CAMP Bustamante a tertiary level violence prevention response

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CAMP Bustamante a tertiary level violence
prevention response

• Goal To reduce illness and death from VRIs in
  children
• 0 12 years.

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Violence in Jamaica

• In 2005 - 38,000 violence related deaths.
• 5th leading cause of death
• 81 in fight/argument
• Direct hospital costs 2004 700 million
• In 2004 most victims males 10 29
• MOH data

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Rationale for an urgent violence prevention
response

• The consequences can be devastating to the child.
• Can affect every aspect of a childs life.
• Effects may appear immediately, or later on in
  life
• Girls likely affected differently from boys
• The child could die from the injury.

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Why a hospital based intervention?

• Early detection emergency response.
• Primary point of entry for suspected cases.
• A range of professional services available.
• Opportunity to observe and detect signs of
  suspected abuse.
• Staff can observe parent/child interaction which
  may give clues of abuse.
• Provides primary protection for child.

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3 main aims of CAMP BHC

• Mitigate the impact of VRI in children 0 12
  yrs.
• Reduce risk factors in the childs environment.
• Develop a plan for care that links a child to
  services and supports as well as structured after
  school activities.

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Factors affecting the consequences of abuse
Chalk, Gibbons Scarupa (2002

• The age and development status of the child when
  the abuse occurred.
• The type of abuse.
• The frequency, duration severity of the abuse.
• The relationship between the victim and
  perpetrator.

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Consequences of abuse

• Physical shaken baby syndrome, impaired brain
  development, poor physical health e.g. STI,
• Psychological isolation, fear, inability to
  trust, ADHD, CD, PTSD, attachment disorder,
  dissociative disorders
• Behavioural delinquency, early pregnancy, drug
  use, low academic achievement
• Societal direct indirect costs

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The effects of violence on children

• Vary from mild to severe, temporary or permanent
  depending on
• Circumstances of the abuse.
• Personal characteristics of the child.
• The childs environment.

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Ability to cope protective factors in a childs
environment Thomlinson (1997)

• Access to support in the social environment
• A caring adult in the childs life
• The well-being of the community
• Neighbourhood stability
• Access to physical mental health care.

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Intervention model based on the public health
approach

• Identify cause, look for risks and strengths,
  asks what can change
• Uses JISS for surveillance epidemiology
• Evaluate to see which approach is working
• Replication adaptation based on scientific
  evidence of effectiveness

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The intervention

• Home school visits to assess the childs
  functioning in main contexts environments
• Carried out within the boundaries of professional
  values and ethical standards.

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Conceptual framework for the intervention

• Ecological, developmental strengths based
• Biological, social, environmental psychological
  processes can impair the social functioning of
  individuals.
• Internal external processes affect individual
  behaviour in relation to self, family,
  significant others.

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Why assess?

• Because childhood trauma creates dysfunction and
  affects learning - the key task in this phase of
  life.
• To detect presence of any psychopathology
• Children are the best source of information about
  themselves
• Young children may not have the language to
  express their feelings

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Measuring CAMPBHC success

• Reduced susceptibility to violence.
• Worker/child/caregiver working through solutions
  building on strengths.
• Services supports being used.
• Child involved in structured activity.
• Negative feelings about the trauma reduced.
• Child has a sense of control, power and self
  esteem.

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Thank you.