Exam 2 Flashcards
Issues in Treatment
Counter Transference (when something is triggered in you)
Confidentiality
- 5150 (Hold them, if danger to self or other)
- Tarasoff (Threat to person)
- Child/Elder Abuse
Trust
Eligibility Criteria (red tape issue, can you treat them in your practice?)
“Length of treatment is impossible to estimate” (p. 272).
Resistance
Change can involve pain
“But that’s how I was raised.”
Difficulty following through
Changing family patterns
Isolation, low self-esteem, depression, anxiety about exposure
Cultural influences
How to help
Multi-disciplinary team
Communication within the helping network is
vital!!!
Treat caregivers AND child/ren
High level of interaction & care
Think about others in home (siblings, other generations)
Goals for Caregivers
Become aware of needs
Find non-abusive ways to cope
Develop support system
Resolve any immediate crisis (housing, unemployment, illness, substance abuse, severe financial problems)
Improve communication (overall, and about feelings in particular)
Types of Interventions
Family Support Services
Family Preservation Services
More intensive:
Intensive Family-Centered Services
Shared Family Care
Family Support Services
Voluntary
Families not yet in crisis
Designed to prevent crisis & promote healthy functioning
i.e. – home visiting program for families of new infants
Family Preservation Services
Mandated
Families where crisis is imminent or
has already occurred
Based on a strengths perspective
Help parents regain or develop the ability to meet children’s needs effectively
May be a prerequisite for reunification (if children removed)
Intensive Family-Centered Services
Intensive skill building
Cognitive Behavioral (CBT) model – values clarification, parenting training, problem solving
Connect with concrete services
If children are at-risk for out of home placement
Locally = Wraparound
Shared Family Care
Host caregivers & parent(s) care for children simultaneously
Goal of independent living
Think of Mama P. =)
i.e. – drug treatment programs for mothers, domestic violence shelters, residential programs for pregnant/parenting teens
Treatment of Physically Abusive Family
Parents need to learn to cope differently
Recognize what feelings or events led to abuse
Learn to read warning signals that precede abusive behavior Learn alternative coping skills to handle anger & frustration
Assess & remove stressors (if possible)
Include assessment of relationships within the family &
extended family
Help identify strengths
Praise & nurture oneself in order to praise & nurture others (improved self-image)
Supervision – periodic visits by CPS worker to monitor the situation
Treatment of the abused child
-Remedial Services
(OT, Head Start, IEP)
-Psychological Services
(Individual, Group, Family Therapy)
-Expression of Affect (regulate temper tantrums, destructive behavior & other displays of emotion)
-Self-Concept
(children often blame themselves for abuse – can’t have fun – don’t feel worthy) Therapist’s job = ENJOY them!
-Socialization Services (attachment with adult(s), relationships with peers)
CSEC
Comercial Sexual Exploitation of Children
Abusers (Johns)
Exploiters (Pimps)
Victim survivors
Lack of parental judgement
- Perp may have an emotional bond with the parent
- Abuse is not within the parents’ frame of reference
- Parents need the services of the potential abuser
- Parent may trust the potential abuser
Inadequate Supervision
- May feel their children can care for themselves
- May feel unable to provide supervision (latchkey)
- May be unaware of unsupervised periods
- The child may initiate the separation
Specific types of perpetrators
- Pedophile: Individual with interest in children
- Pederast: Males over 18 who are sexually attracted to and involved with young boys who are between 12 & 16
Runnaways
1 in 7 10-18 year olds run away
75% are female
