61st Annual Meeting

October 18 - 25, 2014

Clinical Case Conference 5 (open)

Impossible at School, Part 2: Consulting on Violent, Disruptive, and Highly Unusual Kids

Child and adolescent psychiatrists are increasingly involved in school consultations and must have an understanding of the process to be successful. This CCC uses numerous case vignettes to demonstrate 1) how “impossible” children and adolescents present to a consulting psychiatrist at school, 2) what the school wants as a result; 3) what the psychiatrist does, and 4) what broader meanings these cases suggest. The focus is on violence, disruption, and extreme “differentness.” Presenters discuss why some cases are successful and why some cases fail; emphasizing the difficulty in predicting how a particular child or adolescent will eventually turn out. In addition, information is presented on how to use medication, drug testing, involuntary commitment, the juvenile court system, family interventions, IEPs, suicide prevention, residential care, legal involvement, removal from school, and changes in school faculties and procedures.