India Bryce has worked across education,counselling and child safety and is now a lecture of human development wellbeing, and counselling at USQ. She has worked closely with government and non-government agencies in the design and implementation of family intervention, prevention and preservation programs and has delivered training in child maltreatment and cumulative harm to a broad range of helping professionals across the forensic sector.
Cumulative Harm Innovations for a Family Intervention (Poster Presentation)
Child abuse and neglect continues to be one of the most vexing issues for both policy and practice worldwide. The Adverse Childhood Experiences Study concluded that there were significant correlations between adverse childhood experiences and medical, psychological and behavioural issues later in life (Felitti et al, 1998). The impact of the accumulation of ACEs has been labelled ‘cumulative harm’ (Bromfield, 2007). Gilmore (2010) likens cumulative harm to global warming, in that it is a seemingly intractable problem, involving a culmination of human and environmental factors.
A comprehensive review of current research, literature and legislation in Australia and internationally identified the importance of recognizing and responding specifically to the cumulative harm resulting from exposure to multiple adverse childhood experiences. This social and systemic issue for the large population of individuals impacted and marginalized by their trauma experiences was identified as a matter of critical importance to social policy and service delivery in forensic social work setting. An intervention mapping approach was used to design a method for integrating cumulative harm innovations into an existing family intervention service, working with clients engaged in the child protection system.
The poster and accompanying presentation is a demonstration of the overarching issue of cumulative harm and the need more comprehensive social and systemic responses. The poster depicts the innovations designed to address the need for a more adequate response to cumulative harm in our service delivery and the process by which the innovations have been implemented and evaluated.