By Gita Mammen

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You would then probably determine their overall health status. You might also establish other factors that could affect their healthcare outcome. Your assessment process is influenced by the type of service you/your agency have a mandate to provide—disability outreach, say, in a non-government agency— which, in turn, is why the client chose your particular agency in the first place. Your existing format for an intake assessment is likely to draw upon both your training background and your job description at the workplace.

The following table compares some aspects. indd 21 16/6/06 10:00:05 AM 22 AFTER ABUSE Of particular relevance is that in many health and justice settings a survivor often encounters a worker–client power gradient and an authoritarian mode of interaction. Such a model differs markedly from a collaborative partnership model espoused by services dealing with sexual assault and domestic violence. Unfortunately for an adult survivor, the authoritarian mode of a practitioner could parallel their lack of choices in childhood.

A dearth of existing backup allows you to foreshadow the type of additional resource to be recruited, should the need arise. Type of risk There are several types of risk to be aware of in working with an abuse survivor. Suicidal ideation Suicidal thinking of a client is an aspect that concerns all health workers. By the same token, it is also the eventuality that is most prepared for. Each professional discipline and each agency is likely to have practice guidelines regarding it—what a practitioner is entitled to handle, and what would need the recruiting of additional expertise.

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