1. Diana Browning Wright, Behavior/Discipline Trainings, 2002 ODD/CD IMPLICATIONS? ODD/CD in evidence? Not responding to behavioral interventions alone? 60% have an underlying disorder that probably accounts for noncompliance and aggression 70% of those with an underlying disorder are treatable psychopharmacologically 42% of serious ODD/CD are not only associated with an underlying disorder, but are treatable with medication

2. ODD/CD SCREEN WITH: Child Behavior Checklist (Achenbach & Edelbrock, 2001) Child Symptom Inventory (Gadow & Sprafkin, 1994) Teacher, Parent, Youth Self-Report Preschool/Childhood/Adolescence Dozens of studies support validity, sensitivity (Gadow & Sprafkin, 1999) Diana Browning Wright, Behavior/Discipline Trainings, 2002

3. I. Resistant to standard behavioral interventions or when attentional/disruptive behaviors suggest possibility of underlying psychiatric disorders. Screen for disorders II.Screen for secondary disorders to determine nature of referrals AD/HD alone? Pediatric referral Potential secondary? Psychiatric referral may be warranted III.Feedback to parents Nature of disorder(s), referrals IV.Feedback to physicians Checklists, whom to contact at school, all assessment data V.Baseline & treatment effectiveness data VI.Ongoing collaboration Diana Browning Wright, Behavior/Discipline Trainings, 2002 ODD/CD