7-2 Final Project Milestone Five: Case Scenario 5-Child Abuse Potential-Nursing Paper Examples

Daubert (Child Abuse Potential-Nursing Paper Examples)

The case study data was assessed using assessment tools like Symptom Assessment-45 (SA-45), Minnesota Multiphasic Personality Inventory-2ed (MMPI-2), and Child Abuse Potential Inventory (CAPI) to satisfy the Daubert Psychometrics. For instance, SA-45, MMPI-2, and CAPI have previously been used to assess patient data in peer-reviewed studies by Liel et al. (2019), Holgado-Telloet al. (2019), and Northern Illinois University (2017). The studies satisfy scientific methodology since they incorporate observations, hypothesis development, experiments, and analysis of results (Child Abuse Potential-Nursing Paper Examples).

Besides, the tools are valid and reliable. The study by Liel et al. (2019) indicates that CAPI has an excellent internal consistency of 0.92-0.95 for the general population and concurrent predictive validity of between 85%-90%. Similarly, MMPI-2 has a reliability score of 0.5-0.8 across all scales (Northern Illinois University, 2017). Holgado-Tello et al. (2019) observe that SA-45 has adequate convergent and divergent validity based on its test scales (Child Abuse Potential-Nursing Paper Examples).

Interview Information

Ms. Z complied with the psychosocial assessment and exhibited normal tone, speech, intellectual functioning, and time consciousness. The client also experiences anxiety, as indicated in SA-45 (ANX, T score=70), contributed by fear of darkness. Ms. Z‘s willingness to comply with the psychosocial assessment can be characterized under the Beta risk typology. In this case, the client has a high risk of entering new relationships, divorce, and involvement in domestic violence, all of which position Ms. Z as a shadow mother (Child Abuse Potential-Nursing Paper Examples).

Additionally, Ms. Z has a high risk of engaging in misdemeanor offenses like child support hearings, contributing to challenges in caring for or developing parental attachment with the child. For instance, Poehlmann-Tynan et al. (2019) observe that children who witness their parent’s incarceration experience heightened feelings of loss and stress, affecting their parental attachment and overall health. Such children should be granted regular visitation services or kinship placement to fill the void left by parental loss (Child Abuse Potential-Nursing Paper Examples).

Collateral Information

Ms. Z engaged in juvenile behavior during her teenage years and was previously involved with child protection services (CPS) due to violence and neglect. Ms. Z has also faced assault charges, engaged in domestic violence, and used cannabis. Additionally, Ms. Z has a family history of abuse, attends domestic violence counseling, and works at a fast-food restaurant. In this case, Ms. Z’s history of hostility and childhood abuse, including increased hypomania (Ma, T score = 60) and depression (DEP, T Score = 65), based on the MMPI-2 scores, classify the client under Beta risk typologies (Child Abuse Potential-Nursing Paper Examples).

This means that Ms. Z has a high risk of poor decision-making, which could jeopardize the child’s safety and health. Besides, the typologies indicate that the client has a high risk of abuse and neglected supervision, reducing their ability to care for the child. Toth and Manly (2019) argue that children’s health and development can deteriorate under abusive and neglectful parents, leading to deviant behaviors. Negative parent-child relationships also affect the child’s emotional health, leading to the development of mental health problems like bipolar disorder(Child Abuse Potential-Nursing Paper Examples).

Recommendations

Ms. Z should be subjected to longer durations of counseling with an emphasis on emotion regulation due to the potential of exhibiting low efficacy to treatment within the first 90 days. Lengthy counseling can enhance effective parental emotion regulation, which is vital in influencing positive emotions in children, enabling children to adopt acceptable behaviors within society (Hajal & Paley, 2020). Additionally, Ms. Z’s mental health should be assessed regularly during the rehabilitation process to determine the efficacy of the treatment process. The client could exhibit an inadequate response to the treatment process, which can extend the period at which CPS allows them to care for their children (Child Abuse Potential-Nursing Paper Examples).

Rocchio (2020) observes that regular mental health assessment is necessary to determine the efficacy of the intervention and the necessary adjustments to enhance positive outcomes. Also, the interventions focusing on Ms. Z’s domestic violence, such as family therapy, should ensure the patient’s autonomy and confidentiality to enable them to willingly comply with the treatment interventions, leading to adherence and positive treatment outcomes (Molina-Mula & Gallo-Estrada, 2020) (Child Abuse Potential-Nursing Paper Examples). 

Ethical Guidelines

The recommendations align with the American Psychological Association (APA) ethical guidelines. For instance, the need for lengthy counseling focuses on improving the beneficial outcomes of the treatment process based on the principle of beneficence. The principle obligates psychologists to do good and positively contribute to patients’ health (Varkey, 2021). Besides, maintaining patients’ autonomy during treatment aligns with the ethical principle of autonomy, emphasizing the need for patients to make independent decisions (Varkey, 2021) (Child Abuse Potential-Nursing Paper Examples).

Finally, maintaining the patient’s confidentiality aligns with psychologists’ obligation to ensure confidentiality and privacy of patient data. Such privacy enhances the development of positive nurse-patient relationships, which are crucial in improving treatment outcomes (Lustgarten et al., 2020). For example, Ms. Z is likely to share their treatment experiences with the psychologist if they believe in the confidentiality of the information shared (Child Abuse Potential-Nursing Paper Examples).

References

Hajal, N. J., & Paley, B. (2020). Parental emotion and emotion regulation: A critical study target for research and intervention to promote child emotion socialization. Developmental Psychology, 56(3), 403. https://psycnet.apa.org/doi/10.1037/dev0000864

Holgado-Tello, F. P., Vila-Abad, E., & Barbero-Garcia, M. (2019). Estructura interna del Symptom Assessment-45 Questionnaire (SA-45). Acción Psicológica, 16(1), 31-42.https://dx.doi.org/10.5944/ap.16.1.22048

Liel, C., Meinck, F., Steinert, J. I., Kindler, H., Lang, K., & Eickhorst, A. (2019). Is the Brief Child Abuse Potential Inventory (BCAPI) a valid measure of child abuse potential among mothers and fathers of young children in Germany? Child Abuse & Neglect, 88, 432-444. https://doi.org/10.1016/j.chiabu.2018.11.008

Lustgarten, S. D., Garrison, Y. L., Sinnard, M. T., & Flynn, A. W. (2020). Digital privacy in mental healthcare: current issues and recommendations for technology use. Current opinion in psychology, 36, 25-31. https://doi.org/10.1016/j.copsyc.2020.03.012

Molina-Mula, J., & Gallo-Estrada, J. (2020). Impact of nurse-patient relationship on quality of care and patient autonomy in decision-making. International Journal of environmental research and public health, 17(3), 835. https://doi.org/10.3390/ijerph17030835

Northern Illinois University (2017). Child Abuse Potential (CAP) Inventory: Description and Psychometric Characteristics. https://www.niu.edu/clas/fvsa/_pdf/child-abuse-potential-description-psychometric-characteristics.pdf

Poehlmann-Tynan, J., Muentner, L., Pritzl, K., Cuthrell, H., Hindt, L. A., Davis, L., & Shlafer, R. (2021). The health and development of young children who witnessed their parent’s arrest prior to parental jail incarceration. International journal of environmental research and public health, 18(9), 4512. https://doi.org/10.3390/ijerph18094512

Rocchio, L. M. (2020). Ethical and professional considerations in the forensic assessment of complex trauma and dissociation. Psychological injury and law, 13(2), 124-134.https://doi.org/10.1007/s12207-020-09384-9

Toth, S. L., & Manly, J. T. (2019). Developmental consequences of child abuse and neglect: Implications for intervention. Child Development Perspectives, 13(1), 59–64. https://doi.org/10.1111/cdep.12317

Varkey, B. (2021). Principles of clinical ethics and their application to practice. Medical Principles and Practice, 30(1), 17–28. https://doi.org/10.1159/000509119