A Clinician's Guide to Disclosures of Sexual Assault

Author(s):  
Amie R. Newins ◽  
Laura C. Wilson

Sexual assault is a worldwide public health concern, as it occurs to people of all genders at alarming rates and results in serious physical and mental health sequelae. The reactions survivors receive from formal and informal supports can significantly influence their recovery. Given the prevalence of sexual assault, all providers need to be prepared to handle disclosures of sexual assault from clients. The aim of this book is to provide guidance on how to interact with survivors of sexual assault, which the authors define as sexual contact or penetration without the explicit consent of the victim. While the book is primarily geared toward mental health professionals, the content is also relevant for professionals who work in medical settings, educational settings, law enforcement, and victim services. The authors also highlight that there are particular populations (e.g., racial and sexual minorities) and settings (e.g., military, higher education) that require particular considerations when discussing sexual violence. Overall, professionals have an instrumental role in facilitating survivor recovery, and this book provides best practices for providing services in an affirming manner. The book begins with a review of literature focused on sexual assault and survivor disclosure. Then, recommendations are provided for conducting assessments and psychotherapy with survivors of sexual assault. Case examples are presented to help illustrate specific recommendations for working with survivors of sexual assault. Finally, particular recommendations for various specific populations are provided.

2021 ◽  
Author(s):  
Peter Phiri ◽  
Isabel Clarke ◽  
Lydia Baxter ◽  
Kathryn Elliot ◽  
Shanaya Rathod ◽  
...  

Traumatic experiences are known to have a significant impact upon one’s physical and mental health. Post-traumatic stress disorder (PTSD) is understood to be a common mental health consequence of trauma. However, Complex Trauma and consequences of adverse childhood experiences appear more prevalent and a serious public health concern that hinders the individual’s daily existence, thus emphasising the need to implement a culturally free treatment intervention. In this chapter, we begin by introducing traumatic experiences in several contexts and explore the treatment for trauma. It will focus on a research study that employs Comprehend, Cope and Connect (CCC), a third wave CBT approach, to deliver a culturally free form of therapy that has been adapted for individuals from diverse populations. The CCC approach’s relevance to cultural adaptation is explained and discussed through the use of two case examples from the main study. The Culture Free study found that CCC was both feasible and acceptable in diverse populations, echoing existing research on cultural adaptations which found use of mindfulness to be accepted and appreciated as an effective intervention that can elicit concrete positive change across a broad range of mental health presentations, including trauma and trans-diagnostically. Further investigations utilising a robust methodology and powered sample are warranted in particular with diverse populations presenting with complex trauma.


1994 ◽  
Vol 18 (6) ◽  
pp. 340-342
Author(s):  
A. Ubeysekara

The effects of losing a loved one through death on the physical and mental health of both adults and children are well documented in the literature. Children are likely to be referred to mental health professionals for various behaviour and emotional problems which may have a causative link with a bereavement within the family. In this paper I discuss the need for preventive work and, propose a role for child psychiatric services in preventive work for bereaved families with surviving children and adolescents. A ten-point plan is suggested as a guideline.


2020 ◽  
Vol 22 (Supplement_3) ◽  
pp. iii440-iii440
Author(s):  
Kathy Riley

Abstract In the United States, more than 28,000 children and teenagers live with the diagnosis of a primary brain tumor (Porter, McCarthy, Freels, Kim, & Davis, 2010). In 2017, an estimated 4,820 new cases of childhood primary brain and other central nervous system tumors were expected to be diagnosed in children ages 0 – 19 in the United States (Central Brain Tumor Registry of the United States, 2017). Survivors suffer from lifelong side effects caused by their illness or by various treatments. Commonly identified late effects of treatment include a decline in intellectual functioning and processing speed, performance IQ deficits, memory deficits, psychological difficulties, deficits in adaptive functioning (daily life skills), and an overall decrease in health-related quality of life (Castellino, Ullrich, Whelen, & Lange, 2014). To address the ongoing challenges these survivors and their families face, the Pediatric Brain Tumor Foundation (PBTF) met extensively with working groups comprised of survivors and caregivers to develop the outline for a comprehensive Survivorship Resource Guidebook. In 2019, the PBTF published the guidebook which categorizes survivor and caregiver needs into three primary areas: physical and mental health, quality of life, and working the system. Expert authors included survivors and caregivers themselves in addition to medical and mental health professionals. Key outcomes discovered during the creation and production of this resource highlight how caregivers, survivors and professionals can collaborate to provide needed information and practical help to one segment of the pediatric cancer population who experience profound morbidities as a result of their diagnosis and treatment.


2021 ◽  

Mental health practitioners are encountering an ever-growing number of older adults and so an up-to-date and comprehensive text addressing the special considerations that arise in the psychological assessment and treatment of this population is vital. This accessible handbook does just that by introducing the key topics that psychologists and other health professionals face when working with older adults. Each area is introduced and then the special considerations for older adults are explored, including specific ethical and healthcare system issues. The use of case examples brings the topics further to life. An important feature of the book is the interweaving of diversity issues (culture, race, sexuality, etc.) within the text to lend an inclusive, contemporary insight into these important practice components. The Pikes Peak Geropsychology Knowledge and Skill Assessment Tool is included in an appendix so readers can test their knowledge, which will be helpful for those aiming for board certification in geropsychology (ABGERO). This an ideal text for mental health professionals transitioning to work with older clients, for those wanting to improve their knowledge for their regular practice, and for trainees or young clinicians just starting out.


Author(s):  
Ellyn M. Schmidt ◽  
Tessa N. Hamilton ◽  
Jessica A. Hoffman

Children’s physical and mental health are impacted by keystone behaviors including eating, physical activity, and sleep. Schools represent a critical venue for health promotion, and school-based mental health professionals possess the knowledge and skills to implement prevention and intervention strategies while also guarding against unhealthy weight control behaviors. This chapter discusses strategies for promoting physical activity and healthy eating in schools, as well as approaches for promoting sufficient sleep. There is an emphasis on universal (i.e., Tier 1) strategies with some attention devoted to targeted (i.e., Tier 2) approaches. Two important themes in this chapter include (a) the importance of systems level changes that appropriately recognize that factors outside children’s control impact their ability to engage in healthy behaviors and (b) the value of family–school partnerships to promote physical activity, healthy eating, and sufficient sleep.


2019 ◽  
Vol 5 (1) ◽  
pp. 2-13 ◽  
Author(s):  
Dori Zener

PurposeThe purpose of this paper is to review the barriers that girls and women face in receiving an accurate and timely autism diagnosis. The journey to late-in-life diagnosis will be explored with a focus on mental health and well-being. The aim is to improve the awareness of the female autism phenotype to provide access to early identification and appropriate supports and services.Design/methodology/approachThe author’s clinical experience as an individual, couple and family therapist specializing in girls and women with autism informs the paper. Research on co-occurring mental health experience and diagnoses are reviewed and combined with case examples to outline the themes leading to and obscuring autism diagnosis.FindingsFemales with autism are less likely to be diagnosed or are identified much later than their male counterparts. Living with unidentified autism places significant mental strain on adults, particularly females. Achieving a late-in-life diagnosis is very valuable for adults and can improve self-awareness and access to limited support.Practical implicationsMental health professionals will develop a better understanding of the overlap between autism and psychiatric conditions and should consider autism in females who are seeking intervention.Originality/valueThis paper provides a clinical approach to working with autistic girls and women. This knowledge can complement the existing research literature and help build the foundation for a greater understanding of the female autism phenotype.


2007 ◽  
Vol 35 (5) ◽  
pp. 619-638 ◽  
Author(s):  
Laura L. Starzynski ◽  
Sarah E. Ullman ◽  
Stephanie M. Townsend ◽  
LaDonna M. Long ◽  
Susan M. Long

2016 ◽  
Vol 27 (5) ◽  
pp. 677-687 ◽  
Author(s):  
Jessica Collins ◽  
Bernadette M. Ward ◽  
Pamela Snow ◽  
Sandra Kippen ◽  
Fiona Judd

There are disproportionately higher and inconsistently distributed rates of recorded suicides in rural areas. Patterns of rural suicide are well documented, but they remain poorly understood. Geographic variations in physical and mental health can be understood through the combination of compositional, contextual, and collective factors pertaining to particular places. The aim of this study was to explore the role of “place” contributing to suicide rates in rural communities. Seventeen mental health professionals participated in semi-structured in-depth interviews. Principles of grounded theory were used to guide the analysis. Compositional themes were demographics and perceived mental health issues; contextual themes were physical environment, employment, housing, and mental health services; and collective themes were town identity, community values, social cohesion, perceptions of safety, and attitudes to mental illness. It is proposed that connectedness may be the underlying mechanism by which compositional, contextual, and collective factors influence mental health and well-being in rural communities.


2020 ◽  
Vol 9 (3) ◽  
pp. 127-141
Author(s):  
B.E. Galicia ◽  
C.A. Bailey ◽  
M. Briones ◽  
K.Z. Salinas ◽  
A,C. Venta

As of 2017, the number of international immigrants worldwide increased from 220 million to 248 million, and will continue to rise [16]. Growing diversity worldwide requires a stronger emphasis on multicultural competency among mental health professionals. Learning multicultural competency skills is a career-long commitment that begins in practicum training and is modeled and reinforced through supervision. The Multicultural Developmental Supervisory Model (MDSM) is an evidence-based model that focuses on supervisory dyads and multicultural competence [12]. Using the MDSM [12] as a guide reflective of our training, four graduate supervisees share their supervision experiences in learning to conduct clinical interviews in Spanish with undocumented Latinx immigrant minors in government custody in the United States, a rising population with unique clinical considerations. Our supervisor includes her experience in training and fortifying beginning mental health professionals’ skills in conducting these evaluations. In this contribution, we illustrate our trajectory from different training developmental stages, including the process of conceptualizing clinical cases, and transitioning languages in conducting clinical interviews, as well as considering our own cultural identities in clinical work. While our experience focuses on bicultural and bilingual training in the U.S., this aspect of clinical training is growing increasingly relevant around the world, especially in Europe where 54% of tчёёhe population is multilingual [10]. Although we used the MDSM model as a helpful framework in guiding our multicultural development, empirical research is needed to examine the utility of this model.


Sign in / Sign up

Export Citation Format

Share Document