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The Evaluation of an Integrated Programme to Address Family
Violence in the United Kingdom
Colin Holt
Lawrence Weston Family Centre
I firstly intend to describe the work of the Barnardo's
Family Centre where the integrated programme developed. Then
I will provide a brief description of the programme, followed
by the key factors of the integrated components. Finally I
will share the main findings of the evaluation of the programme.
- Home spun - I am a practitioner and work directly with
the men at the Centre; my female colleagues work with the
women and children.
- The project is the only known child protection agency
specializing in work with violent men.
Description of Family Centre
The Family Centre is a resource for pre-school children
and their 'parents'. We are primarily a child protection project
with 70% of the children that we work with on the Child Protection
Register. Our aim is to promote the development and potential
of young children and their families in the community and
to prevent the need for children to be looked after by the
local authority.
The focus of our work is on 'parenting problems'. We address
a wide variety of parenting issues in a variety of ways combining
individual work, groupwork and family work according to assessed
and expressed need.
Violence in the Family
Being specifically a child-focused project determines how
we work with women and men because primarily we work with
them as 'mothers and fathers'.
From our work with families over the past twelve years,
domestic violence and its clear implications for children
led us to design a specific approach to this problem that
is both in context with the Family Centre's general aims and
runs alongside the range of family work that we are required
to offer.
We work with violent men towards change because their violence
affects children and women. We work simultaneously with children
and women who are the victims of violence in order to support
and protect them.
The project, along with other agencies, consistently assesses
the safety of the man's partner and children, keeping choices
and safeguards for them as a priority.
Some of the families we work with remain together and the
violence ceases; some families need help to successfully separate.
In all cases, we hope to have an impact on the men's violent
behaviour, his personal relationships and his approach to
fathering in this, or a subsequent family.
Integrated Programme
The programme is divided into four clear components and
services which interconnect..
- Behavioral component, where we offer individual counselling,
focusing on changing violent behaviour.
- Cognitive component where we offer single-sex discussion
groups to challenge and change the men's thoughts and belief
systems towards violence.
- Emotional component where we offer fathers' and children's
groups focusing on changing the emotional defence systems
of men.
- Relationship component where we offer couple and family
therapy focusing on changing relationship patterns.
It is important to state that each component incorporates
a range of methodologies and approaches used by many of us
working with men who are violent. However, the success of
this programme is due to the way in which each component intertwines
and interconnects with each other.
Behavioral Component
The aim of this component is to offer clear strategies to
enable the man to change and control his violent behavior.
Individual counselling is the central component as it offers
continuity and support to the individual male and female partner
throughout the programme.
The emphasis on judging the behaviour not the person, and
developing a therapeutic alliance, is crucial to enable the
man to explore and change his violence.
Cognitive Component
We have found that groupwork is the most successful method
in reframing the male socialization process of power and control,
competitiveness and independence. The avoidance of vulnerability,
showing feelings and intimacy in relationships can also be
best explored in an all-male environment.
A women's group runs in tandem to the men's group, to offer
support and self protection work.
Emotional Component
This component enables the man to become more emotionally
expressive and articulate in his relationship with his children.
Education of the emotional and physical development of children,
assertive discipline and parenting skills, coupled with individual
definition and role of a father is explored at this stage.
A fathers' and children's group enables the man to practice
these new-found skills in a supportive environment with other
fathers.
A mother's' and children's group provides a similar exchange
of educative and supportive skills. The children also enjoy
the opportunity to play alongside other children.
The children attend the Centre up to three times a week
and are assigned a specialist worker to focus on their particular
needs.
Relationship Component
The aim of this component is to explore conflict resolution
and problem-solving techniques within the couple's relationship.
Couple and family work enables the female partner and children
to share their pain and often unresolved anger towards the
man's violence.
This often final stage is used to consolidate the man's
new behaviour and draws connections with the other components.
Reason for integrating the different components
We have found that each individual component appears only
to change violent behaviour while the men are attending the
programme. The integration of the four components offers a
higher success rate one year after the programme. The key
reasons for this are: 1) Each component works as a building
block to offering a more flexible response to the individual
and family needs.
The range of services enables the parents to have some choice
and control in engaging in the programme. It therefore encourages
a cooperation and partnership with the Family Centre and helps
to reduce the stigma and defensiveness felt by some men when
initially accepting help.
2) The integration of services reduces the risk of colluding
or taking a persecutory stance with the man, which we find
often happens in individual and family work.
The parent and children's group and couple and family work,
enables workers to support the parent in practical ways and
to directly observe behavioral changes, to monitor change
and to fully assess the needs of the children.
The integrative approach enables all individual family members
to receive appropriate services in their own right.
The main disadvantage to providing a range of services is
that workers can lose sight of the main objective, and can
become embroiled in resident behaviour.
Evaluation of the programme, January 1003 to February
1995
- 20 men referred to the programme.
- 16 men completed the programme.
- 14 female partners reported no physical violence from
their partners one year after the completion of the programme.
The men's violence was evaluated through family meetings
at the beginning, middle and end of the programme and four
follow-up family meetings at three-monthly intervals after
the programme. These meetings were based on individual contracts
at the outset of the programme.
The men's violence was also monitored through Health and
Social Services Department, through six-monthly multi-agency
meetings.
The evaluation is divided into reported information from
the men, their female partners and outside agencies.
Reported information from 14 female partners
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1.
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14 women reported that all physical violence had stopped,
one year after the programme.
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2.
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6 women who had experienced violence over a two-year
period said they were still afraid of their male partner.
There may be a correlation between the length of time
violence is experienced and the length of time required
for trust to develop within an adult relationship.
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3.
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6 women stated that their male partners had been verbally
abusive and threatening since the programme finished.
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4.
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10 women stated that they were able to be more assertive
within the adult relationship and felt emotionally closer
to their partners.
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5.
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12 women said that their partners had taken on more
responsibility for day to day child care.
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Reported information from interviews with 16 men involved
in the programme
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1.
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16 men reported developing more confidence in controlling
their violence by continuing to use a range of techniques
taught in the programme.
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2.
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14 men stated that they felt less isolated and continued
to develop supportive networks.
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3.
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12 fathers stated that they had developed a clear parenting
role, and were enjoying being involved with their children
on a day to day basis.
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4.
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10 men said they were learning to accept support and
felt a closer bond with their partners.
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Outside Agencies
Education and health agencies reported a significant improvement
in the children's overall development and behaviour, i.e.
regular school attendance, improved concentration and social
skills.
Health visitors and community children's groups reported
more fathers attending parent drop-in groups and baby clinics.
Social Services reported that they had not received information
regarding violence about the 16 fathers attending the programme,
one year after the programme had finished.
We acknowledge that this evaluation of an integrative programme
to address family violence is a small, qualitative study with
an absence of a control group.
However, we feel that the clear success in physical violence
continuing to be absent in 14 out of 16 families, one year
after the programme, is mainly due to the integrated approach
outlined.
For more information, contact the author at:
Lawrence Weston Family Centre
Barnardos, Home Farm, Kingweston Lane
Lawrence Weston, Bristol BS11 0JE
UNITED KINGDOM
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