Clinical Comp - Practice Flashcards
(17 cards)
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
- Persistent worries about changes and long-term effects
- Thoughts/Worries about dying
- Persistant sadness, anger, irritability, or excessive moodiness
- Changes in self-esteem
- Behavioral problems
- Social difficulties
- Social isolation
Effects of Illness or Loss
Deportation or Separation
