The Role of Mental Health Professionals in the Prevention and Treatment of Child Abuse and Neglect

Learning Objectives

After completing this course you’ll be able to:

1. Discuss the types of mental health professionals who work with neglected and abused children, including their varying professional orientations, education, training, and clinical supervision requirements.
2. Describe the roles of mental health professionals working with neglected and abused children, such as advocate, educator, consultant, and expert witness.
3. List some of the responsibilities of mental health professionals, including reporting abuse and neglect, referrals, prevention, training, and establishing quality assurance standards.
4. Explain specific concepts and terms related to the field of child abuse and neglect, such as physical abuse, sexual abuse, emotional/psychological abuse, and neglect.
5. List recent data concerning the incidence and effects of abuse and neglect.
6. Distinguish between forensic and clinical evaluations in cases of suspected child abuse and neglect.
7. Analyze the information to assess suicide risk.
8. Discuss mental health treatment concepts and issues including intra-familial child sexual abuse treatment, confidentiality, skill building and education, marital therapy, relationship issues, self-help groups, and interacting with the justice system.

Course Contents

1. Introduction
    The 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 Families
    Primary 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 Professional
    Report 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 Defined
    Operational 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 Models
    Intrafamilial 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 Modalities
    Dealing 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
    Nature of the Parent-Program Relationship
    Center-Based Programs
    Family Child Care
    Once the Report is Made
    Summary
  APPENDIX A: Mandatory Reporters of Child Abuse and Neglect
    Who Must Report
    Circumstances
  APPENDIX B: Clergy as Mandatory Reporters of Child Abuse and Neglect: Summary of State Laws
    Privileged Communications
  APPENDIX C: Child Abuse Reporting Numbers
  Glossary of Terms

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