Navigating treatment trajectories for families with young children after domestic violence: A Delphi-study exploring the priorities in terms of trauma-therapy and attachment-based intervention
Background: In families with young children who have experienced domestic violence, both parents and children are at risk to develop post-traumatic stress disorder (PTSD) symptoms, and there is a risk for disrupted parent-child interactions. Objective: To identify the factors on which expert-clinici...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Child Protection and Practice |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S295019382400069X |
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| author | Willemien M. van den Dorpel Lenneke R.A. Alink Anja van der Voort Carlo Schuengel Ashwina R. Kesarlal Carlijn de Roos Karine Zuidgeest Sabine van der Asdonk |
| author_facet | Willemien M. van den Dorpel Lenneke R.A. Alink Anja van der Voort Carlo Schuengel Ashwina R. Kesarlal Carlijn de Roos Karine Zuidgeest Sabine van der Asdonk |
| author_sort | Willemien M. van den Dorpel |
| collection | DOAJ |
| description | Background: In families with young children who have experienced domestic violence, both parents and children are at risk to develop post-traumatic stress disorder (PTSD) symptoms, and there is a risk for disrupted parent-child interactions. Objective: To identify the factors on which expert-clinicians agree that they should be considered when deciding on the order of trauma therapy for the parent, trauma therapy for the child, and attachment-based intervention. Participants: and settings: Participants were 16 experienced clinicians, trained in attachment-based intervention for parents and their young children, trauma therapy for adults, and trauma therapy for young children. Methods: A classic three-round Delphi approach was used. Anonymous online surveys were filled out by the participants. Consensus was defined as agreement among 70% of the participants. Results: After the third survey round, there were eleven factors for which there was consensus. These included the preference of the parent for one of the three individual therapies, impaired parental mentalizing capacity, insensitive/disrupted parenting, a problematic attachment history between parent and child, a high level of child PTSD symptoms, a high level of parental PTSD symptoms, severe risks for the development of the child, a very young age of the child, and exposure of the child to one or more traumatic events. Conclusions: Agreement was found on which factors to consider in planning the order of treatments for families who have experienced domestic violence. These factors can provide a starting point from where clinicians can design a treatment plan with a specific family. |
| format | Article |
| id | doaj-art-d06e23eb8786485f82f89e3532972aab |
| institution | OA Journals |
| issn | 2950-1938 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Child Protection and Practice |
| spelling | doaj-art-d06e23eb8786485f82f89e3532972aab2025-08-20T01:54:54ZengElsevierChild Protection and Practice2950-19382024-12-01310006910.1016/j.chipro.2024.100069Navigating treatment trajectories for families with young children after domestic violence: A Delphi-study exploring the priorities in terms of trauma-therapy and attachment-based interventionWillemien M. van den Dorpel0Lenneke R.A. Alink1Anja van der Voort2Carlo Schuengel3Ashwina R. Kesarlal4Carlijn de Roos5Karine Zuidgeest6Sabine van der Asdonk7Institute of Education and Child Studies, Faculty of Social and Behavioral Sciences, Leiden University, Leiden, the Netherlands; Corresponding author. Wassenaarseweg 52, 2333 AK, Leiden, the Netherlands.Institute of Education and Child Studies, Faculty of Social and Behavioral Sciences, Leiden University, Leiden, the NetherlandsInstitute of Education and Child Studies, Faculty of Social and Behavioral Sciences, Leiden University, Leiden, the NetherlandsClinical Child & Family Studies, Faculty of Behavioural and Movement Sciences, Vrije Universiteit, Amsterdam, the NetherlandsInstitute of Education and Child Studies, Faculty of Social and Behavioral Sciences, Leiden University, Leiden, the NetherlandsDepartment of Child and Adolescent Psychiatry, Amsterdam University Medical Centre, Amsterdam, the Netherlands; Levvel, Academic Centre for Child and Adolescent Psychiatry, Amsterdam, the NetherlandsNIKA Nederland, Haarlem, the NetherlandsInstitute of Education and Child Studies, Faculty of Social and Behavioral Sciences, Leiden University, Leiden, the NetherlandsBackground: In families with young children who have experienced domestic violence, both parents and children are at risk to develop post-traumatic stress disorder (PTSD) symptoms, and there is a risk for disrupted parent-child interactions. Objective: To identify the factors on which expert-clinicians agree that they should be considered when deciding on the order of trauma therapy for the parent, trauma therapy for the child, and attachment-based intervention. Participants: and settings: Participants were 16 experienced clinicians, trained in attachment-based intervention for parents and their young children, trauma therapy for adults, and trauma therapy for young children. Methods: A classic three-round Delphi approach was used. Anonymous online surveys were filled out by the participants. Consensus was defined as agreement among 70% of the participants. Results: After the third survey round, there were eleven factors for which there was consensus. These included the preference of the parent for one of the three individual therapies, impaired parental mentalizing capacity, insensitive/disrupted parenting, a problematic attachment history between parent and child, a high level of child PTSD symptoms, a high level of parental PTSD symptoms, severe risks for the development of the child, a very young age of the child, and exposure of the child to one or more traumatic events. Conclusions: Agreement was found on which factors to consider in planning the order of treatments for families who have experienced domestic violence. These factors can provide a starting point from where clinicians can design a treatment plan with a specific family.http://www.sciencedirect.com/science/article/pii/S295019382400069XDomestic violenceTrauma-therapyAttachment-based interventionYoung children |
| spellingShingle | Willemien M. van den Dorpel Lenneke R.A. Alink Anja van der Voort Carlo Schuengel Ashwina R. Kesarlal Carlijn de Roos Karine Zuidgeest Sabine van der Asdonk Navigating treatment trajectories for families with young children after domestic violence: A Delphi-study exploring the priorities in terms of trauma-therapy and attachment-based intervention Child Protection and Practice Domestic violence Trauma-therapy Attachment-based intervention Young children |
| title | Navigating treatment trajectories for families with young children after domestic violence: A Delphi-study exploring the priorities in terms of trauma-therapy and attachment-based intervention |
| title_full | Navigating treatment trajectories for families with young children after domestic violence: A Delphi-study exploring the priorities in terms of trauma-therapy and attachment-based intervention |
| title_fullStr | Navigating treatment trajectories for families with young children after domestic violence: A Delphi-study exploring the priorities in terms of trauma-therapy and attachment-based intervention |
| title_full_unstemmed | Navigating treatment trajectories for families with young children after domestic violence: A Delphi-study exploring the priorities in terms of trauma-therapy and attachment-based intervention |
| title_short | Navigating treatment trajectories for families with young children after domestic violence: A Delphi-study exploring the priorities in terms of trauma-therapy and attachment-based intervention |
| title_sort | navigating treatment trajectories for families with young children after domestic violence a delphi study exploring the priorities in terms of trauma therapy and attachment based intervention |
| topic | Domestic violence Trauma-therapy Attachment-based intervention Young children |
| url | http://www.sciencedirect.com/science/article/pii/S295019382400069X |
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