Eileen Vizard - Academia.edu (original) (raw)

Papers by Eileen Vizard

Nursing standard : official newspaper of the Royal College of Nursing, Jan 28, 1985

Early Child Development and Care, 1985

Psychiatry, 2008

This article appeared in a journal published by Elsevier. The attached copy is furnished to the a... more This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution and sharing with colleagues. Other uses, including reproduction and distribution, or selling or licensing copies, or posting to personal, institutional or third party websites are prohibited. In most cases authors are permitted to post their version of the article (e.g. in Word or Tex form) to their personal website or institutional repository. Authors requiring further information regarding Elsevier's archiving and manuscript policies are encouraged to visit: http://www.elsevier.com/copyright

Children and young people with learning disabilities (LD) often show a wide range of emotional an... more Children and young people with learning disabilities (LD) often show a wide range of emotional and behavioural problems which tend to increase in inverse proportion to the degree of cognitive impairment. Co-morbidity for mental health problems in LD is well known and care planning and management can follow agreed protocols. However, the co-occurrence of serious behavioural problems including sexually harmful behaviour (SHB) adds considerable complexity to these processes. Ethical issues can arise in relation to the fitness to plead of seriously impaired young people facing criminal charges and also in relation to the 'wishes and feelings' of oversexualised young people with LD who target younger/more vulnerable children. Early referral of children and young people with LD and SHB should not be deferred for spurious reasons including concerns about 'labelling' or 'stigmatisation' . Clinical experience and research suggests that delay in referral is harmful to ...

Child and Adolescent Mental Health, 1997

Child and Adolescent Mental Health, 2006

Recently professionals have recognised that children as well as adults may act in sexually aggres... more Recently professionals have recognised that children as well as adults may act in sexually aggressive ways towards others. This is complemented by an expanding empirical evidence base. A comprehensive appraisal of the literature is beyond the scope of this review. However, the estimated size of the problem, it's aetiology (Lee et al., 2002), outcomes and successful intervention programmes (Borduin & Schaeffer, 2002) will be discussed. The evidence base and clinical experience with this group strongly supports the need for coherent government policies in relation to sexually abusive behaviour by children and adolescents.

British Journal of Psychotherapy, 1988

This paper looks at child sexual abuse from a child's viewpoint, and postulates three levels at w... more This paper looks at child sexual abuse from a child's viewpoint, and postulates three levels at which the child experiences the abuse, both at the time fit, occurrence and during later development. It is suggested that the greater the child's difficulty in integrating the experiences from these three different levels the poorer the healing process after abuse and the worse the effectwill be on the child's subsequent mental health. Clinical examples are given of some of theconcepts described.

Child Abuse & Neglect, 2021

This discussion article begins by highlighting two trends apparent in the field of child maltreat... more This discussion article begins by highlighting two trends apparent in the field of child maltreatment. The first, an awareness that multiple forms of maltreatment - polyvictimization - is the rule in populations of abused and neglected children rather than the exception. The second is that current types of child maltreatment are being extended to include Adverse Childhood Experiences (ACEs). These include intra-familial violence, mental health, substance misuse, and inter-generational abuse. The paper introduces an innovative strategy to help the field better organise and prevent the extensive sequelae of polyvictimization and ACEs. This strategy involves the development of a modular approach, which identifies common treatment elements and common factors across the field of effective interventions and organizes them, providing a co-ordinated framework for practitioners to use to address the diverse needs of children and families when vulnerability or maltreatment are identified. The development of this approach, the Hope for Children and Families (HfCF) Intervention Resources, is described using a case example to illustrate its logic and structure. Findings from the HFCF pilot and subsequent training programs suggest that this new approach could be an important milestone in the protection of children from violence, abuse and neglect on the 30th Anniversary of the United Nation's Convention on the Rights of the Child (1989).

Clinical Child Psychology and Psychiatry, 1997

ABSTRACT Although mental health professionals are in demand to respond to media enquiries about t... more ABSTRACT Although mental health professionals are in demand to respond to media enquiries about their work, relatively few are prepared to engage in the challenge. This article suggests an approach based on the assumption that media work is a public education service of value to the mental health professions and to the public. Guidance is given on how to engage with media colleagues in a positive and proactive manner despite the pressured context in which many media requests may arrive.

The Journal of forensic …, 2005

The aim of this study was to investigate the nature and prevalence of psychopathology in a cohort... more The aim of this study was to investigate the nature and prevalence of psychopathology in a cohort of child and adolescent sexual abusers referred to the Young Abusers Project, a specialist national 4 th tier forensic assessment and treatment service. Demographic and ...

Nursing Mirror, Nov 1, 1985

This article gives a general overview of the current situation in relation to a range of widely r... more This article gives a general overview of the current situation in relation to a range of widely recognised and also newly identified types of child maltreatment. The academic and clinical evidence relating to the impact of child maltreatment on the mental and physical health of child victims is substantial and steadily increasing in volume. New types of abuse are being identified, and changing environmental circumstances, which exacerbate the possibility of widely recognised types of child maltreatment occurring, are also being described. These include multi-type maltreatment, female genital mutilation and online child maltreatment. Serious questions may arise regarding neglect of the moral and social development of children and young people who become addicted to online gaming and pornography. Multiple national and local definitions of each of these existing and new forms of maltreatment have been created, some of which are covered here. The impact of these abuses on the physical a...

Child Abuse & Neglect

BACKGROUND Today, almost half of all refugees worldwide are children and adolescents, nearly a qu... more BACKGROUND Today, almost half of all refugees worldwide are children and adolescents, nearly a quarter of whom arrive in Europe as Unaccompanied Refugee Minors (URM). Many URMs have experienced the cumulative stress of being exposed both to the adverse environmental conditions which drive forced migration, and to the traumatic experience of displacement and resettlement. These experiences, coupled with other developmental stressors, may impede their overall development and increase their likelihood of mental health problems. Despite the evident vulnerability of URMs, much controversy currently surrounds the legitimacy of their arrival in host countries and their mental health is given little consideration. OBJECTIVE This review synthesises and examines the limited published literature on the impact of traumatic refugee experiences on the mental health and development of URMs. METHODS Academic databases and other sources were searched using key terms relating to URMs and mental health. RESULTS The findings confirm in large part that being a URM negatively influences mental health development, and that adolescence and being female are particular indicators of increased risk of psychiatric disorders. However, cultural differences in measurement and assessment of mental health are important confounding factors. CONCLUSIONS The current literature on youth in transit consistently paints a picture of how experiences URMs face can place a great burden on their mental health - clearly depicting an urgent need to consider their mental health within the current climate. The pressing need for improved care based on best practice is discussed.

Child and Adolescent Mental Health

Family Law 17 28 33, 1986

Association of Child and Adolescent Mental Health, 2014

Podcast based on a Master Class by Dr Vizard on 5th July 2013. This Master Class provided an upda... more Podcast based on a Master Class by Dr Vizard on 5th July 2013. This Master Class provided an update on the relevant research findings and clinical evidence base in relation to children and adolescents with learning disability, complex mental health and behavioural problems including sexual offending.

Journal of Child Psychology and Psychiatry 54 503 515, May 1, 2013

Background: The assessment of victims of child sexual abuse (CSA) is now a recognized aspect of c... more Background: The assessment of victims of child sexual abuse (CSA) is now a recognized aspect of clinical work for both CAMH and adult services. As juvenile perpetrators of CSA are responsible for a significant minority of the sexual assaults on other children, CAMH services are increasingly approached to assess these oversexualized younger children or sexually abusive adolescents. A developmental approach to assessment and treatment intervention is essential in all these cases. Method: This review examines research on the characteristics of child victims and perpetrators of CSA. It describes evidence-based approaches to assessment and treatment of both groups of children. A selective review of MEDLINE, Psycinfo, Cochrane Library, and other databases was undertaken. Recommendations are made for clinical practice and future research. Findings: The characteristics of CSA victims are well known and those of juvenile perpetrators of sexual abuse are becoming recognised. Assessment approaches for both groups of children should be delivered within a safeguarding context where risk to victims is minimized. Risk assessment instruments should be used only as adjuncts to a full clinical assessment. Given high levels of psychiatric comorbidity, assessment, treatment, and other interventions should be undertaken by mental health trained staff. Conclusions: Victims and perpetrators of CSA present challenges and opportunities for professional intervention. Their complex presentations mean that their needs should be met by highly trained staff. However, their youth and developmental immaturity also give an opportunity to nip problem symptoms and behaviors in the bud. The key is in the earliest possible intervention with both groups. Future research should focus on long term adult outcomes for both child victims and children who perpetrate CSA. Adult outcomes of treated children could identify problems and/or strengths in parenting the next generation and also the persistence and/or desistence of sexualized or abusive behavior