Measuring accumulation: Constructing a tool for evaluating cumulative harm in children engaged with an intensive family support service

Article


Bryce, India, Collier, Simone, Harris, Lottie, Higgins, Daryl and Toohey, Joseph. 2024. "Measuring accumulation: Constructing a tool for evaluating cumulative harm in children engaged with an intensive family support service." Child Abuse Review. 33 (5). https://doi.org/10.1002/car.2897
Article Title

Measuring accumulation: Constructing a tool for evaluating cumulative harm in children engaged with an intensive family support service

ERA Journal ID34199
Article CategoryArticle
AuthorsBryce, India, Collier, Simone, Harris, Lottie, Higgins, Daryl and Toohey, Joseph
Journal TitleChild Abuse Review
Journal Citation33 (5)
Article Numbere2897
Number of Pages15
Year2024
PublisherJohn Wiley & Sons
Place of PublicationUnited Kingdom
ISSN0952-9136
1099-0852
Digital Object Identifier (DOI)https://doi.org/10.1002/car.2897
Web Address (URL)https://onlinelibrary.wiley.com/doi/full/10.1002/car.2897
Abstract

There is a significant body of research that attests to the deleterious impact of an accumulation of adverse childhood experience across the lifespan, which provides a strong rationale for the development of a means for evaluating this accumulation in a high-risk population. We developed a theory-driven measure, the Cumulative Experiences Index, and conducted a pilot study to test its utility. The Cumulative Experiences Index derives a cumulative harm score that can be used to inform intervention and prevention strategies, programmes and initiatives across all tiers of public health prevention intervention. The Cumulative Experiences Index was piloted with 50 participants aged 8–17 years old who were actively engaged with an Intensive Family Support service. The study explores whether cases rated as low, medium or high severity on the Cumulative Experiences Index corresponded with severity ratings on the three measures of concurrent validity: the Strengths and Difficulties Questionnaire, Kessler-10 and Children's Revised Impact of Events Scale. The Index provides a valid and accurate means of reflecting the interconnectedness and complexity of exposure to different forms of harm that accumulates over time. Practitioners and researchers will benefit from using the Cumulative Experiences Index—a new valid and reliable measure of cumulative harm.

Keywordsadverse childhood experiences (ACEs); child protection; cumulative harm; index; intensive family support; trauma; validity
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020440902. Counselling, wellbeing and community services
440901. Clinical social work practice
Byline AffiliationsSchool of Psychology and Wellbeing
Unique Minds Consultancy, Australia
Australian Catholic University
Act for Kids, Australia
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