Do community mental health staff ask about and respond to adverse childhood experiences and attachment histories? (Record no. 4550)

MARC details
000 -LEADER
fixed length control field 03301nam a22003137a 4500
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20250625151350.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 141113s2012 -nz||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Original cataloging agency AFVC
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Sampson, Maria E.
9 (RLIN) 4404
245 ## - TITLE STATEMENT
Title Do community mental health staff ask about and respond to adverse childhood experiences and attachment histories?
Statement of responsibility, etc Maria Elisabet Sampson
246 ## - VARYING FORM OF TITLE
Title proper/short title A thesis submitted in partial fulfillment of the requirements for the degree of Doctorate in Clinical Psychology (PhD), The Univeristy of Auckland
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Date of publication, distribution, etc 2012
300 ## - PHYSICAL DESCRIPTION
Extent electronic document (165 pages); PDF format: 884.15 KB
520 ## - SUMMARY, ETC.
Summary, etc "The links between adverse events, attachment, and mental health problems are well documented. However, there has been limited focus on clinicians' enquiry and response behaviour in the literature to date. This project had two main objectives: 1) To add to this limited field of research and 2) to function as a replication of 1997 file audit (Agar & Read, 2002). The current study examined 250 computerised medical files, to see if clinicians working in four community mental health centres (CMHC) in Auckland, New Zealand, routinely asked about adverse events and if they incorporated disclosed information into psychological case formulations and treatment recommendations. All files were read in their entirety, and information regarding adverse events in childhood, adulthood and attachment related experiences was recorded. Results indicate that there have been significant improvements in both enquiry and response behaviours since the last audit. For instance, 20% of the files included recorded disclosures of child sexual abuse in the 1997 audit, compared to 32.4% in 2010. Furthermore, the inclusion of adverse events in clients' case formulations had increased by more than 300% since 1997. Despite these encouraging results, there were also some concerning findings. There had been no improvements in the proportion of individuals referred for psychological therapy or in the number of alleged crimes that had been reported to the authorities. Furthermore, men and individuals with a psychotic disorder diagnosis appear to continue to receive a less than satisfactory service regardless of efforts made by a training programme. Findings from this study suggest that focus needs to be placed on assuring that more individuals are referred to and able to access trauma-focused therapy. Future CMHC training providers would benefit from considering ways to disseminate this information to minimise misunderstandings, misdiagnosis, and ineffective treatment recommendations, especially for males and clients experiencing psychosis. Furthermore, reporting of historical abuse to legal authorities also needs some future attention at policy level." (Author's abstract).
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element ABUSED MEN
9 (RLIN) 24
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element ADVERSE CHILDHOOD EXPERIENCES
9 (RLIN) 4089
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element ATTACHMENT
9 (RLIN) 69
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element DISCLOSURE
9 (RLIN) 199
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element MENTAL HEALTH
9 (RLIN) 377
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element MENTAL HEALTH SERVICES
9 (RLIN) 379
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element MENTAL ILLNESS
9 (RLIN) 380
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element THESES
9 (RLIN) 606
650 #4 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element TRAUMA
9 (RLIN) 612
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element TREATMENT
9 (RLIN) 613
651 #4 - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Geographic name NEW ZEALAND
9 (RLIN) 2588
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
9 (RLIN) 121
Topical term or geographic name as entry element CHILD SEXUAL ABUSE
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://hdl.handle.net/2292/19790">http://hdl.handle.net/2292/19790</a>
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme Dewey Decimal Classification
Koha item type Thesis / dissertation
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
    Dewey Decimal Classification     Vine library Vine library 13/11/2014   Online ON14110213 13/11/2014 13/11/2014 Access online