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The National Strategy for Child Exploitation Prevention and Interdiction

The National Strategy for Child Exploitation Prevention and Interdiction

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Problematic Internet Experiences: Primary Or Secondary Presenting Problems In PersonsSeeking Mental Health Care?Mitchell, Kimberly J.; Wells, Melissa.Social Science <strong>and</strong> Medicine, vol. 65, pp. 1136-1141, Sept. 2007.Abstract: This study utilizes data from clinical reports of 1441 youth <strong>and</strong> adults in the USA toexamine the types of problematic Internet experiences mental health professionals report asclients' primary or secondary presenting problems. Overall, clients who present in treatment withan Internet problem are more likely to have problems related to overuse of the Internet; use ofadult pornography; use of child pornography; sexual exploitation perpetration; <strong>and</strong> gaming,gambling, or role-playing. Other Internet-related problems, such as isolative-avoidant use, sexualexploitation victimization, harassment perpetration, <strong>and</strong> online infidelity were equally likely topresent in treatment as a primary problem or secondary to other mental health concerns. Somedifferences between youth <strong>and</strong> adult clients were also identified. Findings suggest some initialsupport <strong>for</strong> the importance of including Internet use, experiences, <strong>and</strong> behavior as part of aninitial clinical assessment.Youth Sexual <strong>Exploitation</strong> on the Internet: DSM-IV Diagnoses <strong>and</strong> Gender Differences in Co-Occurring Mental Health Issues.Wells, M. <strong>and</strong> Mitchell, K.<strong>Child</strong> <strong>and</strong> Adolescent Social Work Journal, 24(3), pp. 235-260, 2007.Abstract: This paper explores conventional (non-Internet-related) mental health issues <strong>and</strong> DSM­IV diagnoses seen among a sample of 512 youth receiving mental health services <strong>for</strong> an Internetrelatedproblem, with particular attention to victims of online sexual exploitation. Youth victimsof online sexual exploitation were more likely to have a post-traumatic stress disorder than youthwith other Internet-related problems. Specific attention was given to differences amongsubgroups of female <strong>and</strong> male youth victims of online sexual exploitation as compared withsame-gender youth with other Internet-related problems. Findings suggest the importance ofincluding Internet use <strong>and</strong> victimization as part of a st<strong>and</strong>ard clinical assessment.F-53

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