Interventions to Improve the Response of Professionals to Children Exposed to Domestic Violence and Abuse: A Systematic Review

William Turner, Marianne Hester, Jonathan Broad, Eszter Szilassy, Gene Feder, Jessica Drinkwater, Adam Firth, Nicky Stanley, William Turner, Marianne Hester, Jonathan Broad, Eszter Szilassy, Gene Feder, Jessica Drinkwater, Adam Firth, Nicky Stanley

Abstract

Exposure of children to domestic violence and abuse (DVA) is a form of child maltreatment with short- and long-term behavioural and mental health impact. Health care professionals are generally uncertain about how to respond to domestic violence and are particularly unclear about best practice with regards to children's exposure and their role in a multiagency response. In this systematic review, we report educational and structural or whole-system interventions that aim to improve professionals' understanding of, and response to, DVA survivors and their children. We searched 22 bibliographic databases and contacted topic experts for studies reporting quantitative outcomes for any type of intervention aiming to improve professional responses to disclosure of DVA with child involvement. We included interventions for physicians, nurses, social workers and teachers. Twenty-one studies met the inclusion criteria: three randomised controlled trials (RCTs), 18 pre-post intervention surveys. There were 18 training and three system-level interventions. Training interventions generally had positive effects on participants' knowledge, attitudes towards DVA and clinical competence. The results from the RCTs were consistent with the before-after surveys. Results from system-level interventions aimed to change organisational practice and inter-organisational collaboration demonstrates the benefit of coordinating system change in child welfare agencies with primary health care and other organisations. Implications for policy and research are discussed. © 2015 The Authors. Child Abuse Review published by John Wiley & Sons Ltd. 'We searched 22 bibliographic databases and contacted topic experts'.

Key practitioner messages: We reviewed published evidence on interventions aimed at improving professionals' practice with domestic violence survivors and their children.Training programmes were found to improve participants' knowledge, attitudes and clinical competence up to a year after delivery.Key elements of successful training include interactive discussion, booster sessions and involving specialist domestic violence practitioners.Whole-system approaches aiming to promote coordination and collaboration across agencies appear promising but require funding and high levels of commitment from partners. 'Training programmes were found to improve participants' knowledge, attitudes and clinical competence up to a year after delivery'.

Keywords: child safeguarding; domestic violence; professional assessment; systematic review.

References

    1. Banks D, Dutch N, Wang K. 2008a. Collaborative efforts to improve system response to families who are experiencing child maltreatment and domestic violence. Journal of Interpersonal Violence 23: 876–902.
    1. Banks D, Landsverk J, Wang K. 2008b. Changing policy and practice in the child welfare system through collaborative efforts to identify and respond effectively to family violence. Journal of Interpersonal Violence 23: 903–932.
    1. Banks D, Hazen A, Coben JH, Wang K, Griffith JD. 2009. Collaboration between child welfare agencies and domestic violence service providers: Relationship with child welfare policies and practices. Children and Youth Services Review 31: 497–505.
    1. Berger RP, Bogen D, Dulani T, Broussard E. 2002. Implementation of a program to teach pediatric residents and faculty about domestic violence. Archives of Pediatrics & Adolescent Medicine 156: 804–810.
    1. Boursnell M, Prosser S. 2010. Increasing identification of domestic violence in emergency departments: A collaborative contribution to increasing the quality of practice of emergency nurses. Contemporary Nurse 35: 35–46.
    1. Cameron A, Lart R, Harrison L, Macdonald G, Smith R. 2000. Factors promoting and obstacles hindering joint working: A systematic review. South and West NHS Executive: London.
    1. Centers for Disease Control and Prevention (CDC) . 2000. Role of victims' services in improving intimate partner violence screening by trained maternal and child health‐care providers‐‐Boston, Massachusetts, 1994–1995. MMWR ‐ Morbidity & Mortality Weekly Report 49: 114–117.
    1. Cochrane Effective Practice and Organisation of Care (EPOC) . 2009. Risk of Bias. Available: (accessed on May 2013).
    1. Coonrod DV, Bay C, Rowley BD, Del Mar NB, Gabriele L, Tessman TD, Chambliss LR. 2000. A randomized controlled study of brief interventions to teach residents about domestic violence. Academic Medicine 75: 55–57.
    1. Cross W, Cerulli C. 2007. The impact of continuing education training on law guardian knowledge, efficacy, and practice behaviors. Family Court Review 45: 92–102.
    1. Dubowitz H, Lane WG, Semiatin JN, Magder LS, Venepally M, Jans M. 2011. The safe environment for every kid model: impact on pediatric primary care professionals. Pediatrics 127: e962–970.
    1. Feder G, Agnew Davies R, Baird K, Dunne D, Eldridge S, Griffiths C, Gregory A, Howell A, Johnson M, Ramsay J, Rutterford C, Sharp D. 2011. Identification and Referral to Improve Safety (IRIS) of women experiencing domestic violence with a primary care training and support programme: a cluster randomised controlled trial. The Lancet . DOI:.
    1. Feigelman S, Dubowitz H, Lane W, Grube L, Kim J. 2011. Training pediatric residents in a primary care clinic to help address psychosocial problems and prevent child maltreatment. Academic Pediatrics 11: 474–480.
    1. General Medical Council . 2012. Protecting children and young people: The responsibilities of all doctors. GMC: London.
    1. Gilbert R, Kemp A, Thoburn J, Sidebotham P, Radford L, Glaser D, MacMillan H. 2009. Recognising and responding to child maltreatment. The Lancet 373(9658): 167–180.
    1. Haas SM, Bauer‐Leffler S, Turley E. 2011. Evaluation of cross‐disciplinary training on the co‐occurrence of domestic violence and child victimization: overcoming barriers to collaboration. Journal of Health & Human Services Administration 34: 352–386.
    1. Hester M. 2009. Who Does What to Whom? Gender and Domestic Violence Perpetrators. University of Bristol in association with the Northern Rock Foundation: Bristol.
    1. Hester M. 2011. The three planet model: Towards an understanding of contradictions in approaches to women and children's safety in contexts of domestic violence. British Journal of Social Work 41: 837–853.
    1. Hester M, Pearson C, Harwin N, Abrahams H. 2007. Making an impact – children and domestic violence: A Reader. Jessica Kingsley: London.
    1. Higgins JP, Green S. 2011. Cochrane Handbook for Systematic Reviews of Interventions. John Wiley & Sons: Chichester.
    1. Higgins JPT, Thompson SG. 2002. Quantifying heterogeneity in a meta‐analysis. Statistics in Medicine 21: 1539–1558.
    1. HM Government . 2013. Working Together to Safeguard Children Statutory guidance on inter‐agency working to safeguard and promote the welfare of children. Department of Education: London.
    1. Johnson NL, Klingbeil C, Melzel‐Lange M, Humphreys C, Scanlon MC, Simpson P. 2009. Evaluation of an intimate partner violence curriculum in a pediatric hospital. Pediatrics 123: 562–568.
    1. Knapp JF, Dowd MD, Kennedy CS, Stallbaumer‐Rouyer J, Henderson DP. 2006. Evaluation of a curriculum for intimate partner violence screening in a pediatric emergency department. Pediatrics 117: 110–116.
    1. Lelli CM. 2011. Incorporating domestic violence awareness through an undergraduate reading course focused on children's literature. Dissertation Abstracts International Section A: Humanities and Social Sciences 71(7‐A): 2402.
    1. Lipsey MW, Wilson DB. 2001. Practical meta‐analysis. Sage Publications: Thousand Oaks, CA.
    1. McCauley J, Jenckes MW, McNutt L. 2003. ASSERT: The effectiveness of a continuing medical education video on knowledge and attitudes about interpersonal violence. Academic Medicine 78: 518–524.
    1. McColgan MD, Cruz M, McKee J, Dempsey SH, Davis MB, Barry P, Yoder AL, Giardino AP. 2010. Results of a multifaceted Intimate Partner Violence training program for pediatric residents. Child Abuse & Neglect 34: 275–283.
    1. Mills LG, Yoshihama M. 2002. Training children's services workers in domestic violence assessment and intervention: Research findings and implications for practice. Children and Youth Services Review 24: 561–581.
    1. Munro E. 2011. The Munro Review of Child Protection: Final Report. A Child Centred System. London: The Stationery Office.
    1. National Council of Juvenile and Family Court Judges . 1999. Effective intervention in domestic violence and child maltreatment cases: Guidelines for policy and practice. Recommendations from the National Council of Juvenile and Family Court Judges Family Violence Department. The National Council of Juvenile and Family Court Judges: Reno, Nevada.
    1. NICE . 2014. Domestic violence and abuse: how health services, social care and the organisations they work with can respond effectively. Available: [9 March 2015].
    1. Prather TA. 2003. Addressing the culture of silence: Child abuse and family violence training. Dissertation Abstracts International Section A: Humanities and Social Sciences 63(8‐A): 2792.
    1. RCGP, NSPCC . 2011. Safeguarding Children & Young People A Toolkit for General Practice. Royal College of General Practitioners (RCGP): London.
    1. Saunders DG, Holter MC, Pahl LC, Tolman RM. 2006. Welfare workers' responses to domestic violence cases: The effects of training and worker characteristics. Families in Society 87: 329–337.
    1. Shefet D, Dascal‐Weichhendler H, Rubin O, Pessach N, Itzik D, Benita S, Ziv A. 2007. Domestic violence: a national simulation‐based educational program to improve physicians' knowledge, skills and detection rates. Medical Teacher 29: e133–138.
    1. Short LM, Fanslow JL, Gadomski A. Psychometric properties of a survey to assess health care provider knowledge, attitudes, beliefs and intended behaviors concerning intimate partner violence. Unpublished manuscript.
    1. Shye D, Feldman V, Hokanson CS, Mullooly JP. 2004. Secondary prevention of domestic violence in HMO primary care: evaluation of alternative implementation strategies. American Journal of Managed Care 10: 706–716.
    1. Sloper P. 2004. Facilitators and barriers for coordinated multi‐agency services. Child: Care, Health and Development 30: 571–580.
    1. Smith K, Flatley J, Coleman K, Osborne S, Kaiza P, Roe S. 2010. Homicides, Firearm Offences and Intimate Violence 2008/09. Home Office: London.
    1. Stanley N. 2011. Children Experiencing Domestic Violence: A Research Review. Dartington: Research In Practice.
    1. Szilassy E, Carpenter J, Patsios D, Hackett S. 2013. Outcomes of short course interprofessional training in domestic violence and child protection. Violence Against Women 19: 1370–1383.
    1. Taskforce on the Health Aspects of Violence Against Women and Children . 2010. Report from the Domestic Violence subgroup. Department of Health: London: Available: alasset/dh_118264.pdf (accessed on August 2014).
    1. Westmarland N, Hester M, Reid P. 2004. Routine Enquiry about Domestic Violence in GP Practices: a pilot study. University of Bristol: Bristol.
    1. Whitehead A, Jones NM. 1994. A meta‐analysis of clinical trials involving different classifications of response into ordered categories. Statistics in Medicine 13(23–24): 2503–2515.
    1. Williamson E, Jones S, Hester M, Feder GS. 2014. Asking men about domestic violence and abuse (DVA) in a GP setting: Recruitment and participation. University of Bristol: Bristol.
    1. Wills R, Ritchie M, Wilson M. 2008. Improving detection and quality of assessment of child abuse and partner abuse is achievable with a formal organisational change approach. Journal of Paediatrics & Child Health 44: 92–98.
    1. Young HL, Mancuso AF, Faherty E, Dorman SA, Umbrell JR. 2008. Helping child victims of family violence through school personnel: An evaluation of a training program. Journal of Aggression, Maltreatment aNd Trauma 16: 144–163.

Source: PubMed

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