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

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?

Most important conclusions Impact of IPV on children is large IPV still goes on after one and half years Only 40% of the children received some kind of treatment After one and half year 25% of the children still has a trauma Intergenerational aspect: 55% of the mothers has a history of CAN So what is going wrong and what does these results mean for the treatment and help?

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?

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

Results: development of violence average number of incidence during the last year (CTS-scale)

percentage families that report violence

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

The emotional secrurity score of children

The results of the secrurity score

Clinical trauma children

Results of the traumascores percentage clinically traumatized children

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

Children as a witness of parental violence “ NOBODY CARES ABOUT THE CHILDREN, IS MY EXPERIENCE “ Dutch girl 15 years old and witness of parental violence

Percentage children and parents that received treatment

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

Conclusions in general Not enough attention in the treatment program for the safety within the family. Violence is no issue. Be sure that violence stops, decrease of violence directly affects the children The majority of children do not receive any treatment. CAN and IPV are seperated tractories

What is needed? High quality of the professionals at when PV or IPV is reported Triage, screening to secure the safety of the family Professional knowledge of paterns and differences of PV and IPV Multidisicplinairy team that diagnoses and screens the children on all aspects Integrated treatment program (child, mother, and father) Citaat Tineke dat zij zich druk maakt over de kinderen en bang is dat als Paul weer doorslaat de kinderen afgepakt kunnen worden. Tineke ontvangt wel ondersteuning maar Paul is hierbij niet betrokken.

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

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

The design n-=150 families 2010 2011 2012 2015/2016 2016/2017 2020*   2010 2011 2012 2015/2016 2016/2017 2020* Cohort1 211 families 337 children T0 T1 T2 T3 T4 Cohort 2 G4 onderzoek 9 Veilig thuis regio’s Per regio 100 families (n=1300) T1/T2 MDCK research n-=150 families  T0

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

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

What do we measure with the children? What is the impact of violence within the family for children? Trauma (TSCYC) Emotional safety (SIM-PR, SIS) Attachtment to the parents (security scale) Problematic behaviour (ISRD/ESPAD) Kwality of life (Kidscreen) Childrens personality (HIPIC)

Self report questionnaires In depth interviews with Parents Children Professionals

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

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?

Thank you Majone Steketee MSteketee@Verwey-Jonker.nl