Research on family violence and child abuse and the link with research on the MDCK model

1. Research on family violence and child abuse and the link with research on the MDCK model Majone Steketee

2. Effectiveness of treatment program The four large cities in the Netherland has launched in 2008 a new action program were all the stakeholders such as the police, social workers or professionals werk together in a integrated approach. Research in 2009-2012 What are the effects and results of this new integrated treatment program towards partner violence?

3. Most important conclusions • Impact of IPV on children is large • IPV stillgoes on afteroneand half years • Only 40% of thechildrenreceivedsome kind of treatment • Afteroneand half year 25% of thechildrenstill has a trauma • Intergenerational aspect: 55% of themothers has a history of CAN Sowhat is going wrong andwhat does these resultsmeanforthe treatment and help?

4. Central research questions • What are the effects and results of the integrated approach in the four large cities in the Netherlands? steden? • Reducing the IPV? • Improving the well being of parents (less trauma)? • Reducing parenting stress? • Less trauma and more emotional safety of the children?

5. Research population • 607 respondents, 211 adults and 396 children with domestic violence in the family • women are overrepresented 91% are women, 9% men • Dutch population, 757 participants

6. Results: development of violenceaverage number of incidence during the last year (CTS-scale)

7. percentage families that report violence

8. But what about the children, what are the consequences of partner violence? • Trauma symptoms • Emotional secrurity

9. The emotional secrurity score of children

10. The results of the secrurity score

11. Clinical trauma children

12. Results of the traumascorespercentage clinically traumatized children

13. Conclusion • We see only a small improvement on the secrurity score • We see a significant decrease of trauma score A decrease of violence has a direct significant influence on both indicators, an increase of feeling of secrurity and decrease of trauma score

14. Children as a witness of parental violence “ NOBODY CARES ABOUT THE CHILDREN, IS MY EXPERIENCE “ Dutch girl 15 yearsoldandwitness of parentalviolence

15. Percentage children and parents that received treatment

16. Conclusion • The involvement of young people in IPV is a not visible problem • Young people experienced much personal problems as a result of the relational violence of the parents • The relationship with their father and mother is poor • Young people have developed all sorts of inadequate coping strategies • Young people will not ask for support and help by themselves

17. Conclusions in general • Notenough attention in the treatment program forthesafetywithinthe family. Violence is no issue. • Be surethatviolencestops, decrease of violencedirectlyaffectsthechildren • The majority of children do notreceiveany treatment. • CAN and IPV are seperatedtractories

18. What is needed? • High quality of the professionals at when PV or IPV is reported • Triage, screening to secure thesafety of the family • Professional knowledge of paternsanddifferences of PV and IPV • Multidisicplinairy team that diagnoses andscreensthechildren on allaspects • Integrated treatment program (child, mother, andfather)

19. MDCK treatment program • MDCK fits all these criteria and • The ambition is to offer a treatment of CAN that is child friendly and which is centred around the child and its family • Whereby the speed of acting and the safety of the children are the first concern

20. Research of the effectiveness of the MDCK We will follow the children and families • Reducing the IPV and CAN • Improving the well being of parents (less trauma) • Reducing parenting stress • Less trauma and more emotional safety of the children And we will do a cost benefit analyses

21. The design

22. Measurements of Violence • Inter Parental violence: Revised Conflict Tactics Scale (CTS2) • Child abuse and Negelct: Conflict Tactic Scale Parents Child (CTSPC)

23. Measurement adults? What is the impact of the violence on the parents • Trauma (TSI) • Level of parenting stress (NOSI) • Quality of live (Mansa) • Youth trauma parents (ACE) • Alcohol use parents (Audit C) • Personality characteristics (QBF) • Parenting scales

24. What do we measure with the children? What is the impact of violencewithinthe family forchildren? • Trauma (TSCYC) • Emotionalsafety (SIM-PR, SIS) • Attachtmenttotheparents (security scale) • Problematicbehaviour (ISRD/ESPAD) • Kwality of life (Kidscreen) • Childrenspersonality (HIPIC)

25. Self report questionnaires • In depth interviews with • Parents • Children • Professionals

26. Cost benifit measure • How effective is this kind of tretament in terms of: • Satisfaction of the partents and juveniles • More tailored program • Better diagnosis, Shorter lines between social workers, justice and medical partners, a more integrated process, which will ultimately lead to a shortened duration of clients treatment program

27. Results of the research program • More knowledge on what in the long term are the effect of violence on children? • What approach is effective in reducing the negative consequences of CAN for children?

28. Thank youMajone SteketeeMSteketee@Verwey-Jonker.nl