Neuropsychological Assessment: Child Abuse And Trauma Assessment In Canada

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Introduction In Canada there are approximately 76 000 children under the protection of Child and Family Services who have experienced neglect, maltreatment, and child abuse (Trocme, Loo, Nutter & Falon, 2002). However, this number does not fully capture the extent of child abuse and neglect in Canada, nor children exposed to complex trauma. Previous research identified that children exposed to complex trauma are less likely to graduate from high school, are more likely to experience mental health and substance use problems and to be involved with the justice system and the child welfare system (Carrion, Weems et al., 2009; Thornbury, Ireland & Smith, 2001; Jaffee & Maikovich-Fong, 2011). Currently, some children exposed to complex trauma are …show more content…

Gabowitz, Zucker, and Cook (2008) argued that a neuropsychological approach to assessment was an effective way to identify the brain-based factors that relate to the functional impairment that bring students exposed to complex trauma to the attention of school personnel. Neuropsychological assessment in combination with standard trauma assessment can help provide more accurate diagnoses and interventions for traumatized students because it provides a more complete picture of the impact of trauma on the student’s brain, functioning, and …show more content…

The first area relates to attachment problems which can include difficulties with boundaries, lack of trust, social isolation, relationship difficulties, and lack of skill with taking another’s perspective (Cook et al., 2005). The second area identified is biological problems which include sensorimotor developmental difficulties, balance and coordination difficulties, somatization, and increased medical problems (e.g., asthma, skin problems, autoimmune disorders) (Cook et al., 2005). The third area is affect regulation difficulties which can include poor emotion self-regulation skills, limited ability to label and express feelings, difficulties identifying and expressing internal states, and problems describing wants and needs (Cook et al., 2005). The fourth area is dissociation which is often described as a detachment of the mind from the emotional state or from the body and problems can include forgetting, feeling as though things are not real, distinct changes to level of consciousness, and memory impairments (Cook et al., 2005). The fifth area is behavioural control difficulties which include poor impulse control, problems being self-destructive, aggression directed at others, problematic self-soothing actions, sleep difficulties, disordered eating, substance use problems, overly compliant behaviours, oppositional behaviour, problems

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