Explain conduct disorder and the parenting-first plan to a frightened parent — OSCE

OSCE communication and shared-planning station: explaining the rights-violation definition of conduct disorder, the developmental trajectory in honest but hopeful terms, the safety-first and safeguarding plan, the role of an evidence-based parenting programme and of treating comorbid ADHD, and why medication is not the first move.

osce communication and shared planning1 min readVerification in progress

Prompt

The mother of a ten-year-old boy with two school suspensions for fighting, cruelty to animals, and stealing wants a plain-language explanation of why this is a recognised and treatable condition rather than her failure as a parent, how a safety plan and a parenting programme will work, what treating his ADHD will add, and why a tablet is not the answer she imagined.

Candidate brief (5 minutes to read)

You are the paediatric registrar. The mother of ten-year-old Liam has come to clinic alone and is distressed. Liam has been suspended twice for fighting, the school has raised cruelty to animals, and his mother has discovered him stealing from her purse. ^[4]

He has an existing diagnosis of ADHD that the family stopped treating six months ago. His father drinks heavily and discipline at home is harsh and inconsistent. His mother believes she has failed and wants "something to calm him down." ^[2]

References4Show

[1]Moffitt TE Adolescence-limited and life-course-persistent antisocial behavior: a developmental taxonomy. Psychol Rev, 1993.PMID 8255953
[2]Scott S, Knapp M, Henderson J, Maughan B Financial cost of social exclusion: follow up study of antisocial children into adulthood. BMJ, 2001.PMID 11473907
[4]Burke JD, Loeber R, Birmaher B Oppositional defiant disorder and conduct disorder: a review of the past 10 years, part II. J Am Acad Child Adolesc Psychiatry, 2002.PMID 12410070
[5]Furlong M, McGilloway S, Bywater T, et al. Behavioural and cognitive-behavioural group-based parenting programmes for early-onset conduct problems in children aged 3 to 12 years. Cochrane Database Syst Rev, 2012.PMID 22336837

Explain conduct disorder and the parenting-first plan to a frightened parent — OSCE

osce communication and shared planning1 min readVerification in progress

Candidate brief (5 minutes to read)

References4Show

[1]Moffitt TE Adolescence-limited and life-course-persistent antisocial behavior: a developmental taxonomy. Psychol Rev, 1993.PMID 8255953
[2]Scott S, Knapp M, Henderson J, Maughan B Financial cost of social exclusion: follow up study of antisocial children into adulthood. BMJ, 2001.PMID 11473907
[4]Burke JD, Loeber R, Birmaher B Oppositional defiant disorder and conduct disorder: a review of the past 10 years, part II. J Am Acad Child Adolesc Psychiatry, 2002.PMID 12410070
[5]Furlong M, McGilloway S, Bywater T, et al. Behavioural and cognitive-behavioural group-based parenting programmes for early-onset conduct problems in children aged 3 to 12 years. Cochrane Database Syst Rev, 2012.PMID 22336837