Treatment FAQ

the final phase of treatment with chldren who have been abused should focus

by Dr. Lucious Johns II Published 2 years ago Updated 2 years ago

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Treatment. Treatment can help both children and parents in abuse situations. The first priority is ensuring the safety and protection for children who have been abused. Ongoing treatment focuses on preventing future abuse and reducing the long-term psychological and physical consequences of abuse.

What is the treatment for child abuse?

Any kind of child abuse and neglect can cause lifelong physical and emotional problems. But with the right kind of treatment, the child can learn how to deal with their past. If you notice a problem with your child’s health, emotions, or behaviors, seek treatment as soon as possible.

When to seek treatment for child abuse and neglect?

In dealing with clients with histories of child abuse and neglect, the counselor must strike a delicate balance between allowing clients to talk about the abuse when they are ready and not appearing to maintain the conspiracy of silence that so often surrounds issues of child abuse.

How do counselors deal with clients with history of child abuse?

Treatment for child abuse and neglect help lower a child’s risk of having learning, emotional, and social issues later in life. This benefits the child, any children they may have in the future, and society overall. How do I recognize child abuse or neglect?

What are the benefits of treatment for child abuse and neglect?

What are the strategies to deal with abuse?

Preventing Child Abuse and NeglectEnhanced primary care.Behavioral parent training programs.Treatment to lessen harms of abuse and neglect exposure.Treatment to prevent problem behavior and later involvement in violence.

What are the 3 levels of prevention of maltreatment?

The resources below provide information regarding all three levels of prevention.Primary prevention.Secondary prevention.Tertiary prevention.

What are the three levels of abuse?

Here Are the Three Types of Abuse: Mental Abuse, Physical Abuse, and Verbal Abuse.

What is a tertiary prevention?

Tertiary Prevention: While secondary prevention seeks to prevent the onset of illness, tertiary prevention aims to reduce the effects of the disease once established in an individual. Forms of tertiary prevention are commonly rehabilitation efforts.

What is tertiary prevention of abuse?

tertiary prevention focuses on thwarting long-term impacts and consequences of sexual assault in later life. Specifically, tertiary prevention aims to reduce, mitigate, and lessen the negative consequences of violence through treatment, rehabilitation, and prevention of future victimization/perpetration [4-7].

When caring for a victim of abuse you should?

What should I do if I know or suspect that someone is being...Take time to listen. It may take some time for a victim of abuse to start telling their story. ... Take the disclosure seriously. ... Do not blame the person or suggest that the abuse was somehow their fault. ... Seek help. ... Help the victim connect with resources.

What are the 4 main areas of abuse?

Most States recognize four major types of maltreatment: physical abuse, neglect, sexual abuse, and emotional abuse. Additionally, many States identify abandonment, parental substance use, and human trafficking as abuse or neglect.

What can be done about child maltreatment?

Effective prevention approaches include supporting parents and teaching positive parenting skills, and enhancing laws to prohibit violent punishment. Ongoing care of children and families can reduce the risk of maltreatment reoccurring and can minimize its consequences.

What should a child have when therapy comes to a close?

When therapy for the child comes to a close, the child should have a clear understanding of healthy relationships, boundaries, sense of self, communication and safety skills. The family will have ideally come together to maintain the safety plan, support the child, resolved feelings of guilt, and have a new mindset of hope and empowerment.

What are the feelings of a child who has been abused?

Children who have endured abuse have different responses regarding the abuse. Some may feel shame, embarrassment, regret, guilt, anxious, or depressed. Some children may not exhibit any negative emotions surrounding the abuse at all.

Why is assertiveness important in therapy?

Teaching assertiveness skills to children is an important piece of the preventative and safety part of therapy . Some children tend to be either passive, aggressive, or assertive. Learning how to “say no” or know when to walk away is important for everyone to know.

What is the resolution stage of a child?

Most of the resolution stage involves shifting from a “victim” identity to a “Survivor” identity, and finally, a “thriver” mentality. Allowing the child to express the “why me” questions and ultimately shifting the child’s (and family’s) mindset to “yes, this happened to me, but I am safe now, and stronger now, and this does not define me.”

Why is it important for a child to feel supported?

Other family members may also miss this person. It is important that the child feels supported and the family comes together to resolve any conflicts regarding the changes in the new environment.

Can you assume what a child is feeling?

Keep in mind you cannot assume what the child is feeling; you must allow the child to express his or her emotions and come from a phenomenological perspective when a child shares his or her experience. Here is a great worksheet for children identifying feelings and emotions in the body.

What type of therapy deals with the way the child's relationships have been influenced by the abuse?

Intrapersonal therapy. This type of therapy deals with the way the child’s relationships have been influenced by the abuse. Cognitive and behavioral therapy. This type of therapy deals with the way the abused child’s feelings and thoughts have changed their behavior. Treatment activities may also focus on preventing child abuse ...

What is the type of abuse that is the failure of a child's parent or caretaker to provide for

Neglect. This type of abuse is the failure of a child’s parent or caretaker to provide for basic needs like food, shelter, or health care. Neglect may be: Physical. Physical neglect includes the failure to provide adequate supervision, food, shelter, or safety. Medical.

What is child abuse and neglect?

Treatment for child abuse and neglect is a type of treatment that helps children deal with the results of abusive behavior towards them. Child abuse and neglect can have both emotional and physical symptoms that each require their own special kind of treatment. Child abuse and neglect can take several forms. The treatment provided will depend on ...

What is Senseless Behavior?

Senseless behavior. Depression or carelessness regarding their own life or health. Any kind of child abuse and neglect can cause lifelong physical and emotional problems. But with the right kind of treatment, the child can learn how to deal with their past.

How do you know if you are being sexually abused by your parents?

Signs that a parent may know about or be the cause of sexual abuse include: Being secretive and isolating the child. Being overprotective or limiting their child’s contact with children of the other gender. Appearing jealous or manipulative.

What is emotional neglect?

Emotional neglect includes discounting or discouraging a child’s feelings. Providing inadequate supervision. Inadequate supervision includes leaving a child alone if they can’t take care of themselves, or leaving a child in the care of an inappropriate or inadequate caregiver. Exposing a child to violent situations.

What are the consequences of a child's injuries?

The child may also wear clothes to cover up the injuries, like long sleeve shirts in summer, or be scared to go home. They may also abuse animals or pets.

Issues Surrounding Disclosure

Clients may enter substance abuse treatment for any number of reasons, ranging from self-diagnosis to mandated treatment for those referred by the criminal justice system. Whatever the reason for entering treatment, it is not unusual for a client to first identify or disclose a history of childhood abuse when in treatment.

The Use of Medications During Treatment

The anxiety and feelings of pain that might surface when a client becomes more aware of past abuse are often related to PTSD, and selected psychiatric medications may be required to help the client through this painful period.

Sequential, Integrated, and Concurrent Treatment Approaches

Many programs use a sequential model of treatment, in which a period of abstinence is required before a client can move on to psychotherapeutic treatment of issues related to childhood abuse or neglect.

Timing of Therapeutic Interventions

The type of treatment that is most suitable to the individual can be determined in a number of ways. Although traditional 12-Step approaches emphasize a linear model of recovery in which abstinence takes priority over all other issues, research data are not yet available to indicate the superiority of this approach.

Interpersonal Issues

The counselor must be aware of personal and interpersonal developmental deficits (see "Challenges to Accurate Screening and Assessment" in Chapter 2) and must work to remediate these issues through skill development and through the counseling relationship.

Working From a Position of Supportive Neutrality

Counseling techniques for treating substance abuse in clients with a history of child abuse or neglect include interviewing from a stance of supportive neutrality. By asking, for example, what clients believe was both good and bad about the substance abuse, the counselor explores clients' perspectives and elicits rather than conveys information.

Group Therapy

Although group treatment, including 12-Step programs and group therapy, is generally the treatment of choice for individuals who abuse substances ( Barker and Whitfield, 1991; Washton, 1997 ), some individuals with childhood abuse issues may not do well in group settings.

What is the first stage of sexual abuse?

Stage one is not about processing memories of the sexual abuse but rather preparing the person and strengthening her (or him) to the point where she will be able to process those memories. Remembrance and Mourning. Reviewing and discussing memories to lessen their impact.

What is the treatment for sexual abuse?

Individual therapy. The type of treatment of sexual abuse chosen and the specifics of what will happen in that therapy depends on many factors including the age of the victim and the type and severity of the sexual abuse. Art therapy is commonly used with young children who have trouble expressing what happened directly.

How often do people recover from sexual abuse?

Sexual Abuse Recovery. People recover from child sexual abuse every day but most require treatment for child sexual abuse. Unfortunately, most won't receive sexual abuse therapy until they are adults, as only about 30% of child sexual abuse is reported by children. Nevertheless, there is treatment for child sexual abuse available ...

How many stages of sexual abuse recovery?

While people may jump from stage to stage and not necessarily process things neatly in discrete stages, there are basically three steps to sexual abuse therapy and recovery.

What are the different types of therapy for children?

For children and adolescents, three general types of therapy are common: Family therapy – needed in many cases but young children particularly require the intense participation of the caregivers. Group therapy – more common for adolescents who are more independent. Individual therapy .

What is the fear response in abused children?

Traumatic experiences trigger a state of fear-related activation in abused and neglected children’s brains. Chronic activation of the adaptive fear response can cause a persistent fear state that in turn causes hyper-vigilance, increased muscle tone, a focus on threat-related cues, anxiety, and behavioral impulsivity.

How does the early vulnerable period affect a child's attachment to a parent?

Experiences during this early vulnerable period affect a child’s core attachment capabilities. A child’s ability to feel empathy , be caring, inhibit aggression, love, and acquire other characteristics typical of a healthy , happy , and productive person are tied to the child’s care at the beginning of life.

How to help a maltreated child with attachment problems?

Sing quietly. Be consistent, predictable, and repetitive. Maltreated children with attachment problems are very sensitive to new situations. Social events (parties, sleepovers, trips) can overwhelm them, even if they are pleasant. Efforts to make life consistent, predictable, and repetitive are very important.

How to make a child feel safe?

When children feel safe, they can benefit from the nurturing and enriching experiences you provide. Model and teach appropriate social behaviors. Many abused and neglected children do not know how to interact with others.

What are the problems children face in early childhood?

Resulting problems can range from mild interpersonal discomfort to profound social and emotional problems.

What to do if your child hoards food?

A punitive approach may increase the child’s sense of insecurity and need to hoard food. Interact with children at their emotional age. Abused and neglected children are often emotionally and socially delayed.

What are the developmental delays in children?

Developmental delays: The bond between a young child and her caregivers provides the major vehicle for physical, emotional, and cognitive development. Lack of consistent and enriched experiences in early childhood can cause delays in motor, language, social, and cognitive development.

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