Examining Engagement of Men in a Domestic Abuse Program from Three Perspectives: An Exploratory Multimethod Study

This study addresses the limited knowledge in the field on how men initially engage in domestic abuse treatment. Interviews were conducted with a subsample of the men (n = 8), all of the facilitators (n = 4), and an engagement instrument was completed by facilitators on the full sample (N = 95). Facilitator scores confirmed men's engagement in group and that it increased over time. A majority of men and facilitators identified “learning things” as most important in the engagement process. Key elements of group process men described included the importance of learning from each other's stories, and all facilitators observed the support exchanged between the men. Research and group work implications are discussed.     

Domestic abuse treatment perspective that builds client voice and skills in a court-ordered environment

Building client voice in men who abuse to reduce dropout and improve outcomes in domestic abuse treatment continues to challenge. This mixed-method study examined the implementation of the Outcome Rating Scale (ORS), a client feedback tool, as a component of an open-ended group domestic abuse program (N = 25). Additionally, the Social Empathy Index (SEI) was administered during pre- and posttreatment individual interviews. Further information about the treatment experience was gleaned from interviews of three treatment completers. More than three fourths of the participants (21 or 84%) completed the minimum of 18 weeks, more than one third (8 or 38%) of completers showed reliable or clinically significant change on the ORS, with a statistically significant increase on the SEI reflecting increases in empathy concurrent with their view of making progress in treatment. Building awareness of self and others’ points of view and applying relationship enhancement skills were key themes expressed during interviews.     

Engagement strategies and change: an intentional practice response for the child welfare worker in cases of domestic violence

In order to engage mothers who are victims of domestic abuse, the child welfare worker needs to be challenged to develop an intentional practice response that includes knowledge and skill concerning the complexities of domestic violence, as well as the process of change. Developing a supportive relationship, understanding the stages of change (SOC) and engaging mothers as leaders in the change process are essential to successful child protection outcomes. Within the context of the SOC model, this practice‐based paper focuses on the importance of engaging mothers who are victims of domestic violence in conversations about their own unique dilemmas, challenges and barriers regarding change. Through the inclusion of engagement strategies such as signs of safety, active listening and cost/benefit analysis, in concert with the SOC theory, the child welfare worker would be equipped with an approach to successfully assist mothers through their change journey, ultimately keeping children safe.     

The Power of Learning and Men’s Stories in Engaging Abusive Men in the Change Process: Qualitative Study Across Programs

This study draws upon input from facilitators (n = 8) and a sample of men who committed acts of domestic abuse (n = 14) from two urban programs. A key finding of the research was that “learning things and motivation to learn” was an important factor keeping men engaged in treatment. Men also reported that hearing other mens’ stories was a motivator for change. These findings validated the importance of open-ended groups with an educational format. They also suggest that men already in treatment can be of value to others just beginning the treatment process by sharing their stories of change.     

Research Review: Engaging men: a multi‐level model to support father engagement

While there is a growing body of work on using fatherhood as an opportunity to engage men in strategies to prevent child maltreatment and further acts of domestic violence, there is limited research on engaging fathers in strategies to prevent domestic violence from occurring. To fill this gap in the literature, this paper explores existing father engagement frameworks used in child and family services and supports a multi‐level model of father engagement for domestic violence primary prevention. Drawing together evidence about father engagement from a range of studies, including the more general parenting literature, we describe factors that influence father engagement based on an analysis of the literature. These factors include accessibility, staff attitudes and behaviours, programme marketing and the format of service provision.     

Noncompletion of Evidence-Based Parent Training: An Empirical Examination Among Families of Children in Foster Care

Child welfare have historically experienced high dropout rates. As evidence-based interventions (EBIs) spread to the child welfare field, treatment noncompletion could interfere with successful outcomes. Using a mixed methods approach, this study investigated the differences between completers and noncompleters, and reasons for treatment noncompletion of an EBI for families of children in foster care. The sample comprised 315 families randomized to receive Parent Management Training, Oregon Model (PMTO). Researchers examined clinicians' discharge notes to explore reasons for noncompletion. Using data collected from a battery of assessments, bivariate logistic regression compared completers and noncompleters on demographics, socioeconomic factors, children's social-emotional functioning, and parents' functioning. About one third of families were noncompleters. Single fathers and parents with lower socioeconomic status were more likely to drop out. By contrast, parents with lower functioning on child behavior and parenting trended toward higher completion rates. Formidable challenges were parental substance abuse and mental illness. Results suggest parent training may require tailoring for specific subgroups and pairing with strategies for enhancing early engagement and reducing treatment barriers. Future research is needed to include parents' views on noncompletion and to more closely examine the influence of specific factors, such as severity of parental mental illness and substance abuse.     

Validation Study: The Iranian Version of Caregiver Abuse Screen (CASE) among Family Caregivers of Elderly with Dementia

Since abuse screening is difficult among the elderly with dementia, detection of elder abuse is a serious issue; meanwhile, the number of available tools to assess elder abuse by caregivers is limited. The aim was to evaluate validity and reliability of the Iranian version Caregiver Abuse Screen (CASE) tool. After the translating process of the tool to the Farsi language for 236 dementia participants ≥60 years old and their informal caregivers’ from outpatient’ clinics, in a cross-sectional method then the validity, reliability and factorial structure of the CASE was evaluated. The translated Iranian version CASE reveals a good psychometric property (α = 0.868) with strong internal consistency and reliability. Some variables (depression, burden, dementia intensity, and ADLs) were associated with abuse in dementia elderly. The two-factor structure was obtained in exploratory factor analysis labeled interpersonal abuse and neglect. Generally, the Iranian version of CASE approved with sufficient validity and reliability as a suitable instrument to find the risk of elder abuse among dementia caregivers.     

Trauma and the effects of violence exposure and abuse on children: A review of the literature

A number of studies examining violence exposure in the passeveral years have been successful in linking physical abuse, sexual abuse, domestic violence, and community violence exposure to a wide variety of physiological, emotional, and behavioral problems manifested in short‐term, mid‐term, and long‐term effects. The literature on the effects of physical and sexual abuse is older than the research on children's exposure to domestic violence, which is a decade older than the research on the effects of community violence exposure on children. Despite the differences between the types of violence to which children are exposed, there are significantly similar findings, which point to a link between violence exposure and traumatization.     

Domestic violence and child protection: exploring the role of perpetrator risk assessments

This article explores the issue of severity in relation to domestic violence and provides a number of reasons for the necessary engagement by workers with such a contentious issue. The specific role that the assessment of the risks posed by the perpetrator which has now developed in some police forces in the United Kingdom is examined, and its relevance to child welfare intervention discussed. A range of factors are identified that heighten the risks of increased violence. These include prior sexual assault; stalking and controlling behaviour; substance misuse and mental‐health problems; separation and child contact disputes; pregnancy; escalation including the use of weapons and psychological abuse; attempts and threats to kill; child abuse; isolation and barriers to help‐seeking. The ways in which perpetrator risk assessment can be used to inform the filtering of referrals to the statutory child care agency, enhance multi‐agency working, provide a structure for the assessment of the perpetrator, enhance partnership‐working with survivors (usually women) and inform the protection strategies for workers are explored.     

Pathways to age-friendly communities in diverse urban neighborhoods: Do social capital and social cohesion matter?

ABSTRACT

Using a social capital and social cohesion lens, we reposition the concept of civic engagement among older adults to examine pathways for building age-friendly communities. We analyzed data drawn from a Community-Based Participatory Research study in the Southern U.S. that explored lived experiences of older adults, age 55 and above, who participated in individual interviews (n = 15) and six focus group discussions (n = 45) to examine their perceptions of social identity, social connectedness, and civic engagement geared toward an age-friendly city. Findings indicated that several older adults had access to social networks and socially invested resources, thereby having opportunities for civic engagement and building age-friendly neighborhoods. However, social, cultural, linguistic, and structural barriers were more evident among certain diverse ethnic populations. Marginalized low-income minorities and immigrants, such as Hispanic participants, felt the lack of social cohesion among the larger society limited their ability to give back, thus decreasing their civic engagement activities. In contrast, Caucasian and African-American older adults were able to contribute to the political process through more civic participation activities. We provide implications for examining the role of social capital and social engagement to bolster civic engagement among older adults in building age-friendly communities.     

Predicting Retention in Three Substance Abuse Treatment Modalities Among Anglo,African American,and Mexican American Juvenile Offenders

Abstract

Many of the same factors that predict delinquent behavior also predict adolescent drug use. This study examined factors that predict, and interventions that maximize, substance abuse treatment retention in three modalities among high-risk Anglo, Mexican American, and African American juvenile offenders. The study sample includes youth (N = 211) who were discharged from probation supervision and who received substance abuse services through a CSAT-funded federal demonstration project. The key predictors examined included the stage-of-change (i.e., precontemplation, contemplation, preparation) in which a juvenile fell, various dimensions captured by the Comprehensive Addiction Severity Index for Adolescents, and other intervention status (probation, case management, and mental health treatment). The research questions were addressed using statistical models known as survival analysis that treated time from entry into substance abuse treatment to exit from substance abuse treatment as the outcomes. Among key findings were that females were 73% more likely to leave day treatment relative to males; for each additional family problem ever experienced, Mexican American adolescents were 15% more likely to leave residential treatment compared with African American adolescents; and African American and Mexican American adolescents in the contemplation stage-of-change were 50% less likely to leave day treatment compared with Anglo adolescents. Applications for practice and research with this population are discussed.     

Exploring approaches to child welfare in contexts of domestic violence and abuse: Family group conferences

This article sets out to explore service provision for families affected by domestic violence and abuse. For most families where there are child protection concerns, there are possibilities for intervention from child welfare agencies and domestic abuse services, but these have been criticised as having distinct and disconnected practice cultures and orientation. Recognising this divergence, in this paper, we advocate for safeguarding children affected by domestic violence and abuse using the family group conference (FGC) model. This offers possibilities for a coherent response that integrates both child‐ and women‐centred concerns in a holistic approach to family safety and well‐being. Furthermore, it is well documented that safeguarding work involves professionally‐led decision‐making that is pre‐occupied with the management of risk. FGCs, however, promote a partnership approach that engages families in a more democratic decision‐making process. As such, FGCs offer families the opportunity to develop their own safety and support plans for the protection and care of children recognising the family's inherent strengths.     

Preliminary support for the use of narrative exposure therapy in a child protection context: Collective case-study narratives

The present paper attempts to provide preliminary support for the use of narrative exposure therapy (NET) in a child protection context. The prevalence of violence, abuse and neglect (VAN) within New South Wales is outlined as well as the current perspectives in trauma definition and symptomology, and the prevalence of trauma symptomology among birthparents and young people within child protection services. NET is introduced including its theoretical background, methodology, applications and research. Four applications of NET within a child protection context are presented, including lifelines and narrative excerpts. Specific themes presented included experiences of physical abuse, domestic and family violence, parental drug use, suicidal ideation and child removal. Statistical analysis including reliable change, clinical and statistical significance of pre- and post-PCL-5 outcomes measures are presented to infer preliminary support for NET within a child protection context. Limitations and future considerations for future research are discussed.     

Domestic violence and child protection: towards a collaborative approach across the two service sectors

Domestic violence continues to be one of the most significant aspects of child abuse and neglect in Australia. However, the children are not well served by either child protection or domestic violence service sectors, which continue to operate as segregated, tertiary response systems. This paper reports on research that examined bridges and barriers to effective collaboration between child protection and domestic violence services in responding to children affected by domestic violence. The differing conceptions and responses of the workers from each service sector, in relation to children and families affected by domestic violence, is discussed in the light of gaps in service provision in both sectors. In doing so, areas of common ground for more effective collaboration between these service sectors are identified, including the prioritizing of emotional and psychological abuse, supporting and empowering abused mothers, strengthening the mother–child relationship, and supporting children and families across a continuum of service provision, particularly in the medium‐ to long‐term. Understanding each other and finding common ground across the two service sectors is paramount to improving how each responds to children and families affected by domestic violence.     

Productive engagement across the life course: paid work and beyond

An uncertain economic outlook and the certitude of an ageing population highlight the importance of productive activity across all age groups for Australia's future. This paper reviews Australian and international research on productive ageing, which has typically focused on older age groups and specific activities, and presents national findings from Wave 10 (2010) of the Household, Income and Labour Dynamics in Australia (HILDA) Survey on productive activities across the life course. Both paid, tax‐generating and unpaid, voluntary activities are examined, including paid work, volunteering, caregiving, childcare, and domestic work. The kinds of productive activity people engaged in varied across age groups for men and women, highlighting the potential competition between paid work and other activities, and the importance of health and education for engagement across all ages. While the Government has begun leading actions to enhance and recognise these contributions that bring economic and social benefits both to the individual and the broader community, our research reinforces the value of investment in human capital for productive engagement across the lifespan inclusive of early, middle and later life.     

Baby Boomer’s Substance Abuse and Researcher Indifference

The current older adult population is more likely to need and seek treatment for alcohol and drug abuse than previous cohorts of older adults, which necessitates the need for age-appropriate substance use treatment. Building on previous research that examined the lack of attention on substance use among older adults, this study examines articles addressing substance use disorders among older adults in leading gerontological and substance abuse journals and federal funding between 2011 and 2017. Publications were identified from ten leading gerontological and ten leading substance abuse journals using Medical Subject Heading (MeSH) terms. During this time-period, there were 68 and 44 articles published in gerontology and substance abuse journals respectively related to substance use disorders in older adults. Most (59.8%) addressed alcohol abuse and 7% involved intervention studies. In the 7-year period, there were 13 federal grants. A paucity of published or funded work exists in this area despite growing misuse and treatment seeking among older adults with substance use disorders. Effectively addressing substance abuse in older adults will require a coordinated effort between researchers and practitioners to establish and implement best practices for practitioners to rely on when working with substance abusing older adults.     

What might Normalisation Process Theory bring to policy implementation studies? Learning lessons and uncovering questions through a case study of the profound implementation failure of a new policing policy

Normalisation Process Theory (NPT), used nationally and internationally to explore implementation within health services research, is used for the first time within policing to understand profound policy implementation failure and to generate broader discussion of policy implementation theory. The policy in question (Police to Primary Care [P2PC]) was an intervention designed to notify GPs when women are assessed by police as at high risk of future domestic abuse. Designed to improve interagency communication, it took place amidst radical organisational change. Using qualitative interviews with domestic abuse specialist and frontline officers, this paper addresses how NPT helps to explain the (non)implementation of P2PC, how such an analysis differs from other policy implementation approaches, and what this means for our understandings of policy implementation more broadly. NPT proved useful in understanding mechanisms leading to (non)implementation of the intervention: fuzzy alignment with existing practice, faulty communication of purpose, and inattention to discretionary implementation spaces. It helped us understand why the intervention came to be invisible. Dwarfed by its organisational context, made institutionally hard to read by a lack of formal protocols, and given restricted view to police officers, it was compromised by a failure to instigate systems of organisational learning. More broadly, NPT helped reveal practices intersecting top‐down and bottom‐up implementation theory. The paper concludes by asking how NPT and theories of street‐level bureaucracy might be better used in tandem and, particularly, how this might help explorations of policy implementation where human actors are joined by technological actors in interpreting and making policy in vivo.     

Psychosocial Interventions for Maltreated and Violence-Exposed Children

Child sexual, physical, and emotional abuse as well as child neglect and domestic violence, community violence, and Childhood Traumatic Grief may result in significant and long-lasting emotional and behavioral difficulties. This article reviews randomized controlled studies that have assessed child mental health outcomes for maltreated and violence-exposed children. Key points of this review include the following: (1) maltreated and violence-exposed children typically experience more than one of these types of traumas; (2) effective psychosocial treatments are available to address Posttraumatic Stress Disorder (PTSD), depression, anxiety, and behavioral problems in these children; (3) it is likely that treatments which effectively reduce mental health symptoms in children exposed to one type of child maltreatment or violence exposure will also be effective for other or multiple types; and (4) mental health outcomes are not the only important outcomes to address in future treatment or intervention efforts. These future directions for treatment intervention research are addressed.     

A Quantitative Evaluation of the Multi-Disciplinary Approach to Prevention Services (MAPS) Program to Protect Children and Strengthen Families

This article presents the results from an evaluation of a state-funded, prevention-based, pilot program called the Multi-Disciplinary Approach to Prevention Services that was designed to reduce the potential for child abuse and neglect. The program served 64 families of various races and ethnicities over two years. A quantitative pretest–posttest design was used to analyze existing program data related to client outcomes including parenting skills, parenting satisfaction, and the use of non-family resources to assist in improving skills and satisfaction. Means comparisons were used to assess the relationship between three standardized instruments (the Parenting Scale, the Eyberg Child Behavior Inventory and the Kansas Parental Satisfaction Scale). Findings indicated a statistically significant improvement regarding resource engagement by families, parenting behaviors and perceptions, and involvement with Child Protective Services. The results from this study offer insight into how to improve parenting behaviors and increase child protective factors for youth who are at risk of maltreatment. In addition, these findings contribute to strengthen the legitimacy of Weiner's Attribution Theory while providing the social work profession with additional data in areas of research targeting the intersection of financially viable prevention programs, family stability, parental education, resources engagement, and the reduction of child abuse and neglect. If additional research supports the efficacy of prevention programs such as MAPS, funding similar programs could lead to improved parenting and decreases in child maltreatment.     

An Elder Abuse Case Study

Abstract

This article explores elder abuse from the perspective of caregiver stress and domestic violence theories. The author proposes that the theory of caregiver stress has shaped the elder abuse laws and the practice field, raising some important questions for examination. The need for policymakers and practitioners to evaluate their applied theory(ies) so they may better advocate for needed changes in policies and laws is examined by using a case example. In conclusion, the author suggests that the elder abuse protection field must consider the underutilized concepts of domestic violence theory for policy development, case assessments, and intervention strategies.