Issues that Impact on the Clinical Process

Mental Health Transference/Counter-transference
Both Secondary victimization
Mental Health Integration of TRAUMA into treatment
Health Care Effect of managed care on mental health service to victims
Mental Health Involving significant others: WHEN and HOW to involve significant others
Mental Health Showing affect; being involved (see Thinking Outside the Office)
Both Ritual Abuse
Both & court cases Memory
Mental Health Safety as critical
Mental Health Medication and Trauma
Both Gender issues
Mental Health Understanding the person in her/his context instead of simply considering symptoms
Mental Health Commitment to client/Consistency
Both Drug and Alcohol (discounting victim user; victim using to cope)
Both Vulnerable Populations: distinguish between vulnerability and blame (i.e., lesbians, gays, elderly, disabled institutionalized persons)
Both Discounting victims with previous Mental Health history
Mental Health Expert witness work
Both Difference in support and therapy groups
Both Mental health and Victim Services as consultants and collaborators
Both Establishing and maintaining joint efforts (networking, task forces, etc.). Put it in someone's job description
Both Caring for yourself and each other (self advocacy)
Both Competition for increasingly limited resources
Both Gaps in service
Victim Services Defensiveness of Victim Services Providers
Victim Services Credentials
Victim Services Struggle between grass roots and professional
Victim Services Self image
Victim Services Knowing limits
Victim Services Assessing Mental Health and Advocacy

List created by the Advisory Panel, May 95

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This document was last updated on June 26, 2008