Recovering from Domestic Abuse, Strengthening the Mother–Child Relationship: Mothers' and Children's Perspectives of a New Intervention

McManus, Emma; Belton, Emma; Barnard, Matt; Cotmore, Richard; Taylor, Julie

doi:10.1080/13575279.2013.785933

Cited by 14 publications

(18 citation statements)

References 15 publications

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“…Nine interventions supplemented separate intervention programs for mothers and children with joint sessions which they attended together, the structure of which varied greatly. Smith [ 46 ] (see also McManus and colleagues [ 47 ] for full program details) tested a 10-week psychoeducational program with sessions lasting up to 2.5 h. The first half of sessions were spent with mother and child together, working jointly on activities, which aimed to help share their experiences of the abuse and to acknowledge their related feelings and concerns while supporting one another. The second half of sessions was in separate groups, whereby a structured program (Domestic Abuse, Recovering Together: DART) was implemented.…”

Section: Resultsmentioning

confidence: 99%

Mothers and Children Exposed to Intimate Partner Violence: A Review of Treatment Interventions

Anderson

2018

IJERPH

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Although a growing field, much is still unknown about how different clinical and social care services might improve outcomes for female victims of intimate partner violence (IPV) and their children who are indirectly exposed to it. This review sought to characterize the structure of programs that have been tested and documented in existing literature, and the mechanisms by which change, if any, may occur. Seventeen individual interventions and two follow-ups (n = 19) were included in the review. Findings suggest that a multileveled program of mothers and children working both separately and jointly together across sessions might generate the most successful psychosocial recovery for mothers and children who have experienced violence in the home. The mechanism by which this happens is likely a collaborative one, focused on enhancing the dyadic interaction. This article adds to the growing evidence base on IPV and confirms the positive impact on well-being that programs for IPV victims can have. The evidence-base overall could benefit from testing and replicating a combination of the results found in this review.

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Section: Resultsmentioning

confidence: 99%

Mothers and Children Exposed to Intimate Partner Violence: A Review of Treatment Interventions

Anderson

2018

IJERPH

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“…207,217 One study assessed the 'Talking to my Mum' workbook for mothers and children. 216 Further evaluations of two interventions identified in this review have been published in the peer-reviewed literature, namely the 'Talking to my Mum' workbook 49 and the DART programme, 228 with the former included in Chapter 4 of this report.…”

Section: Programme Characteristicsmentioning

confidence: 99%

IMPRoving Outcomes for children exposed to domestic ViolencE (IMPROVE): an evidence synthesis

et al. 2016

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BackgroundExposure to domestic violence and abuse (DVA) during childhood and adolescence increases the risk of negative outcomes across the lifespan.ObjectivesTo synthesise evidence on the clinical effectiveness, cost-effectiveness and acceptability of interventions for children exposed to DVA, with the aim of making recommendations for further research.Design(1) A systematic review of controlled trials of interventions; (2) a systematic review of qualitative studies of participant and professional experience of interventions; (3) a network meta-analysis (NMA) of controlled trials and cost-effectiveness analysis; (4) an overview of current UK provision of interventions; and (5) consultations with young people, parents, service providers and commissioners.SettingsNorth America (11), the Netherlands (1) and Israel (1) for the systematic review of controlled trials of interventions; the USA (4) and the UK (1) for the systematic review of qualitative studies of participant and professional experience of interventions; and the UK for the overview of current UK provision of interventions and consultations with young people, parents, service providers and commissioners.ParticipantsA total of 1345 children for the systematic review of controlled trials of interventions; 100 children, 202 parents and 39 professionals for the systematic review of qualitative studies of participant and professional experience of interventions; and 16 young people, six parents and 20 service providers and commissioners for the consultation with young people, parents, service providers and commissioners.InterventionsPsychotherapeutic, advocacy, parenting skills and advocacy, psychoeducation, psychoeducation and advocacy, guided self-help.Main outcome measuresInternalising symptoms and externalising behaviour, mood, depression symptoms and diagnosis, post-traumatic stress disorder symptoms and self-esteem for the systematic review of controlled trials of interventions and NMA; views about and experience of interventions for the systematic review of qualitative studies of participant and professional experience of interventions and consultations.Data sourcesMEDLINE, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, EMBASE, Cochrane Central Register of Controlled Trials, Science Citation Index, Applied Social Sciences Index and Abstracts, International Bibliography of the Social Sciences, Social Services Abstracts, Social Care Online, Sociological Abstracts, Social Science Citation Index, World Health Organization trials portal and clinicaltrials.gov.Review methodsA narrative review; a NMA and incremental cost-effectiveness analysis; and a qualitative synthesis.ResultsThe evidence base on targeted interventions was small, with limited settings and types of interventions; children were mostly < 14 years of age, and there was an absence of comparative studies. The interventions evaluated in trials were mostly psychotherapeutic and psychoeducational interventions delivered to the non-abusive parent and child, usually based on the child’s exposure to DVA (not specific clinical or broader social needs). Qualitative studies largely focused on psychoeducational interventions, some of which included the abusive parent. The evidence for clinical effectiveness was as follows: 11 trials reported improvements in behavioural or mental health outcomes, with modest effect sizes but significant heterogeneity and high or unclear risk of bias. Psychoeducational group-based interventions delivered to the child were found to be more effective for improving mental health outcomes than other types of intervention. Interventions delivered to (non-abusive) parents and to children were most likely to be effective for improving behavioural outcomes. However, there is a large degree of uncertainty around comparisons, particularly with regard to mental health outcomes. In terms of evidence of cost-effectiveness, there were no economic studies of interventions. Cost-effectiveness was modelled on the basis of the NMA, estimating differences between types of interventions. The outcomes measured in trials were largely confined to children’s mental health and behavioural symptoms and disorders, although stakeholders’ concepts of success were broader, suggesting that a broader range of outcomes should be measured in trials. Group-based psychoeducational interventions delivered to children and non-abusive parents in parallel were largely acceptable to all stakeholders. There is limited evidence for the acceptability of other types of intervention. In terms of the UK evidence base and service delivery landscape, there were no UK-based trials, few qualitative studies and little widespread service evaluation. Most programmes are group-based psychoeducational interventions. However, the funding crisis in the DVA sector is significantly undermining programme delivery.ConclusionsThe evidence base regarding the acceptability, clinical effectiveness and cost-effectiveness of interventions to improve outcomes for children exposed to DVA is underdeveloped. There is an urgent need for more high-quality studies, particularly trials, that are designed to produce actionable, generalisable findings that can be implemented in real-world settings and that can inform decisions about which interventions to commission and scale. We suggest that there is a need to pause the development of new interventions and to focus on the systematic evaluation of existing programmes. With regard to the UK, we have identified three types of programme that could be justifiably prioritised for further study: psycho-education delivered to mothers and children, or children alone; parent skills training in combination with advocacy: and interventions involving the abusive parent/caregiver. We also suggest that there is need for key stakeholders to come together to explicitly identify and address the structural, practical and cultural barriers that may have hampered the development of the UK evidence base to date.Future work recommendationsThere is a need for well-designed, well-conducted and well-reported UK-based randomised controlled trials with cost-effectiveness analyses and nested qualitative studies. Development of consensus in the field about core outcome data sets is required. There is a need for further exploration of the acceptability and effectiveness of interventions for specific groups of children and young people (i.e. based on ethnicity, age, trauma exposure and clinical profile). There is also a need for an investigation of the context in which interventions are delivered, including organisational setting and the broader community context, and the evaluation of qualities, qualifications and disciplines of personnel delivering interventions. We recommend prioritisation of psychoeducational interventions and parent skills training delivered in combination with advocacy in the next phase of trials, and exploratory trials of interventions that engage both the abusive and the non-abusive parent.Study registrationThis study is registered as PROSPERO CRD42013004348 and PROSPERO CRD420130043489.FundingThe National Institute for Health Research Public Health Research programme.

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“…The most frequent relationships considered in DV literature on children are either future romantic relationships (Black et al, 2010;Ehrensaft et al, 2003;Siegel, 2013;Sims, Dodd, & Tejeda, 2008), or relationships between children and their mothers (Dollberg, Feldman, Tyano, & Keren, 2013;Flach et al, 2011b;Katz, 2015;McManus, Belton, Barnard, Cotmore, & Taylor, 2013;Swanston, Bowyer, & Vetere, 2014). Children's lived experiences of relationships are largely overlooked, as they are seen as passive recipients of other people's relational actions, rather than as actively involved in relationships themselves.…”

Section: Copingmentioning

confidence: 99%

Children’s experiences of domestic violence and abuse: Siblings’ accounts of relational coping

Callaghan

Alexander

Sixsmith

et al. 2016

Clin Child Psychol Psychiatry

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This article explores how young people see their relationships, particularly their sibling relationships, in families affected by domestic violence, and how relationality emerges in their accounts as a resource to build an agentic sense of self. The 'voice' of children is largely absent from domestic violence literature, which typically portrays them as passive, damaged and relationally incompetent. Children's own understandings of their relational worlds are often overlooked, and consequently existing models of children's social interactions give inadequate accounts of their meaning-making-in-context. Drawn from a larger study of children's experiences of domestic violence and abuse, this paper uses two case studies of sibling relationships to explore young people's use of relational resources, for coping with violence in the home. The paper explores how relationality and coping intertwine in young people's accounts, and disrupts the taken for granted assumption that children's 'premature caring' or 'parentification' is (only) pathological in children's responses to domestic violence. This has implications for understanding young people's experiences in the present, and supporting their capacity for relationship building in the future. 1Callaghan J, Alexander J, Sixsmith J & Fellin LC (2017) Children's experiences of domestic violence and abuse: siblings' accounts of relational coping, Clinical Child Psychology and Psychiatry, 22 (4), pp. 649-668. Copyright © The Author(s) 2015. Reprinted by permission of SAGE Publications. 2Children's experiences of domestic violence and abuse: siblings' accounts of relational coping This article explores how young people see their relationships in families affected by domestic violence (DV) and how relationality emerges in their accounts as a resource to build an agentic sense of self. In understanding children's experiences of DV, academic literature has typically positioned children as passive 'victims' and 'witnesses', 'damaged' or impacted by the violence they live with. Children who grow up in circumstances of DV are described as at risk of a range of psychosocial difficulties, including risk of mental health difficulties across the lifespan (Meltzer et al. 2009, Mezey et al. 2005, educational challenges (Byrne & Taylor, 2007), and interpersonal difficulties in their own future intimate relationships and friendships (Black, Sussman, & Unger, 2010;Ehrensaft et al., 2003;Siegel, 2013). They are also more at risk of both bullying and being bullied (Baldry, 2003;Lepistö, Luukkaala, & Paavilainen, 2011) and are vulnerable to a range of other possible abuses across their lifespan (Finkelhor, Ormrod, & Turner, 2007;Turner, Finkelhor, & Ormrod, 2010). They are represented as having more 'concrete' styles of relating and reduced emotional competence (Katz, Hessler, & Annest, 2007;Katz & Windecker-Nelson, 2006). Recently, literature has suggested that not only are children impacted psychosocially, but that the lasting traumatic impact of witnessing violence also raises...

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Recovering from Domestic Abuse, Strengthening the Mother–Child Relationship: Mothers' and Children's Perspectives of a New Intervention

Cited by 14 publications

References 15 publications

Mothers and Children Exposed to Intimate Partner Violence: A Review of Treatment Interventions

Mothers and Children Exposed to Intimate Partner Violence: A Review of Treatment Interventions

IMPRoving Outcomes for children exposed to domestic ViolencE (IMPROVE): an evidence synthesis

Children’s experiences of domestic violence and abuse: Siblings’ accounts of relational coping

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