This high-level content course offers nurses evidence-based guidance in recognizing childhood maltreatment and assessing impairments. Nurses will learn about types of maltreatment (physical, sexual, and emotional abuse and neglect), types of perpetrator (male, female, multiple, and attachment figures), age of onset, duration of abuse, and direct and indirect maltreatment experience (such as witnessing sibling abuse or domestic violence). The course offers an overview of the various resources needed to capture the prevalence of childhood maltreatment, including community surveys, official statistics from child protective services reports, and records. The course also describes well-known mental health screening tools for evaluation of pediatric, adolescent, and adult clients, with attention to assessment for early youth involvement with alcohol and other drugs, risky sexual practices, smoking, and other dangerous behaviors. It addresses the complex responses to childhood maltreatment, such as acting out, difficulties maintaining attention in school, poor homework completion, and lack of homework. Nurses will learn that an effective approach to treating victims of childhood maltreatment is one that fosters self-care, is strengths-based, and actively deals with such obstacles to success as mental health problems. The course describes evidence-based treatment, highlighting trauma-focused cognitive behavior therapy (TF-CBT) and dialectical behavior therapy (DBT). These prominent treatment methods have psychoeducation and cognitive behavior therapy components and can be used to focus on skill-building in a number of key areas, including adaptive coping, alternatives to self-harm, and the cognitive processing of trauma-related information. Treatment sequencing, ongoing care, and psychopharmacotherapy are also discussed. This text highlights the experience of childhood maltreatment by providing clinical examples throughout the text. A full clinical vignette is presented to provide a case illustration of assessment and treatment choices.
Bentovim, A., & Gray, J. (2014). Eradicating child maltreatment: Evidence-based approaches to prevention and intervention across services.
Philadelphia, PA: Jessica Kingsley.
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