By Gita Mammen
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Extra resources for After Abuse
Guidelines vary from one discipline/agency to another. If you are a sole practitioner, you will have further finetuned guidelines to suit your work situation. Stay within these parameters. Risk behaviours For some survivors of abuse, suicidal thinking might not be the main type of risk. Some self-harm physically, others put themselves into harmful emotional situations. For others, risk situations might involve substance-use or sexual risk. Ask your client to describe how they think they put themselves at risk.
I had to make a phone call today. I had to. He has access to so many children. ’ There was silence during which I merely waited. ’ Shelley continued, now in a mumbling whisper, ‘I don’t want him to suffer’. Barely audible, ‘I know it’s wrong’. ’ I asked. indd 43 16/6/06 10:00:08 AM AFTER ABUSE 44 Pause. ’ Pause. ‘Shelley,’ I said, ‘it is not uncommon for children, to care for as well as hate the person who has harmed them’. Pause. ’ Shelley didn’t seek to hide her tears. She seemed comfortable to meet my eyes even though she was crying.
Now you can safely discuss goals, and come up with a management plan. Even if you decide that addressing their current risk is the priority, and they have to go elsewhere for this, you would still have helped them to map their subsequent overall plan. A management plan for an abuse survivor should at this stage have two components: • The first relates to this client’s reason for presenting to your agency—for instance, their substance-use, or for help with their depression. Let us term this as dealing with the co-morbidity, or the agency-specific objectives.
After Abuse by Gita Mammen