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CONTENTS 1. INTRODUCTIONThe Mental Health Professional and Child Abuse Mental Health Disciplines and Child Abuse Intervention Psychiatry Psychology Clinical Social Work Psychiatric Nursing Counseling Art Therapy/Expensive Arts Therapy Child Abuse Intervention as a Subspecialty 2. ROLES OF MENTAL HEALTH PROFESSIONALS WORKING WITH ABUSED AND NEGLECTED CHILDREN AND THEIR FAMILIESPrimary and Secondary Prevention Tertiary Intervention Evaluation and Treatment Advocate Source of Information and Referrals Educator Preparing Clients to Testify in Court Consultant to County or State Departments of Social Services Expert Witness
3. RESPONSIBILITIES OF THE MENTAL HEALTH PROFESSIONALReport Child Abuse and Neglect Resistance to Child Abuse Reporting Laws Inappropriate Interventions Whether to Tell the Client that the Mental Health Professional Is Making a Report Refer Children for Medical Evaluations Prevent Sexual Abuse of Child and Adult Clients by Therapists Acquire Knowledge, Skills, and Expertise Through Training Establish Quality Assurance Practices and Standards Participate on a Multidisciplinary Team 4. HOW CHILD ABUSE AND NEGLECT ARE DEFINEDOperational Definitions Physical Abuse Sexual Abuse Emotional/Psychological Abuse Child Neglect Incidence Effects of Child Abuse Contextual and Developmental Factors Physical Abuse Sexual Abuse Neglect Mental Health Evaluations Forensic Evaluations Parents Clinical Evaluations of Children, Parents and Families Assessing Suicidal Risk Behavioral Clues to Suicide
5. MENTAL HEALTH TREATMENT ISSUES AND MODELSIntrafamilial Child Abuse Treatment Isolation Poor Communication and Ambiguous Boundaries Sexual Distortions Intervention Issues Assessment of the Child’s Immediate and Long-Term Treatment Needs Child’s Safety from Abuse Empowerment of the Nonoffending Parent Management of Sexualized Behavior Skill Building and Education Status of the Intrafamilial Perpetrator Willingness of the Perpetrator to Assume Genuine Responsibility Awareness and Management of Incestuous Thoughts and Behavior Marital Therapy Reestablishment of the Parent-Child Relationship The Comprehensive Sexual Abuse Treatment Program (CSATP) Nonfamilial Child Abuse: Providing Support to Parents Child Physical Abuse Treatment Components Education and Skill Training May Not Be Enough Aggression Management Self-Help Groups Parents Anonymous Model Neglecting Families: Intensive In-home Interventions
6. TREATMENT MODALITIESDealing with the Justice System Managing the Therapeutic Environment Physical Environment Support Personnel Structure of the Therapeutic Session Confidentiality Release of Information Personal Issues for Mental Health Professionals Countertransference Stress and Burnout Managing Professional and Private Lives Responsibilities of Supervisors, Managers, and Administrators
7. CAREGIVERS OF YOUNG CHILDREN: PREVENTING AND RESPONDING TO CHILD MALTREATMENT Reporting Child Abuse and Neglect State Laws Who Reports Definitions of Child Abuse and Neglect When to Report Where to Report How to Report Local Program Reporting Requirements Local Policies and Procedures for Reporting Difficulties Encountered When Reporting Personal Feelings Program Policies and Practices Center-based Programs Family Child Care Once the Report is Made Summary
APPENDIX A: Mandatory Reporters of Child Abuse and NeglectWho Must Report Circumstances APPENDIX B: Clergy as Mandatory Reporters of Child Abuse andNeglect: Summary of State Laws Privileged Communications APPENDIX C: Child Abuse Reporting NumbersGLOSSARY OF TERMS
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