Detailed contribution information
| Contribution title | Promoting healing in young children who experienced maltreatment through home visitation programme |
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| Contribution code | D1.138 |
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| Form of presentation | Poster |
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| Abstract |
Aims Children exposed to maltreatment often exhibit trauma symptoms that manifest as emotional and behavioural difficulties, with effects that can persist into adulthood. Anchor Programme, a home visitation initiative in Singapore, was established to support children aged 0-4 years who have experienced maltreatment. This study aims to break the cycle of trauma, prevent recurrence of maltreatment, and promote healing through a trauma-informed approach with caregivers and involved agencies. Standardised tools, including the Ages and Stages Questionnaires: Social-Emotional and the Child Behaviour Checklist, are used regularly to assess children’s social-emotional and behavioural needs. These assessments inform stakeholders of potential trauma-related manifestations and guide interventions, such as developmental activities, behavioural strategies, anticipatory guidance, and caregiver support. Methods This study analysed data and outcomes from children enrolled between September 2019 and May 2024. Outcomes of social-emotional assessments for 145 children and behavioural assessments for 99 children were compared at baseline and post-Anchor involvement. Results and conclusion At baseline, 26% of children experienced social-emotional difficulties and 25% exhibited behavioural concerns. Following Anchor enrolment, 54% of them demonstrated improvements in social-emotional functioning, and 64% showed behavioural improvements. These results underscore the importance of trauma-informed care in early childhood, addressing children’s developmental, social-emotional, and behavioural needs within their ecological context to foster healing and resilience. Nonetheless, some caregiver-related challenges, including mental health issues and difficulties accessing services, impacted intervention success. At times, logistical barriers also limited the frequency of home visits. Continued focus on supporting caregivers is thus essential to achieving sustainable, long-term outcomes for children. |