Matthew: Assessment Information
Clinician’s Report from First Meeting
Matthew is a 9-year-old boy living with his parents and his 12-year-old sister. At assessment, his parents described him as ‘being on the go’ most of the time, rarely sitting down or being able to concentrate for long. They also reported that he breaks his toys and swears at them. Fights with his sister are increasing in frequency, now happening on a nearly daily basis, and sometimes involve him hitting her. The sister has started to spend more time on her own in her room rather than sitting in the family room in the evening. Parents report that Matthew has always been “a lively child” but things seem to just be getting worse and worse.
Matthew’s mother works part-time and feels drained at the thought of returning home. She says she finds it difficult to discipline Matthew and is feeling at the end of her tether as Matthew “never does as he’s told”. She feels like Matthew needs constant supervision and avoids taking him out to the shops as his behaviour has been so embarrassing in the past. Matthew’s father works long hours and has little involvement in the children’s upbringing.
Matthew attends a mainstream school and his teacher says his work is ok and that he is well-liked by other children. Matthew is generally co-operative at school although he can be disruptive at times. The teacher describes him as hyperactive, not sitting still and finding it difficult to register new information, but notes that he is able to function better when the class is working in small work groups.
Matthew was able to respond to questions politely and appropriately during the assessment, however he became quite restless when his parents were talking and was very disruptive towards the end of the meeting. Mother became tearful when talking about Matthew’s behaviour.
Patient Reported Outcome Measures (PROMS)
The Revised Child Anxiety and Depression Scale (RCADS) is a questionnaire designed to measure symptoms of several different anxiety disorders as well as depression. If scores exceed the clinical threshold for any subscale, this indicates that the related disorder may be present.
The Strengths and Difficulties Questionnaire (SDQ) is a questionnaire designed to measure emotional and behavioural difficulties in children aged 3-16. If scores exceed the clinical threshold for any subscale, this indicates that related disorders may be present.