Feasibility of Screening Programs for Domestic Violence in Pediatric and Child and Adolescent Mental Health Services: A Literature Review

Each year, 275 million children worldwide are exposed to domestic violence (DV) and suffer negative mental and physical health consequences; however, only a small proportion receive assistance. Pediatricians and child psychiatrists can play a central role in identifying threatened children. We revie...

Full description

Bibliographic Details
Main Authors: Elena Arigliani, Miriam Aricò, Gioia Cavalli, Franca Aceti, Carla Sogos, Maria Romani, Mauro Ferrara
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/12/9/1235
_version_ 1797490482740199424
author Elena Arigliani
Miriam Aricò
Gioia Cavalli
Franca Aceti
Carla Sogos
Maria Romani
Mauro Ferrara
author_facet Elena Arigliani
Miriam Aricò
Gioia Cavalli
Franca Aceti
Carla Sogos
Maria Romani
Mauro Ferrara
author_sort Elena Arigliani
collection DOAJ
description Each year, 275 million children worldwide are exposed to domestic violence (DV) and suffer negative mental and physical health consequences; however, only a small proportion receive assistance. Pediatricians and child psychiatrists can play a central role in identifying threatened children. We reviewed experiences of DV screening in pediatric and child and adolescent mental health services (CAMHS) to understand its feasibility and provide clues for its implementation. We performed bibliographic research using the Sapienza Library System, PubMed, and the following databases: MEDLINE, American Psychological Association PsycArticles, American Psychological Association PsycInfo, ScienceDirect, and Scopus. We considered a 20-year interval when selecting the articles and we included studies published in English between January 2000 and March 2021. A total of 23 out of 2335 studies satisfied the inclusion criteria. We found that the prevalence of disclosed DV ranged from 4.2% to 48%, with most prevalence estimates between 10% and 20%. Disclosure increases with a detection plan, which is mostly welcomed by mothers (70–80% acceptance rates). Written tools were used in 55% of studies, oral interviews in 40%, and computer instruments in 20%. Mixed forms were used in three studies (15%). The most used and effective tool appeared to be the Conflict Tactics Scale (CTS) (30% of studies). For young children, parental reports are advisable and written instruments are the first preference; interviews can be conducted with older children. Our research pointed out that the current literature does not provide practical clinical clues on facilitating the disclosure in pediatric clinics and CAMHS. Further studies are needed on the inpatient population and in the field of children psychiatry.
first_indexed 2024-03-10T00:33:38Z
format Article
id doaj.art-a39ea157c76b45fdabcc45f25d12afbd
institution Directory Open Access Journal
issn 2076-3425
language English
last_indexed 2024-03-10T00:33:38Z
publishDate 2022-09-01
publisher MDPI AG
record_format Article
series Brain Sciences
spelling doaj.art-a39ea157c76b45fdabcc45f25d12afbd2023-11-23T15:21:30ZengMDPI AGBrain Sciences2076-34252022-09-01129123510.3390/brainsci12091235Feasibility of Screening Programs for Domestic Violence in Pediatric and Child and Adolescent Mental Health Services: A Literature ReviewElena Arigliani0Miriam Aricò1Gioia Cavalli2Franca Aceti3Carla Sogos4Maria Romani5Mauro Ferrara6Section of Child and Adolescence Neuropsychiatry, Department of Human Neurosciences, Sapienza University of Rome, Via dei Sabelli 108, 00185 Rome, ItalySection of Child and Adolescence Neuropsychiatry, Department of Human Neurosciences, Sapienza University of Rome, Via dei Sabelli 108, 00185 Rome, ItalySection of Child and Adolescence Neuropsychiatry, Department of Human Neurosciences, Sapienza University of Rome, Via dei Sabelli 108, 00185 Rome, ItalySection of Child and Adolescence Neuropsychiatry, Department of Human Neurosciences, Sapienza University of Rome, Via dei Sabelli 108, 00185 Rome, ItalySection of Child and Adolescence Neuropsychiatry, Department of Human Neurosciences, Sapienza University of Rome, Via dei Sabelli 108, 00185 Rome, ItalySection of Child and Adolescence Neuropsychiatry, Department of Human Neurosciences, Sapienza University of Rome, Via dei Sabelli 108, 00185 Rome, ItalySection of Child and Adolescence Neuropsychiatry, Department of Human Neurosciences, Sapienza University of Rome, Via dei Sabelli 108, 00185 Rome, ItalyEach year, 275 million children worldwide are exposed to domestic violence (DV) and suffer negative mental and physical health consequences; however, only a small proportion receive assistance. Pediatricians and child psychiatrists can play a central role in identifying threatened children. We reviewed experiences of DV screening in pediatric and child and adolescent mental health services (CAMHS) to understand its feasibility and provide clues for its implementation. We performed bibliographic research using the Sapienza Library System, PubMed, and the following databases: MEDLINE, American Psychological Association PsycArticles, American Psychological Association PsycInfo, ScienceDirect, and Scopus. We considered a 20-year interval when selecting the articles and we included studies published in English between January 2000 and March 2021. A total of 23 out of 2335 studies satisfied the inclusion criteria. We found that the prevalence of disclosed DV ranged from 4.2% to 48%, with most prevalence estimates between 10% and 20%. Disclosure increases with a detection plan, which is mostly welcomed by mothers (70–80% acceptance rates). Written tools were used in 55% of studies, oral interviews in 40%, and computer instruments in 20%. Mixed forms were used in three studies (15%). The most used and effective tool appeared to be the Conflict Tactics Scale (CTS) (30% of studies). For young children, parental reports are advisable and written instruments are the first preference; interviews can be conducted with older children. Our research pointed out that the current literature does not provide practical clinical clues on facilitating the disclosure in pediatric clinics and CAMHS. Further studies are needed on the inpatient population and in the field of children psychiatry.https://www.mdpi.com/2076-3425/12/9/1235domestic violencepediatric caremental healthchild developmentscreeningabused children
spellingShingle Elena Arigliani
Miriam Aricò
Gioia Cavalli
Franca Aceti
Carla Sogos
Maria Romani
Mauro Ferrara
Feasibility of Screening Programs for Domestic Violence in Pediatric and Child and Adolescent Mental Health Services: A Literature Review
Brain Sciences
domestic violence
pediatric care
mental health
child development
screening
abused children
title Feasibility of Screening Programs for Domestic Violence in Pediatric and Child and Adolescent Mental Health Services: A Literature Review
title_full Feasibility of Screening Programs for Domestic Violence in Pediatric and Child and Adolescent Mental Health Services: A Literature Review
title_fullStr Feasibility of Screening Programs for Domestic Violence in Pediatric and Child and Adolescent Mental Health Services: A Literature Review
title_full_unstemmed Feasibility of Screening Programs for Domestic Violence in Pediatric and Child and Adolescent Mental Health Services: A Literature Review
title_short Feasibility of Screening Programs for Domestic Violence in Pediatric and Child and Adolescent Mental Health Services: A Literature Review
title_sort feasibility of screening programs for domestic violence in pediatric and child and adolescent mental health services a literature review
topic domestic violence
pediatric care
mental health
child development
screening
abused children
url https://www.mdpi.com/2076-3425/12/9/1235
work_keys_str_mv AT elenaarigliani feasibilityofscreeningprogramsfordomesticviolenceinpediatricandchildandadolescentmentalhealthservicesaliteraturereview
AT miriamarico feasibilityofscreeningprogramsfordomesticviolenceinpediatricandchildandadolescentmentalhealthservicesaliteraturereview
AT gioiacavalli feasibilityofscreeningprogramsfordomesticviolenceinpediatricandchildandadolescentmentalhealthservicesaliteraturereview
AT francaaceti feasibilityofscreeningprogramsfordomesticviolenceinpediatricandchildandadolescentmentalhealthservicesaliteraturereview
AT carlasogos feasibilityofscreeningprogramsfordomesticviolenceinpediatricandchildandadolescentmentalhealthservicesaliteraturereview
AT mariaromani feasibilityofscreeningprogramsfordomesticviolenceinpediatricandchildandadolescentmentalhealthservicesaliteraturereview
AT mauroferrara feasibilityofscreeningprogramsfordomesticviolenceinpediatricandchildandadolescentmentalhealthservicesaliteraturereview