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FREQUENCY OF REACTIVE ATTACHMENT DISORDER DIAGNOSIS AND ATTACHMENT DISORDER IN COMMUNITY MENTAL HEALTH AGENCY CLIENTS Paula S. Morgan May 8,2004 Attachment Disorder (AD) in children has been characterized by particularly alarming behaviors, yet the identification of this disorder for clinicians in community mental health agencies is problematic. The only available diagnosis that addresses attachment problems is the DSM-IV diagnosis of Reactive Attachment Disorder (RAD), a diagnosis that does not include the more severely disturbed behaviors that have been associated with attachment-disordered children. This dissertation examined the frequency with which CMHA child clients were diagnosed with RAD, as well as the actual occurrence of attachment problems and Attachment Disorder as measured by the Randolph Attachment Disorder Questionnaire (RADQ). The Personality Inventory for Children, Second Edition (PIC-2) was used as another measure to explore behavior problems in this popUlation. Results of this study indicated that less than one percent of 662 CMHA child clients had received a diagnosis of RAD. However, a total of 41 % of participants in the study had attachment problems (23% with AD) as measured by the RADQ. Additional study results indicated that there

Frequency of RAD diagnosis and attachment disorder in community mental health agency clients.