{"h1":"ICHI Interventions for Conduct-Dissocial Disorder (6C91) in Young Children","faq":[{"a":"No. ICHI classifies interventions, not diagnoses, using a Target–Action–Means structure. You map interventions relevant to a 6C91 presentation — principally parent-management training, child behavioural and social-cognitive interventions, counselling and educational support — rather than searching for a disorder-specific code.","q":"Does ICHI list specific codes for Conduct-Dissocial Disorder?"},{"a":"Pharmacological action is not first-line for conduct-dissocial presentations in young children. ICHI mapping and the evidence base centre on parenting, family and child-focused behavioural interventions; medication is considered only for specific co-occurring conditions under specialist care.","q":"Are medications part of the ICHI intervention set for young children with 6C91?"},{"a":"Oppositional and aggressive behaviour is common and often developmentally bound in early childhood, and frequently reflects co-occurring language delay, ADHD features, sensory dysregulation or attachment disruption. A 6C91 label applies only when the pattern is persistent, pervasive and disproportionate, and interventions should follow a formulation.","q":"Why is caution advised before applying a 6C91 label to a young child?"}],"lang":"en","slug":"which-ichi-health-interventions-apply-to-conduct-dissocial-disorder-in-young-children","title":"ICHI Health Interventions for Conduct-Dissocial Disorder in Young Children","entity":{"key":"conduct-dissocial","kind":"condition","name":"Conduct-Dissocial Disorder","slug":null},"lenses":[{"kind":"stakeholder","label":"Therapist","value":"therapist"},{"kind":"domain","label":"Social","value":"social"},{"kind":"intent","label":"Support","value":"support"},{"kind":"lifecycle","label":"Screen","value":"screen"},{"kind":"route","label":"Behaviour-Therapy","value":"behaviour-therapy"},{"kind":"empowerment","label":"Family Empowerment","value":"family_empowerment"}],"parent":{"key":"conditions","label":"Conditions"},"related":[{"lang":"en","slug":"which-ichi-health-interventions-apply-to-oppositional-defiant-disorder-in-young-children","title":"ICHI interventions for Oppositional Defiant Disorder in young children"},{"lang":"en","slug":"which-ichi-health-interventions-apply-to-self-regulation-difficulties-in-young-children","title":"ICHI Interventions for Self-Regulation Difficulties"},{"lang":"en","slug":"which-ichi-health-interventions-apply-to-emotional-and-behavioural-difficulties-in-young-children","title":"ICHI interventions for emotional & behavioural difficulties in young children"},{"lang":"en","slug":"what-does-current-research-show-about-early-intervention-outcomes-for-conduct-dissocial-disorder-in-children-under-7","title":"Early intervention outcomes for Conduct-Dissocial Disorder under 7"},{"lang":"en","slug":"which-ichi-health-interventions-apply-to-social-communication-difficulties-in-young-children","title":"Which ICHI health interventions apply to social communication difficulties in young children?"},{"lang":"en","slug":"which-ichi-health-interventions-apply-to-adhd-in-young-children","title":"ICHI Interventions for ADHD in Young Children"}],"summary":"ICHI classifies interventions, not disorders. For Conduct-Dissocial Disorder (ICD-11 6C91) in young children, the applicable ICHI families are predominantly psychological and behavioural — parent-management and family-skills training, child social-cognitive interventions, caregiver counselling and educational support — not primary pharmacology. Selection follows a clinical formulation, not a code alone.","answer_md":"*A child with persistent rule-breaking, aggression or defiance is signalling unmet need — and the ICHI framework gives us a shared vocabulary to map the interventions that help.*\n\n## In short\nThe **WHO International Classification of Health Interventions (ICHI)** does not name disorders; it classifies *interventions* by Target, Action and Means. For Conduct-Dissocial Disorder (ICD-11 **6C91**) in young children, the applicable ICHI families are predominantly **psychological and behavioural interventions** — parent-management and family-skills training, child-focused behavioural and social-cognitive interventions, caregiver counselling, and educational/environmental support — rather than primary pharmacological action. In young children the evidence base and ICHI mapping centre firmly on **parenting and family interventions** delivered around the child, not labels applied to the child.\n\n## Mapping ICHI to 6C91 in early childhood\nICHI codes describe *what is done*. For conduct-dissocial presentations the relevant intervention targets cluster as follows:\n\n- **Interventions on caregiver/family behaviour** — structured parent-management training, behavioural family intervention, and caregiver skills training (consistent limits, positive attention, predictable routines). This is the first-line, best-evidenced tier in the under-7 group.\n- **Interventions on the child's behavioural and emotional functions** — social-cognitive and problem-solving skills training, emotion-regulation and self-control building, delivered developmentally.\n- **Interventions on social and communication functions** — supporting language and social reciprocity, since expressive-language and pragmatic difficulties frequently co-travel with disruptive behaviour.\n- **Counselling and education interventions** — psychoeducation for family and educators, classroom/environmental modification.\n- **Assessment and care-coordination interventions** — structured functional assessment and multi-agency coordination where school, home and health intersect.\n\nA crucial clinical caveat: in very young children, oppositional and aggressive behaviour is common, developmentally bound, and often better understood through co-occurring factors (language delay, ADHD features, attachment disruption, sensory dysregulation). A 6C91 label is applied cautiously and only when the pattern is persistent, pervasive and disproportionate. The ICHI intervention set should therefore be selected against a *formulation*, not a single code.\n\n## When to refer\nPrioritise assessment when aggression or rule-breaking is persistent across settings (home and preschool), when there is risk to the child or others, or when caregiver capacity is overwhelmed. Screen actively for co-occurring ADHD, language disorder and adverse experiences — these reshape the intervention mix.\n\n## The Pinnacle way\nA clinical [AbilityScore®](/ask/what-is-the-abilityscore-and-how-is-it-calculated) and any diagnosis are formed only at a Pinnacle Blooms Network centre, by qualified clinicians under clinical governance — never from a code list, a form or an app. Our [behavioural therapy](/behavioural-therapy) and family-skills pathways translate the ICHI intervention families into a child-specific plan, coordinated with [speech and language support](https://www.pinnacleblooms.org/top-speech-therapy-center-india-proven-improvement-rate) where pragmatic-language needs co-occur. [Partner with us](/) to align ICHI-mapped interventions with measurable developmental goals.\n\n## Trusted sources\nWHO International Classification of Health Interventions (ICHI) beta framework of Target–Action–Means; WHO ICD-11 entry for Conduct-Dissocial Disorder (6C91); NICE guidance on antisocial behaviour and conduct disorders in children, which positions parent-training and child-focused programmes as first-line.\n\n**Next step —** Map a child's presentation to an evidence-aligned intervention plan: [refer to a Pinnacle clinician](/).\n\nThis is general information, not a diagnosis — individual assessment and diagnosis require an appropriately qualified healthcare professional.","canonical":"https://pinnacleblooms.org/ask/which-ichi-health-interventions-apply-to-conduct-dissocial-disorder-in-young-children","editorial":{"reviewed_at":"2026-06-11T20:12:18.613642+00:00","reviewed_by":null,"developed_by":"SETU Consortium · Pinnacle Blooms Network"},"alternates":[{"href":"https://pinnacleblooms.org/ask/which-ichi-health-interventions-apply-to-conduct-dissocial-disorder-in-young-children","lang":"en","indexable":true},{"href":"https://pinnacleblooms.org/ask/which-ichi-health-interventions-apply-to-conduct-dissocial-disorder-in-young-children-te","lang":"te","indexable":true}],"dimensions":[{"key":"conditions","label":"Conditions"}],"meta_title":"ICHI Interventions for Conduct-Dissocial (6C91)","meta_robots":"index, follow, max-image-preview:large","everyday_tip":"When advising families, anchor the first conversation on predictable routines and labelled positive attention — the lowest-cost, best-evidenced parent-management lever for disruptive behaviour in early childhood.","published_at":"2026-06-10T11:41:40.493798+00:00","reading_paths":[{"key":"understand","items":[{"lang":"en","slug":"what-does-current-research-show-about-early-intervention-outcomes-for-conduct-dissocial-disorder-in-children-under-7","title":"Early 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