Need a Website? TherapySites Can Help!

By Gina Ulery

Professional Development Resources has partnered with TherapySites to provide a special offer for websites & online marketing services made for mental health professionals.

TherapySites

TherapySites specializes in creating websites designed for therapists that are professional, affordable, and effective. All you pay is a monthly hosting fee of $59/month with no long-term contracts. They deliver credit card processing, appointment requests, search engine optimization, and more – it’s all included! Attracting new clients and generating more revenue is easy with TherapySites!

Visit TherapySites today and provide promo code of PDR to receive A Free Website and One Month of Hosting Service.

Children’s Exposure to Violence

childrens exposure to violence Excerpted from the CE Course Children’s Exposure to Violence, Office of Juvenile Justice and Delinquency Prevention (OJJDP) and Professional Development Resources, 2009.

Children in the United States are more likely to be exposed to violence and crime than are adults. Children are exposed to violence every day in their homes, schools, and communities. They may be struck by a boyfriend, bullied by a classmate, or abused by an adult. They may witness an assault on a parent or a shooting on the street. Such exposure can cause significant physical, mental, and emotional harm with long-term effects that can last well into adulthood.

In 1999, the Office of Juvenile Justice and Delinquency Prevention (OJJDP) created the Safe Start Initiative to prevent and reduce the impact of children’s exposure to violence through enhanced practice, research, evaluation, training and technical assistance, resources, and outreach. The initiative has improved the delivery of developmentally appropriate services for children exposed to violence and their families.

Understanding the nature and extent of children’s exposure to violence is essential to combating its effects. Partnering with the Centers for Disease Control and Prevention, OJJDP has sponsored the most comprehensive effort to date to measure children’s exposure to violence. The National Survey of Children’s Exposure to Violence is the first survey to ask children and caregivers about exposure to a range of violent incidents and maltreatment.

Extent of the problem

The survey confirms that most of our society’s children are exposed to violence in their daily lives. More than 60% of the children surveyed were exposed to violence within the past year, either directly or indirectly (i.e., as a witness to a violent act; by learning of a violent act against a family member, neighbor, or close friend; or from a threat against their home or school). Nearly one-half of the children and adolescents surveyed (46.3%) were assaulted at least once in the past year, and more than 1 in 10 (10.2%) were injured in an assault; 1 in 4 (24.6%) were victims of robbery, vandalism, or theft; 1 in 10 (10.2%) suffered from child maltreatment (including physical and emotional abuse, neglect, or a family abduction); and 1 in 16 (6.1%) were victimized sexually.

More than 1 in 4 (25.3%) witnessed a violent act and nearly 1 in 10 (9.8%) saw one family member assault another. Multiple victimizations were common: more than one-third (38.7%) experienced 2 or more direct victimizations in the previous year, more than 1 in 10 (10.9%) experienced 5 or more direct victimizations in the previous year, and more than 1 in 75 (1.4%) experienced 10 or more direct victimizations in the previous year.

Categories of victimization

Conventional crime. Nine types of victimization, including robbery, theft, destruction of property, attack with an object or weapon, attack without an object or weapon, attempted attack, threatened attack, kidnapping or attempted kidnapping, and hate crime or bias attack (an attack on a child because of the child’s or parent’s skin color, religion, physical problem, or perceived sexual orientation).

Child maltreatment. Four types of victimization, including being hit, kicked, or beaten by an adult (other than spanking on the bottom); psychological or emotional abuse; neglect; and abduction by a parent or caregiver, also known as custodial interference.

Peer and sibling victimization. Six types of victimization, including being attacked by a group of children; being hit or beaten by another child, including a brother or sister; being hit or kicked in the private parts; being chased, grabbed, or forced to do something; being teased or emotionally bullied; and being a victim of dating violence.

Sexual victimization. Seven types of victimization, including sexual contact or fondling by an adult the child knew, sexual contact or fondling by an adult stranger, sexual contact or fondling by another child or teenager, attempted or completed intercourse, exposure or “flashing,” sexual harassment, and consensual sexual conduct with an adult.

Witnessing and indirect victimization. These fall into two general categories, exposure to community violence and exposure to family violence. For exposure to community violence, the survey included 10 types of victimization, including seeing someone attacked with an object or weapon; seeing someone attacked without an object or weapon; having something stolen from the household; having a friend, neighbor, or family member murdered; witnessing a murder; witnessing or hearing a shooting, bombing, or riot; being in a war zone; knowing a family member or close friend who was fondled or forced to have sex; knowing a family member or close friend who was robbed or mugged; and knowing a family member or close friend who was threatened with a gun or knife.

For exposure to family violence, eight types of victimization were assessed: seeing a parent assaulted by a spouse, domestic partner, or boyfriend or girlfriend; seeing a brother or sister assaulted by a parent; threat by one parent to assault the other; threat by a parent to damage the other parent’s property; one parent pushing the other; one parent hitting or slapping the other; one parent kicking, choking, or beating up the other; and assault by another adult household member against a child or adult in the household.

School violence and threat. Two types of victimization, including a credible bomb threat against the child’s school and fire or other property damage to the school.

Internet violence and victimization. Two types of victimization, including Internet threats or harassment and unwanted online sexual solicitation.

Key elements of designing an effective response

Children exposed to violence have a variety of complex needs, and the network of child and family interventions must reflect this diversity of needs. It is unrealistic to expect that any single program can promote strength and resilience of children and families, provide interventions to reduce the negative effects of the exposure, and respond to the economic, social, and psychological needs of families. Each system should offer services that are based on its function and focus, work collaboratively with other agencies, and refer families for other services.

Research and program evaluations demonstrate that the best outcomes are achieved when the following response elements are adapted to specific fields of expertise, resources, and constraints:

Early detection and identification. Communities, families, and staff at different entry points should recognize and respond immediately to symptoms of exposure to violence.

Promoting community awareness and educating practitioners. Outreach includes contacting groups of people with information and resources and educating practitioners on core concepts of vulnerability and exposure to violence

Protocols, policies, and procedures. Programs and systems should have specific protocols, policies, and procedures that detail their response to child exposure to violence.

Referrals. Staff should be aware of services provided by other agencies and be able to provide appropriate referrals to these agencies, including mandated reporting to child protective services when required.

Evidence-based interventions. Research and emerging promising practices should inform service delivery.

Critical components of successful interventions include a developmental perspective that engages the child’s and the family’s ecological contexts and service systems to screen for, provide early intervention for, and respond to the treatment needs of children. Effectiveness is bolstered when treatment is offered in a range of settings, such as homes, early care and education programs, and schools, incorporating collaboration with health, law enforcement, legal, child welfare, and other systems.

If you would like the full text of this publication, it is available at no charge at https://www.ncjrs.gov/pdffiles1/ojjdp/227744.pdf .

If you would like to read this entire article and receive two hours of continuing education credit, visit Professional Development Resources at https://www.pdresources.org/course/index/1/1144/Childrens-Exposure-to-Violence

 

More Free Resources:

 

Ethics and Social Media

ethics and social mediaExcerpted from the CE Course Ethics and Social Media, Leo Christie, PhD and Professional Development Resources, 2009.

Whether we were trained in this century or one of the centuries past, we therapists find ourselves – for better or for worse –practicing in a digital world. In an article on social media and health care, one medical professional quipped “Take two aspirin and tweet me in the morning.” This is not entirely facetious, in that Social Networking Services (SNS) have become a reality of mainstream life – both personal and professional. Originally conceived as online social communication networks for connecting people who shared certain common interests, social networks like Facebook and Twitter have rapidly exploded into vibrant parallel universes.

Facebook, for example, which was created in 2004, announced in March 2013 that it had 1.11 billion active users. That statistic will – of course – be wildly outdated by the time you read this article. As a point of reference, the world population in early 2014 is estimated to be 7.2 billion. If both of these numbers are accurate, at least one in every seven human beings on earth is an active Facebook user. In light of such statistics, the inevitable is, of course, happening. The world of professional communication is being rapidly swept into the “new normal” medium of social networking. And therein lies the problem.

As is the case with most innovations, there are benefits and there are risks in the use of social networking. The benefits are usually seductive, promising increased speed, efficiency, and convenience. The risks are usually hidden, requiring thoughtful consideration before they show themselves. The point here is that the use of social networking technology has become so routine that clinicians might adopt it mindlessly without carefully thinking through the potential consequences in therapy situations. The results can include unanticipated breeches of confidentiality or the transmission of private information to unintended parties, sometimes leading to severe damage to clients.

What is social networking?

According to The Stanford Encyclopedia of Philosophy (Winter 2012), ‘social networking’ is: “an inherently ambiguous term requiring some clarification. Human beings have been socially ‘networked’ in one manner or another for as long as we have been on the planet, and humans have historically availed themselves of many successive techniques and instruments for facilitating and maintaining such networks. These include structured social affiliations and institutions such as private and public clubs, lodges and churches as well as communications technologies such as postal and courier systems, telegraphs and telephones. When philosophers speak today, however, of ‘Social Networking and Ethics’, they usually refer more narrowly to the ethical impact of an evolving and loosely defined group of information technologies… that emerged in the first decade of the 21st century.”

What are the ethical issues?

Privacy. Possibly the most immediately obvious concern as we consider the use of social media by therapists and their clients is the threat posed to a client’s right and expectation that therapeutic communications and events will remain private and confidential. Just seeing the words “social” and “media” used in the same sentence as “privacy” or “confidentiality” is enough to activate flashing red warning lights.

It should be noted that privacy in a therapeutic setting has two aspects – the privacy of the client and the privacy of the therapist. Both aspects are relevant to the therapeutic process. Ethical principles generally address the former, but rarely do they address the latter. It should be noted that – at least within the current context – the issue of therapist privacy is seen not from the standpoint of the therapist’s own concerns for privacy, but from that of the client’s best interests. In other words, how can an unintentional exposure to the therapist’s private life negatively affect the client?

Most state laws require that psychotherapists maintain confidentiality. That is, they must be sure that the information that is shared with them by clients, including that person’s identity, remains confidential unless the client authorizes the release of that information. This requirement could easily be violated through the use of a website designed for social networking. For example, if one were to accept a request to become a friend of a client on Facebook, the issue of the possible exposure of that client’s identity to others must be addressed. In addition, just what information will be exchanged should also be addressed, because others might be privy to a client’s confidential information.

Boundaries and Multiple Relationships. The second most obvious concern in a discussion of psychotherapy ethics and social media is the potential threat to the maintenance of therapeutic boundaries within the context of a therapy relationship. Boundaries are instrumental in defining relationships. Clear boundaries are necessary in order for both therapist and client to understand the nature and purpose of their relationship with each other.

A closely related issue is the ethical requirement found in most codes of ethics that therapists refrain from engaging in multiple relationships. If it happens that a therapist and his or her client are interacting within a social media environment like Facebook, there is the possibility of a dual or multiple relationship. The following sections are intended to clarify potential threats to boundary maintenance and the avoidance of harmful multiple relationships in the use of social media.

Competence. Competence is an ethical requirement demanded of professionals, by which they are expected to carry out professional activities only within the boundaries of their training, expertise, and knowledge. This includes an understanding associated with various cultural and ethnic factors. Does the world of social networking introduce a new area of cultural understanding and competence? At least for those of us socialized and acculturated in the physical world of the 20th century, cyberspace and its planets Facebook and Twitter are indeed alien environments. We are confronted with different language, different cultural norms, strange denizens, and unfamiliar forms of social interaction. Fumbling though it all untutored, we are likely to encounter unexpected and unpleasant results.

The question of “friending”. According to Keely Kolmes, a San Francisco psychologist, “Some clinicians believe that friend requests from clients should be evaluated on a case-by-case basis, stating that particular treatment issues may make it reasonable to accept some requests. Some feel that declining requests from clients can be perceived as a rejection. Choices on how to manage this may also be influenced strongly by theoretical orientation, age, and cultural contexts. My belief has always been that adding clients as contacts is a big enough threat to both confidentiality and the boundaries of the therapeutic relationship to justify a blanket policy of not accepting such requests.”

The 21st century is only getting under way, and social networking services are still only approaching warp speed. If you are using – or considering using – Facebook or other social networking systems in conjunction with your professional activities, you will need to go much farther with your education than simply reading the ideas discussed in this article.

If you would like to read this entire article and receive two hours of continuing education credit, visit Professional Development Resources at https://www.pdresources.org/course/index/6/1147/Ethics-and-Social-Media

 

More Free Resources:

 

Helping Children Learn to Listen

helping children learn to listen

 

Excerpted from the CE Course Helping Children Learn to Listen, Adina Soclof, MS, CCC-SLP, © Professional Development Resources, 2013.

“My kids don’t listen to me!”
“My kids are so stubborn and strong willed!”
“Why won’t my kids follow the simplest directions?”
“How can I make my kids listen?”

Complaints like these are so common among parents that one might conclude that not listening is the norm – rather than the exception – among children. In fact, failure to listen is a common occurrence among all children at least some of the time. When it becomes a chronic condition, that is, when a child rarely or never listens to adults, it becomes clinically worrisome because the safety and well-being of the child can be at risk. The failure to develop good listening skills is also a threat to a child’s learning processes. It is difficult to comprehend and follow directions if one is not listening. Furthermore, children who do not listen are likely to have difficulties in their relationships with both adults and peers.

There are two general types of children who are chronically poor listeners: children with oppositional or conduct disorders and those with communication disorders. These are obviously two very different groups, and the approaches to remediation will be very different.

Therefore, the first order of business here will be to address the question: what kinds of children can benefit from the strategies and interventions discussed in this article? For starters, we might place children into one of three very general categories:

1. Typically developing children
2. Children with language delays or communication issues
3. Children with oppositional defiant and conduct disorders

Of these three groups, the first two will be good candidates for the techniques provided in this course. Typically developing children may be poor listeners for a variety of reasons that will be described herein. The interventions described will help them become better listeners and assist them in their relationships with adults and in their day-to-day development.

Children with language delays do experience greater difficulty following directions, which parents perceive as “not listening to them.” This results in a constant struggle between parents and children, frustrating the children – who feel that their parents overreact and don’t understand them, as well as the parents – who do not understand why their children exhibit such resistant behavior all the time. Children with language delays and communication disorders will need ongoing language interventions because of the deficits that are part of their developmental conditions. Intervention is crucial for this group so that they can learn better communication skills and get on with their social and emotional development.

The third group, however – children with more serious behavior disorders – are not likely to benefit from the interventions described in this article. These children and adolescents have underlying behavior patterns that will require serious and ongoing mental health interventions. The techniques offered in this course would not be effective with antisocial youth because they are based on underlying motivational mechanisms that are not present in individuals with oppositional defiant disorder or conduct disorder.

The second question to be addressed here is: what is the age range of children who are likely to respond to this type of training? The answer is that most of the techniques described here can be tailored to the age and development level of the child or adolescent. Examples of modifying statements and techniques for use with children and adolescents are included in a number of sections. In fact, it may even become clear that some of these techniques can be adapted for use with adults.

Effective strategies enable us to manage our children, while being a support source for parents and caregivers. Opportunities abound for all school-based professionals like SLPs, counselors, social workers, and school psychologists to help parents and caregivers address challenging behavior. Once they are able to understand the link between language disorders and “misbehavior,” they are able to manage non-compliant behavior much more effectively.

Why Are Children Non-Compliant?

There are four basic psychological and sociological reasons why children are non-compliant and have trouble listening. It should be understood that these dynamics are common to all children, not only those with language delays.

1. Listening is Difficult for Children

One of the major reasons why children do not listen and are non-compliant and is because listening is not easy.

Children have a hard time listening. Adults who have to sit in long meetings and lectures can commiserate. It takes a lot of concentration and energy to listen. Listening requires quiet and an ability to attend to your surroundings and to discern the important messages that are being conveyed. It’s easier for children to listen when the message pertains to them, which is not always the case (McDuffie & Yoder, 2010).

Sometimes children have been listening the whole day at school and when they come home they are tired. Often they are immersed in pretend play, reading, video games or TV and they truly don’t hear their parents.

What we perceive as non-compliant or strong-willed behavior can also just be a child struggling to listen. Children with auditory processing issues and other language disorders have a harder time than other children (Hoskins & Collins, 1979), but modifications to the home or classroom can improve their listening skills. Strategies like those listed here can help (www.asha.org/about/news/tipsheets/Is-your-child-a-poor-listener.htm – retrieved January 16, 2013):

• Seat the child away from auditory and visual distractions to help maintain focus and attention.
• Structure the environment using a consistent routine.
• Before speaking, first gain the child’s attention and then give directions.
• Avoid asking the child to listen and write at the same time.
• Speak slowly and clearly by using words that make sequence clear such as “first,” “next,” and “finally.”

It is important to remember that children usually want to do the right thing. They need their parent’s love and, even more so, their approval. If children are not listening it is probably because they truly can’t. This is one of the points of departure for children with oppositional and defiant disorders, as noted earlier. They do not necessarily want to do the right thing, nor are they overly concerned for their parents’ approval.

2. Children Need Independence

Children, like all human beings, possess a strong desire for independence. It is actually a basic human need. Being independent makes us feel that we have some control over our decisions and our fate. We are empowered by knowing that we can think for ourselves, take care of ourselves, and rely on ourselves to survive in this world. Independence is the foundation for self-respect and belief in one’s self.

Children are often torn between wanting their parents to take care of them and needing to feel independent. They are confused. When their parents ask them to do something and they need to comply, they are also battling their inner voice which might be telling them:

“You don’t need to listen to anyone. You are your own boss. You can do your own thing!”

The resulting defiance and non-compliance can be an outgrowth of this internal psychological struggle of wanting to listen to their parents but also needing to assert their autonomy.

This idea is better understood when put into adult terms. Imagine your reaction if your spouse said to you:

“Take out the garbage now!”
“It is time to go. Stop cooking dinner and come with me!”

We would experience similar inner voices:

“You don’t need to listen to anyone; don’t tell me to take out the garbage; tell him to take it out himself.”
“You are your own boss and you can do your own thing. You can cook when you want to cook and leave when you want to leave.”

As you can see, this basic need for independence that all humans possess can compromise children’s ability to listen (Flasher & Fogle, 2004 p. 111; Ginott, 1971).

3. Democracy Works for Countries, Not Families

The case can be made that children today have a tougher time listening to authoritative figures than children in earlier generations. Why is this? Primarily because modern parents – those born in the ‘60s, ‘70s, and ‘80s – are not as comfortable setting down rules and demanding respect from children as their parents were when they were growing up. While older generations were taught that authority should not be questioned or challenged, we were ingrained with the democratic principles that everyone should be treated equally. We have a much harder time than our parents did of putting ourselves in the role of the absolute authoritarian. The parenting standard “You will do it because I’m your parent and I said so” was an accepted rationale when we were growing up, but no longer feels right to us as we manage and teach our children.

Not only do today’s adults have difficulty commanding authority, but modern children do not possess that instinctive sense of how to obey their parents that was present just a generation or two ago. The human rights movement of the 1960’s shifted our traditional mores. Duty and obedience were basic universal values in earlier eras, and people were expected to be submissive to higher authorities. Today, submissiveness and obedience at home, on TV, and in schools are outdated principles.

Compare, for instance, the attitudes toward parenting and portrayal of child-adult relationships in popular family-themed TV shows from previous generations, such as My Three Sons, Brady Bunch, A Family Affair, and recent shows, such as Modern Family, The Simpsons, and 8 Simple Rules, and the dramatic shift in culture and attitude is quickly demonstrated.

However, if children are to grow up productive and emotionally healthy, they need authority figures in their lives. Those authority figures need to be their parents and teachers. Without limits and rules, children are unhappy, stressed, anxious and depressed.

So underneath all their bluster, kids really want to learn how to listen to adults. They want to respect them and they want to be taught how to comply and obey rules.

4. Children Will Routinely “Misbehave”

It is helpful for adults to know that most children are going to “misbehave” and will not listen, at least on occasion. Non-compliant behavior is a normal part of the parent-child interaction. Most young children – and even teens – lack self-control until they have more life experience. As they mature, they slowly learn the rules of how to behave and be more compliant.

Parents’ and teachers’ roles include disciplining their children and teaching them to listen. Discipline need not – and should not – be punitive. It really means teaching children the rules for living. A key component of that is teaching children good listening skills.

As we move forward in the course, we need to keep in mind the following observations in order to help children listen:

1. Listening is tough for kids.
2. They need us to respect their instinct for independence.
3. They want to be obedient but don’t know how.
4. Misbehavior is a natural part of growing up.

Consequently, when we are helping and teaching our kids to listen to us, we need to do the following:

1. Understand that listening is a learned skill and is not instinctive.
2. Ask children to comply with our wishes in a way that does not compromise their independence.
3. Find ways to maintain authority kindly and gently so that kids have an easier time accepting our authority.
4. View misbehavior as an opportunity to teach and guide, and not automatically assume it is a defect that can be corrected only through punitive action.

If you would like to read this entire article and receive one hour of continuing education credit, visit Professional Development Resources at https://www.pdresources.org/course/index/6/1133/Helping-Children-Learn-to-Listen

 

More Free Resources:

 

English Language Learning

english language learning

 

Excerpted from the CE Course English Language Learning, National Center for Education Statistics (NCES) and Professional Development Resources, 2007.

The National Assessment of Educational Progress (NAEP) has tracked the achievement of Hispanic students since 1975. Although many English learners are in the Hispanic designation, English learners as a group have only recently been disaggregated in the NAEP analyses. Recent analysis of long-term trends reveals that the achievement gap between Hispanics and Whites in reading has been significantly reduced over the past 30 years for 9-yearolds and 17-year-olds (although not for 13-year-olds).

Despite apparent progress in the earlier grades, major problems persist. For instance, the 2005 achievement gap of 35 points in reading between fourth-grade English learners and non-English learners was greater than the Black-White achievement gap. And the body of scientific research on effective instructional strategies is limited for teaching English learners.

There have been some significant recent advances. Of particular note is the increase in rigorous instructional research with English learners. Districts and states have increasingly assessed progress of English learners in academic areas and in English language development. Several examples in the literature illustrate success stories among English learners—both for individual students and for schools. These students, despite having to learn English while mastering a typical school curriculum, have “beaten the odds” in academic achievement.

How can we increase the chances that more English learners will achieve these successes? To answer, we must turn first to research. Unfortunately, there has not been sufficient research aimed at understanding how to improve the quality of literacy instruction for English learners. Only about a dozen studies reach the level of rigor necessary to determine that specific instructional practices or programs do, in fact, produce significantly better academic outcomes with English learners. This work has been analyzed and reviewed by the What Works Clearinghouse.

Despite the paucity of rigorous experimental research, we believe that the available evidence allows us to provide practical recommendations about aspects of instruction on which research has cast the sharpest light. This research suggests—as opposed
to demonstrates—the practices most likely to improve learning for English learners.

Recommendation 1: Screen for reading problems and monitor progress

Conduct formative assessments with English learners using English language measures of phonological processing, letter knowledge, and word and text reading. Use these data to identify English learners who require additional instructional support and to monitor their reading progress over time.

Recommendation 2: Provide intensive small-group reading interventions

Provide focused, intensive small-group interventions for English learners determined to be at risk for reading problems. Although the amount of time in small-group instruction and the intensity of this instruction should reflect the degree of risk, determined by reading assessment data and other indicators, the interventions should include the five core reading elements (phonological awareness, phonics, reading fluency, vocabulary, and comprehension). Explicit, direct instruction should be the primary means of instructional delivery.

Recommendation 3: Provide extensive and varied vocabulary instruction

Provide high-quality vocabulary instruction throughout the day. Teach essential content words in depth. In addition, use instructional time to address the meanings of common words, phrases, and expressions not yet learned.

Recommendation 4: Develop academic English

Ensure that the development of formal or academic English is a key instructional goal for English learners, beginning in the primary grades. Provide curricula and supplemental curricula to accompany core reading and mathematics series to support this goal. Accompany with relevant training and professional development.

Recommendation 5: Schedule regular peer‑assisted learning opportunities

Ensure that teachers of English learners devote approximately 90 minutes a week to instructional activities in which pairs of students at different ability levels or different English language proficiencies work together on academic tasks in a structured fashion. These activities should practice and extend material already taught.

If you would like the full text of this publication, it is in the public domain and available at no cost at http://ies.ed.gov/ncee/wwc/pdf/practice_guides/20074011.pdf

If you would like to read this entire article and receive two hours of continuing education credit, visit Professional Development Resources at https://pdresources.org/course/index/1/1075/English-Language-Learning

 

More Free Resources:

 

Domestic Violence: Child Abuse and Intimate Partner Violence

domestic violence

 

Excerpted from the CE Course Domestic Violence: Child Abuse and Intimate Partner Violence Professional Development Resources, 2012.

The essential paradox of family violence is that – while it affects so many individuals so adversely in all sectors of society – it is only minimally discussed because of the stigma and is only poorly understood and confronted by the legal, professional, and social systems that are responsible for protecting and treating victims. Individual cases of abuse frequently go undetected for many years, largely due to the shroud of shame and silence that still persists today, in spite of all efforts to bring domestic violence to light and to justice. It crosses all social and cultural boundaries, including demographic, socioeconomic, and religious strata. The status of family abuse victims has even been compared to that of individuals who had HIV/AIDS in the early 1980s when the disease was barely recognized, hardly discussed, highly stigmatized, and often ignored or denied. While we have made impressive strides in the battle against HIV/AIDS in the last three decades, we have made relatively little progress in the area of family violence.

Child Abuse

Child abuse, in spite of progress in protecting the rights of children, remains a dire social issue. One study cited government data indicating that in just one year in the U.S., substantiated cases of child abuse totaled over 700,000 children – about 1.3% of the population of children. To make matters worse, the long-term sequelae include a wide range of serious consequences, such as physical injuries, impaired brain development, behavioral disturbances, substance use disorders, and a variety of psychological disorders. In addition, there are a number of mechanisms by which children who are abused may grow up to create disturbed relationships with their own children and their spouses.

Child abuse continues to occur at significant rates in U.S. society. Nearly 1½ % of children were victims of child abuse in a single year (2008). Approximately 72% of them experienced neglect, 16% were physically abused, 9% were sexually abused, and 7% were psychologically/emotionally abused. More than half of these children were under 8 years of age. Disturbing as these numbers are, they probably represent only the tip of the iceberg. Not all incidents of abuse are reported or substantiated. The actual prevalence of child maltreatment is much higher than the substantiated rate.

Studies have estimated that one in seven, or nearly 15% of youths are maltreated at some point in childhood or adolescence. The number of unreported instances is far greater, because the children are afraid to tell anyone what has happened, and the legal procedures for validating an episode can be difficult. The long-term emotional and psychological damage of physical and/or sexual abuse can be devastating to the child. The problem needs to be identified, the abuse stopped, and the child and family offered professional help.

Child abuse can take place within the family, by a parent, stepparent, sibling or other relative; or outside the home, for example, by a friend, neighbor, childcare person, teacher, or stranger. When abuse has occurred, a child can develop a variety of distressing feelings, thoughts and behaviors.

Do Abused Children Become Abusers? The concept of intergenerational transmission of family violence should be viewed with caution. First, it is very important for abused children to avoid developing the expectation that they are bound to repeat history. Second, there is no reliable empirical consensus in support of the idea that children who are abused are likely to become abusers. As Hall (2011) warns, “Although there is empirical data that parents who have been abused have higher rates of abusing their own children, the idea that family violence can be directly linked to abuse in the next generation has become controversial because definitions of abuse and rates of reporting are inconsistent and methodological challenges for child abuse research abound…. My research suggests that there may be gaps in these theories….. some children may learn not to do something they that they see is harmful or ineffective.” Hall advocates shifting to a strengths-based framework of intervention that places the focus of treatment on individual competencies in order to give individuals the opportunity to avoid repeating dysfunctional patterns.

Intimate Partner Violence (IPV)

Intimate partner violence (IPV) is, unfortunately, also a pervasive part of life in U.S. society. In surveys, over 35% of women and nearly 28% of men say they have been raped and/or physically assaulted and/or stalked by a current or former spouse, cohabiting partner, or date at some point in their lifetime. Survivors of these forms of violence may experience physical injury, mental health consequences like depression, anxiety, low self-esteem, and suicide attempts. Other health consequences like gastrointestinal disorders, substance abuse, sexually transmitted diseases, and gynecological or pregnancy complications are also common. These findings suggest that intimate partner violence is a serious concern in mental health, criminal justice and public health.

As is the case with child abuse, intimate partner violence is a widespread social issue. In surveys, over 35% of women and 28% of men say they have been raped and/or physically assaulted and/or stalked by a current or former spouse, cohabiting partner, or date at some time in their lifetime. According to the National Intimate Partner and Sexual Violence Survey [NISVS], “Sexual violence, stalking, and intimate partner violence are major public health problems in the United States. Many survivors of these forms of violence can experience physical injury, mental health consequences such as depression, anxiety, low self-esteem, and suicide attempts, and other health consequences such as gastrointestinal disorders, substance abuse, sexually transmitted diseases, and gynecological or pregnancy complications. These consequences can lead to hospitalization, disability, or death.”

Current findings consistently indicate that IPV is a pattern, not an isolated event. In a nationally representative sample of 8,000 women and 8,000 men, aged 18 and older, the National Violence against Women Survey reported that two thirds of women physically assaulted by a partner had been victimized multiple times.

One positive note is that there seem to be indications that some forms of IPV may be on the decline in recent years. For example, the National Crime Victimization Survey indicated that the rate of intimate partner violence for females decreased from 4.2 individuals per 1,000 in 2009 to 3.1 individuals per 1,000 in 2010.

Definitions of Terms

Five types of intimate partner violence are described in the NISVS. These include sexual violence, stalking, physical violence, psychological aggression, and control of reproductive/sexual health.

1. Sexual violence includes rape, being made to penetrate someone else, sexual coercion, unwanted sexual contact, and non-contact unwanted sexual experiences.

2. Physical violence includes a range of behaviors from slapping, pushing or shoving to severe acts such as being beaten, burned, or choked.

3. Stalking victimization involves a pattern of harassing or threatening tactics used by a perpetrator that is both unwanted and causes fear or safety concerns in the victim.

4. Psychological aggression includes expressive aggression (such as name calling, insulting or humiliating an intimate partner) and coercive control, which includes behaviors that are intended to monitor and control or threaten an intimate partner.

5. Control of reproductive or sexual health includes the refusal by an intimate partner to use a condom. For a woman, it also includes times when a partner tried to get her pregnant when she did not want to become pregnant. For a man, it also includes times when a partner tried to get pregnant when the man did not want her to become pregnant.

Domestic violence, in the form of child abuse and intimate partner violence, remains a pervasive part of contemporary life in the U.S. Its effects are deep and far-reaching. As noted throughout the course, it crosses all social and cultural boundaries, including demographic, socioeconomic, and religious strata. This course has endeavored to help health professionals to understand the far-reaching effects of violence on child development, on individuals, families, and society. In consideration of the very high prevalence of domestic violence, they need to maintain a high state of vigilance and to be well prepared with immediate and appropriate responses when abuse is disclosed. In particular, professionals need to appreciate the complexity of an abuse victim’s decision about if and when to leave an abuser. As stated in the course, leaving a relationship is a process that occurs over time. The challenge to clinicians is to detect abuse when they see it, screen for the particulars, and respond with definitive assistance in safety planning, community referrals, and individualized treatment plans.

If you would like the full text of this publication, it is available at Amazon.com in Kindle format at http://www.amazon.com/Domestic-Violence-Child-Intimate-Partner-ebook/dp/B00I2WYFW2

If you would like to read this entire article and receive two hours of continuing education credit, visit Professional Development Resources at https://pdresources.org/course/index/1/1111/Domestic-Violence-Child-Abuse-and-Intimate-Partner-Violence

 

More Free Resources:

 

Adolescent Literacy

adolescent literacy

 

Excerpted from the CE Course Adolescent Literacy, The National Institute for Literacy and Professional Development Resources, 2007.

Adolescents entering the adult world in the 21st century will read and write more than at any other time in human history. They will need advanced levels of literacy to perform their jobs, run their households, act as citizens, and conduct their personal lives. They will need literacy to cope with the flood of information they will find everywhere they turn. They will need literacy to feed their imagination so they can create the world of the future.

Despite the call for today’s adolescents to achieve higher levels of literacy than previous generations, approximately 8.7 million fourth through twelfth grade students struggle with the reading and writing tasks that are required of them in school. For many adolescent students, ongoing difficulties with reading and writing figure prominently in the decision to drop out of school. These indicators suggest that literacy instruction should continue beyond the elementary years and should be tailored to the more complex forms of literacy that are required of adolescent students in the middle and high school years.

There are a number of key literacy components that interact to help form literacy skills:

• Decoding/phonemic awareness and phonics
• Morphology
• Fluency
• Vocabulary
• Text comprehension

Decoding

Decoding – or word identification – refers to the ability to correctly decipher a particular word out of a group of letters. Two of the skills involved in decoding or word identification are phonemic awareness and phonics. Phonemic awareness is the understanding that spoken words are made up of individual units of sound. These units of sound are called phonemes. Adolescents who are phonemically aware, for example, understand that three phonemes, /k/, /a/, and /t/, form the word cat. Students understand that the word fish also has three phonemes because s and h together make the distinct sound, /sh/. Phonemic awareness also includes the ability to identify and manipulate these individual units of sound. For example, phonemically aware students can make a new word out of weather by removing and replacing the first consonant sound with another consonant sound (e.g., feather).

Morphology

Morphology is the study of word structure. Morphology describes how words are formed from morphemes. A morpheme is the smallest unit of meaning in a word. A morpheme may be as short as one letter such as the letter, ‘s’. This letter adds plurality to a word such as cats. Likewise, a morpheme can consist of letter combinations that contain meaning. These units of meaning could be roots, prefixes and suffixes. An example of a morpheme that consists of letter combinations would be the word pronoun. This is also a compound word. Several combinations of word types can be created by compounding words; however, it is important to point out to the student that the meaning of a compound word does not always match the meanings of the individual words separately.

Fluency

Fluency is the ability to read text accurately and smoothly with little conscious attention to the mechanics of reading. Fluent readers read text with appropriate speed, accuracy, proper intonation, and proper expression. Some researchers have found a relationship between fluency and text comprehension, which indicates the importance of fluency. Readers must decode and comprehend to gather information from text. If the speed and accuracy of decoding words are hindered, comprehension of the words is compromised as well.

Vocabulary

Vocabulary refers to words that are used in speech and print to communicate. Vocabulary can be divided into two types: oral and print. Vocabulary knowledge is important to reading because the oral and written use of words promotes comprehension and communication. The three primary types of vocabulary are (1) oral vocabulary, which refers to words that are recognized and used in speaking; (2) aural vocabulary, which refers to the collection of words a student understands when listening to others speak; and (3) print vocabulary, which refers to words used in reading and writing. Print vocabulary is more difficult to attain than oral vocabulary because it relies upon quick, accurate, and automatic recognition of the written word. Furthermore, the words, figures of speech, syntax (the grammatical arrangement of words in sentences), and text structures of printed material are more complex and obscure than that of conversational language. A few studies have suggested that vocabulary instruction leads to improved comprehension.

In addition to distinctions between oral, aural, and print vocabulary, vocabulary is categorized according to whether it is typically used in an informal or formal setting. Vocabulary used in a formal, educational setting is referred to as academic vocabulary. Researchers who investigate academic vocabulary knowledge typically categorize words into three areas: (1) high-frequency, everyday words (e.g., building, bus driver, eraser, etc.); (2) non-specialized academic words that occur across content areas (e.g., examine, cause, formation); and (3) specialized content-area words that are unique to specific disciplines (e.g., ecosystem,
foreshadowing, octagon).

Text Comprehension

Comprehension is the process of extracting or constructing meaning (building new meanings and integrating new with old information) from words once they have been identified. Many struggling adolescent readers do not have difficulty reading words accurately; they have difficulty making sense of the information and ideas conveyed by the text. Comprehension varies depending on the text being read. Even proficient readers may have difficulty comprehending particular texts from time to time. Difficulties with comprehension may result from a reader’s unfamiliarity with the content, style, or syntactic structures of the text. Even as adults, many people struggle when reading Shakespeare or the manual for installing a new computer program.

How content-area teachers can work with struggling adolescent readers in their classrooms

Countless middle and high school students at every socioeconomic level are struggling with learning academic content because they cannot read and write at grade level. To address this problem, all educators, including content-area teachers, need information on how to incorporate effective literacy learning strategies into the content-area curriculum.

Some common themes have emerged from the research literature as effective practices for instruction. The most common suggestion made throughout the research surveyed is that teachers should use systematic, explicit, and direct instruction. When students experience explicit instruction on a specific skill, teacher modeling, guided practice, and independent practice, they are much more likely to become proficient at the skill being taught. The second common theme throughout many of the literacy components discussed is the use of repetition. One way to ensure that students retain a strategy or skill is to review it in different contexts and with different texts. Whether applied to reading a text repeatedly to improve fluency or practicing the steps of a strategy multiple times to master that strategy, repetition contributes to the improvement of adolescent literacy skills.

The improvement of adolescent literacy is an issue that all middle and high school teachers should be equipped to address in their instruction. To be effective, content-area teachers must be aware of instructional approaches and strategies that can be used within their existing curricula to help improve the literacy levels of the struggling readers that they encounter. In this way, they will learn the content area.

If you would like the full text of this publication, it is in the public domain and available at no cost at http://lincs.ed.gov/publications/pdf/adolescent_literacy07.pdf

If you would like to read this entire article and receive two hours of continuing education credit, visit Professional Development Resources at https://pdresources.org/course/index/1/1071/Adolescent-Literacy

 

More Free Resources:

 

The Challenge of Co-Parenting

the challenge of coparenting

 

Excerpted from the CE Course The Challenge of Co-Parenting, Lisa M. Schab, MSW, LCSW, © Professional Development Resources, 2006.

Parents who have chosen not to remain together as a couple are still responsible for the healthy upbringing of their mutual children. They must face not only the typical challenges of parenting, but also those unique tasks that come from living in separate homes, and often in conflictual or uncomfortable circumstances. Co-parents who want to do the best for their children must often learn to work with a partner that they have a significant dislike for, have been deeply hurt by, or have no interest in ever seeing again.

The ideal co-parenting situation is one in which both parents put aside their personal differences to work together in the best interests of their children. They are calm and mature when discussing their children’s needs; they compromise, respect each other, and work out their own problems on their own time. Negative feelings for each other are kept separate from their work as parents.

The healthy co-parenting mindset

The following statements represent ideas that would be embraced by an emotionally healthy parent who is ready to work objectively with their co-parent in the best interests of their children. The combination of these statements represents an ideal, and suggests a goal toward which to strive. This goal may not be achieved easily or quickly, and may never be realized to the full extent. It should be understood that working toward the goal to the best of one’s ability requires work and energy, and that any progress is to be commended.

“My co-parent is the person I am raising our children with. This comes from my decision to bear children with them.”

“I will be accountable to our children and society by working with my co-parent responsibly.”

“It is in the best interest of our children that I have a healthy relationship with my co-parent.”

“My co-parent is human, just like me. Although it may not appear that way at times, it is likely that my co-parent is doing their best – in their capacity – to love our children.”

“The past is past; I leave it there. I am focused on the present job of raising our children. If my mind wanders to the past, I will bring it back to the best interests of our children.”

“I can and must let go of small irritations with my co-parent to save my energy for healthy communication.”

“It is normal for this to feel difficult. I will care for myself and my emotions by dealing with them outside of the relationship with my co-parent.”

“By working maturely with my co-parent, I am modeling maturity and integrity for our children.”

“No matter what happens, I will strive to make all decisions based on the best interests of our children.”

Achieving the healthy co-parenting mindset requires that co-parents set aside any negative feelings about their own relationship to be able to focus on the best interests of their children. For many split couples, this is a formidable task.

Parents may benefit from reminding themselves of the fact that despite the co-parents’ own relationship not working out long term, something very wonderful has resulted from their being together – the existence of their children. When parents can focus on this good, it can help them to get past harsh feelings. They can agree to get along well enough to give their children a good life.

For co-parents who have spiritual beliefs, ranging from belonging to an organized religion to simply having a belief in a higher power or order to the universe, they can use this perspective to help them as well. Seeing their children as miracles of creation, or believing that there is a reason that their life paths have taken the course that they have can help them to see beyond their ego perspective, feel beyond their personal wounds, and see purpose in their roles as parents.

A more existential perspective can also help them to see their co-parents not just as someone they have problems with, but as a human being, struggling along with their strengths and weaknesses just like themselves and everyone else. This can help them to move past hatred or vindictiveness and toward compassion.

The child’s loss of security

Picture what happens to the child when the parental relationship splits through divorce or separation: the child begins to fall through the gap between them and becomes frightened. The child’s source of security is shaken or lost completely and he or she becomes frightened.

When co-parents understand the impact of their split on their children’s security, they can better understand the need of working to rectify this loss. They can better understand and begin to act on the fact that the greatest antidote to effects of the split is to work together peaceably, putting the best interests of their children first. When their children see them putting this idea into action, they will be able to rebuild a sense of security. They can realize that even though their parents are no longer together as a couple, they are still completely committed to caring for and loving their children. They will be able to regain their sense of trust in relationships and in the world.

Feelings of guilt

It is common for children whose parents have split up to harbor feelings of guilt. They may wonder if it was something that they did that caused the relationship to fail. They may think that if they had only been better behaved, gotten better grades, not been ill, or helped more around the house, their parents might have gotten along better and stayed together.

It is important for co-parents to be perfectly clear with their children that there is absolutely no connection between the parental relationship and the children’s actions. They must directly communicate that this is so in a clear, definite conversation appropriate for the age and maturity level of the child. After this, they must then prove the idea through their actions – keeping their own relationship issues separate from their relationship with their children.

Steps for forming a working business relationship

Often co-parents have a better chance of putting emotions aside and working together constructively if they can frame their relationship as a business partnership. Their business is to raise healthy, happy children. They need to remember that this is the most important job in the world, and, if they care about doing a good job it is probably the hardest as well. The better they can learn to work together as partners, the better chance they have of succeeding.

The following guidelines can help them see their relationship from a “business” perspective.

• Start fresh. Feelings toward the ex-spouse stem from what has happened in the past. Agree to keep all of the personal feelings about this out of the new business relationship. Look ahead, not behind.

• Agree on the goal. Assuming that both parents love their children, the ultimate goal should be to give them the best and healthiest life possible.

• Agree on attitude. Let go of the win-lose mentality. Do not let raising the children become a point of competition between co-parents. Neither parent wins this way, but the children definitely lose.

• Manage emotions. When a co-parent enters a business meeting with their “job partner,” they should make a conscious decision to leave their emotional baggage at the door

• Work in “business meetings to discuss any issues regarding the raising of the children. Go to the meeting with an agenda that is relevant to the care of the children. Make a list if it helps.

• Agree on rules of conduct. These might include sticking to the point, not bringing up personal issues, not resorting to name-calling or blaming.

If you would like to read this entire paper and receive two hours of continuing education credit, visit Professional Development Resources at https://pdresources.org/course/index/6/862/The-Challenge-of-Co-Parenting-Helping-Split-Couples-to-Raise-Healthy-Kids

 

More Free Resources:

 

Bipolar Disorder in Children & Adolescents

Vincent van Gogh, The Starry Night. Oil on can...

Vincent van Gogh, The Starry Night. Oil on canvas, 73×92 cm, 28¾×36¼ in. (Photo credit: Wikipedia)

 

Excerpted from the National Institute of Mental Health (NIMH) Publication Bipolar Disorder in Children and Adolescents, 2012.

What is bipolar disorder?

All parents can relate to the many changes their kids go through as they grow up. But sometimes it’s hard to tell if a child is just going through a “phase,” or showing signs of something more serious. In the last decade, the number of children receiving the diagnosis of bipolar disorder, sometimes, called manic-depressive illness, has grown substantially. But what does the diagnosis really mean for a child?

Bipolar disorder is a brain disorder that causes unusual shifts in mood, energy, and activity levels. It can also make it hard to carry out day-to-day tasks, such as going to school or hanging out with friends. Symptoms of bipolar disorder can be severe. They are different from the normal ups and downs that everyone goes through from time to time. Bipolar disorder symptoms can result in damaged relationships, poor school performance, and even suicide. But bipolar disorder can be treated, and many people with this illness can lead full and productive lives.

Symptoms of bipolar disorder often develop in the late teens or early adult years, but some people have their first symptoms during childhood. At least half of all cases start before age 25.

Bipolar disorder tends to run in families. Children with a parent or sibling who has bipolar disorder are up to six times more likely to develop the illness, compared with children who do not have a family history of bipolar disorder. However, most children with a family history of bipolar disorder will not develop the illness.

What are the signs and symptoms of bipolar disorder in children and adolescents?

Youth with bipolar disorder experience unusually intense emotional states that occur in distinct periods called “mood episodes.” The extreme highs and lows of mood are accompanied by extreme changes in energy, activity, sleep, and behavior. Each mood episode represents a drastic change from a person’s usual mood and behavior.

An overly joyful or overexcited state is called a manic episode. An extremely sad or hopeless state is called a depressive episode. Sometimes, a mood episode includes symptoms of both mania and depression. This is called a mixed state. People with bipolar disorder also may be explosive and irritable during a mood episode.

Symptoms of mania include:

Mood Changes
• Being in an overly silly or joyful mood that is unusual for the child. It is different from times when he or she is just being silly and having fun
• Having an extremely short temper and unusual irritability

Behavioral Changes
• Sleeping little but not feeling tired
• Talking a lot and having racing thoughts
• Having trouble concentrating or paying attention, jumping from one thing to the next in an unusual way
• Talking and thinking about sex more often than usual
• Behaving in risky ways more often, seeking pleasure a lot, and doing more activities than usual.

Symptoms of depression include:

Mood Changes
• Being in a sad mood that lasts a long time
• Losing interest in activities once enjoyed
• Feeling worthless or guilty

Behavioral Changes
• Complaining about pain more often, such as headaches, stomach aches, and muscle pains
• Eating a lot more or less than usual and gaining or losing a lot of weight
• Sleeping or oversleeping when these were not problems before
• Losing energy
• Recurring thoughts of death or suicide

It’s normal for almost every child or teen to show some of these behaviors sometimes. These passing changes should not be confused with bipolar disorder.

Symptoms of bipolar disorder are not like the normal changes in mood and energy that everyone has. Bipolar symptoms are more extreme and tend to last for most of the day, nearly every day, for at least one week. Also, depressive or manic episodes include moods very different from a child’s normal mood, and the behaviors generally all come on at the same time. Sometimes the symptoms of bipolar disorder are so severe that the child needs to be treated in a hospital.

Bipolar disorder can be present even when mood swings are less extreme. For example, sometimes a child may have more energy and be more active than normal, but not show the severe signs of a full-blown manic episode. This is called hypomania. It generally lasts for at least four days in a row. Hypomania causes noticeable changes in behavior, but does not harm a child’s ability to function in the same way that mania does.

How does bipolar disorder affect children and adolescents differently than adults?

Bipolar disorder that starts during childhood or the early teen years is called early-onset bipolar disorder, and seems to be more severe than the forms that first appear in older teens and adults. Youth with bipolar disorder are different from adults with bipolar disorder. Young people with the illness appear to have more frequent mood switches, are sick more often, and have more mixed episodes.

It is important to watch out for any sign of suicidal thinking or behaviors. Take these signs seriously. On average, people with early-onset bipolar disorder are at greater risk for attempting suicide than those whose symptoms start in adulthood. One large study on bipolar disorder in children and teens found that more than one-third of study participants made at least one serious suicide attempt. Some suicide attempts are carefully planned and others are not. Either way, it is important to understand that suicidal feelings and actions are symptoms of an illness that must be treated.

What treatments are available for children and adolescents with bipolar disorder?

Currently, there is no cure for bipolar disorder. However, treatment with medications, psychotherapy, or both may help people recover from their episodes, and may help to prevent future episodes.

To treat children and teens with bipolar disorder, doctors often rely on information about treating adults. This is because there haven’t been many studies on treating young people with the illness.

One large study with adults funded by NIMH was the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD). This study found that treating adults with medications and intensive psychotherapy for about nine months helped them get better. These adults got better faster and stayed well longer than adults treated with less intensive psychotherapy for 6 weeks. Combining medication treatment and psychotherapies may help young people with early-onset bipolar disorder as well. However, children sometimes respond differently to psychiatric medications than adults.

Medications

Before starting medication, your doctor will want to determine a child’s physical and mental health. This is called a “baseline” assessment. The child will need regular follow-up visits to monitor treatment progress and side effects. Most children with bipolar disorder will also need long-term or even lifelong medication treatment. This is often the best way to manage symptoms and prevent relapse, or a return of symptoms.

It’s better to limit the number and dose of medications. A good way to remember this is to “start low, go slow.” Talk to the doctor about using the smallest amount of medication that helps relieve the child’s symptoms. To judge a medication’s effectiveness, the child may need to take a medication for several weeks or months. The doctor or specialist needs this time to decide whether the medication is working or if they need to switch to a different medication. Because children’s symptoms are usually complex, they commonly need more than one type of medication.

Keeping a daily log of the child’s most troublesome symptoms can make it easier for the doctor to determine whether a medication is helpful. Also, be sure to tell the doctor about all other prescription drugs, over-the-counter medications, or natural supplements the child is taking. Combining certain medications and supplements may cause unwanted or dangerous side effects.

Psychotherapy

In addition to medication, psychotherapy can be an effective treatment for bipolar disorder. When treating bipolar disorder, psychotherapy is usually prescribed in combination with medication. Studies in adults show that it can provide support, education, and guidance to people with bipolar disorder and their families. Psychotherapy may also help children continue taking their medications to stay healthy and prevent relapse.

If you would like the full text of this publication, it is in the public domain and available at no cost at http://www.nimh.nih.gov/health/publications/bipolar-disorder-in-children-and-adolescents/index.shtml

If you would like to read this entire booklet and receive one hour of continuing education credit, visit Professional Development Resources at https://pdresources.org/course/index/6/1176/Bipolar-Disorder-in-Children-and-Adolescents

 

More Free Resources:

Enhanced by Zemanta

Herbs at a Glance

Dietary supplements

Dietary supplements (Photo credit: Andrei Z)

 

Excerpted from the National Center for Complementary &Alternative Medicine (NCCAM) Publication Herbs at a glance: A quick guide to herbal substances, 2010.

In the United States, nearly 1 in 5 adults—or over 38 million people—reported using a natural product, such as herbs, for health purposes in a 2007 survey. Among the top 10 natural products used were several botanicals covered in this booklet: echinacea, flaxseed, ginseng, ginkgo, and garlic.

People have used herbs as medicine since ancient times. For example, aloe vera’s use can be traced back to early Egypt, where the plant was depicted on stone carvings. Known as the “plant of immortality,” it was presented as a burial gift to deceased pharaohs. Lavender, native to the Mediterranean region, was used in ancient Egypt as part of the process for mummifying bodies. Chasteberry, the fruit of the chaste tree, has long been used by women to ease menstrual problems and to stimulate the production of breast milk. Cat’s claw, which grows wild in Central and South America, especially in the Amazon rainforest, has been used for centuries to prevent and treat disease. Hoodia, a flowering, cactus-like plant native to the Kalahari Desert in southern Africa, has been used by the Kalahari Bushmen to reduce hunger and thirst during long hunts.

Herbs still play a part in the health practices of many countries and cultures. Ayurvedic medicine, which originated in India, uses herbs, plants, oils, common spices(such as ginger and turmeric), and other naturally occurring substances. Traditional Chinese medicine uses herbs such as astragalus, bitter orange, and ginkgo for various health conditions. Herbs are also an important part of Native American healing traditions. Dandelion and goldenseal are examples of herbs used by Native Americans for different health conditions.

NCCAM’s Research on Herbs

While millions of Americans use herbal supplements, much remains to be learned about their safety and effectiveness. The National Center for Complementary and Alternative Medicine (NCCAM) at the National Institutes of Health is the Federal Government’s lead agency for studying all types of complementary and alternative medicine, including herbal supplements. This research covers a wide range of studies—from laboratory-based research studying how herbs might affect the body, to large clinical trials testing their use in people, such as studying ginkgo’s effects on memory in older adults, or whether St. John’s wort may help people with minor depression. Exploring how and why botanicals act in the body is an important step in evaluating their safety and effectiveness.

A word about safety

Although herbs have been used for thousands of years as natural medicines, natural does not always mean safe. Herbs can act in your body in ways similar to prescription drugs, and herbs may have side effects. They may also affect how your body responds to prescription drugs or over-the-counter medicines you take—possibly decreasing or increasing their effects.

How are herbal supplements regulated?

The U.S. Food and Drug Administration (FDA) regulates herbal and other dietary supplements differently from conventional medicines. The standards of safety and effectiveness that prescription and over-the-counter medicines have to meet before they are marketed do not apply to supplements. The standards for supplements are found in the Dietary Supplement Health and Education Act (DSHEA), a Federal law that defines dietary supplements and sets product-labeling standards and health claim limits. To learn more about DSHEA, visit the FDA Web site at www.fda.gov/RegulatoryInformation/Legislation/ .

Use Caution

If you are considering or using an herbal supplement, think about these points:

• Some herbal supplements are known to interact with medicines (both prescription and over-the-counter). For example, St. John’s wort can interact with birth control pills.

• Research has shown that what’s listed on the label of an herbal supplement may not be what’s in the bottle. You may be getting less—or more—of an ingredient than the label indicates, even if it uses the word “standardized” or “certified.” Many factors, including manufacturing and storage methods, can affect the contents of an herbal product.

• Some herbal supplements have been found to be contaminated with metals, unlabeled prescription drugs, microorganisms, or other substances.

• If you use herbal supplements, it is best to do so under the guidance of a medical professional who has been properly trained in herbal medicine. This is especially important for herbs that are part of a whole medical system, such as traditional Chinese medicine or Ayurvedic medicine.

• Women who are pregnant or nursing should be especially cautious about using herbal supplements. This caution also applies to giving children herbal supplements.

Talk to Your Health Care Providers

Be an informed consumer. Tell all of your health care providers about any herbs or supplements you are using or considering. Your health care providers need a full picture of everything you do to manage your health, including all complementary and alternative medicine practices. This will help ensure coordinated and safe care. It is especially important if you are taking any prescription or over-the-counter medications that could interact with an herbal supplement.

If you would like the full text of this publication, it is in the public domain and available at no cost at http://nccam.nih.gov/health/herbsataglance.htm

If you would like to read this entire booklet and receive one hour of continuing education credit, visit Professional Development Resources at https://pdresources.org/course/index/1/1097/Alternative-Therapies-Herbs-I-What-Every-Clinician-Should-Know

 

More Free Resources:

Enhanced by Zemanta