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CMAS Exam StudyGuide+Questions 100% Correct Solutions
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Universal - ANSWER prevention for everyone; prevention of first occurrence; Child sexual abuse started in the 1970's School; based Delivered from K-12th grade; Two-thirds of people receive education Selectve/Targeted - ANSWER targeting those in high risk areas; prevention of first occurence Indicated - ANSWER prevention after the fact; maltreatment occurred so we want to prevent a future occurrence Common elements in universal prevention - ANSWER Boundary violations, "safe touch"; Refuse sexual advances; Call or get help during an advance; Disclose advances or abuse to others Overall Effectiveness of Universal Prevention - ANSWER Increases in child's knowledge; Increased likelihood to use strategies; Little to no data on actual prevention Results of Universal Prevention - ANSWER "Good touch-bad touch" (OR = 2.00); Disclosure of sexual abuse increased; Adult sexual satisfaction no difference Targeted Prevention Programs - ANSWER Nurse Family Partnership;
Healthy Families America; Project SafeCare Targeted Prevention: Project SafeCare - ANSWER Parent training and household management; Education and support for child healthcare; Prevent an additional 100 cases of neglect per year Parent-Child Interaction Therapy (PCIT) - ANSWER CDI and PDI; Reduced physical abuse recidivism by 30%; Cost savings: $1.00 spent = $3.64 saved Prevention of Psychiatric Outcomes: 2 ways to go - ANSWER Target symptoms or disorders common to the child maltreatment population; Target causal processes of symptoms or disorders that have been changed by exposure to child maltreatment CFTSI: Child and Family Traumatic Stress Intervention - ANSWER Prevention of PTSD following trauma exposure; Primary goal: Enhance emotional support by caregiver; Four session intervention delivered in children's advocacy centers Components of CFTSI - ANSWER coping skills and parent skills; 4 sessions~ first session is parent only Results of CFTSI: PTSD Odds - ANSWER Full diagnosis with intervention: .345; Full or partial diagnoses with intervention: .268; both below one so low risk for outcome
AF-CBT Phase 1:Engagement and Psychoeducation - ANSWER Alliance Building and Engagement; Learning about Feelings, Experiences; Talking about Family Experiences AF-CBT Phase II: Individual Skill-Building - ANSWER Emotion Regulation; Restructuring Thoughts; Noticing Positive Behavior Assertiveness and Social Skills; Techniques for Managing Behavior; Imaginal Exposure* AF-CBT Phase III: Family Applications - ANSWER Verbalizing Healthy Communication; Enhancing Safety through Clarification; Solving Family Problems Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) - ANSWER 17 RCT's establishing its efficacy; Effective for many consequences of CSA:PTSD, Depression, Externalizing bxs; Treatment components: PPRACTICE; 8-25 sessions TF-CBT Stage 1 - ANSWER Psychoeduction; Parenting skills; Relaxation; Affective Modulation; Cognitive Coping TF-CBT Stage 2 - ANSWER Trauma Narrative and Processing; Imaginal/In-vivo Exposure TF-CBT Stage 3 - ANSWER Conjoint Parent-Child Sessions; Enhancing Safety TF-CBT Trauma Narrative - ANSWER Writing Exercises; Drawing; Talking Prolonged Exposure - ANSWER Psychoeducation, Breathing retraining; In-vivo and imaginal exposure; 2-3 components; slightly better results than TF-CBT; used to enforce therapeutic change; no cognitive processing
Six Core Components for ALL Interventions - ANSWER Psychoeducation, Emotion regulation, imaginal exposure, in-vivo exposure, cognitive processing, Problem solving Cognitive Processing - ANSWER Knowing what happened and understanding why Active Program - ANSWER parent does the work in the session an out of session Passive Program - ANSWER just watching a video or looking at a handout In-vivo exposure - ANSWER most intense; there with the stimulus until conditioned response distinguishes Imaginal exposure - ANSWER being done in a safe space; same exposure, but you talk about it in the first person