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Clinical Assessment of the child: Does drawing help children to talk about their presenting problems? Research for Master of Health Science: Endorsed in mental health. Authors; Woolford J., Patterson. T., and Hayne. H. .
June ‘Junie’ Woolford Child and Family Therapist CAFMHS Dunedin
1.Adverse effects on development 2.Enduring effects if not addressed. Homotypic/hetrotypic 4.Societal impact Loss of human capitol (WHO, 2009) 3.Youth issues-  social disengagement A potential sequence of child psychopathology.
Intervention ,[object Object],[object Object]
[object Object],Clinical assessment of the child.
Historical perspective of clinical assessment for children ,[object Object],[object Object]
[object Object],[object Object],Now…..
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Are children competent enough to self report? Cognition Verbal communication Socio emotional
The challenge for child mental health practitioners. ,[object Object],[object Object]
Is drawing a developmentally sensitive tool for assessment? ,[object Object],[object Object],[object Object]
A contemporary research paradigm ‘Draw and tell' :  ,[object Object],[object Object],[object Object]
Hayne and colleagues ,[object Object],[object Object]
Gross and Hayne (1998) Drawing Facilitates Children’s Verbal Reports of Emotionally Laden Events.  ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],wow Encouragers e.g. good job paraphrases
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Gross and Hayne (1999) Drawing facilitates Children’s Verbal Reports After Long Delays.
Gross, Hayne and Drury (2008)  Drawing Facilitates Children’s Reports of Factual and Narrative Information: Implications for educational contexts.  ,[object Object],[object Object],[object Object],[object Object]
Patterson and Hayne (2009) Does Drawing facilitate older children’s reports of Emotionally laden events? ,[object Object],[object Object],[object Object],[object Object]
Potential Mechanisms ,[object Object],[object Object],[object Object],[object Object],[object Object]
Does ‘draw and tell’ have a place in the clinical setting? ,[object Object],[object Object]
The questions we asked…. ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],The current study:  Procedure as per. Hayne et. al.
Children were randomly assigned to one of two experimental conditions Tell only Draw and tell Consent sought from children and their caregivers.
[object Object],[object Object],[object Object],[object Object]
The experimental phase: establishing the Presenting problem (PP). ,[object Object],[object Object],[object Object],[object Object]
Interview protocol for draw and tell conditions. 1. Open ended free recall , “ Can you draw and tell (or tell) everything you can about .e.g. Sadness?” 2. Direct Prompts. “  You said you don’t go to club anymore, can you draw and tell me more about that?” 3. Encouragers, reflections and minimal responses.  “ Wow” , “That sounds tricky” or paraphrases. 4.  Are there any  other problems  that you could draw / tell me about? 5. Repeat question protocol  until no further information supplied.
Question Sheet  1. ,[object Object],[object Object],[object Object],[object Object]
Question Sheet  2. ,[object Object],[object Object],[object Object],[object Object]
Additional data ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Coding protocol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Does drawing help children to talk about their presenting problems?
Figure 1 . Mean number of clauses (with SE bars) for each experimental condition.
Did the interviewer behavior differ between the draw and tell conditions?
Interviewer behaviour.
The subjective views of children in a clinical setting. Did children say they would prefer to draw?
Question Sheet  1. ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
We also wanted to know… Did children perceive that drawing made the task of reporting easier?
Question Sheet  2. ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Discussion.
[object Object],[object Object],[object Object]
No findings to suggest children prefer to draw or perceive it to make reporting easier. ,[object Object]
[object Object],[object Object],[object Object]
Interviewer behaviour.
[object Object],[object Object],[object Object],[object Object],[object Object]
Acknowledged with thanks…. ,[object Object]
Otago District Health Board ,[object Object]
Discussion

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June Woolford, Clinical Assessment of the Child

  • 1. Clinical Assessment of the child: Does drawing help children to talk about their presenting problems? Research for Master of Health Science: Endorsed in mental health. Authors; Woolford J., Patterson. T., and Hayne. H. .
  • 2. June ‘Junie’ Woolford Child and Family Therapist CAFMHS Dunedin
  • 3. 1.Adverse effects on development 2.Enduring effects if not addressed. Homotypic/hetrotypic 4.Societal impact Loss of human capitol (WHO, 2009) 3.Youth issues- social disengagement A potential sequence of child psychopathology.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10. Are children competent enough to self report? Cognition Verbal communication Socio emotional
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25. Children were randomly assigned to one of two experimental conditions Tell only Draw and tell Consent sought from children and their caregivers.
  • 26.
  • 27.
  • 28. Interview protocol for draw and tell conditions. 1. Open ended free recall , “ Can you draw and tell (or tell) everything you can about .e.g. Sadness?” 2. Direct Prompts. “ You said you don’t go to club anymore, can you draw and tell me more about that?” 3. Encouragers, reflections and minimal responses. “ Wow” , “That sounds tricky” or paraphrases. 4. Are there any other problems that you could draw / tell me about? 5. Repeat question protocol until no further information supplied.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34. Does drawing help children to talk about their presenting problems?
  • 35. Figure 1 . Mean number of clauses (with SE bars) for each experimental condition.
  • 36. Did the interviewer behavior differ between the draw and tell conditions?
  • 38. The subjective views of children in a clinical setting. Did children say they would prefer to draw?
  • 39.
  • 40.
  • 41. We also wanted to know… Did children perceive that drawing made the task of reporting easier?
  • 42.
  • 43.
  • 45.
  • 46.
  • 47.
  • 49.
  • 50.
  • 51.

Editor's Notes

  1. … .