miranda Passey,ConsultantChildandAdolescent Kirsteen Stevenson,ConsultantChildand
Psychotherapist,TheOrchardCentre,Specialist AdolescentPsychiatrist,PortsmouthCAMHS,Falcon
MentalHealthTeam,WesternCommunityHealthSite, House,StJamesHospital,151LockswayRoad,
Southampton,UK PortsmouthPO48LD
Julia Pelle,LecturerinMentalHealth,University Sandy Teal,IndependentASC(AutisticSpectrum
ofSouthampton,FacultyofHealthSciences, Condition)Consultant,NewForestArea,UK
Southampton,UK
Catherine Thompson,Researchpsychologist/
Jason Phillips,ChildandAdolescentPsychiatrist/ paediatrician
Juniordoctor,RoyalCountyHospitalWinchester,
Margaret Thompson,HonoraryConsultant/Reader
Winchester,UK
inChildandAdolescentPsychiatry,Psychologist
Claire Pollock,CentreforChildHealth,Dundee,UK DevelopmentalBrainBehaviourLaboratory,
SchoolofPsychology,UniversityofSouthampton,
Jonathan Prosser,ConsultantChildandAdolescent
Southampton,UK
Psychiatrist,HampshireSpecialistCAMHS–Fareham
andGosport,Fareham,UK Susan Thompson,CommissioningLead,EarlyYears
andSureStart,Southampton,UK
Charlotte Pyatt,SeniorCommunityPractitioner–
RegisteredMentalHealthNurse,TheCrisisResolution Darko Turic,ResearchFellow,Departmentof
andHomeTreatmentTeam,SouthernHealthNHS Psychiatry,SchoolofMedicine,Universityof
FoundationTrust,UK Southampton,Southampton,UK
Maggie Rance,WestAdoptionTeam,Hythe,UK Julie Waine,ConsultantChildandAdolescent
Psychiatrist,BrookvaleYouthMentalHealthService,
Sue Ricketts,ChildPsychotherapist,Westwood
Portswood,Southampton,UK
SupportiveCareTeam,Southampton,UK
James Walker,ProfessorofObstetricsand
Sarah Robotham,CounsellingPsychologist,
Gynaecology,LeedsInstituteofMolecularMedicine,
Salvatore Rotondetto,AssociateSpecialistinChild StJamesUniversityHospital,Leeds,UK
HealthCommunityPaediatrician,AshurstChildand
Nischint Warikoo,SpecialistTrainee,Portsmouth,
FamilyCentre,Ashurst,Southampton,UK
SouthamptonandWessexRotation,UK
Liz Smith,Researchpsychologist,Psychologist
Sally Wicks,ConsultantChildandAdolescent
DevelopmentalBrainBehaviourLaboratory,
Psychiatrist,BursledonHouse,SouthamptonGeneral
SchoolofPsychology,UniversityofSouthampton,
Hospital,Southampton,UK
Southampton,UK
Charlotte Young,CommunityMentalHealth
Roy Smith,Mentalhealthworker,TheOrchard
Nurse,CAMHSIntegrated14–18Team,Portswood,
Centre,SpecialistMentalHealthTeam,Western
Southampton,UK
CommunityHospitalCampus,Southampton,UK
Ann Spooner,Business Manager, Homeless
Healthcare Team, Southampton, UK
Description:An essential textbook for students and professionals working with children, adolescents and their families in the field of child and adolescent mental health. Abstract: An essential textbook for students and professionals working with children, adolescents and their families in the field of child an