Abstract
This chapter reviews the history of diagnosing mental health disorders in infancy and early childhood. The evolution of ZERO TO THREE’s Diagnostic and Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood including DC:0-3, DC:0-3R, and DC:0-5™ is highlighted. These developmentally specific, relationship-based and context-driven classification systems are compared with other key nosologies such as Diagnostic and Statistical Manual of Mental Health Disorders fifth edition, DSM-5. The chapter provides an overview for the clinician of DC:0-5 approach and content as well as recommendations about how to become proficient in its use. The chapter contains a review of DC:0-5 principles and approach to diagnosis and will describe the use of the multiaxial system. Each axis is outlined so that clinicians are familiar with not only the range of possible clinical disorders described in Axis I but also how to understand relational context (Axis II), physical conditions and considerations (Axis III), psychosocial stressors (Axis IV), and developmental competence (Axis V) all within the context of cultural consideration. Information about the crosswalks with DSM-5 and ICD 10 for reimbursement of services is included.
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References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). Washington, DC: American Psychiatric Association.
Angold, A., & Egger, H. (2009). Classification of psychopathology in early childhood. In J. Charles Zeanah (Ed.), Handbook of infant mental health (3rd ed., pp. 286–300). New York, NY: The Guilford Press.
Copeland, et al. (2013). Childhood bullying involvement predicts low-grade systemic inflammatin into adulthood. Proceedings of the National Academy of Sciences of the United States of America (PNAS) 111(21), 7570–7575.
Egger, H., & Angold, A. (2006). Common emotional and behavioral disorders in preschool children: Presentation, nosology and epidemiology. Journal of Child Psychology and Psychiatry, 47(3/4), 313–337.
Egger, H., & Emde, R. (2011). Developmentally-sensitive diagnostic criteria for mental health disorders in early childhood: DSM-IV, RDC-PA, and the revised DC:0-3. American Psychologist, 66(2), 95–106.
Eggbeer, L., Mann, T., & Seibel, N. (2007 Nov). Reflective supervision: Past, present and future. ZERO TO THREE Journal, 28(2), 5–9.
Epstein, N. B., Baldwin, L. M. & Bishop, D. S. (1983). The McMaster family assessment device. Journal of Marital and Family Therapy, 9(2), 171–180.
Felitti et al. (1998). American Journal of Preventive Medicine, 14(4), 245–225.
McHale, J. P., & Rasmussen, J. L. (1998). Co-parental and family group-level dynamics during infancy: Early family precursors of child and family functioning during preschool. Development and Psychopathology, 10, 39–59.
Rutter, M. (1993). Stress, coping and development. In N. Garmezy & M. Rutter (Eds.), Stress, coping and development in children (pp. 1–41). New York, NY: McGraw-Hill.
Parlakian, R., & Siebel, N. L. (2002). Building strong foundations: Practical guidance for promoting the social-emotional development of infants and toddlers. Washington, DC: ZERO TO THREE.
Pine, D. A. (2002). Advances in developmental science and DSM-V. In M. F. D. J. Kupfer (Ed.), A research agenda for DSM-V (pp. 85–122). Washington, DC: American Psychiatric Association.
Rutter, M. (1993). Resilience: Some conceptual considerations. Journal of Adolescent Health, 14, 626–663.
Rutter, M. (2012). Classification issues and challenges in child and adolescent psychopathology. International Review of Psychiatry, 24(6), 514–529.
Sarche, M., Tsethilikai, M., Godoy, L., Emde, R., Fleming, C., & Cultural perspectives for assessing infants and young children. University of Colorado Denver, Asnschutz Medical Campus, and Arizona State University, Children’s National Health System in ZERO TO THREE. (2016). DC:0–5 diagnostic classification of mental health and developmental disorders of infancy and early childhood. Washington, DC: ZERO TO THREE.
Sameroff, A. J., & Emde, R. N. (Eds) (1989). Relationship disturbances in early childhood: A developmental approach. New York: Basic Books.
Stern, D. N. (1985). The inter personal world of the infant. New York: Basic Books.
Tseng, W., Guyer, A. E., Briggs-Gowan, M. J., Axelson, D., Birmaher, B., Egger, H. L., et al. (2015). Behavior and emotion modulation deficits in preschoolers at risk for bipolar disorder. Depression and Anxiety, 32(5), 325–334.
Von Klitzing, K. (2017, July). Should we diagnose babies? Some notes on the launch of the new zero to five classification system. Perspectives. WAIM.org
WAIMH Handbook of Infant Mental Health. (2001). Vol. 1. https://www.waimh.org
Wakschlag, L., Choi, S. W., Carter, A. S., Hullsiek, H., Burns, J., McCarthy, K., et al. (2012). Defining the developmental parameters of temper loss in early childhood: Implications for developmental psychopathology. Journal of Child Psychology and Psychiatry, 53(11), 1099–1108.
Zeanah, C. H., & Lieberman, A. (2016). Defining relational pathology in early childhood: The diagnostic classification of mental health and developmental disorders of infancy and early childhood DC:0-5 Approach. Infant Mental Health Journal, 37(5), 509–520.
ZERO TO THREE. (1994). Diagnostic classification of mental health and developmental disorders of infancy and early childhood: DC:0–3. Washington, DC: ZERO TO THREE.
ZERO TO THREE. (2005). Diagnostic classification of mental health and developmental disorders of infancy and early childhood: Revised edition (DC:0–3R). Washington, DC: ZERO TO THREE.
ZERO TO THREE. (2016). DC:0–5 diagnostic classification of mental health and developmental disorders of infancy and early childhood. Washington, DC: ZERO TO THREE.
ZERO TO THREE. (2017). The basics of infant and early childhood mental health: A briefing paper. Washington, DC: ZERO TO THREE.
ZERO TO THREE Diagnostic Classification Task Force. (2017). Should we diagnose babies? No! Should we diagnose disorders in babies? Yes!: Perspectives WAIMH. Washington, DC: ZERO TO THREE.
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Mulrooney, K., Egger, H., Wagner, S., Knickerbocker, L. (2019). Diagnosis in Young Children: The Use of the DC:0-5™ Diagnostic Classification of Mental Health and Developmental Disorders in Infancy and Early Childhood. In: Frankel, K.A., Harrison, J., Njoroge, W.F.M. (eds) Clinical Guide to Psychiatric Assessment of Infants and Young Children. Springer, Cham. https://doi.org/10.1007/978-3-030-10635-5_8
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