Taylor, Julie

English

This paper outlines a new postpartum continuation of the programme of study focused on child abuse, stress and the early years. The trial will focus on pregnant women abuse survivors who experience symptoms of PTSD. It will further test the emerging evidence base from studies in the US, that completion of a structured listening programme of 10 maternal self study modules can improve perinatal outcomes (mental and physical) and improve the woman?s confidence in her parenting capabilities. The anticipated outcome of the trial is that women will be able to strengthen their protection of their infant in relation to the negative effects of their experience and thus mitigate parent-child transmission of abuse trauma within their own social context

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Child abuse, stress and the early years (CASEY) UK

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     Edinburgh Research Explorer                                      Child abuse, stress and the early years (CASEY) UKCitation for published version:Taylor, J 2013, Child abuse, stress and the early years (CASEY) UK. The University of Edinburgh/NSPCCChild Protection Research Centre.Link:Link to publication record in Edinburgh Research ExplorerDocument Version:Publisher final version (usually the publisher pdf)Publisher Rights Statement:©Taylor, J. (2013). Child abuse, stress and the early years (CASEY) UK. The University of Edinburgh/NSPCCChild Protection Research Centre.General rightsCopyright for the publications made accessible via the Edinburgh Research Explorer is retained by the author(s)and / or other copyright owners and it is a condition of accessing these publications that users recognise andabide by the legal requirements associated with these rights.Take down policyThe University of Edinburgh has made every reasonable effort to ensure that Edinburgh Research Explorercontent complies with UK legislation. If you believe that the public display of this file breaches copyright pleasecontact openaccess@ed.ac.uk providing details, and we will remove access to the work immediately andinvestigate your claim.Download date: 20. Feb. 2015        Child Abuse, Stress and the Early Years (CASEY) UK FEBRUARY 2013 RESEARCH BY JULIE TAYLOR, CHRIS CUTHBERT AND MAXINE MOY   BACKGROUND Pregnancy is a key opportunity when supportive interventions can be effective in improving a woman’s mental health and subsequent attachment relationship with her child. Post-traumatic stress disorder (PTSD) is less talked about than other common mental illnesses, but it is quite prevalent at around 6.5% during pregnancy in the UK1. Pregnancy and pre-natal care can act as triggers for PTSD.  THE OPPORTUNITY FOR COLLABORATION The NSPCC funded Centre for Child Protection Research at Edinburgh University has the opportunity to work in collaboration with the US (University of Michigan: Seng and Sperlich) and Australian (Monash: Rowe and Fisher) teams on the development of: • a new postpartum continuation of the programme • a protocol - and an NIHR funding application - for an efficacy trial across the three countries.  We are seeking delivery partners in the UK and are keen to explore such opportunities with you. The UK team is led by Professor Julie Taylor at the NSPCC/University of Edinburgh Child Protection Research Centre and Chris Cuthbert, Head of Strategy and Development (Under Ones), NSPCC.  THE TRIAL The trial will focus on pregnant women abuse survivors who experience symptoms of PTSD. It will further test the emerging evidence base from studies in the US2 that completion of a structured listening programme of 10 maternal self study modules can improve perinatal outcomes (mental and physical) and improve the woman’s confidence in her parenting capabilities.  The intervention addresses: • The mother’s trauma and her reactions throughout the childbearing process. • How best she may be able to identify, prepare for and meet care needs both for herself and for her baby.  • How to access social and emotional support and services.   The paradox of child sexual abuse is that despite extensive media coverage of high profile disclosure, prevalence is difficult to determine due to the secretive nature of the abuse.  WHO3 indicate a prevalence of 20 to 25% for women and                                                       1 Mezey	  G,	  Bacchus	  L,	  Bewley	  S,	  White	  S	  (2005)	  Domestic	  Violence,	  lifetime	  trauma	  and	  psychological	  health	  of	  childbearing	  women	  	  BJPG	  Feb	  2005	  Vol	  112	  pp	  197-­‐204	  2 Seng	  J.S.,	  Sperlich	  M.,	  Rowe	  H.,	  Cameron	  H.,	  Harris	  A.,	  Rauch	  S.A.M.,	  Bell	  S.A.	  (2011)	  The	  Survivor	  Moms’	  Companion:	  Open	  Pilot	  of	  a	  Posttraumatic	  Stress	  Specific	  Psychoeducation	  Program	  for	  Pregnant	  Survivors	  of	  Childhood	  Maltreatment	  and	  Sexual	  Trauma	  International	  Journal	  of	  Childbirth	  1	  (2)	  111-­‐121	  Sperlich	  M.,	  Seng	  J.,	  Rowe	  H,	  Cameron	  H,	  Harris	  A.,	  McCracken	  A.,	  Raunch	  S.A.M.,	  Bell	  S.A.,	  (2011)	  The	  Survivor	  Mom’s	  Companion:	  Feasibility,	  Safety	  and	  Acceptability	  of	  a	  Posttraumatic	  Stress	  Specific	  Psych	  education	  Program	  for	  Pregnant	  Survivors	  of	  Childhood	  Maltreatment	  and	  Sexual	  Trauma.	  International	  Journal	  of	  Childbirth	  1	  (2)	  122-­‐	  135	  	  3 World	  Health	  Report	  2002	  World	  Health	  Organization	  	  THE UNIVERSITY OF EDINBURGH/NSPCC  CHILD ABUSE, STRESS AND THE EARLY YEARS (CASEY) UK  CHILD PROTECTION RESEARCH CENTRE SHORT PAPER: FE3BRUARY, 2013   p 2 of 3  US statistics indicate one in three women has been a victim of violence or intimate partner rape in their lifetime4. In the UK a survey by the RCM5 noted one woman in 15 seen by a midwife was a victim of abuse. It is clear that abuse is common throughout society and that estimates will not identify the true extent of the abuse.   There is guidance in relation to the care of women during the perinatal period for women who have experienced sexual abuse6. Routine enquiry regarding possible previous abuse focuses on domestic abuse and does not specifically refer to sexual abuse unless the midwife has concerns.  For survivors pregnancy is a critical time: past event experiences may trigger complex emotional interactions from excitement of the baby’s arrival to fear and anxiety. Studies7 in the US refer to related consequences of PTSD including increased risk taking behaviour  (e.g. use of alcohol and other substances), low birth weight and impaired postpartum mental health. All can impact on the development of the infant.    The acceptability of psychological treatments in pregnancy and the postnatal period has not been extensively researched8 (NICE Guideline (2007, Antenatal and Postnatal Mental Health). There is a lack of outcome data regarding effective interventions supporting survivors to navigate pregnancy and the early parenting period, making it difficult for service providers to commission an evidence-based programme.   OUTCOME The anticipated outcome of the trial is that women will be able to strengthen their protection of their infant in relation to the negative effects of their experience and thus mitigate parent- child transmission of abuse trauma within their own social context.  FURTHER INFORMATION ABOUT THIS STUDY CAN BE OBTAINED FROM PROFESSOR JULIE.TAYLOR, CHAIR OF CHILD PROTECTION, JULIE.TAYLOR@ED.AC.UK.  ABOUT THE CENTRE The Child Protection Research Centre was set up in 2007 as a unique collaboration between The University of Edinburgh and the NSPCC. Our research is designed to generate a more integrated and deeper understanding of child protection in the UK and internationally, in order to strengthen policy and practice. Within this context we conduct two kinds of research: • Critical comparison and analysis of child protection developments in legislation, policy and systems • Primary research in areas of identified priority or gaps. The Centre is committed to pursuing a programme of knowledge exchange that makes a positive impact, including fostering dialogue between policy makers, practitioners and academia.  The University of Edinburgh/NSPCC Child Protection Research Centre The Moray House School of Education, The University of Edinburgh St Leonard's Land, Room 3.30, Holyrood Rd, Edinburgh, EH8 8AQ Email: childprotection@ed.ac.uk  Tel: 0131 651 6100 www.childprotection.ed.ac.uk The Centre was previously known as The University of Edinburgh/NSPCC Centre for UK-wide Learning in Child Protection (CLiCP). This name features in publications produced between 2007-2011. The University of Edinburgh is a charitable body, registered in Scotland. Registration number SC005336. ID:K201306                                                                                                                                                                                                         4 	  Black	  M.C.,	  Basile	  K.C.,	  Breiding	  M.J.	  Smith	  S.G.,	  Walters	  M.L.,	  Merrick	  M.T.,	  et	  al	  (2011)	  National	  intimate	  partners	  and	  sexual	  violence	  survey:	  2010	  summary	  report.	  Atlanta	  GA:	  National	  Center	  for	  injury	  prevention	  and	  Control,	  Center	  for	  Disease	  Control	  and	  Prevention	  5 Royal	  College	  of	  Midwives	  RCM	  Position	  Statement:	  domestic	  abuse-­‐	  pregnancy,	  birth	  and	  the	  puerperium	  (online)	  2006	  6 Healthcare	  Improvement	  Scotland	  (2011)	  Care	  during	  the	  perinatal	  period	  for	  women	  who	  have	  suffered	  sexual	  abuse	  7 Sperlich	  M,	  Seng	  J.,	  Survivor	  Moms	  	  Women’s	  Stories	  of	  Birthing,	  Mothering	  and	  Healing	  after	  Sexual	  Abuse	  Motherbaby	  Press	  8 National	  Collaborating	  Centre	  for	  Mental	  Health	  (2007)	  NICE	  Guideline	  on	  Clinical	  Management	  and	  Service	  Guidance	  –	  Antenatal	  and	  Postnatal	  Mental	  Health	  The	  British	  Psychological	  Society	  and	  the	  Royal	  College	  of	  Psychiatrists	   !     

Child abuse, stress and the early years (CASEY) UK

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