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Family Violence Research
Lessons Learned and Where From Here?
Harriet L. MacMillan, MD, MSc, FRCPC;
C. Nadine Wathen, PhD
JAMA. 2005;294:618-620.
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Child maltreatment and intimate partner violence (IPV) are difficult to study. Both occur within the family context, often involving experiences that are known only to the survivor and the perpetrator. The hidden nature of family violence creates challenges for measurement of exposure and determinants. Yet the severity of these problems and their impact on vulnerable members of society have resulted in a rush to implement prevention or screening programs that may not have first undergone rigorous evaluation.
For example, in the case of child maltreatment, Hawaii’s Healthy Start Program—a program of home visiting by paraprofessionals introduced in Oahu in 1975—was promoted as preventing child abuse and neglect, based on results of an uncontrolled pilot study.1 In the 2 decades that followed, this intervention was the impetus for national and international adaptations, including the Healthy Families America initiative. After widespread dissemination . . . [Full Text of this Article] Primary Prevention
Author Affiliations: Department of Psychiatry & Behavioural Neurosciences (Drs MacMillan and Wathen) and Department of Pediatrics (Dr MacMillan), McMaster University, Hamilton, Ontario.
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