Cake – or no cake?

I spent last Friday at the NVR UK 2017 conference in London, where it was great to catch up with colleagues and people I had previously only known through twitter, to make new friends, and to learn how the practice of Non Violent Resistance (NVR) can be applied to all areas of life.

There were two keynote speeches, followed by a series of workshops; and one I was particularly interested in was about the establishment of parent groups connected with de Wiekslag, an organisation in Belgium working with high risk young people and their families. These groups are for parents of young people exhibiting very serious challenging behaviour (including violence to parents), or engaging in school refusal, self harm or running away, and they are described as “slow open groups”, with no course beginning or end, and parents can attend for as long as they like, or need – typically 9 to 12 months. When they leave, a place becomes available for another family. Continue reading

Leave a comment

Filed under conference report, Discussion

Adopting: real life stories

img_5015

 

I was a bit surprised when this book first dropped through my letter box. I hadn’t offered to review it and so for a while it lay on a very tall pile of “books to read when I have some spare time”. But of course the title should have given it away…

If anyone was thinking that love is all that’s needed, or was tempted ever to say that “all kids do that”, then this is a book for them! Not that it’s all doom and gloom by any means. Adoption stories are statistically more often positive and affirming, but it is a sad fact that as many as a third of families will experience real struggles (see Beyond the Adoption Order) and Ann Morris quietly and without drama shows us both sides of the coin. Continue reading

Leave a comment

Filed under Book review

#CPV: What does it look like, part 2. Intent stuff

One of the issues that makes it difficult for us all to talk about child to parent violence and abuse is the fact that there is no one agreed definition. The one I tend to use when speaking to people is that proposed by Amanda Holt:

“A pattern of behaviour, instigated by a child or young person, which involves using verbal, financial, physical and /or emotional means to practice power and exert control over a parent”, and “the power that is practised is, to some extent, intentional, and the control that is exerted over a parent is achieved through fear, such that a parent unhealthily adapts his / her own behaviour to accommodate the child.” Continue reading

5 Comments

Filed under Discussion

“An Act Relating to Support for Parental Victims of Child Domestic Violence”

Fantastic news this week from Florida, where Alice Flowers has been campaigning for legislation in this field, since the tragic death of her sister.

FL HB 1199 makes the requirement for Support for Parental Victims of Child Domestic Violence; Requires DJJ, in collaboration with specified organizations, to develop & maintain updated information & materials regarding specified services & resources; requires department to make information & materials available through specified means; requires domestic violence training for law enforcement officers to include training concerning child-to-parent cases.

After the bill was passed unanimously in the Florida Senate, it passed to the House of Representatives, where it was sponsored by District 45 State Representative, Kamia Brown. The final vote on May 3rd was again unopposed, and it now goes to be signed by the Governor, Rick Scott, after which it will be enacted on July 1st. Florida then becomes the first state in the United States to recognise child to parent violence. Continue reading

Leave a comment

Filed under Law

Adolescent to parent violence – take part in this new research project

A team at Monash University is conducting new research into Adolescent Family Violence and seeks participants. Although focus groups will only be conducted locally in Victoria, responses to the survey are invited from around the world.

 

Continue reading

Leave a comment

Filed under Research

Breaking the Silence on Violent Challenging Behaviour: a conference review

Last week I brought you the reflections of Dr Girish Vaidya, who had attended the Violent Challenging Behaviour conference, organised by Yvonne Newbold. The post has attracted some interesting discussion. This week Yvonne has kindly allowed me to repost her own reflections and review of the conference.

Yvonne begins by recounting the hopes of those attending, and ends with her own dream that this, by breaking the silence, will be just the start. “Part of achieving this level of widespread acceptance must include training for all frontline professionals about the issue, and why it happens and how they can help. Ideally, I’d like to see a future where professionals and parents work together in a spirit collaborative respect to find individual support and solutions that work for each child.” There are some salutary lessons for professionals in her post. Please do read it and understand that this is the real experience of many parents, while we always acknowledge that there are also informed, compassionate practitioners already out there who do truly “get it”.

What did parents want? Continue reading

3 Comments

Filed under conference report

Child on Parent Violence: Beginning of a paradigm shift?

I am grateful to Dr Girish Vaidya, Clinical Director at Sheffield Children’s NHS Foundation Trust, for allowing me to repost this recent blog on his experience of discussing CPV with colleagues.

Originally published on April 8, 2017

Al Coates and Dr Wendy Thorley’s 3 reports (the last of which is linked here) into an online research project provided fascinating reading and prompted me to present the subject in a CPD seminar for fellow psychiatrists in Sheffield’s Child and Adolescent Mental Health Service (CAMHS). I was particularly keen to share the findings of the reports, my fellow professionals’ experience of this issue and how they managed to address it.

It was heartening to hear that all my colleagues were aware of the issue. When I invited them to think about the impact on the families experiencing, their guesswork was entirely in line with the findings from Al Coates and Dr Thorley’s investigation. What this meant was that once seized of the behaviour as a problem, professionals were able to consider its consequences to the children, families and wider society.

There were also some examples that colleagues offered. One Learning Disability CAMHS Consultant recalled how she was horrified when confronted with a suggestion from social services that a child – who had earlier required 5 people to restrain him – had been advised to be returned home to his frail mother. Quite a few chipped with their experience of Sheffield Children’s Social Services and expressed their pleasant surprise at the speed of response and collaborative nature of working. It was also acknowledged, much in line with what Mary Aspinall – Miles said at a recent conference, that “parents should consider carefully before calling the police”.

So, what should parents (and professionals) do when dealing with a difficult subject like Child on Parent Violence?

My fellow psychiatrists were keen that professionals and parents work out a ‘pre-emptive emergency plan’ so that parents are not left in a dilemma about what they should do. A couple of colleagues were passionate about treating CPV on the same level of child abuse. They were also aware of the Sheffield Domestic Abuse Coordination Team’s MARAC (Multi Agency Risk Assessment Conference). Some suggested that parents should be asked about their ability to cope vs. their ability to manage their life.

Reassuringly, there was a near universal desire to have a ‘rating scale’ on the lines of various risk rating scales that professionals use, to have a common language about CPV. (I am not aware if there is any such scale and if there is, would be keen to know about it). If there isn’t a scale, my colleagues are keen to work with anyone to help develop one.

Writing this, I am reminded of an incident many years ago when one family’s holiday came in for professional scrutiny. The child had been inflicting severe violence on his parents which had destroyed many a family holiday for the rest of the family. Parents decided that they wanted to do something which didn’t wreck their other children’s holiday. They planned to take separate holidays – father with the other children and mother with the lad. They would swap the following year. It was deemed to be a demonstration of family pathology that they didn’t manage to have a family holiday without a fight. I felt that was being a bit too harsh since the family were trying to find a way out of a very challenging situation not fully appreciated by professionals. What do you think? Would you agree with Hannah Meadows’ assertion that self-care is an intelligent response to dealing with long term stress? Or would you rather that the family learn to live with the CPV on holiday?

What next?

Feedback from the CPD seminar suggested that this is just the beginning of our journey. Professionals want to know more, need to know more so that they can support more. Everyone agreed that it was a less discussed issue in clinical discussions and many emphasised that they would be on the lookout for CPV in their clinical practice in the future.

Let us continue the conversation…………………………..

If you are keen to collaborate on scientifically researching this challenge, we – as an organisation and I as a Clinical Director – would be keen to work with you.

 You will find the original here.

7 Comments

Filed under conference report, Discussion