CMAS exam 3

The definition of incest

sexual abuse by a blood relative who is assumed to be part of the child's nuclear family

In what areas do neglected children have poorer achievement?

lower neurocognitive functioning, IQ, learning/memory

Consequences of sexual abuse that carry into adulthood are these three forms of disassociation

disengagement, detachment/numbing, and observation

Traumatic sexualization

child's premature indoctrination into adult sexuality and the confusion this process involves

Know what the developmental dimensions model is and how many dimensions a child processes their victimization.

4

What are the 4 developmental dimensions

Appraisals, Developmental tasks, Coping strategies, Environmental buffers

Appraisals

wrongness, dangerousness, self blame

Appraisals on the victimization and its implications - children at different stages approaside victimizations differently and tend to form different expectations based on those appraisals

Developmental tasks

e.g., attachment, peer relationship formation, dating

task application - children at different stages face different developmental tasks, upon which these appraisals will be applied

Coping strategies

e.g., avoidance, somatization, cognitive processing

Children at different stages of development have available to them different repertoires of coping strategies with which to respond to the stress and conflict produced by victimization

Environmental buffers

e.g., parent, school, police response

Children at different stages of development operate in different social and family contexts, which can alter how the victimization affects them

Interpersonal violence

The willful intimidation, physical assault, battery, sexual assault, and/or other abusive behavior as part of a systematic pattern of power and control perpetrated by one intimate partner against another

When the perpetrator makes light of the abuse and not taking victim's concerns seriously

Minimizing, denying, and blaming

When the perpetrator controls the victim and who they can see/talk to

Using isolation

When a perpetrator uses looks, actions, gestures or smashing things as a means to control a victim.

Using intimidation

what is Serve and Return and why is it important to understand as it relates to neglect?

The child serves something up and the parents return with a response

The differences between Caplan and Gordan's Prevention frameworks and apply them to examples.

Caplan - (three-fold prevention framework): Primary prevention, Secondary prevention, Tertiary prevention

Gordon - Prevention,Universal prevention, Selective prevention,

Indicated prevention

Primary prevention -

vaccine - targets people who do not show signs of the problem/disorder

Secondary prevention -

identify people who are high risk for developing the problem disorder

Tertiary prevention -

"after the fact" stop it from recurring

Gordon - Prevention -

services for those individuals who were identified as not suffering from any discomfort or disability from the disease or disorder to be prevented

Gordon - Universal prevention:

offered to the full population based on the evidence that is likely to provide some benefit to all (reduced with the probability of disorder), which clearly outweighs the costs and risks of negative consequences

Gordon - Selective prevention

targeted to subpopulations identified as being at elevated risk

Gordon - Indicated prevention

targeted to individuals who are identified as having an increased vulnerability for a disorder based on some individual assessment but who are currently asymptomatic

In what ways can families be enrolled into in-home services?

Voluntary - family members have agreed to participate of their own accord

Court ordered - a judge has a mandated family's participation

The different forms of out-of-home placement

kinship/relative foster care

Foster care

Group home

Independent living

kinship/relative foster care

child's relatives regarded by the agency as a foster care living arrangement for the child

Foster care

24 hour substitute care for children placed away from thor parents or guardians and for whom the agency has placement and care responsibilities

Group home

a licensed or approved home providing 24 hour care for children in a small group setting that generally has from 7-12 children

Independent living

child is under the supervision of the agency without 24 hour adult supervision

When CPS removes a child from the home, when they are planning for reunification and planning for adoption options - this is known as what?

Concurrent planning

The definition for prevention

Receive services with the expectation that likelihood of a future disorder will be reduced

From the reading what is the incredible years program

workshops for parents, children, and teachers that promote a variety of protective factors. These programs are designed to promote emotional and social competence while eliminating or treating behavioral problems

What is Cognitive Behavioral Therapy?

- Operates on the assumption that what people believe influences how they act and feel

- Modify thoughts to change behaviors

- Changed behaviors will influence emotions

- Changing how one feels will impact how they think and what they do

What is AF-CBT?

Alternatives for family - CBT

How many phases is AF-CBT

It's three phases

When and who can receive this intervention (AF-CBT)?

Stemming from aggressive or hostile behaviors by caregivers or youth-5 to 17 years old

What is TF-CBT?

Trauma-Focused Cognitive Behavioral Therapy

Who can it be offered to and when (TF-CBT)?

Children between 3 and 21 years of age

Exhibiting PTSD as a result of childhood trauma

TF-CBT treatment

P - psychoeducation and parenting skills

R - relaxation techniques

A -affective expression and regulation

C - cognitive coping and processing

T - trauma narrative and processing

I - in vino ('in life") exposure

C - conjoint parent/child sessions

E - enhancing personal safety and future growth

What is PCIT (Parent-Child Interaction Therapy)?

This evidence-based technique involves "coaching" sessions where the therapist observes the parent-child interaction from behind a one-way mirror or through video. The therapist then aids the parent in developing methods of handling and relating to the child that decrease not only the child's disruptive behavior but also the parents' frustration with the child, which may have precipitated the abuse.

The definition of case management

the ongoing work with families during which

Goals

Plans

Services identified

Progress monitored

Development of a case plan

How evidence-based treatment(EBT) is defined

Target a specific problem or disorder

Focused

Directive

Goal -oriented

Short (generally under 6 months)

Well developed evaluation components to monitor treatment

What are the three things the scientific community is looking at in EBTs?

The number of research studies completed

The quality of research

Weather experts agree that the treatment works

What is countertransference

The worker's reaction to the clients (feelings, attitudes, thoughts and behaviors), which is brought about by the helper's own past life experiences

At what point can someone break confidentiality?

If the client has threatened or attempted suicide

If the client threatens to kill another

If the client abuses or neglects a child

How is treatment defined?

services required to help the family meet their goals

The definition of Strength Based Approach

This approach looks at the parents' potential and the barriers that must be removed in order to promote successful parenting

What is child resiliency?

ability to recover from or adult easily to adversity or change

The NON organic failure to thrive (NFTT) syndrome is a term used to describe infants who have been diagnosed by the presence of several factors. What are the three factors that are used to diagnose NFTT? (3)

a. The infant has fallen below the 5th percentile in weight and often in height

b. the infant demonstrates a lack of attachment o its primary caregiver

c.the baby was once of a weight and height within the expected norm

d. the infant has demonstrated a delay in psychomotor development

e. The infant has fallen below the 10th percentile weight and often in height

The infant has fallen below the 5th percentile in weight and often in height

the baby was once of a weight and height within the expected norm

the infant has demonstrated a delay in psychomotor development

From lesson 10, you learned that the long term effects of child physical abuse include, challenges with (select the 5 that apply):

getting into college

finding meaning in the world

trust

anger

parenting

relational imbalance

finding a job

low self esteem

assertiveness

coping skills

Trust

anger

relational impalence

low self-esteem

coping skills

____________ refers to the child's premature indoctrination into adult sexuality and the confusion this process involves

elaborate sexualization

innaproproate sexulization

betrayal

traumatic sexualization

traumatic sexualization

the textbook describes _______ as involving moments of "spacing-out", in which one is oblivious to external events. These moments may be conscious or unconscious and rarely last more than a few second to several minutes. What type of dissociation is being described?

disengagement

__________ is a poor command of language and the inability to conceptualize and verbalize feelings stem largely from a lack of experience in talking with people other than on a superficial level. The inability to effectively communicate can translate into adulthood for children who were raised with neglectful parent

verbal inaccessibility

deprivation-aggression

the process that leads to delinquency or acting out of anger as the deprivation-aggression sequence. Failure to meet a child's basic needs results in frustration. Frustration translates into aggression

% of people not knowing they were in an abusive relationship in college

70%

what are the three categories for caplan's prevention framework

primary, secondary, tertiary

Caplan argued that ____ prevention programs or interventions are those that would occur prior to the development of a problem and would be applied to masses

Primary

The primary source of funding for child welfare in-home services is provided through provisions of ________ funds

federal

_______ is another form of foster care; however, the care is provided by someone within the child's family, typically a grandparent, aunt, uncle, etc.

kinship care

consumer families

Consumer families are those who recognize their limitations in knowledge and voluntarily sign up for educational groups and parent groups. These families call hotlines and generally seek to keep from abusing their children.

resistant families

dysfunctional, abuse alcohol and drugs, have deficient parenting skills, and are resistant to efforts to change—that require the most attention

Dependent families

need more help and need to know how to access education and services. They need outreach and follow-up.

According to Berkowitz et al. (2011), the child family traumatic stress intervention (CFTSI) is effective in preventing which psychiatric outcome?

post traumatic stress disorder

__________ is the activity of coordinating services, making referrals, and supporting the family members through their case plans

case management

These treatments target a specific identified clinical problem or disorder are focused, directive, and goal oriented, are typically short term, and include a well developed evaluation component to monitor treatment progress

evidence based treatment

Of the evidence based treatments discussed in class, one of the common first steps in the intervention was

psychoeducation

An appropriate intervention for the child and their parent who has perpetrated the abuse is known as ___________ would be more appropriate and effective in addressing the family conflict. Children and families may engage in this intervention if the child is between the ages if 5-17 years old

alternatives for families: a cognitive - behavioral therapy (AF-CBT)

______ is an evidence based treatment utilized for youth between the ages of 3 and 18 years of age. THe intervention has proven to be effective in addressing the psychological and somatic symptoms of child sexual abuse. This intervention does not work with the perpetrating caregiver

trauma focused cognitive behavioral therapy

For some neglected children, anger is expressed through aggressive or delinquent behaviors. This is known as ______________-____________ sequence

Deprivation-aggression

Research has indicated that when a child witnesses domestic violence, this is more detrimental to the child than if they had experienced the abuse directly.

true or false

True

When a child experiences physical abuse, there is a change in their brain structure and chemistry.

ture or false

true

A _______________________ is a licensed or approved home that provides twenty-four-hour care for children in small group settings that are oftentimes set to maintain anywhere between 7-12 children.

group home

In the Berkowitz article, the _______________________ is an intervention utilized when there are early distressing symptoms that indicate risk for subsequent psychiatric disorder.

Child and Family Traumatic Stress Inventory

This type of secondary prevention of child maltreatment is longer in duration and may be more intensive in terms of content.

Public service announcements

Parent management interventions

Interventions for addressing parenting risks

Home visitation services

Home visitation services

When developing prevention efforts, developers must first consider the four criteria, context or setting, duration of the program, skills or protective factors being addressed and__________:

When the intervention will be available to launch.

Who is the target of services.

Whether or not CPS will like the intervention.

The political climate.

Who is the target of services.

The Child and Family Traumatic Stress Inventory is an intense and prolonged intervention.

true or false

false