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Chapter 18 - Working with Families of Children Who Have Experienced Maltreatment

from Part IV - Family Intervention for Children at Risk Due to Family Dysfunction or Past Adversity

Published online by Cambridge University Press:  18 February 2021

By
Dave S. Pasalich  and
Nicola Palfrey
Edited by
Jennifer L. Allen ,
David J. Hawes  and
Cecilia A. Essau
Jennifer L. Allen
Affiliation:
University of Bath
David J. Hawes
Affiliation:
University of Sydney
Cecilia A. Essau
Affiliation:
Roehampton University, London
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Summary

Child maltreatment is a universal public health issue. It is well established that parenting is implicated in both risk and resilience for child abuse and neglect. Thus, family-based interventions are significant for preventing and treating the psychological and developmental impact of child maltreatment. The aim of this chapter is to outline core competencies that clinicians should aspire to develop and strengthen to provide effective practice with families of children at risk for or exposed to maltreatment. To this end, we discuss scientific principles and evidence-informed strategies using a framework of three overarching competency domains underpinning therapeutic work in this field: (1) conceptualizing child maltreatment, (2) promoting wellbeing in families of children at risk for or exposed to maltreatment and (3) scientific and professional issues. We conclude by demonstrating the clinician competencies using a case illustration of a child presenting with complex trauma.

Keywords

Abuseneglecttraumaattachmentparentingfamily-based interventionrelational interventionclinician competencies
Type
Chapter
Information
Family-Based Intervention for Child and Adolescent Mental Health
A Core Competencies Approach
 , pp. 242 - 257
Publisher: Cambridge University Press
Print publication year: 2021

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References

Stoltenborgh, M, Bakermans‐Kranenburg, MJ, Alink, LR, van IJzendoorn, MH. The prevalence of child maltreatment across the globe: Review of a series of meta-analyses. Child Abuse Review 2014, 24(1): 37–50.Google Scholar
Carr, A, Duff, H, Craddock, E. A systematic review of reviews of the outcome of noninstitutional child maltreatment. Trauma, Violence and Abuse 2020; 21(4):828–43.Google ScholarPubMed
Hupp, SD, Jewell, JD, Reitman, D, LeBlanc, M. Competencies in child clinical psychology. In: Thomas, JC, Hersen, M (eds.), Handbook of Clinical Psychology Competencies. New York: Springer, 2010, pp. 43–72.Google Scholar
US Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau. Child Maltreatment, 2017. Available at www.acf.hhs.gov/cb/resource/child-maltreatment-2017 (accessed 6 May 2019).Google Scholar
Butchart, A, Phinney Harvey, A, Mian, M, et al. Preventing Child Maltreatment: A Guide to Taking Action and Generating Evidence. Geneva: World Health Organization and International Society for Prevention of Child Abuse and Neglect, 2006.Google Scholar
Zeanah, CH, Humphreys, KL. Child abuse and neglect. Journal of the American Academy of Child and Adolescent Psychiatry 2018; 57(9):637–44.Google ScholarPubMed
Hein, TC, Monk, CS. Research review: Neural response to threat in children, adolescents, and adults after child maltreatment: A quantitative meta‐analysis. Journal of Child Psychology and Psychiatry 2017; 58(3):222–30.Google Scholar
Shonkoff, JP, Garner, AS, Siegel, BS, et al. The lifelong effects of early childhood adversity and toxic stress. Pediatrics 2012; 129(1):e232–46.Google Scholar
Dodge, KA, Pettit, GS, Bates, JE, Valente, E. Social information-processing patterns partially mediate the effect of early physical abuse on later conduct problems. Journal of Abnormal Psychology 1995; 104:632–43.Google Scholar
Shackman, JE, Shackman, AJ, Pollak, SD. Physical abuse amplifies attention to threat and increases anxiety in children. Emotion 2007; 7:838–52.CrossRefGoogle ScholarPubMed
Putnam, FW. Dissociation in Children and Adolescents: A Developmental Perspective. New York: Guilford Press, 1997.Google Scholar
Jaffee, SR. Child maltreatment and risk for psychopathology in childhood and adulthood. Annual Review of Clinical Psychology 2017; 13:525–51.Google Scholar
Kerig, PK, Bennett, DC, Thompson, M, Becker, SP. ‘Nothing really matters’: Emotional numbing as a link between trauma exposure and callousness in delinquent youth. Journal of Traumatic Stress 2012; 25:272–9.CrossRefGoogle ScholarPubMed
McLaughlin, KA, Lambert, HK. Child trauma exposure and psychopathology: Mechanisms of risk and resilience. Current Opinion in Psychology 2017, 14:29–34.Google Scholar
Cook, A, Spinazzola, J, Ford, J, et al. Complex trauma in children and adolescents. Psychiatric Annals 2005; 35:390–8.Google Scholar
Bowlby, J. Attachment and Loss, Vol. 1: Attachment, 2nd ed. New York: Basic Books, 1982.Google Scholar
George, C, Solomon, J. The caregiving system: A behavioral systems approach to parenting. In: Cassidy, J, Shaver, PR (eds.), Handbook of Attachment: Theory, Research, and Clinical Applications, 2nd ed. New York: Guilford Press, 2008, pp. 833–56.Google Scholar
Lyons-Ruth, K, Bronfman, E, Parsons, E. Atypical attachment in infancy and early childhood among children at developmental risk. Monographs of the Society for Research in Child Development 1999; 64:67–96.Google Scholar
Fearon, RP, Bakermans-Kranenburg, MJ, van IJzendoorn, MH, et al. The significance of insecure attachment and disorganization in the development of children’s externalizing behavior: A meta-analytic study. Child Development 2010; 81:435–56.Google Scholar
Cyr, C, Euser, EM, Bakermans-Kranenburg, MJ, van IJzendoorn, MH. Attachment security and disorganization in maltreating and high-risk families: A series of meta-analyses. Development and Psychopathology 2010; 22:87–108.Google Scholar
Zeanah, CH, Gleason, MM. Annual research review: Attachment disorders in early childhood: Clinical presentation, causes, correlates, and treatment. Journal of Child Psychology and Psychiatry 2015; 56(3):207–22.Google Scholar
Woolgar, M, Scott, S. The negative consequences of over-diagnosing attachment disorders in adopted children: The importance of comprehensive formulations. Clinical Child Psychology and Psychiatry 2014; 19(3):355–66.Google Scholar
Curtis, T, Miller, BC, Berry, EH. Changes in reports and incidence of child abuse following natural disasters. Child Abuse and Neglect 2000; 24(9):1151–62.Google Scholar
Cicchetti, D. Socioemotional, personality, and biological development: Illustrations from a multilevel developmental psychopathology perspective on child maltreatment. Annual Review of Psychology 2016; 67:187–211.Google Scholar
Cicchetti, D, Toth, SL. The past achievements and future promises of developmental psychopathology: The coming of age of a discipline. Journal of Child Psychology and Psychiatry 2009; 50:16–25.Google Scholar
Cicchetti, D, Lynch, M. Toward an ecological/transactional model of community violence and child maltreatment: Consequences for children’s development. Psychiatry 1993; 56(1):96–118.Google Scholar
Gilbert, R, Kemp, A, Thoburn, J, et al. Recognising and responding to child maltreatment. Lancet 2009; 373:167–80.Google Scholar
National Institute for Health and Care Excellence. Child Maltreatment: When to Suspect Maltreatment in Under 18s. London: NICE, 2017. Available at www.nice.org.uk/guidance/cg89 (accessed 4 November 2019).Google Scholar
Saywitz, KJ, Lyon, TD, Goodman, GS. When interviewing children: A review and update. In: Klika, B, Conte, J (eds.), APSAC Handbook on Child Maltreatment. Newbury Park, CA: SAGE Publishing, 2018, pp. 310–29.Google Scholar
Stith, SM, Liu, T, Davies, LC, et al. Risk factors in child maltreatment: A meta-analytic review of the literature. Aggression and Violent Behavior 2009; 14:13–29.Google Scholar
Miller, AB, Esposito-Smythers, C, Weismoore, JT, Renshaw, KD. The relation between child maltreatment and adolescent suicidal behavior: A systematic review and critical examination of the literature. Clinical Child and Family Psychology Review 2013; 16:146–72.Google Scholar
Cook, JM, Newman, E. A consensus statement on trauma mental health: The New Haven Competency Conference process and major findings. Psychological Trauma: Theory, Research, Practice, and Policy 2014; 6:300–7.Google Scholar
Whelan, D. Using attachment theory when placing siblings in foster care. Child and Adolescent Social Work Journal 2003; 20:21–36.Google Scholar
Forrester, D, Westlake, D, Glynn, G. Parental resistance and social worker skills: Towards a theory of motivational social work. Child and Family Social Work 2012; 17(2):118–29.Google Scholar
Hawkins, SS, Radcliffe, J. Current measures of PTSD for children and adolescents. Journal of Pediatric Psychology 2006; 31:420–30.Google Scholar
National Child Traumatic Stress Network. 2019. Available at www.nctsn.org/ (accessed 5 November 2019).Google Scholar
McLaughlin, A, Espie, C, Minnis, H. Development of a brief waiting room observation for behaviours typical of reactive attachment disorder. Child and Adolescent Mental Health 2010; 15(2):73–79.Google Scholar
Havighurst, SS, Downey, L. Clinical reasoning for child and adolescent mental health practitioners: The mindful formulation. Clinical Child Psychology and Psychiatry 2009; 14(2):251–71.Google Scholar
Copeland, WE, Keeler, G, Angold, A, Costello, EJ. Traumatic events and posttraumatic stress in childhood. Archives of General Psychiatry 2007; 64(5):577–84.CrossRefGoogle ScholarPubMed
D’Andrea, W, Ford, J, Stolbach, B, et al. Understanding interpersonal trauma in children: Why we need a developmentally appropriate trauma diagnosis. American Journal of Orthopsychiatry 2012; 82(2):187.CrossRefGoogle Scholar
Raman, S, Hodes, D. Cultural issues in child maltreatment. Journal of Paediatrics and Child Health 2012; 48(1):30–7.Google Scholar
Durrant, JE. Physical punishment, culture, and rights: Current issues for professionals. Journal of Developmental and Behavioral Pediatrics 2008; 29(1):55–66.Google Scholar
Gone, JP, Hartmann, WE, Pomerville, A, et al. The impact of historical trauma on health outcomes for indigenous populations in the USA and Canada: A systematic review. American Psychologist 2019; 74(1):20–35.Google Scholar
Atkinson, J, Nelson, J, Brooks, R, et al. Addressing individual trauma and transgenerational trauma. In: Dudgeon, P, Milroy, H, Walker, R (eds.), Working Together: Aboriginal and Torres Strait Islander Mental Health and Wellbeing Principles and Practice, 2nd ed. Canberra: Commonwealth of Australia, 2014, pp. 289–306.Google Scholar
California Evidence-Based Clearinghouse for Child Welfare. 2019. Available at www.cebc4cw.org/ (accessed 5 November 2019).Google Scholar
Dorsey, S, McLaughlin, KA, Kerns, SE, et al. Evidence base update for psychosocial treatments for children and adolescents exposed to traumatic events. Journal of Clinical Child and Adolescent Psychology 2017; 46(3):303–30.Google Scholar
Cohen, JA, Mannarino, AP, Deblinger, E. Treating Trauma and Traumatic Grief in Children and Adolescents, 2nd ed. New York: Guilford Press, 2017.Google Scholar
Runyon, MK, Deblinger, E. Combined Parent-Child Cognitive Behavioral Therapy: An Approach to Empower Families At‐Risk for Child Physical Abuse. New York: Oxford University Press, 2014.Google Scholar
Yasinski, C, Hayes, A, Ready, B, et al. In-session caregiver behavior predicts symptom change in youth receiving trauma-focused cognitive behavioral therapy (TF-CBT). Journal of Consulting and Clinical Psychology 2016; 84(12):1066–77.Google Scholar
Martin, CG, Everett, Y, Skowron, EA, Zalewski, M. The role of caregiver psychopathology in the treatment of childhood trauma with trauma-focused cognitive behavioral therapy: A systematic review. Clinical Child and Family Psychology Review (in press).Google Scholar
Valentino, K. Relational interventions for maltreated children. Child Development 2017; 88:359–67.Google Scholar
Moretti, MM, Pasalich, DS, O’Donnell, KA. Connect: An attachment-based program for parents of teens. In Steele, H, Steele, M (eds.), Handbook of Attachment-Based Interventions. New York: Guilford Press, 2018, pp. 375–401.Google Scholar
Dozier, M, Bernard, K, Roben, CKP. Attachment and biobehavioral catch-up. In: Steele, H, Steele, M (eds.), Handbook of Attachment-Based Interventions. New York: Guilford Press, 2018, pp. 27–49.Google Scholar
Kelly, JF, Sandoval, D, Zuckerman, T, Buehlman, K. Promoting First Relationships: A Program for Service Providers to Help Parents and Other Caregivers Nurture Young Children’s Social and Emotional Development, 2nd ed. Seattle, WA: NCAST Programs, 2008.Google Scholar
Bernard, K, Dozier, M, Bick, J, et al. Enhancing attachment organization among maltreated children: Results of a randomized clinical trial. Child Development 2012; 83:623–36.Google Scholar
Spieker, SJ, Oxford, ML, Kelly, JF, et al. Promoting first relationships: Randomized trial of a relationship-based intervention for toddlers in child welfare. Child Maltreatment 2012; 17:271–86.Google Scholar
Caron, E, Bernard, K, Dozier, M. In vivo feedback predicts parent behavior change in the attachment and biobehavioral catch-up intervention. Journal of Clinical Child and Adolescent Psychology 2016; 47(Suppl 1):S35–46.Google Scholar
Pasalich, DS, Fleming, CB, Spieker, SJ, et al. Does parents’ own history of child abuse moderate the effectiveness of the Promoting First Relationships intervention in child welfare? Child Maltreatment 2019; 24:56–65.Google Scholar
Lieberman, AF, Ghosh Ippen, C, Van Horn, P. ‘Don’t Hit My Mommy!’: A Manual for Child–Parent Psychotherapy with Young Children Exposed to Violence and Other Trauma, 2nd ed. Washington, DC: Zero to Three, 2015.Google Scholar
Bakermans-Kranenburg, MJ, van IJzendoorn, MH, Juffer, F. Less is more: Meta-analyses of sensitivity and attachment interventions in early childhood. Psychology Bulletin 2003; 129:195–215.Google Scholar
Cicchetti, D, Rogosch, FA, Toth, SL. Fostering secure attachment in maltreating families through preventive interventions. Development and Psychopathology 2006; 18:623–50.Google Scholar
Blaustein, M, Kinniburgh, K. Treating Traumatic Stress in Children and Adolescents: How to Foster Resilience Through Attachment, Self-Regulation, and Competency, 2nd ed. New York: Guilford Press, 2019.Google Scholar
Hodgdon, H, Kinniburgh, K, Gabowitz, D, et al. Development and implementation of trauma-informed programming in youth residential treatment centers using the ARC framework. Journal of Family Violence 2013; 28:679–92.Google Scholar
McMahon, RJ, Pasalich, DS. Parenting and family intervention in treatment. In: Sanders, M, Morawska, A (eds.), Handbook of Parenting and Child Development Across the Lifespan. New York: Springer, 2018, pp. 745–73.Google Scholar
Chen, M, Chan, KL. Effects of parenting programs on child maltreatment prevention: A meta-analysis. Trauma, Violence and Abuse 2016; 17(1):88–104.Google Scholar
Temcheff, CE, Letarte, MJ, Boutin, S, Marcil, K. Common components of evidence-based parenting programs for preventing maltreatment of school-age children. Child Abuse and Neglect 2018; 80:226–37.Google Scholar
Prinz, RJ, Sanders, MR, Shapiro, CJ, et al. Addendum to Population-based prevention of child maltreatment: The US triple P system population trial. Prevention Science 2016; 17(3):410–16.Google Scholar
Sanders, MR, Pickering, JA. The prevention of child maltreatment: The case for a public health approach to behavioural parenting intervention. In: Dixon, L, Perkins, DF, Hamilton-Giachritis, C, Craig, LA (eds.), The Wiley Handbook of What Works in Child Maltreatment: An Evidence Based Approach to Assessment and Protection in Child Protection. Hoboken, NJ: Wiley Blackwell, 2017, pp. 163–75.Google Scholar
Eltz, MJ, Shirk, SR, Sarlin, N. Alliance formation and treatment outcome among maltreated adolescents. Child Abuse and Neglect 1995; 19(4):419–31.Google Scholar
Dozier, M, Bates, BC. Attachment state of mind and the treatment relationship. In: Atkinson, L, Goldberg, S (eds.), Attachment Issues in Psychopathology and Intervention. London: Lawrence Erlbaum Associates, 2004, pp. 167–80.Google Scholar
Hood, R, Gillespie, J, Davies, J. A conceptual review of interprofessional expertise in child safeguarding, Journal of Interprofessional Care 2016; 30(4):493–8.Google Scholar
Reder, P, Duncan, S. Making the most of the Victoria Climbié inquiry report. Child Abuse Review 2004; 13:95–114.Google Scholar
Romano, E, Babchishin, L, Marquis, R, Fréchette, S. Childhood maltreatment and educational outcomes. Trauma, Violence and Abuse 2015; 16(4):418–37.Google Scholar
Cole, SF, O’Brien, JG, Gadd, MG, et al. Helping Traumatized Children Learn: Supportive School Environments for Children Traumatized by Family Violence. Boston: Massachusetts Advocates for Children, 2005.Google Scholar
Tarren-Sweeney, M. It’s time to re-think mental health services for children in care, and those adopted from care. Clinical Child Psychology and Psychiatry 2010; 15(4):613–26.Google Scholar
Pasalich, DS, Fleming, CB, Oxford, ML, et al. Can parenting intervention prevent cascading effects from placement instability to insecure attachment to externalizing problems in maltreated toddlers? Child Maltreatment 2016; 21:175–85.Google Scholar
Kenny, MC, Abreu, RL, Marchena, MT, et al. Legal and clinical guidelines for making a child maltreatment report. Professional Psychology Research and Practice 2017; 48(6):469–80.Google Scholar
Pietrantonio, AM, Wright, E, Gibson, K, et al. Mandatory reporting of child abuse and neglect: Crafting a positive process for health professionals and caregivers. Child Abuse and Neglect 2013; 37:102–9.Google Scholar
Canfield, J. Secondary traumatization, burnout, and vicarious traumatization. Smith College Studies in Social Work 2005; 75(2):81–101.CrossRefGoogle Scholar
Craig, CD, Sprang, G. Compassion satisfaction, compassion fatigue, and burnout in a national sample of trauma treatment therapists. Anxiety, Stress and Coping 2010; 23(3):319–39.Google Scholar

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