Violence in Families Assessing Prevention and Treatment Programs (1998) / Chapter Skim
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7 COMPREHENSIVE AND COLLABORATIVE INTERVENTIONS
7 COMPREHENSIVE AND COLLABORATIVE INTERVENTIONS
Pages 260-273
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From page 260... ...
comprehensive services focused on separate problems that share common risk factors (also called cross-problem interventions)
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From page 261... ...
approaches has attracted substantial interest and enthusiasm by community leaders and public and private agencies that sponsor family violence treatment and prevention programs; • service integration efforts that go beyond agency coordination into the realm of collaboration and resource-sharing require extensive time, resources, leadership, and commitment by the participating agencies; and • the creation of new organizational units, service strategies, and communication, information, and decision-making systems may be required to implement these initiatives. Few evaluation studies exist to demonstrate whether comprehensive or collaborative approaches are more effective than traditional forms of service delivery in improving the outcomes of clients and communities.
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From page 262... ...
Examples of the latter are the child advocacy centers that have emerged in numerous localities to assist with the identification, treatment, and documentation of child maltreatment, particularly child sexual abuse. Movement across the different levels of service integration is often uneven and is vulnerable to political and administrative factors that influence the integration effort and resource base of the participating agencies.
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From page 263... ...
Comprehensive services are not often designed to significantly change the menu of services available to victims in a given community, but rather to improve client access to existing services and to enhance agency awareness of client needs, case histories with different service systems, and community resources and expectations. In some cases, especially in the area of violence prevention, these initiatives also seek to influence individual behavior and community attitudes about violence through outreach and public education.
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From page 264... ...
EXAMPLES OF COMPREHENSIVE AND COLLABORATIVE INTERVENTIONS The three types of community-based interventions discussed above include fatality review teams, child advocacy centers, coordinated community responses to domestic violence, family support resource centers, substance abuse and do
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From page 265... ...
Child fatality review teams are generally composed of representatives of the coroner or medical examiner's office, law enforcement agencies, prosecuting attorneys (from municipal, district, or state courts) , child protective services agencies, and pediatricians and other health care professionals with expertise about child abuse.
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Coordinated Community Responses to Domestic Violence A variety of approaches have been developed to create safe environments for women who have experienced domestic violence: community partnering, community intervention, task forces or coordinating councils, training and technical assistance projects, and community organizing. Designated as "coordinated community responses," these interventions are examples of multiple forms of service integration (Hart, 1995)
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From page 267... ...
Task forces or coordinating councils are designed to coordinate and improve practices among key political leaders, public safety and emergency personnel, law enforcement officers, health care professionals, social service providers, and victim advocates to end violence against women. Task forces, often comprised of representatives of state and local government agencies and nonprofit organizations, may promulgate protocols or guidelines for practice, support training and technical assistance programs, identify areas in need of systemic reform, establish informal systems of communication, and facilitate conflict resolution and policy formation among diverse groups.
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From page 268... ...
Substance Abuse and Domestic Violence Treatment It is beyond the scope of this report to review all community interventions that attempt to reduce family violence by addressing environmental and situational risk factors, such as poverty, unemployment, substance abuse, teenage and single parenting, and social isolation. We did, however, examine community intervention programs that seek to create opportunities for behavioral change in multiple dimensions, for example altering the link between substance abuse and violence against women.
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The authors concluded that service provider differences in beliefs about the role of self-control in substance abuse and domestic violence was the most significant factor that impeded collaboration. Community Interventions for Injury Control and Violence Prevention Community interventions to address injury control and violence prevention are based on two assumptions: that multiple interventions aimed at one or more forms of injury will be more effective in reducing risk factors than a single intervention, and that an injury or violence prevention campaign that is oriented to the community will be more successful than one that is oriented to individuals.
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. The strategies used to implement community-based youth violence prevention programs also may be valuable in planning family violence interventions because the youth violence programs often consist of multiple interventions implemented as a unit for a highly diverse population.
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IMPROVING EVALUATION Chapter 3 contains the committee's major discussion of evaluation of community-based initiatives. Despite the paucity of evidence of the effectiveness of community interventions focused on family violence, evaluation studies in other fields are generating analytical frameworks, measurement tools, and data collection efforts that offer valuable insights.
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From page 272... ...
CONCLUSIONS Although comprehensive community interventions are an area of growing interest and activity in the field of family violence, they represent one of the most difficult areas for evaluation research, and their impact remains unexamined in the research literature. Unique methodological challenges confront the development of studies of these interventions, and creative strategies are required to foster partnerships among researchers, service providers, and community residents to assess the strengths and limitations of these efforts to address family violence.
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From page 273... ...
• Do comprehensive community interventions have greater impact on reducing risk factors, enhancing protective factors, or both? Do adequate measures exist to examine the critical domains in which changes are expected to occur (such as the quality of social support for children, adults, and families or the timing of services)
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