Professional Documents
Culture Documents
Training Goals
At the end of this training, you will be able to:
1. Define infant mental health
2. Recognize mental health issues of young
children
3. Know how infant mental health issues are
assessed and treated
4. Understand how to access services in your
community to address mental health and
developmental needs of young children
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Goal #1:
Define infant mental health
Definition of Infant/
Early Childhood Mental Health
The developing capacity to:
experience, regulate and
express emotions,
form close and secure
interpersonal
relationships and
explore the environment
and learn.
www.zerotothree.org
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Developing Capacity
to Give Clear Cues
Over the first two
years of life, the child
learns to give cues,
both potent and
subtle, about his/her
interest in any given
moment in relating to
others
Engagement Cues
Potent Cues
--Babbling, giggling
--Face gazing+
--Smiling+
--Reaching toward
caregiver
--Smooth movements
Subtle Cues
--Brow raising
--Eyes wide & bright
--Facial brightening
--Hands open, fingers
slightly flexed
--Head raising
--Stilling of body
Disengagement Cues
Potent Cues
--Back arching
--Choking, coughing,
spitting up
--Crying, fussing, No!
--Halt hand
--Head shake
--Major gaze aversion
--Moving away
Subtle Cues
--Defensive posture
--Dull expression
--Grimaces, eye blinks
--Frown
--Hand behind head, to eye, ear,
back of neck
--Sobering
--Yawns
--Head lowering, minor gaze
aversion
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Attachment
Secure attachment is a loving emotional
connection with caregiving adults who are
part of the childs daily life.
Attachment begins at birth and continues
throughout life.
It is difficult to be separated from an
important attachment figure.
www,zerotothree.org
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Goodness of Fit
Each of us is born with temperamental
characteristics that tends to persist lifelong
Caregivers and children who are
temperamentally similar will have an easier
time developing a good relationship than those
who are temperamentally dissimilar
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Goal #2:
Recognize mental health issues
of young children
20
How Do I Recognize
the Need for Mental Health
Treatment?
Issue is pervasive, meaning it occurs
across settings
Issue is persistent, meaning it occurs
more days than not for 2-4 weeks
Issue has a negative impact on a childs
daily functioning
23
Overview of Common
Mental Health Issues
Sleeping Disorders
Eating Disorders
Attention Deficit Hyperactivity Disorder (ADHD)
Post Traumatic Stress Disorder (PTSD)
Deprivation/Maltreatment Disorder (DMD),
Reactive Attachment Disorder (RAD) and
Disinhibited Social Engagement Disorder
(DSED).
Depression
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Sleeping Disorders
Sleep onset
Night waking
Night Terrors
Nightmares
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Eating Disorders
Eating to be diagnosed,
must result in weight loss
or inadequate weight gain
Difficulties of state regulation
Difficulties with caregiver
relationship
Sensory issues with food
textures
Problems associated with
medical issues
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Symptoms of ADHD
Craving high-intensity sensory stimulation
High need for motor discharge: impulsive
High activity level
Seeking constant contact with people &
objects
Recklessness
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Symptoms of PTSD
reliving the trauma, in children often
through post-traumatic play
avoiding reminders of the trauma
intense emotional responses to reminders
of the trauma
maintaining hypervigilance, startling easily
numbing of affect
difficulties falling and staying asleep,
nightmares
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DMD/RAD/DSED: Environment
Normal attachment during early
childhood can be disrupted
by specific conditions:
1. Several changes of primary
caregiver, such that the child
can not develop a focused
attachment
2. Extreme caregiving by a
consistent caregiver which
does not result in the child
learning to trust people
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DMD/RAD/DSED: Relatedness
Patterns
Sustained suspicion
(DMD/RAD)
Indiscriminant
approaches/closeness
(DMD/DSED)
Mixture of previous two
patterns (DMD)
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Symptoms of Depression
Change in mood can be either
depressed or irritable
Loss of interest in many activities
Persistent, at least some of the time
uncoupled from sad/upsetting experiences
Pervasive across activities, settings or
relationships
Symptoms cause child distress, impair
functioning or impede development
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Goal #3:
Know how infant mental health
issues are assessed and treated
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Therapeutic Interventions
Help caregivers establish/maintain
good schedules & routines
Improve attachment between
child and caregiver
Promote caregivers realistic
developmental expectations for
child
Address family systems issues
Address caregiver mental health,
substance abuse & domestic
violence issues
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Goal #4:
Understand How to Access
Services in the Community
to Address Mental Health and
Developmental Needs
of Young Children
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