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Disruptive Behavior and Noncompliance

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Clinical Handbook of Psychological Consultation in Pediatric Medical Settings

Part of the book series: Issues in Clinical Child Psychology ((ICCP))

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Abstract

Pediatric psychologists are frequently consulted by pediatric and subspecialist physician colleagues to address disruptive behavior and noncompliance in the medical setting. Externalized behaviors that interfere with medical care can impede health improvement and outcomes, putting pediatric patients at risk for longer hospitalizations and medical complications, and places increased demand on the already limited resources of the healthcare system. Both inpatient and outpatient approaches for addressing disruptive behavior and noncompliance are presented in this chapter. Assessment and intervention models are discussed, as well as strategies for pediatric psychologists consulting and collaborating with medical colleagues in a joint effort to improve patient care and health outcomes. Influences of family systems and the role of medical trauma as contributing factors in disruptive behaviors and noncompliance are highlighted.

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Author information

Authors and Affiliations

  1. Golisano Children’s Hospital, Syracuse, NY, USA

    Anne Reagan

  2. Department of Pediatrics, SUNY Upstate Medical University, Syracuse, NY, USA

    Anne Reagan

  3. Cleveland Clinic, Cleveland, OH, USA

    Emily Mudd

  4. Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA

    Emily Mudd

  5. University of Vermont Medical Center, Burlington, VT, USA

    Courtney Landau Fleisher

  6. Departments of Psychiatry and Pediatrics, Robert Larner MD College of Medicine, Burlington, VT, USA

    Courtney Landau Fleisher

Authors
  1. Anne Reagan
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  2. Emily Mudd
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  3. Courtney Landau Fleisher
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Corresponding author

Correspondence to Anne Reagan .

Editor information

Editors and Affiliations

  1. Pediatric Consultation-Liaison Service, Norton Children’s Hospital, Louisville, KY, USA

    Bryan D. Carter

  2. Department of Pediatrics, University of Louisville, School of Medicine, Louisville, KY, USA

    Bryan D. Carter

  3. Department of Pediatrics, C.S. Mott Children’s Hospital Michigan Medicine, Ann Arbor, MI, USA

    Kristin A. Kullgren

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Reagan, A., Mudd, E., Fleisher, C.L. (2020). Disruptive Behavior and Noncompliance. In: Carter, B.D., Kullgren, K.A. (eds) Clinical Handbook of Psychological Consultation in Pediatric Medical Settings. Issues in Clinical Child Psychology. Springer, Cham. https://doi.org/10.1007/978-3-030-35598-2_29

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