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SOCW90week3InfluencesonDiagnosisandOutcome.docx

Learning Resources to be used as references to support your answer.

USW1_SOCW_6090_howToWriteADiagnosisInDSM5.pdf USW1_SOCW_6090_WK03_Chase.pdf

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

· “Neurodevelopmental Disorders” (pp. 31–86)

· “Other Conditions That May Be a Focus of Clinical Attention” (pp. 715–727)

Bell, A. S. (2011). A critical review of ADHD diagnostic criteria: What to address in the DSM-V. Journal of Attention Disorders, 15(1), 3–10.

Note: You will access this article from the Walden Library databases.

How to Write a Diagnosis According to DSM-5 and ICD-10-CM (PDF)

Teicher, M. H., Samson, J. A., Polcari, A., & McGreenery, C. E. (2006). Sticks, stones, and hurtful words: Relative effects of various forms of childhood maltreatment. American Journal of Psychiatry, 163(6), 993–1000.

Note: You will access this article from the Walden Library databases.

Working With Children and Adolescents: The Case of Chase (PDF)

Wing, L., Gould, J., & Gillberg, C. (2011). Autism spectrum disorders in the DSM-V: Better or worse than the DSM-IV? Research in Developmental Disabilities, 32, 768–773.

Note: You will access this article from the Walden Library databases.

Wiki Assignment Instructions (PDF)

Kieling, C., Kieling, R. R., Frick, P. J., Rohde, L. A., Moffitt, T., Nigg, J. T., Tannock, R., & Castellanos, F. X. (2010) The age at onset of attention deficit hyperactivity disorder. American Journal of Psychiatry, 167, 14–15.

Note: You will access this article from the Walden Library databases.

Murphy, C., & Taylor, E. (2006). Need to know ADHD. Pulse, 66(34), 38–42.

Note: You will access this article from the Walden Library databases.

Discussion - Week 3 Attachment

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Discussion: Influences on Diagnosis and Outcome

The addition of more Z Codes to the DSM-5 is congruent to how a social worker as a clinician should conduct an assessment and determine the appropriate treatment.

For this Discussion, review The Case of Chase, analyze Chase’s story, and note his original DSM-IV diagnosis. Using the DSM-5 diagnostic criteria, determine Chase’s primary clinical diagnosis. Next, note the changes in the Autism Spectrum disorders, and include the Other Conditions That May Be a Focus of Clinical Attention (ICD-10-CM, Z codes) in your diagnosis. Then identify the potential risk and prognostic factors from both the biological and environmental perspective.

By Day 3

Post your response to the following:

· What should Chase’s diagnosis be according to the DSM-5 criteria?

· What predisposing and risk factors led to the outcome of this case?

· What potential protective factors could have been introduced to address this situation?

· Do you think these protective factors may have changed the outcome and diagnosis?

· Diagnosing Autism Spectrum Disorders Attachment

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· Total views: 32 (Your views: 1)

· Welcome to Week 3!

· This week you will analyze Chase's case within the context of the ecological perspective. As a supplement to your course resources this week, I have posted a link to a video from nursing that describes in more detail the diagnostic criteria and process that should be used when assessing children for autism.  It includes an overview of the differences in the diagnostic criteria between the 4th and 5th editions of the DSM. This video does a good job of describing the factors we need to consider in order to make sure we are accurately diagnosing autism spectrum disorder in children .

· Diagnosing Autism Spectrum Disorder Video by the American Association of Colleges of Nursing and the Khan Academy: 

· https://www.youtube.com/watch?v=XmDfHU0hS18

· Have a great week,

· Dr. Ivery

·

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PLEASE I NEED THIS WORK corrected

Zeek This was your answer I need a better answer please

Work 2: Influences on Diagnosis and Outcome

Chase is a twelve-year-old boy who looks younger than his age and acts weird regarding his age. The behavior is a result of a mental disorders called Pervasive developmental disorder NOS and a Transient tic disorder that was not identified by the parents who adopted him at an early age until they decided to take him for a DSM-4 diagnosis where his medical history depicted that suffered the above-stated disorders (Kieling et al., 2010). According to the DSM-5 criteria, Chase’s diagnosis would have been a depressive disorder since the mental disability has been researched on and found to be sharing polymorphisms with other neurodevelopmental disabilities such as autism spectrum disorder and high temper that Chase possessed (Wing et al., 2011).

Several factors caused Chase to develop the mental disorder (Kieling et al., 2010). Firstly poor parenting by the adopting parents contributed to this menace. Secondly, poor relationships with other kids in the orphanage also led to the problem. Thirdly, we can allude that he developed the issue when he was in the orphanage where he lived with different kinds of kids. Also, it can also be argued out that the disorder was as a result of his psychological making (Wing et al., 2011). To address the problem, the following four potential factors could have helped. Firstly, proper parenting at a younger age could have had significant a significant impact on the wellbeing of the kid. Secondly, his relationship with kids in the orphanage could have been cultivated to enable him to relate to others well. Thirdly, the problem could have been corrected at early stages when he was trying to copy the behavior from the peers. Finally, if the issue was due to psychological making, it could have been addressed by exposing him to activities that could have changed his psychology for good. Having all these factors addressed could have improved the outcomes of the diagnosis as the boy could have elicited insignificant or no cases of mental disability.

References

Kieling, C., Kieling, R. R., Frick, P. J., Rohde, L. A., Moffitt, T., Nigg, J. T., Tannock, R., & Castellanos, F. X. (2010) The age at onset of attention deficit hyperactivity disorder. American Journal of Psychiatry, 167, 14–15.

Wing, L., Gould, J., & Gillberg, C. (2011). Autism spectrum disorders in the DSM-V: Better or worse than the DSM-IV? Research in Developmental Disabilities, 32, 768–773.

THIS THE ANSWER ONE OF MY COAULLEGES did Please one almost like this one:

Alyssa Coan (title of work #1)

RE: Diagnosing Autism Spectrum Disorders Attachment

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Chase is a 12-year-old boy who seems to be behind in many developmental areas.  Chase presents as smaller than an average 12-year-old boy, acts behaviorally and emotionally as younger than a 12-year-old and has trouble with attention and abrupt changes (Laureate Education, 2016). Disorders that effect the brain in a way that delay or challenge thinking, language, behavior, communication, and problems with learning or focusing are often called intellectual disorders.  Intellectual disorders are classified in the Diagnostic Statistical Manual or DSM V as a neurodevelopmental disorder, which covers diagnoses such as language disorders, communication disorders, ability to focus disorders, and learning disorders (American Psychiatric Association, 2013).

                                                      In Chase’s case there was no help sought for until Chase was 12-years-old and was getting in trouble at school and becoming very violent towards others.  This could be because the adoptive parents have a culture where they feel the mother is responsible for teaching and training their child and if there are tantrums and misbehaviors then the mother should be taking control of that (Laureate Education, 2016). This is displayed in the way the adoptive father does not want to be involved in parenting and the delay in receiving services before it got to this point. In addition to the adoptive parents influence, Chase’s history before he was adopted at age 3 in unknown which can have major influences on his behaviors as he continues to develop and grow (Laureate Education, 2016). The DSM V also describes how culture, gender and age of the child being diagnosed can all be factors in issues with an autism diagnoses (American Psychiatric Association, 2013). Working with a child and attempting to diagnose any mental health concerns can be very difficult.  Many different symptoms can be present but not all of them might be because of a mental illness (Bell, 2011).  Children learn behaviors and are still learning appropriate way to communicate, which can make assessing a child’s case like Chases’ more difficult. 

When comparing these symptoms against the DSM V, Chase’s case lines up fairly well with the main diagnoses of Autism Spectrum Disorder (F84.0). The DSM says that a person who have consistent deficits in social interactions and have trouble with imaginary play or adjusting to social context is one of the first signs of autism (American Psychiatric Association, 2013).  Chase is known to hit and kick his siblings and has difficulties making social connections at school, which meet the first criteria. Next a child must restrict their schedules and have repetitive behavior patterns.  Chase displays aggression when there is a change he was not ready for and throws a tantrum, and shows that he is not able to focus or discuss relevant age appropriate topics and instead has a fixation on documentaries, specifically about ships (Laureate Education, 2016). The third criteria of autism is that these symptoms must occur in the early developmental period and might become more demanding as time continues.  Chase’s early history is unclear as his first three years have no record with his biological parents. After being brought home it was apparent that Chase did have delays in communication, and struggles with social interactions. The fourth diagnostic criteria involves how much impairment these issues bring in important areas of functioning, which for Chase have him failing to learn in school, failing to make connections, and his communication is limited which makes Chase tantrum and act out more as he gets older. The last piece of criteria is, that another intellectual type of disorder does not explain these disruptions.

Other types of intellectual disorders like intellectual disability (previously known as mental retardation) is not relevant to Chase because Chase displays the ability to retain information and learn about different types of World War II ships from a documentary he watched. This would rule out a general mental delay disorder. While Chase does have difficulty in communicating he can still relay information and does not seem to struggle to say words that he knows, which would rule out the communication specific disorders. Attention disorders also do not make since for Chase as he can pay attention to detail, does respond to verbal commands, and if told ahead of time can understand order and sequences of events. Specific Learning and motor disorders do not account for Chases symptoms either as there is no report of issues in motor skills and Chase seems to learn just fine. This eliminates every other intellectual disorder but autism, where he meets all the criteria.

 

Oops, I see I missed the first part of my post while copying and pasting. 

 

F95.0 Tic Disorder

F76.02XA Child Neglect, Suspected

Z55.9 Academic or Educational Problem

Z62.820 Parent- Child Relational Problem 

 

These would need more observation and information to be supported and included in a full diagnosis.  However, based on the information presented these are possible additional disorder codes that coincide with autism.

Reference

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

Bell, A. S. (2011). A critical review of ADHD diagnostic criteria: What to address in the DSM-V. Journal of Attention Disorders, 15(1), 3–10.

Laureate Education (2016). Working With Children and Adolescents: The Case of Chase (PDF)

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