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Flashcards in Exam 2 Deck (16):

Issues in Treatment

Counter Transference (when something is triggered in you)

-5150 (Hold them, if danger to self or other)
-Tarasoff (Threat to person)
-Child/Elder Abuse


Eligibility Criteria (red tape issue, can you treat them in your practice?)

“Length of treatment is impossible to estimate” (p. 272).



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

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


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


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)

(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)


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



1 in 7 10-18 year olds run away

75% are female