How might exposure to the media and social media affect the patient?
Respond to the colleagues by providing at least two ways that their strategies may be expanded or improved.
1LYNDA
WEEK 4
COLLAPSE
In the united states, research has reported that childhood abuse, such as sexual, physical, or emotional, along with other forms of maltreatment, is related to an increased risk of mental disorders. (Gayer-Anderson et al., 2020). Childhood abuse ranges from 11–15% for physical abuse ,11–37% for emotional abuse, and 6–54% for sexual abuse. (Cammack & Hogue,2017). Children and teens who have exposure to the stressful event range from 80 to 90 in the united states. Children and adolescents that develop PTSD are the victims of exposure to stressful or traumatic events such as sexual abuse, physical, motor vehicle accidents, domestic violence, human-created disaster, and severe medical illness. (Sadock et al., 2014). A child with PTSD will experience recurrent frightening dreams, intrusive memories of the event, flashbacks, and psychological distress. (Sadock et al., 2014).
Strategies to assess the patient for abuse
Assessing abused patients can be challenging. Strategies for evaluating abused child is by doing a structured interview with the patient and Childhood Trauma Questionnaire (CTQ). (Nagar et al., 2020). During the interview, a thorough physical evaluation, the child’s behavior, the child’s history, and family history. The practitioner should make the environment conducive and comfortable. When a patient feels safe during the interview, it makes the patient to be satisfied, opens up, and helps to promote the relationship between patient and practitioner. Childhood Trauma The questionnaire (CTQ) is a 28-item scale that assesses five categories of adverse childhood experiences: emotional abuse, physical neglect, emotional neglect, physical abuse, and sexual abuse. Each item is evaluated on a 1(never true) to 5 (always true) scale. It will help to indicate if the patient has experienced any abuse. (Nagar et al., 2020).
How might exposure to the media and social media affect the patient?
Exposure to social media or media can influence the patient’s behavior in so many ways, like positive, negative, emotionally, and psychologically. The patient can benefit from the media through educative ways such as preventive intervention, support system, overall wellbeing, and coping skills. The negative aspect of it can lead the patient to substance abuse, sexual abuse, and more social problems. Researches have shown that social media exposes the abused patients to substance use, sexual abuse, early sexual activity, and sexual risk behavior. Social media peers or vulnerable populations influence them. (Negriff & Valente, 2018).
What type of mandatory reporting?
It is our obligation, and state mandates that a practitioner should report child abuse such as sexual, physical, or emotional abuse. The practitioner should report any identified abuse to the Division of Youth and Families Services (DYFUS). In Morgan’s case, there will be no reporting due to his age, but he should encourage to report the issue to the police. The authorities will help him to get help, community support, and protection. Health care providers are mandated by state and federal laws to report suspected child abuse. (Herendeen et al., 2014).
References
Cammack, A. L., & Hogue, C. J. (2017). Retrospectively self-reported age of childhood abuse onset in the United States nationally representative sample. Injury Epidemiology, 4(1), 7. doi-10.1186/s40621-017-0103-1
Gayer-Anderson, C., Reininghaus, U., Paetzold, I., Hubbard, K., Beards, S., Mondelli, V., Di Forti, M., Murray, R. M., Pariante, C. M., Dazzan, P., Craig, T. J., Fisher, H. L., & Morgan, C. (2020). A comparison between self-report and interviewer-rated retrospective reports of childhood abuse among individuals with first-episode psychosis and population-based controls. Journal of Psychiatric Research, 123, 145–150. doi-10.1016/j.jpsychires.2020.02.002
Herendeen, P. A., Blevins, R., Anson, E., & Smith, J. (2014). Barriers to and Consequences of Mandated Reporting of Child Abuse by Nurse Practitioners. Journal of Pediatric Health Care, 28(1), e1–e7. doi-10.1016/j.pedhc.2013.06.004
Nagar, M., Nakash, O., & Westen, D. (2020). Unpacking childhood experiences of abuse: Can clinicians identify their patients’ History of Abuse? Journal of Trauma & Dissociation, 21(3), 396–408. doi-10.1080/15299732.2020.1719264
Negriff, S., & Valente, T. W. (2018). Structural characteristics of the online social networks of maltreated youth and offline sexual risk behavior. Child Abuse & Neglect, 85, 209–219. doi-10.1016/j.chiabu.2018.01.033
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.
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