Building a coordinated response to prevent and respond to Adverse Childhood Experiences (ACEs) in Europe: The Tutor of Resilience program

Journal title MALTRATTAMENTO E ABUSO ALL’INFANZIA
Author/s Francesca Giordano, Alessandra Cipolla
Publishing Year 2023 Issue 2023/1
Language English Pages 32 P. 33-64 File size 321 KB
DOI 10.3280/MAL2023-001004
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Over the last decades, EU institutions have pushed Member States towards substantial review of National child protection systems along the interdisciplinary and multi-agency collaboration between key actors in the child protection system and the capacity building of professionals on effective actions to prevent, identify and respond to violence against children. Resilience is the process of multiple biological, psychological, social, and ecological systems interacting in ways that help individuals to regain, sustain, or improve their mental wellbeing when challenged by one or more risk factors. Based on these assumptions, the Tutor of Resilience (ToR) training program was delivered within the European program against child maltreatment "PEARLS for Children", to build up a multisectoral network of professionals - medical care practitioners, educators, social services providers and police officers - trained to build resilience in children and families dealing with the critical developmental milestones for the onset of adverse childhood experiences (ACEs), in Italy, Lithuania, and Poland. The ToR included 6 phases: needs assessment to identify each professional category’s educational gaps in ACEs; the ToR initial training and the action plan design based on the resilience-enabling principles delivered during the training; the ToR program implementation professionals conduct on the field; the follow-up after 5/6 months of program implementation, followed by a set of cascade trainings based on the ToR model, delivered by the 70 trained professionals to 221 professionals belonging to the 4 target professional category in the 3 countries. At the end, an international closure meeting was conducted to share multi-sectoral lessons learned, results, and sustainability of the ToR program.

Keywords: Resilience, Adverse childhood experience ACE, child protection, Tutor of resilience program, multisectoral network.

  1. Alliance for Child Protection in Humanitarian Action. (2019). Child Protection Minimum Standards in Humanitarian Action (3rd edition). -- (Disponibile online: https://alliancecpha.org/en/CPMS_home. Accessed 09.02.2021).
  2. Brooks, J. (2006). Strengthening resilience in children and youths: maximizing opportunities through the schools. Children & Schools, 28(2): 69-76.
  3. Bureau of Justice Statistics. (2000). Criminal victimization in the United States, 1998 statistical tables (NCJ 181585). Washington, DC: Department of Justice, Bureau of Justice Statistics.
  4. Caffo, E., Guaraldi, G. P., Magnani, G. & Tassi, R. (1982). Prevention of child abuse and neglect through early diagnosis of serious disturbances in the mother-child relationship in Italy. Child abuse & neglect, 6(4), 453-463.
  5. Centers for Disease Control and Prevention (2015). Child maltreatment prevention. -- (Disponibile online: http://www.cdc.gov/violenceprevention/childmaltreatment/).
  6. Cesana, M. L., Giordano, F., Boerchi, D., Rivolta, M., & Castelli, C. (2018). Drawing to reconstruct. Pilot study on acknowledging prisoners’ internal and external resources in a penitentiary institution. World Futures, 74(6), 392-411. DOI: 10.1080/02604027.2018.1445913
  7. Champion, C., Cumberland-Li, A., Eisenberg, N., Fabes, R., & Gershoff, E. (2003). The relation of parental emotionality and related dispositional traits to parental expression of emotion and children's social functioning. Motivation and Emotion, 27(1), 27-56. DOI: 10.1023/A:1023674308969
  8. Choi, M. J., Mayes, L.C., & Stover, C.S. (2018). The moderating role of attachment on the association between childhood maltreatment and adolescent dating violence. Children and Youth Services Review, 94, 679-688.
  9. Colvin, M.L., & Thompson, H.M. (2017). Perceived Needs of Therapeutic Service Providers in Their Work with Families in the Child Welfare System. Child and Adolescent Social Work Journal, 35, 1-15.
  10. Dettling, A.C., Gunnar, M.R., & Donzella, B. (1999). Cortisol levels of young children in full-day childcare centers: Relations with age and temperament. Psychoneuroendocrinology, 24, 519-536. DOI: 10.1016/S0306-4530(99)00009-8
  11. Dettling, A.C., Parker, S.W., Lane, S., Sebanc, A., & Gunnar, M.R. (2000). Quality of care and temperament determine changes in cortisol concentrations over the day for young children in childcare. Psychoneuroendocrinology, 25(8), 819-836. DOI: 10.1016/S0306-4530(00)00028-7
  12. Di Blasio, P. (2015). Focus monotematico: esposizione alla violenza e disturbi perinatali. Maltrattamento e abuso all’infanzia, 2, 7-10. DOI: 10.3280/MAL2015-002001
  13. Jaudes, P.K., Ekwo, E., & Van Voorhis, J. (1995). Association of drug abuse and child abuse. Child Abuse and Neglect, 19(9), 1065-1975.
  14. Di Blasio, P. & Ionio, C., (2014). Post-traumatic stress symptoms after childbirth and early mother-child interactions: an exploratory study. Journal of reproductive & infant psychology, 32(2), 163-181. DOI: 10.1080/02646838.2013.841880
  15. Dutton, S.E., Grady, M.T. & Portwood, S. (2000). Enhancing law enforcement identification and investigation of child maltreatment. Child Abuse & Neglect, 24(2), 195-207. DOI: 10.1016/S0145-2134(99)00135-0
  16. Eisenberg, N., Cumberland, A., Spinrad, T.L., Fabes, R.A., Shepard, S.A., Reiser, M., Murphy, B.C., Losoya, S.H., & Guthrie, I.K. (2001). The relations of regulation and emotionality to children’s externalizing and internalizing problem behavior. Child Development, 72(4), 1112-34. DOI: 10.1111/1467-8624.00337
  17. Elster, A.B., & McAnarney, E.R. (1980). Medical and Psychosocial Risks of Pregnancy and Childbearing during Adolescence. Pediatric Annals, 9, 89-94.
  18. Forray, A., & Foster, D. (2015). Substance Use in the Perinatal Period. Current Psychiatry Reports, 17(11), 1-11.
  19. Gelles, R.J. (1974). The violent home: A study of physical aggression between husbands and wives. Beverly Hills, CA: Sage.
  20. Ghandour, R.M., Kub, J.E. & Williams, J.R. (2008). Female perpetration of violence in heterosexual intimate relationships: adolescence through adulthood. Trauma, violence & abuse, 9(4), 227-249. DOI: 10.1177/1524838008324418
  21. Gilbert, R., Glaser, D., Kemp, A., MacMillan, H.L., Radford, L., Sidebotham, P. & Thoburn, J. (2009). Child maltreatment 2: Recognising and responding to child maltreatment. The Lancet, 373(9658), 167-180. DOI: 10.1016/S0140-6736(08)61707-9
  22. Giordano F., Caravita, S., & Jefferies, P. (2020). Social-Ecological Resilience Moderates the Effectiveness of Avoidant Coping in Children Exposed to Adversity. An Exploratory Study in Lithuania. Frontiers in Psychology, 11, 536353.
  23. Giordano, F., Cipolla, A., Ragnoli, & Brajda, B. F. (2019). Transit Migration and Trauma: the Detrimental Effect of Interpersonal Trauma on Syrian Children in Transit in Italy. Psychological Injury and Law, 12, 76-87.
  24. Giordano, F., Cipolla, A., & Ungar, M. (2021a). Tutor of Resilience: A Model for Psychosocial Care Following Experiences of Adversity. Frontiers in Psychiatry 12: 559154.
  25. Giordano, F., Cipolla, A., & Ungar, M. (2021b). Building resilience for healthcare professionals working in an Italian Red Zone during the COVID-19 outbreak: a pilot study. Stress & Health, 39(2), 234-248.
  26. Giordano, F., Daniilidoub, A., Cipolla, A., Landoni, M., & Platsidou, M. (2022). Parents’ perceived stress and children’s adjustment during COVID-19 lockdown in Italy: the mediating role of Family Resilience. Family Relations, 72(1), 7-22.
  27. Giordano, F. & Ferrari, C. (2018) Processi di resilienza in minori vittime di violenza: un progetto di intervento con adolescenti in Lituania. Maltrattamento e abuso nell’infanzia, 2, 105-116. DOI: 10.3280/MAL2018-002007
  28. Giordano, F., Ragnoli, F., Brajda, B. F., & Boerchi, D. (2019). Testing AssisteResilience Approach Therapy (ARAT) with children victims of violence. Children and Youth Services Review, 96, 286-293.
  29. Giordano, F., Taurelli Salimbeni, C., & Jefferies, P. (2022). The Tutor of Resilience program with children who have experienced maltreatment: mothers’ involvement matters. Child Psychiatry and Human Development, 1-13.
  30. Giordano, F., & Ungar, M. (2021). Principle-driven Program Design versus Manualized Programming in Humanitarian Settings. Child Abuse and Neglect, 111, 104862.
  31. Gunnar, M.R., & Donzella, B. (2002). Social regulation of the cortisol levels in early human development. Psychoneuroendocrinology, 27, 199-220.
  32. Kochanska, G., & Aksan, N. (2004). Development of Mutual Responsiveness Between Parents and Their Young Children. Child Development, 75(6), 1657-1676.
  33. Landoni, M., Silverio, S.A., Ionio, C., & Giordano, F. (2022). Managing Children’s Fears during the COVID-19 Pandemic: Strategies Adopted by Italian Caregivers. International Journal of Environmental Research and Public Health, 19(18), 11699.
  34. Lebiger-Vogel, J., Leuzinger-Bohleber, M. & Rickmeyer, C. (2017). Transition to Kindergarten: Negative Associations between the Emotional Availability in Mother-Child Relationships and Elevated Cortisol Levels in Children with an Immigrant Background. Frontiers in Psychology, 8, 425.
  35. Linkov, I., & Trump, B. D. (Eds.) (2019). The Science and Practice of Resilience. Amsterdam: Springer.
  36. Livingstone K. (2022). Poland Unprepared for Waves of Ukrainian Refugees. Ukraine’s largest friendly neighbor is struggling under the impact of evacuees. Foreign Policy. -- (Disponibile online: https://foreignpolicy.com/2022/02/27/poland-ukraine-refugees/).
  37. Lou, Y., Taylor, E. P., & Di Folco, S. (2018). Resilience and resilience factors in children in residential care: A systematic review. Children and Youth Services Review, 89, 83-92.
  38. Luthar, S.S. (2006). Resilience in Development: A Synthesis of Research across Five Decades. In: D. Cicchetti & D. J. Cohen (Eds.), Developmental Psychopathology: Risk, Disorder, and Adaptation (739-795). Wiley.
  39. Martin S.L., Macy R.J., Sullivan K., & Magee M.L., (2007). Pregnancy-associated violent deaths. The role of Intimate Partner Violence. Trauma, Violence, and Abuse, 8(2), 135-148. doi :10.1177/1524838007301223.
  40. Martin, S.L., Mackie, L., Kupper, L.L., Buescher, P.A., & Moracco, K. E. (2001). Physical abuse of women before, during, and after pregnancy. Journal of the American Medical Association, 285(12), 1581-1584.
  41. Masten, AS. (2001). Ordinary magic: resilience process in development. American Psychologist Journal, 56, 227-38. DOI: 10.1037/0003-066X.56.3.227
  42. Milani, L., Miragoli, S., Grumi, S., & Di Blasio, P. (2020). The multi-method assessment of risk and protective factors in family violence: Comparing Italian and immigrant families. In N. Balvin, & D.J. Christie (Eds.) Children and Peace: From Research to Action (pp. 3-23). Berlin: Springer.
  43. Mundt, C., Reck, C.K., Reining, K. & Stehle, E. (2009). Maternity blues as a predictor of DSM–IV depression and anxiety disorders in the first three months postpartum. Journal of Affective Disorders, 113(1-2), 77-87.
  44. O'Hara, M.W., & Swain, A.M. (2009) Rates and risk of postpartum depression: a meta-analysis. International Review of Psychiatry, 8(1), 37-54. DOI: 10.3109/09540269609037816
  45. Olds, D.L. (2008). Preventing Child Maltreatment and Crime with Prenatal and Infancy Support of Parents: The Nurse-Family Partnership. Journal of Scandinavian Studies in Criminology and Crime Prevention, 9(S1), 2-24. DOI: 10.1080/14043850802450096
  46. Ortiz, R. (2019). Building Resilience Against the Sequelae of Adverse Childhood Experiences: Rise Up, Change Your Life, and Reform Health Care. American Journal of Lifestyle Medicine, 13(5), 470-479. DOI: 10.1177/155982761983999
  47. Overpeck, M.D., Brenner, R.A., Trumble, A.C., Trifiletti, L.B., & Berendes, H.W. (1998). Risk Factors for Infant Homicide in the United States. New England Journal of Medicine, 339, 1211-1216. DOI: 10.1056/NEJM199810223391706
  48. Recommendation CM/Rec (2011). 12 of the Committee of Ministers to member states on children’s rights and social services friendly to children and families. -- (Disponibile online: https://rm.coe.int/168046cce).
  49. Rennison, C.M., & Welchans, S. (2000). Intimate partner violence (NCJ 178247). Washington, DC: U.S. Department of Justice.
  50. Sanders, J., Munford, R., & Liebenberg, L. (2017). Positive youth development practices and better outcomes for high risk youth. Child Abuse & Neglect, 69, 201-212.
  51. Sanders, J., Munford, R., Thimasarn-Anwar, T., Liebenberg, L., & Ungar, M. (2015). The role of positive youth development practices in building resilience and enhancing wellbeing for at-risk youth. Child Abuse & Neglect, 42, 40-5.
  52. Silverman, J.G., Decker, M.R., Reed, E., & Raj, A. (2006). Intimate partner violence victimization prior to and during pregnancy among women residing in 26 U.S. states: Associations with maternal and neonatal health. American Journal of Obstetrics & Gynecology, 195, 140-148.
  53. Spinrad, T.L., Eisenberg, N., Gaertner, B., Popp, T., Smith, C.L., Kupfer, A., Greving, K., Liew, J., & Hofer, C. (2007). Relations of maternal socialization and toddlers' effortful control to children’s adjustment and social competence. Developmental Psychology, 43(5), 1170-1186. DOI: 10.1037/0012-1649.43.5.1170
  54. Straus, M. A., & Gelles, R. J. (1990). Physical violence in American families. New Brunswick, NJ: Transaction Publishers.
  55. Tjaden, P., & Thoennes, N. (1998). Prevalence, incidence and consequences of violence against women: Findings from the National Violence Against Women Survey (NCJ 1728370). Washington DC: National Institute of Justice.
  56. Tjaden, P., & Thoennes, N. (2000). Extent, nature, and consequences of intimate partner violence: Findings from the National Violence Against Women Survey (NCJ 181867). Washington, DC: National Institute of Justice.
  57. Tol, W.A., Jordans, M.J.D., Kohrt, B.A., Betancourt, T.S., & Komproe, I.H. (2013). Promoting mental health and psychosocial well-being in children affected by political violence: Part 2 – Expanding the evidence base. In C. Fernando & M. Ferrari (Eds.), Handbook of resilience in children of war (pp. 29-38). Springer Science + Business Media. DOI: 10.1007/978-1-4614-6375-7_3
  58. Ungar, M. (2008). Putting resilience theory into action: five principles for intervention. In L. Liebenberg & M. Ungar (Eds.). Resilience in Action (pp. 17-38). Toronto, ON: University of Toronto Press. DOI: 10.3138/9781442688995-003
  59. Ungar, M. (2011). Social ecologies and their contribution to resilience. In M. Ungar (Ed.), The social ecology of resilience: A handbook of theory and practice. NY: Springer
  60. Ungar, M. (2018). Systemic resilience: principles and processes for a science of change in contexts of adversity. Ecology and Society. 23(4), 34. DOI: 10.5751/ES-10385-230434
  61. Ungar, M., & Jefferies P (2021). Becoming More Rugged and Better Resourced: The R2 Resilience Program’s© Psychosocial Approach to Thriving. Frontiers in Psychology, 12, 745283.
  62. Ungar, M., Liebenberg, L., Armstrong, M., Dudding, P., & van de Vijver, F.J.R. (2012). Patterns of service use, individual and contextual risk factors, and resilience among adolescents using multiple psychosocial services. Child Abuse & Neglect, 37(2-3), 150-159.
  63. UNHCR (2022). Refugees from Ukraine registered for Temporary Protection or similar national protection schemes in Europe. -- (Disponibile online: https://data.unhcr.org/en/situations/ukraine).
  64. U.S. Department of Justice (2017). Office on Violence Against Women. -- (Disponibile online: https://www.justice.gov/ovw).
  65. Veronese, G., Pepe, A., & Giordano, F. (2021). Child Psychological Adjustment to War and Displacement: A Discriminant Analysis of Resilience and Trauma in Syrian Refugee Children. Journal of Child and Family Studies, 30, 2575-2588.
  66. Watamura, S.E., Donzella, B., Alwin, J., & Gunnar, M.R. (2003). Morning-to-afternoon increases in cortisol concentrations for infants and toddlers at child care: Age differences and behavioral correlates. Child Development, 74, 1006-1020. DOI: 10.1111/1467-8624.00583
  67. Watamura, S.E., Kryzer, E.M., & Robertson, S.S. (2009). Cortisol patterns at home and child care: Afternoon differences and evening recovery in children attending very high quality full-day center-based child care. Journal of Applied Developmental Psychology, 30, 475-485.
  68. WHO (2015). Investing in children: the European child maltreatment prevention action plan 2015-2020. -- (Disponibile online: https://www.euro.who.int/__data/assets/pdf_file/0011/282863/Investing-in-children-European-child-maltreatment-prevention-action-plan-2015-2020.pdf).
  69. Zomero, C. (2002), I maltrattamenti sui minori: una ricerca qualitativa. Tesi di laurea. Trieste: Università degli Studi di Trieste.

Francesca Giordano, Alessandra Cipolla, Building a coordinated response to prevent and respond to Adverse Childhood Experiences (ACEs) in Europe: The Tutor of Resilience program in "MALTRATTAMENTO E ABUSO ALL’INFANZIA" 1/2023, pp 33-64, DOI: 10.3280/MAL2023-001004