Abuse ( Child ,Domestic Violence& substance) Flashcards
What is the cycle of Abuse in child abuse in a chronological order?
- Tension building
2.Incident
3.Reconciliation
4.Calm
What are types of Child Abuse?
➢Physical abuse
➢Sexual abuse
➢Emotional abuse
➢ Neglect
What are examples of Child Emotional abuse?
*Restricting a child’s movements
*Denigration
*Ridicule
*Threats and intimidation, *Discrimination/ rejection
In the Shaken infant, what are symptoms displayed?
▪Brain: Intracranial haemorrhage
▪Skin: Bruises
▪Joints: dislocations
▪Bones: Fractures
What are examples of Short- Term impacts of child Abuse in the pre-school age?
❖Bed-wetting
❖ Thumb-sucking
❖Excessive crying
❖Hiding from people, including from the perpetrator
❖Stuttering
What are examples of Short- Term impacts of child Abuse in the school age?
❖Feeling of guilt
❖Blaming themselves that
they caused the violence
❖Low self esteem
What are examples of Short- Term impacts of child Abuse in the teenagers?
❖Generalized anxiety
❖ Sleeplessness
❖ Nightmares
❖Difficulty concentrating
❖High activity levels
❖ Risky Behaviour
❖Depression
❖Difficulty in establishing/maintaining relationships
❖Worry
❖PTSD
In Jamaica, what Is a source of Primary intervention in Child Abuse?
Child Protection and Family Services Agency (CPFSA)
What are examples of Indirect disclosure of abuse?
❖Avoiding the abuser, including not wanting to go to the house of the abuse
❖Changes in eating and sleeping patterns
❖Inappropriate sexual behaviour
❖Risky behaviour, e.g. suicidal attempts, substance us
What ranks as the leading cause of death in the Caribbean region?
Violence
What percentage of Jamaica’s funds are spent on healthcare as a result of violence?
7%
What are the three types of Adverse Childhood Effects?
Abuse
Neglect
Household Dysfunction
What is the most common contributing factor to household dysfunction (ACE)?
Substance abuse - 27%
What is the most common type of Abuse seen in ACE?
Physical abuse
What number of Adverse Childhood effects would be most experienced by people?
0 (36%)
What number of Adverse Childhood effects would be least experienced by people?
3 - 9.5%
True or False? Rates of depression are 2-3- times higher for women who have experienced violence.
FALSE!! Rates of depression are 3-4 times higher for women who have experienced violence.
What is the ratio of men and women that develop an alcohol dependence.
1 in 5 men
1 in 12 women
True or False? One in 3 women survivors of violence suffer from depression, anxiety and somatic conditions.
TRUE!!
What are factors contributing to Violence against Women and Girls?
- Strictly enforced gender roles.
*Association of masculinity with toughness and dominance.
*Punishment of women and children as an accepted value.
- Violence accepted as a standard way to resolve conflicts.
*Stress associated with poverty.
What number of the population would be affected by violence?
1/3
What are examples of TRAUMA-RELATED PSYCHIATRIC CONDITIONS?
Acute Stress disorder
Major Depression
Adjustment disorder
PTSD
Attachment disorder
What are 5 essential self-care strategies?
Sleep
Exercise
Eating well
Relaxation
Connection
What are the macro-social levels strongly associated with Interpersonal violence?
- Unemployment
- Income inequality
- Rapid social change
- Access to education
What is the cycle of Violence?
Phase 1:Tension- building stage
Phase 2:Acute Battering stage
Phase 3:Calm Stage
What is Traumatic bonding?
A strong emotional attachment between the victim and perpetrator of domestic violence
What are Fatal outcomes of Violence?
Suicide
Homicide
Maternal mortality
HIV /AIDS
What are some factors of Behaviour change?
*To be effective the individual must want to change.
*For change to be lasting it should not be forced.
*Getting others to change requires skills in listening, communicating & persuading.
*Acknowledging incremental change can encourage greater change.
In the Health Belief model , people are more likely to comply with a recommended health behaviour if they perceive:
*Themselves as being vulnerable to a condition they consider to be serious.
*The effects of non-compliance to be severe
*That the recommended solutions can work
*The benefits to be derived from recommended action outweigh the cost of engaging in the behaviour.
*Barriers to carrying out the action are minimal/manageable .
In the pre-contemplation stage, what is the state of the patient?
Patient is unaware or de-motivated
In the Contemplation stage , what state is the patient in?
Weigh pros & cons - 6 mths
In what stage has the patient tried for 2-3 years?
Maintenance
In what stage is the patient planning to start early ( next 30 days)?
Preparation
What stage is known as the trial stage?
Action
What happens in the termination state?
There’s no temptation
What is the criteria for diagnosing a patient with substance use disorder?
Must present with 2 symptoms within a 12 month period
What are the classifications of substance- use disorder based on Severity?
Mild - 2- 3 symptoms
Moderate - 4-5 symptoms
Severe 6 & more
