Identifying families with complex needs after an initial child abuse investigation: A comparison of demographics and needs related to domestic violence, mental health, and substance use

2017 ◽  
Vol 67 ◽  
pp. 294-304 ◽  
Author(s):  
James David Simon ◽  
Devon Brooks
2008 ◽  
Vol 42 (11) ◽  
pp. 963-968 ◽  
Author(s):  
Ria Schroder ◽  
Doug Sellman ◽  
Chris Frampton ◽  
Daryle Deering

Objective: The aim of the present study was to provide a profile of young people attending alcohol and other drug (AOD) treatment services in Aotearoa, New Zealand. Method: Data were gathered from a clinical file search of 184 randomly selected young people aged 13–19 years who had attended one of eight youth AOD treatment services in New Zealand during 2003 or 2004. These services represented eight of the 11 youth-specific AOD services available to youth in New Zealand. Results: Young people who attend youth-specific AOD services in New Zealand present with a range of complex needs including substance use and mental health issues, criminality, family conflict and disengagement from school. A total of 62.0% were male, 56.4% had criminal convictions, 40.6% had spent some time in Child, Youth and Family Services care and 53.8% were reported to have a coexisting substance use and mental health disorder. Low rates of reporting of substance use and mental health diagnoses in treatment files suggest that substance use and mental health disorders among this population are likely to be higher than those reported. Conclusions: This paper provides a unique profile of young people attending youth-specific AOD treatments in New Zealand. Such information is useful in informing treatment planning and funding and ensuring that service development occurs to specifically meet the complex needs of this patient group.


Author(s):  
Mark Doyle ◽  
Kit Tapson ◽  
Vasileios Karagiannopoulos ◽  
Peter Lee

Little is known about how the effects of moral injury and trauma manifest amongst police Internet Child Abuse Teams. This article reports on the impacts of organisational role and environmental factors on moral injury and trauma amongst this population. Six participants were recruited from two police constabularies in the United Kingdom. Data were analysed using interpretative phenomenological analysis. Findings indicated that the participants’ moral injury and trauma were predominantly attributable to excessive workloads and stigma in relation to mental health within policing. Generic psychological interventions were insufficiently responsive to the complex needs of the police investigators.


2014 ◽  
Vol 24 (4) ◽  
pp. 353-363 ◽  
Author(s):  
M. Tanaka ◽  
T. O. Afifi ◽  
C. N. Wathen ◽  
M. H. Boyle ◽  
H. L. MacMillan

Aims.Despite the advances in child maltreatment research, there is still the need for comprehensive information about how abuse affects a broad range of categories of young adult functioning, and the extent to which these vary by sex. We examined the associations between child physical abuse (PA) and sexual abuse (SA) and six areas of functioning (mental health, physical health, life satisfaction, illegal substance use, alcohol problems and daily smoking).Methods.Data were obtained from the 1983 Ontario Child Health Study and follow-up in 2000/2001 (n = 1893). Multilevel regression estimated the adjusted associations for PA (with severity) and SA with each of the outcomes. Estimates with an entire sample were presented with sex-by-abuse interactions to examine sex differences and then presented separately by sex.Results.In the adjusted model, severe PA and SA were associated with impairment in mental health, and both forms of PA (severe and non-severe) and SA were associated with low life satisfaction. In addition, severe PA was associated with illegal substance use. Child abuse variables were not associated with poor physical health, alcohol problems or smoking. Although sex-stratified analyses revealed different patterns, there was no significant sex difference in the integrated sample.Conclusions.This is among the first community-based studies to show a strong association between child PA and SA and low life satisfaction in young adults. The abuse effects were similar for both sexes.


Author(s):  
Dennis C. Daley ◽  
Antoine Douaihy

The effects of SUDs on family members are well documented. Some people grow stronger through exposure to an SUD in their family despite negative effects. They show resilience. There is evidence that children of parents with an SUD are at higher risk for problems than are children whose parents do not have an SUD. Problems include those related to substance use, health or mental health, trouble with the law, and problems at work or in school. Parental SUDs underlie many family problems such as divorce, spouse abuse, child abuse and neglect, welfare dependence, and criminal behaviors. Studies show that women who use alcohol or drugs during pregnancy are more likely to have premature births.


2012 ◽  
Vol 28 (2) ◽  
pp. 191-199 ◽  
Author(s):  
Todd I. Herrenkohl ◽  
Seunghye Hong ◽  
J. Bart Klika ◽  
Roy C. Herrenkohl ◽  
M. Jean Russo

2008 ◽  
Vol 53 (12) ◽  
pp. 810-821 ◽  
Author(s):  
Brian Rush ◽  
Christopher J Koegl

Objective: To examine the prevalence and profile of people with co-occurring mental and substance use disorders in relation to numerous demographic, diagnostic, and needs-related variables across a comprehensive system of mental health services using a standard methodology. Method: Data were collected on cases ( n = 9839) sampled from specialty tertiary inpatient, specialty outpatient, and community-based mental health programs. Status with respect to co-occurring disorders was based on recorded diagnosis of substance use disorder and the substance abuse measure within the Colorado Client Assessment Record. The demographic and needs profile was compared across groups with or without co-occurring disorders within each level of care. Results: Overall, the prevalence of co-occurring disorders was 18.5%, and highest among clients receiving specialty tertiary inpatient care (28%), and within selected subpopulations such as younger adults (55%) and those with personality disorders (34%). There were few differences between groups based on co-occurring disorders in the specialty inpatient programs. For outpatient and community settings, the clients with co-occurring disorders were distinguished by a more impaired and complex needs profile and more likely to be young, single, male, and of low education. Across all levels of care, having a co-occurring disorder was strongly associated with antisocial and challenging behaviour, legal involvement, and risk of suicide or self-harm. Conclusion: The prevalence estimate of co-occurring disorders is likely representative of a multilevel system of care that serves a large, mixed urban and rural population. Results highlight the need to focus on specific subpopulations and sectors in pursuit of more integrated treatment and support for their mental health and addictions problems.


Author(s):  
Ning Sasi Awaliyah ◽  
Ulin Nihayah ◽  
Khozaainatul Muna

A person's mental health is affected by events in life that leave a large impact on a person's personality and behavior. These events can include domestic violence, child abuse, or long-term stress. The literature research combines the literature studies found by the authors. The results showed; 1) The victim is very traumatized by the sexual harassment incident and must be accompanied by a counselor to relax her mind. 2) implications of handling the victim, with several conditions experienced by the victim after treatment, including; a) feel relieved and already want to talk to other people and family b). feel have the spirit of life c). his condition is more stable because he feels comfortable after receiving therapy from the counselor


2020 ◽  
Vol 69 (2) ◽  
pp. 93-102
Author(s):  
Thaís dos Reis Vilela ◽  
Marina Monzani da Rocha ◽  
Neliana Buzi Figlie ◽  
Sandra Cristina Pillon ◽  
Alessandra Diehl ◽  
...  

ABSTRACT Objective To investigate the association between exposure to domestic violence and increased risk of internalizing and externalizing problems and substance use among adolescents living with relatives with substance use disorder (SUD) at a low-income community of São Paulo, Brazil. Methods A cross-sectional study was conducted with 102 adolescents aged 12-17 years (M = 14.2, SD = 1.7) who were living with relatives suffering from SUD. Outcomes were measured using the Youth Self-Report (YSR), psychosocial stress factors questionnaire, Drug Use Screening Inventory (DUSI) and Phrase Inventory of Intrafamily Child Abuse (PIICA). Results The sample presented high prevalence of emotional/behavioral problems with YSR’s scores in the clinical range for Internalizing Problems (24.5%), Externalizing Problems (21.6%), and Total Problems (26.5%). The presence of mental health problems predicted substance use (PR = 2.22; 95% CI = 1.2-4.13), and substance use predicted increased risk of mental health problems. Alcohol use predicted more than double the risk of emotional/behavioral problems (PR = 2.01; 95% CI = 1.08-3.76), while illicit drug use was associated with an almost threefold increase in the prevalence of Internalizing (PR = 2.87; 95% CI = 1.19-6.89) and Externalizing Problems (PR = 3.3; 95% CI = 1.35-8.04). Conclusion Adolescents of relatives with SUD are at risk of developing emotional and behavioral problems. These findings reinforce the need to develop public mental health policies, which include protective interventions to adolescents living in families affected by substance use disorders.


Sign in / Sign up

Export Citation Format

Share Document