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The Nordic–Baltic Workshop on the Prevention of Child Maltreatment: Strengthening Intersectoral Working

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The Nordic–Baltic Workshop on the Prevention of Child Maltreatment: Strengthening Intersectoral Working The Nordic–Baltic workshop on the prevention of child maltreatment: strengthening intersectoral working Riga, Latvia 1–2 June 2017 ABSTRACT In line with WHO’s European policy for health and well-being, Health 2020, which highlights the importance of intersectoral work, the WHO Regional Office for Europe, the Nordic Council of Ministers, and the ministries of health and welfare of Latvia jointly organized the Nordic–Baltic workshop on the prevention of violence against children. The workshop aimed to bring together experts and stakeholders from key sectors, including policy-makers, professionals and activists from Nordic and Baltic countries. The goal was to promote exchange of expertise in intersectoral responses to the prevention of violence against children. This report summarizes presentations and outputs from the workshop. Keywords Child Abuse - prevention and control Violence - prevention and control Child Welfare Cooperative Behavior Address requests about publications of the WHO Regional Office for Europe to: Publications WHO Regional Office for Europe UN City, Marmorvej 51 DK-2100 Copenhagen Ø, Denmark Alternatively, complete an online request form for documentation, health information, or for permission to quote or translate, on the Regional Office website (http://www.euro.who.int/pubrequest). © World Health Organization 2017 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. In any use of this work, there should be no suggestion that WHO endorses any specific organization, products or services. The use of the WHO logo is not permitted. If you adapt the work, then you must license your work under the same or equivalent Creative Commons licence. If you create a translation of this work, you should add the following disclaimer along with the suggested citation: “This translation was not created by the World Health Organization (WHO). WHO is not responsible for the content or accuracy of this translation. The original English edition shall be the binding and authentic edition”. Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediation rules of the World Intellectual Property Organization. Suggested citation. Nordic–Baltic workshop on the prevention of child maltreatment: strengthening intersectoral working. Copenhagen: WHO Regional Office for Europe; 2017. Licence: CC BY-NC-SA 3.0 IGO. 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The responsibility for the interpretation and use of the material lies with the reader. In no event shall WHO be liable for damages arising from its use. This publication contains the report of the Promoting intersectoral and interagency action for health and well-being in the WHO European Region: working together for better health and well-being conference and does not necessarily represent the decisions or policies of WHO. Photo credits: Coverpage, pages 5 and 17: www.morethanminutes.co.uk. Page 3, 8 and 25: WHO. Nordic–Baltic workshop on the prevention of child maltreatment: strengthening intersectoral working page iii CONTENTS Page Acronyms ...................................................................................................................iv Scope and purpose ..................................................................................................... 1 Opening session ......................................................................................................... 3 Background and context ............................................................................................ 4 A survivor’s view on the need for prevention ................................................................ 4 The life-course approach and preventing child maltreatment ......................................... 6 ACEs – the costs of doing nothing and opportunities for intervention .............................. 7 Multisectoral collaboration: how governments can respond ...................................... 8 Country approaches ................................................................................................. 11 Bringing about change in Norway: national policy action to stop violence against children11 Progress in Sweden in preventing child maltreatment.................................................. 11 Parenting and preschool support in Latvia .................................................................. 12 Programme approaches ........................................................................................... 13 INSPIRE: seven strategies for ending violence against children .................................... 13 Parenting for Lifelong Health ..................................................................................... 14 The Safe Environment for Every Kid (SEEK™) model ................................................... 14 Nurse–Family Partnership ......................................................................................... 15 Universal services as a model of strengthening promotive and preventive services ........ 17 Triple-P (Positive Parenting Programme) .................................................................... 18 The Incredible Years ................................................................................................ 18 The KiVa antibullying programme .............................................................................. 20 The Olweus® Bullying Prevention Program (OBPP) ...................................................... 21 Online portal for kindergartens/day-care institutions and schools in Norway .................. 22 PlayRoom: assessment and prevention of sexual abuse ............................................... 23 Breakouts and closing .............................................................................................. 25 Breakouts ................................................................................................................ 25 Closing .................................................................................................................... 26 Annex 1 27 Programme ............................................................................................................. 27 Annex 2 31 Participants ............................................................................................................. 31 Nordic–Baltic workshop on the prevention of child maltreatment: strengthening intersectoral working page iv Acronyms ACE adverse childhood experience NCD noncommunicable disease NFP Nurse–Family Partnership NGOs nongovernmental organizations OBPP Olweus® Bullying Prevention Program RCT randomized controlled trial SDG (United Nations) Sustainable Development Goal SEEK™ Safe Environment for Every Kid (model) Triple-P Positive Parenting Programme Nordic–Baltic workshop on the prevention of child maltreatment: strengthening intersectoral working page 1 Scope and purpose Child maltreatment is defined as physical, sexual or emotional abuse, and/or deprivation and neglect. Prevalence in the WHO European Region ranges from 9.6% for sexual abuse, to 22.9% for physical abuse, to 29.1% for emotional abuse. This suggests that tens of millions of children are abused before the age of 18 years. Child maltreatment is one of the more serious forms of adverse childhood experiences (ACEs),1 though other adversity may also present. The lack of safe and nurturing relationships in childhood are thought to adversely affect neurodevelopmental change and, in turn, emotional, cognitive and behavioural development. ACEs are linked to a propensity for increased violence later in life and health-harming
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