Discussion: Treating Childhood Abuse Essay

Discussion: Treating Childhood Abuse Essay

In 2012, statistics in the United States indicated that state CPS agencies received 3.4 million referrals for child abuse and neglect. Of these, nearly 700,000 children were found to be victims of maltreatment: 18% were victims of physical abuse and 78% were victims of neglect (CDC, 2014). Child sexual abuse makes up roughly 10% of child maltreatment cases in the United States (CDC, 2014). The CDC considers sexual abuse at any age a form of violence. Child abuse of any kind can lead to an increased state of inflammatory markers in adulthood, as well as multiple physical illnesses and high-risk behavior such as alcoholism and drug abuse. If a PMHNP identifies child abuse, there may be a need to report the abuse to authorities. Discussion: Treating Childhood Abuse Essay. Once able to provide treatment, the PMHNP can be instrumental in reducing the long-term effects of child abuse.

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In this Discussion, you recommend strategies for assessing for abuse and analyze influences of media and social media on mental health. You also evaluate the need for mandatory reporting of abuse.

Learning Objectives

Students will:

· Recommend strategies for assessing for abuse

· Analyze influences of media and social media on mental health

· Evaluate the need for mandatory reporting of abuse Discussion: Treating Childhood Abuse Essay

To Prepare for this Discussion:

· Read the Learning Resources concerning treating childhood abuse.

Read the Child Abuse Case Study in the Learning Resources. Visit ( https://class.content.laureate.net/c2d25a50e4f76a67640daef9661a07f1.pdf

· Use subheadings please when writing, please.

Post:

· What strategies would you employ to assess the patient for abuse? Explain why you selected these strategies.

· How might exposure to the media and/or social media affect the patient?

· What type of mandatory reporting (if any) is required in this case? Why?

 

Treating Childhood Abuse

Introduction

The statistics on physical child abuse are alarming. Children are physically abused each year by a parent or close relative; majority die as a result of the abuse. For those who survive, the emotional trauma remains long after the external bruises have healed. According to the National Child Welfare Information Gateway(2017), 49 States reported a total of 1,585 fatalities.2 Based on these data, nationally estimated 1,670 children died from abuse or neglect in 2015. Children who experience and or witness stressors in life have a high likelihood of physical and mental health problems (Westbrook & Berenbaum, 2016). Preventing the occurrence of such events in life, early detection, and interventions when they occur and rehabilitation in complications is significant in limiting the future adverse complications. This week’s discussion will focus on the strategies for assessing child abuse, ways in which exposure to media impacts the patient and mandatory reporting required in child abuse case. Discussion: Treating Childhood Abuse Essay

Strategies for Assessing Child Abuse

Trauma assessment is an in-depth exploration of the nature and severity of the traumatic events, the consequences of those events, and current trauma-related symptoms. The case study of Morgan’s case presents one of the many situations where children are finding themselves in the hands of hostile caregivers who take advantage of their predicaments to sexually or physically abuse them. In this case,  Morgan would require a trauma-informed mental health assessment, intensive counseling and gain trust to reveal his predicaments. Studies have shown that childhood abuse is consistently associated with personality disorders including Borderline Personality Disorder.  People who have difficulties in controlling or regulating their emotions have been linked to physical/sexual abuse (Crowell, 2016). Having strategies in place for the assessment of child abuse is an essential step in detecting child abuse more so in those cases where the children may be threatened with fear of disclosure. Effective strategies require the proper and the consistent use of screening tools for the assessment process when there is suspicion of child abuse. Bailhache, M., Leroy, V., Pillet, P., & Salmi, L.(2013). Give an outline of the possible benefits of using assessment tools for early detection of child abuse. Healthcare providers should consider assessing for more than one type of child maltreatment if there is suspicion of child abuse. The routine physical examination is vital for early detection of child abuse. The trauma-informed mental health assessment is a structured framework for gathering information across several essential domains of functioning. It is also used to identify and address the needs of children and families exposed to traumatic events; it also entails the coding which summarizes the information and communicated to with families and other providers (Kisiel, Conradi, Fehrenbach, Torgerson, & Briggs; 2014). Currently, the Center I work uses the Child and Adolescent Needs and Strengths (CANS). Trauma Comprehensive Version “CANS-Trauma”  a flexible, multi-purpose tool used in different capacities depending on the needs of a particular child-serving system (Kisiel, Conradi, Fehrenbach, Torgerson, & Briggs; 2014). The CANS is used to gather information on a range of domains relevant to the functioning of the child and caregiving system, and the information is directly incorporated into individualized plans of care (Kisiel, Conradi, Fehrenbach, Torgerson, & Briggs, 2014). When assessing an abused child /adolescent, the best thing to do is to provide a calm reassurance and unconditional support. Show empathy and reassure the client of their safety.

In the case of Morgan, the trauma-informed approach and the CANS was chosen because of the childhood abuse he experienced, and how he continues to relieve the consequence of the abuse, not been able to keep a job, having nightmares because the cousins who abused him is released from prison. Selecting the trauma-informed strategy allows the survivor’s need to be respected, informed, connected, and hopeful regarding his recovery.

Influences of media and social media

Social media play an integral role in shaping the personality of some teenagers worldwide. One cannot, therefore, ignore the impact of social media on the mental health. The portrayal of violence, sex, and drugs/alcohol in the media has been known to affect the behavior of children and adolescents adversely. There is a strong association between perceptions of media messages and observed behavior, especially with children. Contrasting literature has explored the role of media in mental health, citing relieve of anxiety and depression, enhancing social interaction, and hence creating a wide support network. Discussion: Treating Childhood Abuse Essay. Other scholars, however, argue based on the adverse effects of sedentary online life that may paradoxically lead to depression and suicidal ideations in youth. Increased access to social media platforms has been associated with the high cases of mental problems currently among the young population. The fact that Morgan has a diagnosis of anxiety depression, social media is likely to exacerbate this condition. A good number of studies have associated increased incidences of anxiety, depression, loneliness, narcissism and compulsive behavior among the young population (Berryman, Ferguson, & Negy, 2017). However, if Morgan can use social media to learn more about social support networks, then he is likely to benefit by joining a social network of people who have been through the same road, hence will benefit from the psychosocial support. Discussion: Treating Childhood Abuse Essay.

Mandatory reporting

Mandatory reporting requires that people or organizations working with children should report any form of physical, sexual or emotional abuse of children (Douglas & Walsh, 2015). As practitioners it is mandatory we report any child abuse, disciplinary actions are considered against those who do not report such cases. In Morgan’s case, he had been molested by this close relative, who is now out of jail. It is mandatory to report this issue to the children’s’ protection department and ensure that Morgan is protected from chronic abuse from the relative. Discussion: Treating Childhood Abuse Essay.

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References

 

Bailhache, M., Leroy, V., Pillet, P., & Salmi, L. (2013). Is early detection of abused children possible?: A systematic review of the diagnostic accuracy of the identification of abused children. BMC Pediatrics, 13(1). Retrievedhttps://doi.org/10.1186/1471-2431-13-202

 

Kisiel, C., Conradi, L., Fehrenbach, T., Torgersen, E., & Briggs, E. C. (2014).Psychiatry and Behavioral Sciences(2014)Assessing the Effects of Trauma in Children and Adolescents in Practice Settings, Retrieved https://www.scholars.northwestern.edu/en/publications/assessing…

 

Berryman, C., Ferguson, C. J., & Negy, C. (2017). Social Media Use and Mental Health among Young Adults. Psychiatric Quarterly. Retrieved https://doi.org/10.1007/s11126-017-9535-6 Discussion: Treating Childhood Abuse Essay

 

Crowell, S. (2016). Faculty of 1000 evaluation for An examination of the relationship between childhood emotional abuse and borderline personality disorder features the role of difficulties with emotion regulation. F1000 – Post-publication peer review of the biomedical literature. Retrieved https://doi.org/10.3410/f.727015348.793525739

 

Douglas, H., & Walsh, T. (2015). Mandatory Reporting of Child Abuse and Marginalized Families. Mandatory Reporting Laws and the Identification of Severe Child Abuse and Neglect, 491-509. Retrieved https://doi.org/10.1007/978-94-017-9685-9_23

 

Westbrook, J., & Berenbaum, H. (2016). Emotional Awareness Moderates the Relationship Between Childhood Abuse and Borderline Personality Disorder Symptom Factors. Journal of Clinical Psychology, 73(7), 910-921. Retrieved https://doi.org/10.1002/jclp.22389

 

Child Welfare Information Gateway. (2017). Child abuse and neglect fatalities Statistics and interventions. Department of Health and Human Services, Children’s Bureau, https://www.childwelfare.gov Discussion: Treating Childhood Abuse Essay

 

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