Identifying and responding to child maltreatment when delivering family‐based treatment—A qualitative study.

Introduction: This study describes practitioner strategies, perceptions, experiences with identifying and responding to child emotional abuse (CEA) and child exposure to intimate partner violence (CEIPV) when providing Family‐Based Treatment (FBT) to children and adolescents with eating disorders. M...

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Publicado en:International Journal of Eating Disorders Vol. 52; no. 3; pp. 292 - 299
Autores principales: Kimber, Melissa, McTavish, Jill R., Couturier, Jennifer, Le Grange, Daniel, Lock, James, MacMillan, Harriet L.
Formato: Artículo
Publicado: Wiley-Blackwell Mar2019
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2019
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        10.1002/eat.23036
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        atl: Identifying and responding to child maltreatment when delivering family‐based treatment—A qualitative study.
      aug:
        au:
          Kimber, Melissa
          McTavish, Jill R.
          Couturier, Jennifer
          Le Grange, Daniel
          Lock, James
          MacMillan, Harriet L.
        affil:
          Offord Center for Child Studies, Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton Ontario, Canada
          Department of Psychiatry, University of California (San Francisco), San Francisco California
          Department of Psychiatry and Behavioral Neuroscience, The University of Chicago, Chicago Illinois
          Psychiatry and Behavioral Sciences, Stanford University, Stanford California
          Department of Pediatrics, McMaster University, Hamilton Ontario, Canada
      su:
        Treatment of eating disorders
        Attitude (Psychology)
        Child abuse
        Content analysis
        Eating disorders
        Emotions
        Family psychotherapy
        Interviewing
        Medical care
        Medical personnel
        Sensory perception
        Qualitative research
        Intimate partner violence
        Children's accident prevention
        Research methodology
        Disease prevalence
      sug:
        subj:
          Treatment of eating disorders
          Attitude (Psychology)
          Child abuse
          Content analysis
          Eating disorders
          Emotions
          Family psychotherapy
          Interviewing
          Medical care
          Medical personnel
          Sensory perception
          Qualitative research
          Intimate partner violence
          Children's accident prevention
          Research methodology
          Disease prevalence
      keyword:
        child emotional abuse
        child exposure to intimate partner violence
        eating disorders
        family‐based intervention
        qualitative research
        child emotional abuse
        child exposure to intimate partner violence
        eating disorders
        family‐based intervention
        qualitative research
      ab: Introduction: This study describes practitioner strategies, perceptions, experiences with identifying and responding to child emotional abuse (CEA) and child exposure to intimate partner violence (CEIPV) when providing Family‐Based Treatment (FBT) to children and adolescents with eating disorders. Method: Using qualitative interpretive description, this study recruited a purposeful sample of practitioners (N = 30, 90% female) implementing FBT for adolescent eating disorders. Semi‐structured interviews focused on eliciting their perspectives regarding identifying and responding to CEA and CEIPV in practice. Interviews were conducted over the phone, were audio recorded, transcribed verbatim, and coded using conventional content analysis. Interim member checking, the thoughtful clinician test, and coding memos were used to ensure the integrity of the analysis. Results: Participants were 31–57 years old and practicing FBT in five countries. Three data patterns emerged: (a) perceptions of child maltreatment prevalence and identification; (b) complicating factors; and finally (c) strategies to support family‐based work. Practitioners described important considerations for CEA and CEIPV identification, as well as possible FBT adaptations that can support the safety of children and adolescents while simultaneously ensuring the treatment of the eating disorder. Conclusions: Practitioners describe a need for additional training to identify and respond to CEA and CEIPV within FBT and within practice more broadly. There is a need for trials that detail the appropriateness and efficacy of FBT for patients experiencing CEA and/or CEIPV.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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