Clinical Comp - Practice Flashcards
If partner violence is current and ongoing, then partners should be seen for conjoint therapy.
False.
Partners should do separate group tx until abuse stops.
If chemical/alcohol dependency is an issue, then family therapy is appropriate concurrent with an addiction program.
True
Confidentiality/Privacy
Thx may only share in regards to duty to warn, suicide, judge’s orders, national security, or with release of information
- Previous suicide attempt
- Hx of depression or mental illness
- Serious illness or chronic illness
- Criminal or legal problems
- Job/Financial Problems
- Impulsive or aggressive tendencies
- Substance use
- ACEs
- Sense of hopelessness
- Violence: victimization or perpetration
Suicide - Individual risk factors
- Bullying
- Family/loved one’s history of suicide
- Loss of relationships
- High conflict or violent relationships
- Social isolation
Suicide - Relational Risk Factors
- Lack of access to healthcare
- Suicide cluster in the community
- Stress of acculturation
- Community violence
- Historical trauma
- Discrimination
Suicide - Community Risk Factors
- Exposure to self-harm (friends, media, hearing about self-harm bxs)
- Neglect, sexual, physical, or emotional abuse
- Hx of traumatic events
- Unstable family environment
- Personal and/or sexual identity issues
- Social isolation
- Bullying
- Hx of mental illness
- Personality disorders
- Substance/Alcohol dependency
Self-harm risk factors
- family/relatives that use drugs or alcohol
- family/relatives who suffer from mental illness
- Hx of child abuse or maltreatment
- Inadequate supervision as a child
- Hx of family/community povery
- Hx of family/community violence
Risk Factors - Alcohol/Substance use or Dependency
- Children younger than 4 years of age
- Children with special needs that burden caregiver burden
- Family SES
- High rates of violence and poverty in community
Risk Factors - Child Abuse
- Households with members in jail or prison
- Families that are isolated or less connected to others or community
- Families experiencing violence, including relationship violence
- Families with high conflict and negative communication styles
Family Risk factors - Child Abuse
- Current mental illness diagnosis
- Current or past substance abuse
- Current physical health problems
- Hx of experience of disruptive bxs
- Hx traumatic events
- High levels of stress
- Inadequate coping skills
- Exposure to abuse as a child
Caretaker Risk Factors - Elder Abuse
- High Dependence on caretakers
- Past family conflict
- Social isolation
- Lack of social support
Relational Risk Factors - Elder Abuse
- Extreme jealousy of friends or time spent away from partner
- preventing or discouraging spending time with others, especially family, friends, or peers.
- Insulting, demeaning, or shaming partner, even in front of others
- Interfering in personal and individual decisions
- Controlling household finances without discussion
- Pressuring partner to have sex
- Intimidation
- Destroying items, belongings, or home
- Hypersensitivity to criticism
Signs of Intimate Partner Abuse/Violence
- Physical Violence
- Sexual Violence
- Stalking
- Psychological Aggressiion
Patterns of Intimate Partner Abuse/Violence
- Tension Building
- Incident of violence
- Reconciliation
- Calm
Cycle of Abuse
