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Evidence-Based Practice in School Mental HealthAddressing DSM-5 Disorders in Schools$
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James C. Raines

Print publication date: 2019

Print ISBN-13: 9780190886578

Published to Oxford Scholarship Online: August 2019

DOI: 10.1093/oso/9780190886578.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 21 April 2021

Obsessive-Compulsive Disorder

Obsessive-Compulsive Disorder

(p.262) 9 Obsessive-Compulsive Disorder
Evidence-Based Practice in School Mental Health

James C. Raines

Oxford University Press

Obsessive-compulsive disorder (OCD) and related disorders can be debilitating to children and adolescents. Childhood onset of OCD occurs in about 1–3% of all children. When childhood OCD symptoms are particularly sudden and/or suddenly more severe, clinicians should investigate if it is precipitated by infectious or immune problems. The most common comorbid diagnoses are anxiety disorders, followed by oppositional defiant disorder. The Child Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) is the gold standard clinician-completed assessment. Intervention can be titrated using a multitiered system of supports framework. Collaborating with teachers, parents, and community providers is essential for these students. A case study is provided to illustrate chapter recommendations.

Keywords:   exposure and response prevention, intervention, obsessive-compulsive disorder (OCD), pediatric acute-onset neuropsychiatric syndrome (PANS), pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS), progress monitoring, rapid assessment instruments, treatment manuals, Child Yale-Brown Obsessive-Compulsive Scale (CY-BOCS), anxiety

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