Child Abuse - Mental Health

Child Abuse is any form of mistreatment of a child that results in harm or puts a child at risk of harm. Health Canada categorizes abuse and child maltreatment into several forms, including emotional, mental, physical or sexual abuse. As well, it states that neglecting a child, or not providing for their basic health and well-being needs is also a form of abuse. Canadian Federal laws are in place to protect children from any act, or failure to act by a parent, caregiver, or other adult that causes harm or the risk of harm. Child abuse does not only happen within the home. Children can be subject to abuse from others in their community, such as family members or relatives, teachers, child care providers, and strangers. The effects of abuse on a child can have long-term consequences to their mental health, and children who have been the victim of any type of abuse need secure and stable support to help them through the situation. If a child has been the victim of abuse, there are professionals who can help with the emotional and mental stress it may cause. A child’s mental health is as important as their physical health. We are here to help you find empathetic and understanding sources of support and information in your community to help manage a child’s mental health who has been the victim of abuse.

You are not alone. Connect with others who may be going through the same thing, find professional help and resources near you. The Kinjunxion community is here to help.

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Treatment of Child Abuse

Common Ground for Mental Health, Medical, and Legal Practitioners

Reports alleging maltreatment of more than three million children were made in the United States in 1996, a rate of 44 per 1,000 children in the population. Of those reports, child protective services substantiated abuse or neglect in nearly one million children -- an 18 percent increase since 1990. More than half the 1996 reports alleging maltreatment came from medical, social services, education, or law enforcement professionals, and almost two-thirds of the substantiated reports were made by these professionals. As diagnostic expertise has increased, child care professionals face new responsibilities for recognizing the short-term and long-term consequences of childhood victimization and for effectively treating victims of the various forms of child maltreatment. Achieving treatment goals requires that consultations among mental health, medical, and legal practitioners be conducted on common ground. This book seeks to provide that common ground. Combining current theory about treating child abuse with current practice guidelines, Treatment of Child Abuse provides professionals with the guidance they need to take the correct steps to restore the child and the family as much as possible to normal. In addition, it addresses the rising demand for accountability in the health care system, which increasingly requires professionals to justify their efforts and their methods. The result is the first single reference source for the clinician who needs to know which approach to treatment might be most appropriate for a given child trying to cope with the aftermath of physical, emotional, or sexual abuse. It provides guidelines for treatment of the different categories of abuse as well as neglect, Munchausen by proxy, and multiple traumatization. Initial medical management, legal interventions, long-term medical management, and long-term management of developmental and psychological consequences are thoroughly covered, as are complicated issues such as treatment-resistant families, the treatment of offenders, forensic implications (including confidentiality), and the long-term consequences of childhood victimization.

An American's Resurrection

One Man's Pilgrimage from Child Abuse and Mental Illness to Salvation

Unflinching in his honesty and unabashed in his love for life, Eric Arauz first peels back the curtain on living with the trauma of severe child abuse, mental illness, and addiction to reveal the brutal truth about hopelessness and the so-called "fine line between madness and genius," and then lays out his Existential Cookbook and the literary ingredients he discovered on the road to living a joyous and hope-filled life.

Treatment of Child Abuse

Common Ground for Mental Health, Medical, and Legal Practitioners

"Highly recommended for expert and beginner alike. It is well written, well organized, easy to read, and packed with useful information." -- Child Abuse & Neglect "This book represents a milestone in expanding the resource base for professionals working in the child abuse field." -- Journal of Child and Family Studies

Born for Love

Why Empathy Is Essential--and Endangered

“Bruce Perry is both a world-class creative scientist and a compassionate therapist.” —Mary Pipher, author of Reviving Ophelia Born for Love is the definitive book on empathy. Renowned psychiatrist Bruce Perry has appeared on Oprah, CNN, National Public Radio’s All Things Considered, and other programs as an expert in this hot area of neuroscience, and has been cited as such in Newsweek, the New York Times, and The New Yorker (in a story written by Malcolm Gladwell). He and co-writer Maia Szalavitz explore empathy’s startling importance in human evolution and its significance for our children and our society. The authors of The Boy Who was Raised as a Dog present a powerful case that love is essential…and endangered.

Child Abuse

Implications for Child Development and Psychopathology

This Second Edition of Child Abuse is devoted to a topic of major social and clinical significance. In this book, the author describes the different types of abuse and discusses the influence they have on development and social consequences in childhood and adolescence. The book uses theory and research to convey the importance of multiple contextual influences that affect abuse and can be used to ameliorate it.

New Directions in Child Abuse and Neglect Research

Each year, child protective services receive reports of child abuse and neglect involving six million children, and many more go unreported. The long-term human and fiscal consequences of child abuse and neglect are not relegated to the victims themselves -- they also impact their families, future relationships, and society. In 1993, the National Research Council (NRC) issued the report, Under-standing Child Abuse and Neglect, which provided an overview of the research on child abuse and neglect. New Directions in Child Abuse and Neglect Research updates the 1993 report and provides new recommendations to respond to this public health challenge. According to this report, while there has been great progress in child abuse and neglect research, a coordinated, national research infrastructure with high-level federal support needs to be established and implemented immediately. New Directions in Child Abuse and Neglect Research recommends an actionable framework to guide and support future child abuse and neglect research. This report calls for a comprehensive, multidisciplinary approach to child abuse and neglect research that examines factors related to both children and adults across physical, mental, and behavioral health domains--including those in child welfare, economic support, criminal justice, education, and health care systems--and assesses the needs of a variety of subpopulations. It should also clarify the causal pathways related to child abuse and neglect and, more importantly, assess efforts to interrupt these pathways. New Directions in Child Abuse and Neglect Research identifies four areas to look to in developing a coordinated research enterprise: a national strategic plan, a national surveillance system, a new generation of researchers, and changes in the federal and state programmatic and policy response.

Child Abuse and Culture

Working with Diverse Families

This expertly written book provides an accessible framework for culturally competent practice with children and families in child maltreatment cases. Numerous workable strategies and concrete examples are presented to help readers address cultural concerns at each stage of the assessment and intervention process. Professionals and students learn new ways of thinking about their own cultural viewpoints as they gain critical skills for maximizing the accuracy of assessments for physical and sexual abuse; overcoming language barriers in parent and child interviews; respecting families' values and beliefs while ensuring children's safety; creating a welcoming agency environment; and more.

Organised Sexual Abuse

This book examines the sexual abuse of children by groups or networks. It reviews the debates and controversy surrounding organised abuse and examines case studies of 21 adults in Australia who experienced organised sexual abuse in childhood. Themes discussed include: the relationship between sexual abuse and organised abuse; debates on allegations and recovered memories; police responses; the contexts in which sexually abusive groups develop and operate; the role of religion and ritual in subcultures of organised sexual abuse; and the experience of adult and child victims in the criminal justice system and health system.

When Your Adult Child Breaks Your Heart

Coping with Mental Illness, Substance Abuse, and the Problems That Tear Families Apart

Behind nearly every adult who is accused of a crime, becomes addicted to drugs or alcohol, or who is severely mentally ill and acting out in public, there is usually at least one extremely stressed-out parent. This parent may initially react with the bad news of their adult child behaving badly with, "Oh no!" followed by, "How can I help to fix this?" A very common third reaction is the thought, "Where did I go wrong--was it something I said or did, or that I failed to do when my child was growing up that caused these issues? Is this really somehow all my fault?" These parents then open their homes, their pocketbooks, their hearts, and their futures to "saving" their adult child--who may go on to leave them financially and emotionally broken. Sometimes these families also raise the children their adult children leave behind: 1.6 million grandparents in the U.S. are in this situation. This helpful book presents families with quotations and scenarios from real suffering parents (who are not identified), practical advice, and tested strategies for coping. It also discusses the fact that parents of adult children may themselves need therapy and medications, especially antidepressants. The book is written in a clear, reassuring manner by Dr. Joel L. Young, medical director of the Rochester Center for Behavioral Medicine in Rochester Hills, Michigan; with noted medical writer Christine Adamec, author of many books in the field. In the wake of the Newtown shooting and the viral popularity of the post "I Am Adam Lanza's Mother," America is now taking a fresh look, not only at gun control, but also on how we treat mental illness. Another major issue is our support or stigmatization of those with adult children who are a major risk to their families as well to society itself. This book is part of that conversation.

Children's needs - parenting capacity

child abuse, parental mental illness, learning disability, substance misuse, and domestic violence

This second edition of "Children's needs - parenting capacity" updates the original exploration of the research literature in the light of legal and policy changes in England and findings from more recent national and international research. The edition has also been expanded to cover parental learning disabilities and how it may impact on parenting and children's health and development. The findings show that these parenting issues affect children differently depending on their age and individual circumstances. While some children grow up apparently unscathed, others exhibit emotional and behavioural disorders. This knowledge can inform practitioners undertaking assessments of the needs of children and their families and effective service responses. This publication is essential reading for practitioners, managers and policy makers concerned with improving the outcomes for children and families who are experiencing such problems.

Munchausen by Proxy Syndrome

Misunderstood Child Abuse

Munchausen by Proxy Syndrome (MBPS), a form of child abuse in which a primary carer - usually a mother - fabricates and//or induces illness in a child, is one of the least understood forms of child abuse and mental illness. Examining the current knowledge about the manifestations and consequences of this perplexing behaviour, this book assists all professionals working with chronically ill children in identifying and intervening with this bizarre and often deadly form of abuse. Drawing from their firsthand experience with the complexities of such cases, the editors and contributors address critical issues of not only identification and assessment but also long-term psychotherapy. Therapy with the mother//perpetrator has tra

Violence

Diverse Populations and Communities

Understand violence within its cultural context! To reduce violence, we need to understand what it is, where it comes from, and what it means in cultural context. Violence: Diverse Populations and Communities provides new empirical research and theoretical models to help you understand the impact of violence on various ethnic and cultural groups. From the effects of abuse on Latino children to aged Korean-American women's perceptions of elder mistreatment, this comprehensive volume covers all ages, many ethnic groups, and multiple types of violence. Violence: Diverse Populations and Communities looks at such neglected populations as Mexican, Korean, Vietnamese, and Cambodian immigrants as well as Black, Caucasian, and Latino cultures. The forms of violence studied range from the devastation of war to keeping elders isolated for long periods of time and culturally specific forms of abuse. This comprehensive volume also includes a thorough literature review, stressing the need for more research, especially into the needs and experiences of neglected populations, and suggesting fruitful areas for further inquiry. Violence: Diverse Populations and Communities asks and answers complex questions, including: Is war or street violence more traumatic for adolescent refugees from the Khmer Rouge? What social support benefits do street gangs offer their members? How do cultural expectations of male and female roles affect dating violence? What culturally sensitive interventions best address the needs of a Latina rape survivor? How do women of various Asian cultures respond to spousal battering? How can practitioners working with elder abuse victims define their roles, objectives, and interventions to accommodate cultural differences? The groundbreaking research in Violence: Diverse Populations and Communities provides an illuminating exploration into the cultural meaning of violence. By questioning standard assumptions and discovering what violence means to those who suffer from it and perpetrate it, practitioners can better serve multicultural client populations. This book will change the way you see violence by helping you understand its manifestations within various cultural contexts.

Mental Health Advocacy

Mental Health Peer Support

Mental Health Education

Mental Health Recovery

Mental Health Issues

Exercise Mental Health

Mental Health & Wellness

Surviving sexual abuse

Prevention of Child Abuse

Mental Health Self-Help

Natural Health Freedom

McMaster Children's Hospital - Child Advocacy and Assessment Program (CAAP) - Ron Joyce Children's Health Centre, Level 4

Offers assessment and consultation services, including:

* Child maltreatment assessment and impact of maltreatment assessment
* Parenting capacity assessment
* Intervention services (psychoeducation, counselling, treatment, etc.) for children and their parents/caregivers where a child has experienced some form of maltreatment (sexual, physical, emotional abuse, or neglect)
* Educational services

McMaster Children's Hospital - Child Advocacy and Assessment Program (CAAP) - Ron Joyce Children's Health Centre, Level 4

Offers assessment and consultation services, including:

* Child maltreatment assessment and impact of maltreatment assessment
* Parenting capacity assessment
* Intervention services (psychoeducation, counselling, treatment, etc.) for children and their parents/caregivers where a child has experienced some form of maltreatment (sexual, physical, emotional abuse, or neglect)
* Educational services

Joseph Brant Hospital - Community Mental Health Outpatient Services - Burlington - Joseph Brant Community Health Centre (Brant Centre)

Community Mental Health provides a continuum of care from assessment or consultation, to specialized treatment supports for clients with complex and serious mental health disorders.

Child and Adolescent Clinic (CAP)
Provides support to children/youth under the age of 18 years.
* Child and Adolescent Psychiatrist works with Social Worker to assess and provide treatment recommendations on complex cases.

Concurrent Disorders Clinic (Addictions & Mental Illness)
Specialized assessments of clients with co-occurring mental health and addictions disorders.
* psychiatrists work with Social Worker to identify clients who would benefit from longer term individual treatment.
* clinic staff also provide "Health & Hope Group," a 10-week psycho-educational support group for people who experience difficulties with both a mental health issue and substance abuse issue.

Early Intervention in Psychosis (Phoenix)
Regional clinical program provides service to clients 14-40 years of age experiencing a first episode of psychosis.
* jointly managed by Joseph Brant Hospital, Oakville Trafalgar Memorial Hospital, North Halton Mental Health Clinic, ADAPT, and the Halton-Peel Schizophrenia Society.
* for more information, see separate listing here

General Psychiatrist Consultation Clinic
Assessment, medication review, and treatment recommendations via a "shared care" model with family physicians.
* follow up appointments provided as necessary for more complex cases to ensure the efficacy of medications prescribed and that the recommended treatment plan is working for the client.

Geriatric Psychiatric Consultation Service
Supports clients aged 65 and older who are residents of Burlington, for more details see separate listing here

Halton Homes (homelessness service)
Provides clinical support to Halton Homes service which targets mental health clients at risk of being homeless and provides both clinical case management and housing supports.
* Ontario Ministry of Health supportive housing initiative, lead agency is Summit Housing and Outreach Program.
* for more information see separate listings here

PACT (Program of Assertive Community Treatment)
Community outreach program of Halton Region, is housed at Joseph Brant serving all Halton residents, see separate listing here

PHAST (Prioritizing Health through Acute Stabilization and Treatment)
Access to mental health and addiction services for individuals 16 and older with mental health and/or addiction concerns who have an urgent need for acute stabilization and intervention
* multidisciplinary model, which includes the services of a registered nurse, addictions specialists, social workers, a child and youth intensive worker, a peer support worker, an occupational therapist, a transitional age youth social worker, a case manager and clerical support
* treatment includes stabilization and referral to social service agency partners through a combination of group and one-on-one sessions for individuals and their families

Treatment Services
Available through referral from a physician:
1. Short Term Treatment
Meets the needs of individuals who are experiencing mental health issues such as mood or anxiety disorders.
* assessment, psychiatric evaluation, treatment planning, skill development and coordination of community resources.
* an average of 12 therapy sessions is offered.
* clinicians also offer treatment via several groups, e.g. Cognitive Behavioural Therapy (CBT) for clients with depression or anxiety.

2. Intensive Case Management
Inter-professional team offers comprehensive outreach services to adult clients and their families.
* addresses the multiple needs of clients with predominantly psychotic or severe mood disorders (eg. bipolar) and focuses on the client's goals and effective community reintegration.

3. Medication Clinic
Operates with both RN and Psychiatrist support for the follow up of primarily a chronic population.
* goals are to facilitate the optimal use of psychotropic medications with a view to prevent/reduce hospitalizations and Emergency Department visits, ensure client stability in the community and support clients in maintaining adequate functioning and an enhanced quality of life.

Thrive Counselling - Thrive Counselling, Burlington Head Office - Burlington Head Office

Major services:
* Violence Against Women Program
* Caring Dads
* individual, couple and family counselling
* Employee Assistance Program
* educational and counselling groups available in certain locations only if demand necessitates
* Assessment Referral for Abused Women (individual assessment appointments, individual counselling, education/support groups, counselling groups for women, counselling groups for children who have witnessed abuse, developing healthy relationships)

Free Walk-In Counselling Clinic:
* now available at this office
* Thursdays 1 pm-7:30 pm
* no appointment or referral required

Branch offices:
* Oakville
* Milton
* North Halton

McMaster Children's Hospital - Child and Youth Mental Health Outpatient Service and Home Based Services - Ron Joyce Children's Health Centre, Level 3

Supports children and their families with moderate to severe emotional and/or behavioural difficulties, who have not responded to traditional out-patient services. The staff are Child and Youth workers and Early Childhood Educators, and are part of a large outpatient team, including child psychiatry.

Radius Child and Youth Services

Major services:
* identify and remediate the traumatic impact of interpersonal abuse
* provide support, education and intervention to all non-offending family members or caregivers impacted by their child's trauma

* trauma assessments: determines the effects of interpersonal abuse, most effective treatment approach

* trauma treatment: following assessment, a client may enter into a recommended combination of individual and family therapy

* sexualized behaviour assessments and treatment for children under 12 years that are involved in inappropriate sexual behaviours

* risk assessments/treatment for sexually offending youths between the ages of 12-18 years, to understand the circumstances leading to the sexual offending behaviour(s), risks, strengths and treatment needs

* sibling incest assessments/treatment for families where sibling-on-sibling sexual abuse has occurred including a trauma assessment for the victimized child, a risk assessment

* for sexually abused and/or abusive children, adolescents and their families

* family and individual assessment, treatment and long term support

* group therapy for female and male victims, non-offending mothers, juvenile sex offenders and offending parents

* self help component for the offending adolescent and a comprehensive family assessment

* also offers Training and Consultation programs

Joseph Brant Hospital - Community Mental Health Outpatient Services - Burlington - Joseph Brant Community Health Centre (Brant Centre)

Community Mental Health provides a continuum of care from assessment or consultation, to specialized treatment supports for clients with complex and serious mental health disorders.

Child and Adolescent Clinic (CAP)
Provides support to children/youth under the age of 18 years.
* Child and Adolescent Psychiatrist works with Social Worker to assess and provide treatment recommendations on complex cases.

Concurrent Disorders Clinic (Addictions & Mental Illness)
Specialized assessments of clients with co-occurring mental health and addictions disorders.
* psychiatrists work with Social Worker to identify clients who would benefit from longer term individual treatment.
* clinic staff also provide "Health & Hope Group," a 10-week psycho-educational support group for people who experience difficulties with both a mental health issue and substance abuse issue.

Early Intervention in Psychosis (Phoenix)
Regional clinical program provides service to clients 14-40 years of age experiencing a first episode of psychosis.
* jointly managed by Joseph Brant Hospital, Oakville Trafalgar Memorial Hospital, North Halton Mental Health Clinic, ADAPT, and the Halton-Peel Schizophrenia Society.
* for more information, see separate listing here

General Psychiatrist Consultation Clinic
Assessment, medication review, and treatment recommendations via a "shared care" model with family physicians.
* follow up appointments provided as necessary for more complex cases to ensure the efficacy of medications prescribed and that the recommended treatment plan is working for the client.

Geriatric Psychiatric Consultation Service
Supports clients aged 65 and older who are residents of Burlington, for more details see separate listing here

Halton Homes (homelessness service)
Provides clinical support to Halton Homes service which targets mental health clients at risk of being homeless and provides both clinical case management and housing supports.
* Ontario Ministry of Health supportive housing initiative, lead agency is Summit Housing and Outreach Program.
* for more information see separate listings here

PACT (Program of Assertive Community Treatment)
Community outreach program of Halton Region, is housed at Joseph Brant serving all Halton residents, see separate listing here

PHAST (Prioritizing Health through Acute Stabilization and Treatment)
Access to mental health and addiction services for individuals 16 and older with mental health and/or addiction concerns who have an urgent need for acute stabilization and intervention
* multidisciplinary model, which includes the services of a registered nurse, addictions specialists, social workers, a child and youth intensive worker, a peer support worker, an occupational therapist, a transitional age youth social worker, a case manager and clerical support
* treatment includes stabilization and referral to social service agency partners through a combination of group and one-on-one sessions for individuals and their families

Treatment Services
Available through referral from a physician:
1. Short Term Treatment
Meets the needs of individuals who are experiencing mental health issues such as mood or anxiety disorders.
* assessment, psychiatric evaluation, treatment planning, skill development and coordination of community resources.
* an average of 12 therapy sessions is offered.
* clinicians also offer treatment via several groups, e.g. Cognitive Behavioural Therapy (CBT) for clients with depression or anxiety.

2. Intensive Case Management
Inter-professional team offers comprehensive outreach services to adult clients and their families.
* addresses the multiple needs of clients with predominantly psychotic or severe mood disorders (eg. bipolar) and focuses on the client's goals and effective community reintegration.

3. Medication Clinic
Operates with both RN and Psychiatrist support for the follow up of primarily a chronic population.
* goals are to facilitate the optimal use of psychotropic medications with a view to prevent/reduce hospitalizations and Emergency Department visits, ensure client stability in the community and support clients in maintaining adequate functioning and an enhanced quality of life.

Thrive Child and Youth Trauma Services - Child and Youth Trauma Services Program

Program offers comprehensive assessment and specialized intervention and treatment for : children and youth up to age 18 who have been sexually victimized; children under 12 concerning sexual behaviour; and children under 12 who have engaged in intrafamilial sexual abuse (e.g. siblings, cousins etc.).







Parents for Children's Mental Health - Family Support Group - Burlington Chapter

Peer to peer support group for parents of children and youth with mental health disorders/illnesses
* provide support, education, and empowerment by linking networks of families, communities, agencies and government

Catholic Family Services of Hamilton - Woman Abuse Program

Offers trauma informed support to women and children who have been exposed to abuse, violence and/or trauma within a non-judgmental, inclusive environment in which they can increase their knowledge and understanding of woman abuse, and explore the options, resources and supports available.

Services offered:
Woman Abuse Counselling
Children's Counselling
Partner Assault Response (PAR)
Learning Effective Anti-Violence in Families (LEAF)

McMaster Children's Hospital - Pediatric Eating Disorders Program - Ron Joyce Children's Health Centre, Level 4

Provides comprehensive, multidisciplinary assessment for all new patients with eating problems on an in-patient, out-patient, day-treatment basis. Families and caregivers are integral to the treatment process. Further information is available from the National Eating Disorders Information Centre at 1-866-NEDIC-20 or www.nedic.ca

Joseph Brant Hospital - Community Mental Health Outpatient Services - Phoenix Program Early Intervention Service for Psychosis - Burlington - Joseph Brant Community Health Centre (Brant Centre)

The Phoenix Program is a mental health outpatient, community based program for Halton residents age 14 to 35 who are experiencing early stages of psychosis
* clinical partnership between Halton Healthcare, Joseph Brant Hospital, North Halton Mental Health Clinic, ADAPT and the Schizophrenia Society of Ontario

Services include:
* rapid psychiatric assessment
* treatment based on individual concerns/goals including education about psychosis
* assistance with work, school, social and leisure activities
* specialized support to family and friends
* addictions counselling
* community program referral and illness management instruction after discharge