Sexual assault is a worldwide public health concern, as it occurs to people of all genders at alarming rates and results in serious impacts to physical and mental health. Furthermore, the reactions that survivors receive from formal and informal supports can significantly influence survivors' recovery. Given the prevalence of sexual assault, practitioners need to be prepared to handle disclosures of sexual assault from clients. A Clinician's Guide to Disclosures of Sexual Assault provides guidance for service providers on how to interact with survivors of sexual assault, defined here as sexual contact or penetration without the explicit consent of the victim. The book highlights that there are specific populations (e.g., sexual minorities, men) and settings (e.g., military, higher education) that require unique considerations when discussing sexual violence. Beginning with a foundation of literature focused on sexual assault and survivor disclosure, chapters build upon current theory and offer recommendations for conducting effective assessments and psychotherapy with survivors. Finally, case examples are presented to illustrate how these approaches can be used in practice. Professionals across disciplines, such as medical or educational settings, law enforcement, and victim services, have an instrumental role in facilitating survivor recovery, and this book offers best practices for delivering services in an affirming manner.

"Sexual assault survivors face a precarious dilemma regarding whether or not to disclose their experience. Many survivors, once they disclose their victimization to others, are met with support and validation. These survivors report better outcomes. Unfortunately, others are not believed or are blamed for the incident(s). These negative reactions can have devastating consequences on their long-term recovery. The uncertainty of how others will respond to"--

EXECUTIVE SUMMARY AND RECOMMENDATIONS: The goal of this TIP is to recommend guidelines for primary care clinicians to follow in caring for patients with alcohol and other drug use disorders. These guidelines were developed by a Consensus Panel of clinicians, researchers, and educators who work on the prevention and treatment of substance use disorders. Protocols are based partly on research evidence, partly on Panel members' clinical experience. The algorithm to the left follows a patient with substance use problems who presents in a primary care setting. The chart will serve as a guide or road map through screening, brief assessment, brief intervention, assessment, referral, specialized treatment, and followup care as they are detailed in the TIP. Since substance use disorders are often chronic conditions that progress slowly over time, primary care clinicians, through their regular, long-term contact with patients, are in an ideal position to screen for alcohol and drug problems and monitor each patient's status. Futhermore, studies have found that primary care clinicians can actually help many patients decrease alcohol consumption and its harmful consequences through office-based interventions that take only 10 to 15 minutes (Kahan et al., 1995; Wallace et al., 1988). This potential, however, is largely untapped: Saitz and colleagues found that of a sample of patients seeking substance abuse treatment, 45 percent reported that their primary care physician was unaware of their substance abuse (Saitz et al., in press). Yet even though screening and limited treatment of substance use disorders do not require a large time investment, the Consensus Panel that developed this TIP recognized that many primary care clinicians are already overwhelmed by the demands imposed by expanded gatekeeper functions. The Panel realized that a practical approach to addressing patients' substance abuse problems was needed: one that recognized the time and resource limitations inherent in primary care practice and offered a series of graduates approaches that could be incorporated into a normal clinic or office routine. Biological, medical, and genetic factors as well as psychological, social, familial, cultural, and other environmental features all bear on substance abuse. Addressing the condition effectively requires a team effort, especially when it has progressed beyond the early stage. For this reason, in addition to screening and intervention treatment options, these guidelines include information about viable referral for assessment and treatment, as well as followup. Readers will notice that the TIP contains more information on alcohol use and abuse than on use of illicit drugs. This reflects both the scope of the problems and the research literature available about them. It is estimated that about 18 million people with alcohol use problems and 5 million users of illicit drugs need treatment. Although the Panel recognizes that tobacco is an addictive substance with a major public health impact, it is not included in this TIP because the topic falls outside CSAT's purview. Readers are referred to "Smoking Cessation: a Guide for Primary Care Clinicians," published by the Agency for Health Care Policy and Research (Agency for Health Care Policy and Research, 1996). The Consensus Panel's recommendations are based on a combination of clinical experience and research-based evidence. In the list below, the summary guidelines supported by the research literature are followed by (1); clinically based recommendations are marked (2). Citations supporting the former are referenced in the body of the document. Screening and assessment instruments mentioned below are reproduced and discussed in Chapters 2 and 4 and Appendix C. The guidelines are presented in more detail in Chapter 6.

Clinicians and practitioners-in-training can often lose sight of the normal developmental landscape that underlies behavior, especially in the field of cognitive development. It exists in an insular bubble within the broader field of psychology, and within each sub-domain there is a wide continuum between the anchors of atypical and optimal development. Clinicians need to learn, and to be reminded of, the unique peculiarities of developing cognitive skills in order to appreciate normal developmental phenomena. In A Clinician's Guide to Normal Cognitive Development in Childhood, every chapter provides students and established professionals with an accessible set of descriptions of normal childhood cognition, accompanied by suggestions for how to think about normal development in a clinical context. Each sub-topic within cognitive development is explicated through a succinct presentation of empirical data in that area, followed by a discussion of the ethical implications. With an extensive review of data and clinical practice techniques, professionals and students alike will benefit enormously from this resource.

"The Clinician's Guide to Child Custody Evaluations, Third Edition is written by one of the leaders in the field. it is as essential to the subject of child custody as the stethoscope is to medicine. This edition, an update of a classic, is a must-read for everyone from the novice to the expert's expert." - Leslie M. Drozd, PhD, Editor, Journal of Child Custody A practical and comprehensive guide for conducting child custody evaluations. Clinician's Guide to Child Custody Evaluations addresses the entire custody evaluation process from beginning to end. This New Third Edition reflects the abundant recent research in this area, including new evaluating and testing findings and new ethical guidelines from the APA. This edition also features fully up-to-date coverage of important legal decisions affecting child custody. With many chapters completely revised and rewritten, the third Edition covers: * Roles the mental health Practitioner can play and operate within the legal arena * What encompasses a custody evaluation * Ethical considerations and responsibilities involved in custody disputes * How to interview, make behavioral observations, and collect collateral information * Standards, applicability,and administration of tests * Specialized child custody instruments such as the Ackerman-Schoendorf Scales for Parent Evaluation of Custody (ASPECT) * How divorce affect families * Evaluating parents' behavior * How to prepare for the courtroom process * Maltreatment, including neglect, abuse, and domestic violence * Placement schedules * How to write reports, draw conclusions, and render opinions Each chapter ends with critical issues for the practitioner to consider. The accessible reference format provides a quick review of relevant discussions in the text. In addition, this book includes convenient guides to relevant legal terms, documents forms, APA guidelines, and codes of conduct. Based not only on current research but also on the author's considerable experience with thousands of evaluations, Clinician's Guide to Child Custody Evaluations is the definitive guide to this field for students and practitioners.

Combining expert advice with practical guidance, the Joint Royal Colleges Ambulance Liaison Committee Clinical Guidelines are the essential resource for paramedics. The guidelines are written specifically for the ambulance paramedic role, providing a comprehensive overview of the principle areas they may encounter, and supporting them in providing excellent patient care. This 2022 edition has been updated with the latest evidence and developments in clinical practice. Key reviews have taken place on guidelines within the Resuscitation and Special Situations sections, as well as updates to Maternity guidelines such as Care of the Newborn and Newborn Life Support. Medicine guidelines have been removed, but are available on the iCPG and JRCALC Plus apps, where they are regularly updated to ensure that the most up-to-date guidance is available to clinicians. The JRCALC Clinical Guidelines 2022 now contains crucial guidance on topics, including: Acute Behavioural Disturbance Alcohol use-disorders Low Back Pain (Non-Traumatic) Patients with Communication Difficulties Steroid-Dependent patients Vascular Emergencies. Medicine information and updates to guidelines are published on the JRCALC apps, iCPG and JRCALC Plus, as required. The JRCALC apps contain the complete and most current information.

The Joint Royal Colleges Ambulance Liaison Committee guidelines are the essential resource for paramedics. The 2019 edition of the book has been brought up to date with the latest evidence and developments in clinical practice. JRCALC combines expert advice with practical guidance to help paramedics in their challenging roles with the overall objective of improving patient care. Key updates are: •Resuscitation and cardiac arrest. The pathophysiology of cardiac arrest, checklist use and pulseless electrical activity is discussed extensively within the context of every day out of hospital practice. A new guideline on tracheostomy and laryngectomy is included, alongside clinical skills photographs. •Consent and patient confidentiality. The guideline is brought up to date with the Data Protection Act 2018 following the General Data Protection Regulations. •Mental health presentation: crisis, distress and disordered behaviour. A reviewed guideline supports the clinician with practical help on the assessment and management of different mental health illnesses. •Major, complex and high risk Incidents. A revision by the National Ambulance Resilience Unit covers poisons, rail incidents and police incapacitants. •New medicines are included: Activated charcoal, duodote and morphine sulfate for end of life care. •Other reviews and updates include: head injury, hyperventilation syndrome, stroke, respiratory illness in children and acute coronary syndrome.

While HIV/AIDS is a global public heath challenge, its impact is arguably greatest in the Sub-Saharan Africa (SSA), where new infections account for approximately 66% of the total number of HIV-positive persons globally. In SSA, medical, social, and economic resources are limited, thus necessitating innovative approaches to disease prevention. One of the mechanisms of prevention that is most promising occurs through HIV disclosure to family members (e.g., adult sexual partners) generally, and to children in particular. Our emphasis in this eBook is on HIV disclosure to children because it has multiple benefits, including improved adherence to antiretroviral medication treatment and understanding at an early age of the impact of sexual activity on the spread of HIV. While there is a noticeable gap in research on HIV disclosure to younger children, some of the general reasons for non-disclosure include concerns about fear of adult partners leaving relationships, and that children are too young to comprehend the severity of the situation and may tell others outside the family. Thus, it is critical to better understand how the HIV disclosure process happens (or does not happen) within HIV-affected families, as well as the best practices on how to disclose. In this eBook, we present a combination of empirical research studies and critical literature reviews that investigate the reasons for and for not disclosing HIV status within HIV-affected families and provide evidence-based practices that could be adopted by healthcare professionals to help HIV-positive parents facilitate disclosure activities within these families. This information can also be used by researchers, practitioners, and stakeholders who are in a position to influence policies on effective HIV disclosure practices, guidelines, and programs.

Margaret Stark and a team of authoritative experts offer a timely survey of the fundamental principles and latest developments in clinical forensic medicine. Topics range from sexual assault examination to injury interpretation, from nonaccidental injury in children, to crowd control agents. Also included are extensive discussions of the care of detainees, the management of substance abuse detainees in custody, the causes and prevention of deaths in custody, and the fundamentals of traffic medicine. In the absence of international standards of training, the authors also address the basic issues of consent, confidentiality, note-keeping, court reporting, and attendance in court. Comprehensive and authoritative, A Physicians Guide to Clinical Forensic Medicine offers forensic specialists and allied professionals a reliable, up-to-date guide to proven practices and procedures for a every variety of police inquiry requiring clinical forensic investigation.

Based on over 25 years of research, Child Sexual Abuse, Second Edition describes a premier, empirically supported treatment approach for children, adolescents, and non-offending parents/caregivers impacted by child sexual abuse. Developed to provide support and to alleviate symptoms and problem behaviors in children and adolescents, Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for child sexual abuse incorporates treatment components that provide children and their caregivers with education and coping skills training, while simultaneously addressing the trauma. This book describes the nuts and bolts of treatment including trauma narrative development and processing activities that help to alleviate children's distress and feelings of shame associated with the abuse. Parents are also taught effective behavior management skills, and treatment often culminates with a focus on parent-child communication and enhancing safety and future development. This highly effective treatment model can be delivered in outpatient, school-based, residential, home, and/or group settings.