The California Evidence-Based Clearinghouse for Child Welfare
The California Evidence-Based Clearinghouse for Child Welfare

This document was printed from the website of the California Evidence-Based Clearinghouse for Child Welfare (CEBC), which you can access at http://www.cachildwelfareclearinghouse.org/

The Child Witness to Violence Project - Detailed Report

Scientific Rating:
4
Lacks Adequate Research Evidence
See scale of 1-6
Scientific Rating:
4 - Lacks Adequate Research Evidence

Relevance to Child Welfare Rating:
1
Relevance to Child Welfare Rating:
1 - High

Type of Maltreatment: Exposure to domestic violence

Target Population: Children age 8 and younger, with the majority being under age six, from a racially diverse urban area.

Brief Description:

The Child Witness to Violence Project was rated by the CEBC in the area of Domestic/Intimate Partner Violence: Services for Women Victims and their Children. The Child Witness to Violence Project at Boston Medical Center provides trauma-focused clinical intervention to children age 8 and younger who have been exposed to domestic or community violence. Approximately 150 families are seen each year; 85% of cases seen are for exposure to domestic violence; 65% of the children are age 6 or younger. The intervention requires the active participation of at least one parent and is focused on addressing the traumatic experiences of the child within the context the child-parent relationship. The intervention incorporates principles of Child-Parent Psychotherapy (Lieberman, Van Horn, et al.) and Trauma-Focused Cognitive Behavioral Therapy (Cohen, Mannarino, et al).* Components of the intervention include advocacy and case management, parent guidance, along with dyadic and/or individual psychotherapy. Services are offered in English or Spanish. Services are primarily outpatient and office-based.

*These programs have been rated by the CEBC under the Trauma Treatment for Children topical area.

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Essential Components

Show Essential Components

  • Provides developmentally sensitive early childhood assessments of trauma that are informed by a knowledge of the dynamics of domestic violence.
  • Provides developmentally sensitive and domestic violence-informed clinical intervention focused on strengthening the child-parent relationship.
  • Provides a trauma-focused intervention that targets maladaptive symptoms in the child.
  • Provides parenting guidance when appropriate.
  • Provides case management/advocacy when appropriate.


Group Format

The Child Witness to Violence Project was not designed to be conducted in a group.

The Child Witness to Violence Project has not been tested for use in a group setting.


Recommended Parameters

Recommended intensity: Weekly 1–1.5 hours session

Recommended duration: At least five months.


Homework

The Child Witness to Violence Project does not include a homework component.


Delivery Setting

The Child Witness to Violence Project is typically conducted in a(n): Birth Family Home and Outpatient Clinic.


Parent Component

The Child Witness to Violence Project was designed with a Parent Component.

The Child Witness to Violence Project addresses the following presenting problems and symptoms: Conflict in the parent-child relationship; lack of understanding/awareness of the impact of trauma on children; disruption of attachment between parent and child; and stresses/trauma associated with being a victim of domestic violence.


Child Component

The Child Witness to Violence Project was designed with a Child Component.

The Child Witness to Violence Project addresses the following presenting problems and symptoms: Exposure to the trauma of domestic or community violence; symptoms associated with exposure to violence: aggression, sleep disturbances; conflict in the child-parent relationship; learning difficulties; and difficult peer relationships.

Age range(s): 0-8

The Child Witness to Violence Project was not developed for children with developmental delays.

The Child Witness to Violence Project has not been tested for children with developmental delays.


Racial/Ethnic Diversity

The Child Witness to Violence Project was not designed for specific racial/ethnic/cultural groups.

The Child Witness to Violence Project was not tested in specific racial/ethnic/cultural groups.


Education and Training Resources

There is a manual that describes how to implement this program.

There is training available for The Child Witness to Violence Project.

Training contact: Maxine Weinreb, Ed.D; Tel: 617-414-3662; E-mail: maxine.weinreb@bmc.org

Number of days/hours: 2 days, 13 hours of training

Training is obtained: Onsite at Boston Medical Center, or at a site requested by interested professionals

There currently are additional qualified resources for training.

List of additional qualified resources: Alicia Lieberman, Patricia Van Horn, Child Trauma Research Project, San Francisco General Hospital;
Joy Osofsky, Louisiana State University Health Sciences Center, New Orleans, LA;
Julie Larrieu, Ph.D, Tulane University Infant Team.


Identified Resources Necessary to Implement Program

The typical resources for implementing The Child Witness to Violence Project are: Play therapy offices stocked with therapeutic toys, books, art supplies, games and materials, private space to conduct all sessions, and child and adult waiting areas.


Minimum Provider Qualifications

Master’s or Doctorate-level licensed mental health clinicians


Relevant Published, Peer-Reviewed Research

No research studies have been published to date on The Child Witness to Violence Project.


References

Show References

Groves, B. (2002). Children who see too much: Lessons from the Child Witness to Violence Project. Boston: Beacon Press.

Groves, B. & Zuckerman, B. (1997). Interventions with parents and caregivers of children who are exposed to violence. In J. Osofsky (Ed.), Children in a violent society (pp. 183-201). New York: Guilford Press.

Groves, B., & Gewirtz, A. (2006). Interventions with children exposed to domestic violence: Promising approaches. In M. Feerick & G. Silverman (Eds.), Children exposed to violence: research, intervention and policy. (pp. 106-136). Baltimore, MD: Brookes Press.



Contact Information

Contact name: Betsy McAlister Groves, LICSW

Affiliation/Agency: Boston Medical Center

Email: betsy.groves@bmc.org

Phone: 617-414-4247

Fax: 617-414-7915

Website: http://www.childwitnesstoviolence.org


Date reviewed: March 2007