Interventions for Conduct disorder

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Age Cohort: 5 - 11 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
School-based life skills training to build social and emotional competencies Community awareness creation campaign on behavioural and emotional problems	Avoid use of alcohol or illicit drugs and smoking during pregnancy Avoiding exposure to physical or sexual abuse or domestic violence, Early treatment of parental substance use disorders or criminal behaviour Behavioural support for good behaviour and skills training to improve social competence in schools	Recognition of conduct disorder signs and symptoms	Referral for specialized mental health and other needed services	Home based physiotherapy support including physical exercises	Community based Social support for child and family Linkage to education sector to promote access to education Long term psychosocial support and care Parental/care givers skills training programme
Primary Care
Provide information to school age children their parents/families and communities at large on conduct disorder including prevention measures Health workers education on conduct disorder, prevention measures and interventions /management	Guidance to school age children,their parents/families on improving family interactions and communication among family members Guidance to school children on Avoidance of substance abuse Advice to parents/families/schools on prevention of childhood abuse, Encourage parents/schools to avoid inconsistent discipline to the children Guidance to school age children on moral awareness Guidance to school children on social interactions with peers	Unstructured clinical interviews	Psychoeducation for patients and caregivers Referral for specialized mental health and other needed services	Physiotherapy support including physical exercises Speech therapy	Social support for the child and family Linkage to education sector to promote access to education Long term psychosocial support and care Parental/care givers skills training programme
Referral Facility: General
Health workers training on conduct disorder, prevention measures and interventions /management Information to parents/families and communities at large on conduct disorder including prevention measures	Guidance to adolescents, their parents/families on improving family interactions and communication among family members Guidance to adolescents on Avoidance of substance abuse Encourage parents to avoid inconsistent discipline to the adolescents Guidance to adolescents on moral awareness Guidance to adolescents on social interactions with peers	Unstructured clinical interviews Structured diagnostic interviews (e.g. Diagnostic Interview Schedule for Children/DISC Broad-band rating scales Behavioural observations	Treat comorbid conditions such as attention-deficit/hyperactivity disorder Group parent training programme Parent and child training programmes Referral for specialized mental health and other needed services	Physiotherapy support including physical exercises Speech therapy	Social support for the child and family Linkage to education sector to promote access to education Long term psychosocial support and care Parental/care givers skills training programme
Referral Facility: Specialist
Health workers training on conduct disorder, prevention measures and interventions /management Information to parents/families and communities at large on conduct disorder including prevention measures	Guidance to adolescents, their parents/families on improving family interactions and communication among family members Guidance to adolescents on Avoidance of substance abuse Encourage parents to avoid inconsistent discipline to the adolescents Guidance to adolescents on moral awareness Guidance to adolescents on social interactions with peers	Child Behaviour Checklist Disruptive Behaviour Disorders Rating Scale Health Quality Vanderbilt Assessment Scales.	Treat comorbid conditions such as attention-deficit/hyperactivity disorder Group parent training programme Parent and child training programmes Referral for specialized mental health and other needed services	Physiotherapy support including physical exercises Speech therapy	Family therapy/counselling to help improve family interactions and communication among family members. Including to children Parent management training (PMT) -Specialized training that teaches parents ways to positively alter their child's behavior in the home.

Age Cohort: 12 - 24 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
School-based life skills training to build social and emotional competencies Community awareness creation campaign on behavioural and emotional problems Promote multi sectoral approach to ensure children’s education and opportunities to engage and participate in their communities.	Avoid use of alcohol or illicit drugs and smoking during pregnancy Avoiding exposure to physical or sexual abuse or domestic violence Early treatment of parental substance use disorders or criminal behaviour Behavioural support for good behaviour and skills training to improve social competence in schools	Recognition signs and symptoms of conduct disorder	Referral for specialized mental health and other needed services	Home based physiotherapy support including physical exercises	Community based Social support for child and family Linkage to education sector to promote access to education Long term psychosocial support and care Parental/care givers skills training programme
Primary Care
Provide Information to adolescents, parents/families and communities at large on conduct disorder including prevention measures Health workers education on conduct disorder, prevention measures and interventions /management	Guidance to adolescents, their parents/families on improving family interactions and communication among family members Guidance to adolescents on Avoidance of substance abuse Encourage parents to avoid inconsistent discipline to the adolescents Guidance to adolescents on moral awareness Guidance to adolescents on social interactions with peers	Unstructured clinical interviews	Psychoeducation for patients and caregivers Referral for specialized mental health and other needed services	Physiotherapy support including physical exercises Speech therapy	Social support for the child and family Linkage to education sector to promote access to education Long term psychosocial support and care Parental/care givers skills training programme
Referral Facility: General
Information to adolescents, their parents/families on conduct disorder including prevention measures Health workers Training on conduct disorder, prevention measures and management	Guidance to adolescents, their parents/families on improving family interactions and communication among family members Guidance to adolescents on Avoidance of substance abuse Encourage parents to avoid inconsistent discipline to the adolescents Guidance to adolescents on moral awareness Guidance to adolescents on social interactions with peers	Unstructured clinical interviews Structured diagnostic interviews (e.g. Diagnostic Interview Schedule for Children/DISC Broad-band rating scales Behavioural observations	Treat comorbid conditions such as attention-deficit/hyperactivity disorder Group parent training programme Parent and child training programmes Referral for specialized mental health and other needed services	Physiotherapy including physical exercises Speech therapy	Educational therapies/structured educational programs/skills training Linkage to other relevant sectors for economic support/empowerment Parental/care givers skills training programmes Psychological and psychosocial support to parents and families
Referral Facility: Specialist
Health workers Training on conduct disorder, prevention measures and management Information to adolescents their parents/families on conduct disorder including prevention measures	Guidance to adolescents, their parents/families on improving family interactions and communication among family members Guidance to adolescents on Avoidance of substance abuse Encourage parents to avoid inconsistent discipline to the adolescents Guidance to adolescents on moral awareness Guidance to adolescents on social interactions with peers	Child Behaviour Checklist Disruptive Behaviour Disorders Rating Scale Quality Vanderbilt Assessment Scales	Treat comorbid conditions such as attention-deficit/hyperactivity disorder Group parent training programme Parent and child training programmes Referral for specialized mental health and other needed services	Physiotherapy support including physical exercises Speech therapy	Educational therapies/structured educational programs/skills training Linkage to other relevant sectors for economic support/empowerment Parental/care givers skills training programmes Psychological and psychosocial support to parents and families