552 EXAM 3 COMBINED SET
ADOPTION AND FOSTER CARE-EPIDEMIOLOGY
What are the epidemiological traits of kids entering foster care? - ANS-(Saddock 1310)
- Number of kids entering foster care because of maltreatment has risen within the last decade
by using 19%
- Of the ones youngsters an growth of 60% inside the wide variety who were recognized as
emotionally disturbed
- One of the most common scenarios for children entering foster care identification parental
substance abuse
- Seven out of ten abused or ignored youngsters had mother and father with substance abuse
- Children in foster care had been extra regularly being raised by a unmarried mom previous to
placement
- Minority kids are over represented inside the foster care population (black youngsters more
than 2X as probable to be referred d/t maltreatment and input the device before age 5 years)
ADOPTION AND FOSTER CARE-EPIDEMIOLOGY
What are the epidemiological traits for adoption? - ANS-(Saddock 1313)
-2.Five to a few.5 percentage of children within the US are followed, with more than 2 percent
followed by using non relative, and approximately 1.Five percent in relative adoptions which
includes step parents
- Foster care youngsters who are followed account for 15%
- Approx 125,000 kids are adopted each year
- About 50,000 infants are followed through "open" adoptions where toddler kids are
relinquished by way of their organic parents at birth
- About 50,000 toddlers are followed through the kid welfare device (more than half being older
than 6 and majority of them having skilled sizeable early abuse or forget about)
ADOPTION AND FOSTER CARE-HEALTH CONDITIONS
What are a few not unusual fitness troubles see in foster care kids? - ANS-(Saddock 1310)
- Growth abnormalities (which includes failure to thrive)
- Neurological abnormalities
- Language disorders
- Cognitive delays
- Asthma
ADOPTION AND FOSTER CARE-KIINSHIP
, What is kinship care? - ANS-(Saddock 1310-1311)
- Alternative placement choice to foster care
- Authorizing licensing and reimbursement to kinship care givers who're generally female (on the
whole maternal grandmothers), of low profits, low schooling, and minority repute
- Long status cultural culture in African American tradition of taking youngsters of circle of
relatives contributors who are unable to take care of their offspring
ADOPTION AND FOSTER CARE-PSYCHIATRIC CONDITIONS
What psychiatric conditions are usually visible in foster care children? - ANS-(Saddock 1310)
- Attention deficit hyperactivity sickness (ADHD)
- Post disturbing stress ailment (PTSD)
- Conduct disorders
- Attachment problems
- Substance abuse
- Depression
- Eating Disorders
CHILD MALTREATMENT, ABUSE, AND NEGLECT - CLINICAL FEATURES-PHYSICAL
ABUSE
Clinical features of physical abuse victims - ANS-(Saddock 1315-1316)
- Physical and radio logical evaluations display evidence of repeated suspicious injuries
- strangely worried, docile, distrustful, and protected
- May be disruptive and competitive
- May be wary of physical touch and display no expectation of being comforted by means of
adults
- May be on the alert for hazard and continuously sizing up the environments, and may be afraid
to move home.
- Affect dysregulation, insecure and peculiar attachment styles, impaired peer relationships
involving elevated aggression or social withdrawal, and educational underachievement
- Depression, ADHD, ODD, dissociation, conduct disorder, PTSD
CHILD MALTREATMENT, ABUSE, AND NEGLECT -PHYSICAL ABUSE
- Physical Abuse - ANS-(Saddock 1315)
- Any act that consequences in a non accidental physical damage, including beating, kicking,
punching, biting, burning, and poisoning
- Organized by way of harm to the site of harm: pores and skin and floor tissues, the pinnacle,
inner organs, and skeletal
CHILD MALTREATMENT, ABUSE, AND NEGLECT- EVAL-PHYSICAL/SEXUAL ABUSE
Evaluation of physical or sexual abuse - ANS-(Saddock 1318)
,- The practitioner should recall whether they're undertaking a forensic evaluation, which has
prison implications and might in the long run be used in court, or a clinical evaluation, that is
completed for a healing motive. A forensic assessment emphasizes accumulating accurate and
whole date to determine-as objectively as possible-what passed off to the child. Was the injury
an coincidence, became it self-inflicted or turned into it a result of parental abuse? Was the child
actually sexually abused or indoctrinated to agree with he/she turned into sexually abused? Also
the practitioner should take into account the opportunity that the dad and mom are not telling the
reality. The examiner need to decide how the allegation originally arose and what next
statements were made. If viable, assessment audiotapes, transcripts and videotapes of
preceding interviews.
CHILD MALTREATMENT, ABUSE, AND NEGLECT- PHASES SEXUAL ABUSE
- 5 levels of sexual abuse - ANS-(Saddock 1317)
- Engagement phase (wrongdoer induces the kid into a unique dating)
- Sexual interaction segment (sexual behaviors progress from less to more intrusive types of
abuse)
- Secrecy phase (offender threatens the victim now not to inform)
- Disclosure segment (abuse is observed accidentally, thru the kid's reporting it to a responsible
adults, of is delivered for medical interest and the clinical asks the right questions)
- Suppression section (infant regularly retracts statements of the disclosure due to family strain
or due to the kid's personal mental method)
CHILD MALTREATMENT, ABUSE, AND NEGLECT- TREATMENT-MALTREATMENT
Treatment alternatives for maltreatment - ANS-(Saddock 1319)
-Several evidence-primarily based psychotherapies now exist inside the remedy of formative
years abuse and forget about. -Multisystemic Therapy for Child Abuse and Neglect
(MST-CAN)-Uses a domestic-primarily based model in which therapists come to the home to
involve families in a highly monitored wonderful interactional approach closer to their bodily
abused children.
-Parent-Child Interaction Therapy (PCIT)-Consists of mixed remedy for parents and children in
which parenting is coached directly by way of the therapist and practiced in sessions with
parents and youngsters. -Combined Parent-Child Cognitive Behavioral Therapy (CPC-CBT)-is
designed designed to help parents to develop more high-quality strategies with their youngsters
and to assist kids to cope more effectively with their beyond abuse and to analyze more
advantageous interactions with dad and mom.
CHILD MALTREATMENT, ABUSE, AND NEGLECT-CLINICAL FEATURES-SEXUAL ABUSE
Clinical capabilities of sexual abuse sufferers - ANS-(Saddock 1316)
- Anxiety signs (fearfulness, phobias, insomnia, nightmares, somatic lawsuits, and PTSD)
- Dissociative Reactions and Hysterical Symptoms (amnesia, daydreaming, trance like states,
hysterical seizures, symptoms of DID)
, - Depression (low self-worth and suicidal and self mutilative behaviors)
Distrubacne in Sexual behaviors (masturbating with an item, imitating sex, putting items into the
vagina or anus, sexual aggression in the direction of others, showing genitals to other
youngsters, touching the genitals of others, age irrelevant sexual understanding)
-Somatic complaints (enuresis, encoperesis, anal and vaginal itching, anorexia, bulimia, weight
problems, headache and stomachache)
CHILD MALTREATMENT, ABUSE, AND NEGLECT-EMOTIONAL ABUSE
- Emotional Abuse (mental or verbal abuse) - ANS-(Saddock 1315)
- Occurs when a person conveys to kids that they're nugatory, wrong, unloved, unwanted, or
endangered.
- Perpetrator might also spurn, terrorize, forget about, isolate, or berate the child
- Includes verbal attacks, exposing the kid to home violence, over pressuring thru excessively
superior expectancies, and encouraging or educating the kid to have interaction in antisocial
sports
CHILD MALTREATMENT, ABUSE, AND NEGLECT-ETIOLOGY
Physical Abuse Etiology - ANS-(Saddock 1315)
-Highly related to poverty and psycho social pressure, parental substance abuse, and
intellectual infection
-Highly correlated with much less parental education, underemployment, terrible housing,
welfare reliance, and unmarried parenting
- Tends to arise extra in families characterized via domestic violence, social isolation,parental
mental infection, and drug and ETOH abuse
- Probability of maltreatment elevated by means of threat elements including prematurity,
intellectual incapacity, and physical handicap, and in households with many youngsters
CHILD MALTREATMENT, ABUSE, AND NEGLECT-ETIOLOGY SEXUAL ABUSE
Etiology of sexual abuse - ANS-(Saddock 1315)
- Incestuous behavior has been associated with ETOH abuse, overcrowding, improved bodily
proximity, and rural isolation that prevents ok more familial contacts
CHILD MALTREATMENT, ABUSE, AND NEGLECT-HEALTH RISK
- Health dangers of maltreatment - ANS-(Saddock 1314, 1317)
- Self reports of melancholy, regular ETOH use, binge consuming, marijuana use, obese status,
commonly "poor" fitness, inhalant use, aggressive behaviors consisting of fighting and hurting
others
- Ischemic coronary heart sickness, liver sickness, adolescent being pregnant, persistent
obstructive pulmonary disease, fetal loss of life, and skeletal fractures
ADOPTION AND FOSTER CARE-EPIDEMIOLOGY
What are the epidemiological traits of kids entering foster care? - ANS-(Saddock 1310)
- Number of kids entering foster care because of maltreatment has risen within the last decade
by using 19%
- Of the ones youngsters an growth of 60% inside the wide variety who were recognized as
emotionally disturbed
- One of the most common scenarios for children entering foster care identification parental
substance abuse
- Seven out of ten abused or ignored youngsters had mother and father with substance abuse
- Children in foster care had been extra regularly being raised by a unmarried mom previous to
placement
- Minority kids are over represented inside the foster care population (black youngsters more
than 2X as probable to be referred d/t maltreatment and input the device before age 5 years)
ADOPTION AND FOSTER CARE-EPIDEMIOLOGY
What are the epidemiological traits for adoption? - ANS-(Saddock 1313)
-2.Five to a few.5 percentage of children within the US are followed, with more than 2 percent
followed by using non relative, and approximately 1.Five percent in relative adoptions which
includes step parents
- Foster care youngsters who are followed account for 15%
- Approx 125,000 kids are adopted each year
- About 50,000 infants are followed through "open" adoptions where toddler kids are
relinquished by way of their organic parents at birth
- About 50,000 toddlers are followed through the kid welfare device (more than half being older
than 6 and majority of them having skilled sizeable early abuse or forget about)
ADOPTION AND FOSTER CARE-HEALTH CONDITIONS
What are a few not unusual fitness troubles see in foster care kids? - ANS-(Saddock 1310)
- Growth abnormalities (which includes failure to thrive)
- Neurological abnormalities
- Language disorders
- Cognitive delays
- Asthma
ADOPTION AND FOSTER CARE-KIINSHIP
, What is kinship care? - ANS-(Saddock 1310-1311)
- Alternative placement choice to foster care
- Authorizing licensing and reimbursement to kinship care givers who're generally female (on the
whole maternal grandmothers), of low profits, low schooling, and minority repute
- Long status cultural culture in African American tradition of taking youngsters of circle of
relatives contributors who are unable to take care of their offspring
ADOPTION AND FOSTER CARE-PSYCHIATRIC CONDITIONS
What psychiatric conditions are usually visible in foster care children? - ANS-(Saddock 1310)
- Attention deficit hyperactivity sickness (ADHD)
- Post disturbing stress ailment (PTSD)
- Conduct disorders
- Attachment problems
- Substance abuse
- Depression
- Eating Disorders
CHILD MALTREATMENT, ABUSE, AND NEGLECT - CLINICAL FEATURES-PHYSICAL
ABUSE
Clinical features of physical abuse victims - ANS-(Saddock 1315-1316)
- Physical and radio logical evaluations display evidence of repeated suspicious injuries
- strangely worried, docile, distrustful, and protected
- May be disruptive and competitive
- May be wary of physical touch and display no expectation of being comforted by means of
adults
- May be on the alert for hazard and continuously sizing up the environments, and may be afraid
to move home.
- Affect dysregulation, insecure and peculiar attachment styles, impaired peer relationships
involving elevated aggression or social withdrawal, and educational underachievement
- Depression, ADHD, ODD, dissociation, conduct disorder, PTSD
CHILD MALTREATMENT, ABUSE, AND NEGLECT -PHYSICAL ABUSE
- Physical Abuse - ANS-(Saddock 1315)
- Any act that consequences in a non accidental physical damage, including beating, kicking,
punching, biting, burning, and poisoning
- Organized by way of harm to the site of harm: pores and skin and floor tissues, the pinnacle,
inner organs, and skeletal
CHILD MALTREATMENT, ABUSE, AND NEGLECT- EVAL-PHYSICAL/SEXUAL ABUSE
Evaluation of physical or sexual abuse - ANS-(Saddock 1318)
,- The practitioner should recall whether they're undertaking a forensic evaluation, which has
prison implications and might in the long run be used in court, or a clinical evaluation, that is
completed for a healing motive. A forensic assessment emphasizes accumulating accurate and
whole date to determine-as objectively as possible-what passed off to the child. Was the injury
an coincidence, became it self-inflicted or turned into it a result of parental abuse? Was the child
actually sexually abused or indoctrinated to agree with he/she turned into sexually abused? Also
the practitioner should take into account the opportunity that the dad and mom are not telling the
reality. The examiner need to decide how the allegation originally arose and what next
statements were made. If viable, assessment audiotapes, transcripts and videotapes of
preceding interviews.
CHILD MALTREATMENT, ABUSE, AND NEGLECT- PHASES SEXUAL ABUSE
- 5 levels of sexual abuse - ANS-(Saddock 1317)
- Engagement phase (wrongdoer induces the kid into a unique dating)
- Sexual interaction segment (sexual behaviors progress from less to more intrusive types of
abuse)
- Secrecy phase (offender threatens the victim now not to inform)
- Disclosure segment (abuse is observed accidentally, thru the kid's reporting it to a responsible
adults, of is delivered for medical interest and the clinical asks the right questions)
- Suppression section (infant regularly retracts statements of the disclosure due to family strain
or due to the kid's personal mental method)
CHILD MALTREATMENT, ABUSE, AND NEGLECT- TREATMENT-MALTREATMENT
Treatment alternatives for maltreatment - ANS-(Saddock 1319)
-Several evidence-primarily based psychotherapies now exist inside the remedy of formative
years abuse and forget about. -Multisystemic Therapy for Child Abuse and Neglect
(MST-CAN)-Uses a domestic-primarily based model in which therapists come to the home to
involve families in a highly monitored wonderful interactional approach closer to their bodily
abused children.
-Parent-Child Interaction Therapy (PCIT)-Consists of mixed remedy for parents and children in
which parenting is coached directly by way of the therapist and practiced in sessions with
parents and youngsters. -Combined Parent-Child Cognitive Behavioral Therapy (CPC-CBT)-is
designed designed to help parents to develop more high-quality strategies with their youngsters
and to assist kids to cope more effectively with their beyond abuse and to analyze more
advantageous interactions with dad and mom.
CHILD MALTREATMENT, ABUSE, AND NEGLECT-CLINICAL FEATURES-SEXUAL ABUSE
Clinical capabilities of sexual abuse sufferers - ANS-(Saddock 1316)
- Anxiety signs (fearfulness, phobias, insomnia, nightmares, somatic lawsuits, and PTSD)
- Dissociative Reactions and Hysterical Symptoms (amnesia, daydreaming, trance like states,
hysterical seizures, symptoms of DID)
, - Depression (low self-worth and suicidal and self mutilative behaviors)
Distrubacne in Sexual behaviors (masturbating with an item, imitating sex, putting items into the
vagina or anus, sexual aggression in the direction of others, showing genitals to other
youngsters, touching the genitals of others, age irrelevant sexual understanding)
-Somatic complaints (enuresis, encoperesis, anal and vaginal itching, anorexia, bulimia, weight
problems, headache and stomachache)
CHILD MALTREATMENT, ABUSE, AND NEGLECT-EMOTIONAL ABUSE
- Emotional Abuse (mental or verbal abuse) - ANS-(Saddock 1315)
- Occurs when a person conveys to kids that they're nugatory, wrong, unloved, unwanted, or
endangered.
- Perpetrator might also spurn, terrorize, forget about, isolate, or berate the child
- Includes verbal attacks, exposing the kid to home violence, over pressuring thru excessively
superior expectancies, and encouraging or educating the kid to have interaction in antisocial
sports
CHILD MALTREATMENT, ABUSE, AND NEGLECT-ETIOLOGY
Physical Abuse Etiology - ANS-(Saddock 1315)
-Highly related to poverty and psycho social pressure, parental substance abuse, and
intellectual infection
-Highly correlated with much less parental education, underemployment, terrible housing,
welfare reliance, and unmarried parenting
- Tends to arise extra in families characterized via domestic violence, social isolation,parental
mental infection, and drug and ETOH abuse
- Probability of maltreatment elevated by means of threat elements including prematurity,
intellectual incapacity, and physical handicap, and in households with many youngsters
CHILD MALTREATMENT, ABUSE, AND NEGLECT-ETIOLOGY SEXUAL ABUSE
Etiology of sexual abuse - ANS-(Saddock 1315)
- Incestuous behavior has been associated with ETOH abuse, overcrowding, improved bodily
proximity, and rural isolation that prevents ok more familial contacts
CHILD MALTREATMENT, ABUSE, AND NEGLECT-HEALTH RISK
- Health dangers of maltreatment - ANS-(Saddock 1314, 1317)
- Self reports of melancholy, regular ETOH use, binge consuming, marijuana use, obese status,
commonly "poor" fitness, inhalant use, aggressive behaviors consisting of fighting and hurting
others
- Ischemic coronary heart sickness, liver sickness, adolescent being pregnant, persistent
obstructive pulmonary disease, fetal loss of life, and skeletal fractures
