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Child Maltreatment and Intimate Partner Violence in Mental Health Settings
Jill R McTavish1, Prabha S Chandra2, Donna E Stewart3
1Offord Centre for Child Studies, Department of Psychiatry and Behavioural Neurosciences, McMaster University, 293 Wellington St. North, Hamilton, ON L8L 8E7, Canada.
Insights
Intimate partner violence (IPV) and child maltreatment are prevalent family violence types with severe health impacts. This study outlines safe, culturally-informed clinical responses for mental health settings to address these issues effectively.
Area of Science:
- Public Health
- Mental Health Services
- Clinical Psychology
Background:
- Intimate partner violence (IPV) and child maltreatment are widespread forms of family violence.
- Both IPV and child maltreatment are linked to significant adverse health outcomes.
- Effective clinical responses are crucial, especially within mental health settings.
Purpose of the Study:
- To review evidence on safe and culturally-informed clinical responses to child maltreatment and IPV.
- To guide mental health professionals in recognizing and responding to family violence.
- To highlight the need for integrated policy and practice frameworks.
Main Methods:
- Literature synthesis on clinical features of child maltreatment and IPV.
- Examination of rights-based, trauma- and violence-informed care principles.
- Review of communication strategies, safe disclosure responses, and assessment/intervention approaches.
Main Results:
- Highlights the importance of culturally-sensitive approaches in clinical practice.
- Emphasizes the need for multidisciplinary collaboration and community partnerships.
- Addresses resource considerations for both well-resourced and scarce-resource settings.
Conclusions:
- A unified approach to recognizing and responding to child maltreatment and IPV is essential.
- Training and resources for mental health providers are critical for effective intervention.
- Culturally-informed care is paramount for all populations, including marginalized groups.
Abstract:
Intimate partner violence (IPV) and child maltreatment (physical, emotional, sexual abuse, neglect, and children's exposure to IPV) are two of the most common types of family violence; they are associated with a broad range of health consequences. We summarize evidence addressing the need for safe and culturally-informed clinical responses to child maltreatment and IPV, focusing on mental health settings. This considers clinical features of child maltreatment and IPV; applications of rights-based and trauma- and violence-informed care; how to ask about potential experiences of violence; safe responses to disclosures; assessment and interventions that include referral networks and resources developed in partnership with multidisciplinary and community actors; and the need for policy and practice frameworks, appropriate training and continuing professional development provisions and resources for mental health providers. Principles for a common approach to recognizing and safely responding to child maltreatment and IPV are discussed, recognizing the needs in well-resourced and scarce resource settings, and for marginalized groups in any setting.
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