Hostility towards and scapegoating of child

This diagnosis code signifies a pattern of negative and aggressive behavior directed towards a child, often involving blame or unfair targeting for problems. It describes a dysfunctional family dynamic where a child is consistently singled out for criticism, anger, or punishment, regardless of their actual involvement. This behavior can be emotionally damaging and contribute to the child's psychological distress.

Apply this code when documentation clearly indicates a child is being subjected to persistent hostility and is unfairly blamed or made a scapegoat within their family or caregiving environment. This may be identified during evaluations for child behavioral issues, mental health concerns, or family therapy sessions where such dynamics are observed or reported. It is appropriate when the child's well-being is negatively impacted by this specific form of interpersonal conflict.

• Ensure documentation explicitly states "hostility" and "scapegoating" or provides clear examples of such behavior directed at the child.
• This code describes the environment or family dynamic impacting the child, not a diagnosis of the child themselves.
• Consider using in conjunction with codes for the child's resulting mental health conditions (e.g., anxiety, depression) if applicable.