Working on Multidisciplinary Teams: Identification

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Working on Multidisciplinary Teams
Identification Assessment of Children Exposed
to Domestic Violence

• Kathy Tidwell, LCSW
• Raymond Mullenax, LCSW

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Goals Objectives

• Increase awareness of Intimate Partner Violence
  (IPV) and its impacts on children
• Self-awareness about impacts of violence in your
  own life
• Be able to recognize symptoms/signs of PTSD and
  Complex Trauma
• Learn how to work collaboratively on IPV cases
  that include children
• Know what to do with information learned through
  MDT staffing

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Agenda

• Introductions
• ACE Self-Test
• Video Clip
• Assessment, Symptoms, Complex Trauma
• MDT Group Work
• Group Reports

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Introduction

• Estimates are that 10-18 million children are
  exposed to IPV annually

Renner, L., Slack, K. Berger, L. 2008
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Introduction

• When IPV occurs within a few months of the birth
  of a child, it is a significant predictor of
  later substantiated child maltreatment
• (McGuigan Pratt, 2001)

Renner, L., Slack, K. Berger, L. 2008
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Assessment

• Family-Centered Assessment includes all family
  members
• Safety for all family members is the goal
• When IPV is identified during risk assessment,
  treatment for IPV is more likely

Renner, L., Slack, K. Berger, L. 2008
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Assessment

• Children who have
• witnessed IPV display
• levels of externalizing behavior problems
• such as aggression
• levels of internalizing behavior problems
• such as depression anxiety

Renner, L., Slack, K. Berger, L. 2008
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Assessment

• Social Competence
• Physical Health
• Academic skills

Renner, L., Slack, K. Berger, L. 2008
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Assessment

• Parent Group with IPV and child maltreatment
  compared to parent group with no IPV or child
  maltreatment
• Parental stress scores
• Depression
• Harsh Discipline scores
• Income
• Physical Health
• Children

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Adverse Childhood Experience (ACE)
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Adverse Childhood Experience (ACE)
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Adverse Childhood Experience (ACE)
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Adverse Childhood Experience (ACE)
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Adverse Childhood Experience (ACE)
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Post Traumatic Stress Syndrome (PTSD)

• Refers to when an individual experienced an event
  that involved a threat to one's own or another's
  life or physical integrity and that this person
  responded with intense fear, helplessness, or
  horror.

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Signs Symptoms

• Anxiety
• Hypervigilence
• Nightmares
• Sleep Disturbance
• Self-Blame
• Eating Disturbance
• Depression
• Oppositional
• Withdrawal
• Substance use

• School Drop-Out
• Delinquency
• Aggression
• Low Self-Esteem
• Over Achievement
• Social problems
• Learning Problems
• Decreased Social Competencies
• Somatic Complaints
• Self-Harm

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Complex Trauma

• Refers to the simultaneous or sequential
  occurrences of child maltreatment--including
  emotional abuse and neglect, sexual abuse,
  physical abuse, and witnessing domestic
  violencethat are chronic and begin in early
  childhood.

The National Child Traumatic Stress Network, 2003
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Domains of Impairment

• Attachment
• Biology
• Affect Regulation
• Dissociation
• Behavioral Control
• Cognition
• Self-Concept

National Child Traumatic Stress Network, 2003
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MDT Group Work

• Review Case Scenario
• Agency Roles Goals Whats the next step in
  this case?
• Report Out