Beruflich Dokumente
Kultur Dokumente
Chapter Objectives
After reading this chapter, you should be able to:
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Special Concerns
First Items
A child may be in counseling a while before you
learn of these items
All of them are under reported
Duty to report
o
Categories
Child Maltreatment
Substance Abuse in the Family
Death and bereavement
Depression and suicide
Divorce and separation
Children and violence
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Child Maltreatment
Physical abuse
o Beating, striking with an object, burning, biting
Physical neglect
o Failure to provide basic needs: food, medical,
protection
Sexual abuse
o Using a child for sexual gratification: range from
watching a child undress to rape
Psychological abuse
o Chronic denigration of child, isolation, terrorizing,
excessive demands, parental violence and drug use
Emotional neglect
o Failure to provide affection; failure to thrive
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Physical, Psychological
Abuse
Physical
o Long term effects not well understood
o 25% have serious MH issues: anxiety,
depression
o Overwhelming school problems, academic
failure
Psychological
o Destructive effects have been documented
Multiple behavioral and MH problems
o Enlist the school in responding to the problem
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Needs
o
o
o
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Children in Chemically
Dependent Families
8.3 million children in Americans live in an alcoholic
family
Often left out of the parents treatment
Compared with other children have significant risks
for mental illness, physical health difficulties and
learning problems
Both physical and psychological needs have not
been met
Childs environment has been unpredictable
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Children in Chemically
Dependent Families
Rules the child has had to live by
Children in Chemically
Dependent Families
Interventions:
Each family is unique
o How much protection did nondrinking parent
provide
o What familial supports are there
o How much did the child have to enable
Children need to learn to love their parents without
loving the behavior
Time and patience required to overcome their
learned behaviors
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Children in Chemically
Dependent Families
Treatment Goals:
Give emotional support to the children
Provide accurate, nonjudgmental information
about chemical dependency.
Correct childs misperceptions about being the
cause of the problem.
Help children focus on their own behavior.
Help children learn to cope with possible
situations.
Reduce childrens isolation.
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Persistent sadness
Hopelessness
Loss of interest
Change in eating/sleeping habits
Truancy, sudden drop in grades
Thoughts of death and suicide
Learning disabilities
Giftedness
Family structure
Children of divorce
The most important item is parental support
Tasks children must work through
o Acknowledging the reality of the marriage breakup
o Disengaging from parental conflict
o Resolution of loss
o Resolving anger and self blame
o Accepting the permanence of divorce
o Achieving realistic hope regarding relationships
the child may be afraid of developing new
relationships
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Family Structure
Children in step families
o
Family Structure
Children in single parent homes
Family Structure
Homeless children - Counseling tasks
Case management
Help child build trust
Be alert for possible abuse and neglect
Educational assessment
Insure remedial work including social
skills
Advocate for the child
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o Requires
specialized training
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