Review from the Lancet on long term effects of mistreating children

[Guest guest]

Dear Liz, , Sharon, Steve, Kathy, Imelda, Mel, , and

Jane,

I wondered if in your, diverse, professional capacities the attached thorough

Review from this week's Lancet might interest you all?

Very best wishes for 2009,

Woody.

--

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[Guest guest]

Thanks Woody.  The Lancet certainly has a quick turnaround time; this is the first of the four papers that came out with a fanfare at the start of December, at which time they were only available on-line.  As I noted then, the papers provide a really good benchmark, explaining the public health importance of preventing child maltreatment and some of the figures are pretty frightening.  One of the papers in the series (presumably next week?) sets out which interventions help in terms of prevention and treatment, but there is little or no focus on service organisation, or the presence or absence of universal preventive services, which is a shame in the context of pressures on current service provision.  Together, they do help to explain the public health importance of child maltreatment; a point that has been long known to health visitors (witness Jane Appleton's 1999 paper on 'child protection as a public health issue, "Community Practitoner' 72 (5) 134-136, and subsequent updates in my edited books on public health in policy and practice, 2002 and 2007).  Even so, it is good to have an international perspective, and there is no doubt these will be 'classic papers' referred to repeatedly in future; it might also help to convince any doubters in public health departments who associate child maltreatment only with social work, not health.kind regardsOn 7 Jan 2009, at 18:03, Caan, Woody wrote: Dear Liz, , Sharon, Steve, Kathy, Imelda, Mel, , and Jane, I wondered if in your, diverse, professional capacities the attached thorough Review from this week's Lancet might interest you all? Very best wishes for 2009, Woody. -- Email has been scanned for viruses by Altman Technologies' email management service - www.altman.co.uk/emailsystems <sdarticle.pdf> sarahcowley183@...http://myprofile.cos.com/S124021COn

[Guest guest]

Thanks, and Woody

I don't know if this works but have attached the online version of No 3 of the

Lancet papers that

you refer to:

Interventions to prevent child maltreatment and associated impairment.

Harriet L MacMillan, C Nadine Wathen, Jane Barlow, M Fergusson, M

Leventhal, N

Taussig

It should be noted that this is not a systematic review but a summary of 'high

quality' other

synthesised literature. The paper does point to the weaknesses of research

across the whole field of

child maltreatment and highlights the strengths of the Nurse-Family Partnership

studies to prevent

physical abuse and neglect, which are over the longest time scale. However NFP

programmes are

targeted to the needs of specific groups or communities and focus on mothers,

not fathers, so cannot

expect to reduce more than a percentage of maltreatment cases and only within an

assessed framework,

not a universal public health approach. I think we are light years away from

that but, as you say,

it is at least in the limelihght for discussion.

The big problem has always been difficulty in getting funding for prevention

research - after 7

years our Department gave up and moved on to other aspects of child protection

research. It is so

long term and with so many variables to focus on making it very difficult to

describe to funders

neat outcomes within an acceptable time frame. The advantage of this type of

summary, and the

systematic reviews our Departmnet has concentrated on in recent years, are that

the all bits of the

jigsaw of curent knowledge are begining to come together to show the gaps in

research and where the

most difficulties lie. It is so often down to dedicated specialists in one part

or another of the

field to do the research and down to others to put it in the context of the

whole.

The big message from this paper is that those interventions shown to be

effective were introduced

in a research framework, not as service provision. Welcome the day when the two

methods are

combined.

Happy New Year to all HVSN Senators

All 4 child maltreatment papers were published on line on December 3rd. I can

attach others if

wanted:

No 1 Burden and consequences of child maltreatment in high-income countries.

Ruth Gilbert, Spatz Widom, Browne, Fergusson, Elspeth Webb,

Staff an Janson

No 2 Recognising and responding to child maltreatment.

Ruth Gilbert, Alison Kemp, June Thoburn, Sidebotham, Lorraine Radford,

Danya Glaser, Harriet

L MacMillan

No 4 Promotion of children’s rights and prevention of child maltreatment

Reading, Bissell, Jeff rey Goldhagen, Judith Harwin, Judith

Masson, Sian Moynihan,

Nigel Parton, Marta Santos Pais, June Thoburn, Elspeth Webb

Dr Coles PhD BA RHV RGN

Honorary Senior Research Fellow

Department of Child Health

Cardiff School of Medicine

Cardiff University

Heath Park

Cardiff CF14 4XN

>>> Cowley <sarahcowley183@...> 07/01/2009 19:53 >>>

Thanks Woody. The Lancet certainly has a quick turnaround time; this

is the first of the four papers that came out with a fanfare at the

start of December, at which time they were only available on-line.

As I noted then, the papers provide a really good benchmark,

explaining the public

health importance of preventing child maltreatment and some of the

figures are pretty frightening. One of the papers in the series

(presumably next week?) sets out which interventions help in terms of

prevention and treatment, but there is little or no focus on service

organisation, or the presence or absence of universal preventive

services, which is a shame in the context of pressures on current

service provision.

Together, they do help to explain the public health importance of

child maltreatment; a point that has been long known to health

visitors (witness Jane Appleton's 1999 paper on 'child protection as

a public health issue, " Community Pract

itoner' 72 (5) 134-136, and

subsequent updates in my edited books on public health in policy and

practice, 2002 and 2007). Even so, it is good to have an

international perspective, and there is no doubt these will be

'classic papers' referred to repeatedly in future; it might also help

to convince any doubters in public health departments who associate

child maltreatment only with social work, not health.

kind regards

On 7 Jan 2009, at 18:03, Caan, Woody wrote:

> Dear Liz, , Sharon, Steve, Kathy, Imelda, Mel, ,

> and

> Jane,

>

> I wondered if in your, diverse, professional capacities the

> attached thorough

> Review from this week's Lancet might interest you all?

>

> Very best wishes for 2009,

> Woody.

> --

> Email has been scanned for viruses by Altman Technologies' email

> management service -

> www.altman.co.uk/emailsystems

>

>

> <sdarticle.pdf>

sarahcowley183@...

http://myprofile.cos.com/S124021COn

[Guest guest]

Thanks for attaching these papers. If the other papers could be attached I would welcome the opportunity to forward them to colleaagues , thanks , kind regards Sharman

CC: Underdown@...From: colesew@...Date: Fri, 9 Jan 2009 18:17:40 +0000Subject: Re: Review from the Lancet on long term effects of mistreating children

Thanks, and WoodyI don't know if this works but have attached the online version of No 3 of the Lancet papers thatyou refer to:Interventions to prevent child maltreatment and associated impairment.Harriet L MacMillan, C Nadine Wathen, Jane Barlow, M Fergusson, M Leventhal, NTaussigIt should be noted that this is not a systematic review but a summary of 'high quality' othersynthesised literature. The paper does point to the weaknesses of research across the whole field ofchild maltreatment and highlights the strengths of the Nurse-Family Partnership studies to preventphysical abuse and neglect, which are over the longest time scale. However NFP programmes aretargeted to the needs of specific groups or communities and focus on mothers, not fathers, so cannotexpect to reduce more than a percentage of maltreatment cases and only within an assessed framework,not a universal public health approach. I think we are light years away from that but, as you say,it is at least in the limelihght for discussion. The big problem has always been difficulty in getting funding for prevention research - after 7years our Department gave up and moved on to other aspects of child protection research. It is solong term and with so many variables to focus on making it very difficult to describe to fundersneat outcomes within an acceptable time frame. The advantage of this type of summary, and thesystematic reviews our Departmnet has concentrated on in recent years, are that the all bits of thejigsaw of curent knowledge are begining to come together to show the gaps in research and where themost difficulties lie. It is so often down to dedicated specialists in one part or another of thefield to do the research and down to others to put it in the context of the whole.The big message from this paper is that those interventions shown to be effective were introducedin a research framework, not as service provision. Welcome the day when the two methods arecombined.Happy New Year to all HVSN SenatorsAll 4 child maltreatment papers were published on line on December 3rd. I can attach others ifwanted:No 1 Burden and consequences of child maltreatment in high-income countries.Ruth Gilbert, Spatz Widom, Browne, Fergusson, Elspeth Webb, Staff an JansonNo 2 Recognising and responding to child maltreatment.Ruth Gilbert, Alison Kemp, June Thoburn, Sidebotham, Lorraine Radford, Danya Glaser, HarrietL MacMillanNo 4 Promotion of children’s rights and prevention of child maltreatment Reading, Bissell, Jeff rey Goldhagen, Judith Harwin, Judith Masson, Sian Moynihan,Nigel Parton, Marta Santos Pais, June Thoburn, Elspeth WebbDr Coles PhD BA RHV RGNHonorary Senior Research FellowDepartment of Child HealthCardiff School of MedicineCardiff UniversityHeath ParkCardiff CF14 4XN>>> Cowley <sarahcowley183btinternet> 07/01/2009 19:53 >>>Thanks Woody. The Lancet certainly has a quick turnaround time; this is the first of the four papers that came out with a fanfare at the start of December, at which time they were only available on-line. As I noted then, the papers provide a really good benchmark, explaining the publichealth importance of preventing child maltreatment and some of the figures are pretty frightening. One of the papers in the series (presumably next week?) sets out which interventions help in terms of prevention and treatment, but there is little or no focus on service organisation, or the presence or absence of universal preventive services, which is a shame in the context of pressures on current service provision.Together, they do help to explain the public health importance of child maltreatment; a point that has been long known to health visitors (witness Jane Appleton's 1999 paper on 'child protection as a public health issue, "Community Practitoner' 72 (5) 134-136, and subsequent updates in my edited books on public health in policy and practice, 2002 and 2007). Even so, it is good to have an international perspective, and there is no doubt these will be 'classic papers' referred to repeatedly in future; it might also help to convince any doubters in public health departments who associate child maltreatment only with social work, not health.kind regardsOn 7 Jan 2009, at 18:03, Caan, Woody wrote:> Dear Liz, , Sharon, Steve, Kathy, Imelda, Mel, , > and> Jane,>> I wondered if in your, diverse, professional capacities the > attached thorough> Review from this week's Lancet might interest you all?>> Very best wishes for 2009,> Woody.> -- > Email has been scanned for viruses by Altman Technologies' email > management service -> www.altman.co.uk/emailsystems >> > <sdarticle.pdf>sarahcowley183btinternet http://myprofile.cos.com/S124021COn Choose the perfect PC or mobile phone for you. Click here