Background Child maltreatment has serious short and long‐term negative impacts for those experiencing it. Child maltreatment occurring in institutional settings has recently received substantial attention. However, evidence about the effectiveness of interventions that prevent, disclose, respond to, or treat maltreatment that has occurred in these environments is fragmented and can be difficult to access. This evidence and gap map (EGM) collates this research evidence. It was developed as a resource for stakeholders operating in the child health, welfare and protection sectors, including practitioners, organisational leaders, policy developers and researchers, wanting to access high quality evidence on interventions addressing institutional child maltreatment. Objectives The objectives of this EGM were twofold: (a) To provide a structured and accessible collection of existing evidence from finalised and ongoing overviews of systematic reviews, systematic reviews and effectiveness studies of interventions addressing institutional child maltreatment—for those who work to fund, develop, implement and evaluate interventions aimed at ensuring children's safety in institutional settings; (b) to identify gaps in the available evidence on interventions addressing institutional child maltreatment—thereby helping to inform the research agendas of funders and other organisations. Search Methods A comprehensive search strategy identified relevant studies from published and grey literature, comprising: (1) 10 electronic academic databases; (2) five trial and systematic review registries; (3) nine organisational websites; (4) websites and reference lists of inquiry reports associated with seven international inquiries into child abuse and (4) the lists of included studies within systematic reviews identified by the search strategy. Members of this EGM's Subject Matter Experts group were also invited to forward relevant unpublished studies or grey literature. Selection Criteria The selection criteria were developed to identify finalised and ongoing overviews of reviews, systematic reviews and primary studies that reported on the effectiveness of interventions addressing child maltreatment (including sexual abuse, physical abuse, neglect and emotional abuse) within institutional settings. Eligible effectiveness study designs included: randomised controlled trials (RCTs), nonrandomised trials, controlled before‐and‐after studies and quasi‐experimental studies. Reviews were eligible if they reported a systematic literature search strategy. Data Collection and Analysis All screening, data extraction, coding and critical appraisals were undertaken by two or more reviewers working independently, with discrepancies resolved via consensus or by a third reviewer. The titles and abstracts of studies identified by the search strategy were screened, and each full text of potentially relevant studies was further assessed for inclusion. Key data were extracted from all included studies and reviews. This included information about: p...
Fegert, 2018) and Norway (Greger et al., 2015) confirm that children placed in institutional care are at significantly higher risk of experiencing maltreatment but less is known about maltreatment taking place in areas such as sports and exercise (Bjørnseth & Szabo, 2018). However, it is clear that child maltreatment taking place in these settings affects the lives of both victims, their families and their communities-at times for generations. Child maltreatment has a negative impact on the physical, mental, spiritual, educational and economic wellbeing of those experiencing and surviving it-both in the short term and in the form of long-term consequences that reduce the quality of life during adulthood (Lueger-Schuster et al., 2018).In recent years, child maltreatment occurring in institutional settings has received substantial attention both at the policy level, amongst practitioners and service agencies working with children in different capacities and roles, and as part of the public debate.The shift in attention and prioritisation of child maltreatment as a key concern of society is reflected in a broad range of official inquiries and key reports conducted in recent years in especially high-income countries-of which the following is a selected sample:• Law Commission of Canada ( 2012). Restoring Dignity-Responding to Child Abuse in Canadian Institutions.• The Scottish Government (2012). Review of Child Neglect in Scotland.• New Zealand House of Representatives (2014). Inquiry into Improving Child Health Outcomes and preventing child abuse with a focus from preconception until three years of age.
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