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 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 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?

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 violence average 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 traumascores percentage 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 years old and witness of parental violence

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
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

18. 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.

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 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

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 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)

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 you Majone Steketee MSteketee@Verwey-Jonker.nl