Here are some other protective factors for children:

TM Access to positive social supports (religious organizations, clubs, sports, group activities,
teachers, coaches, mentors, day care providers, and others)

® Average to above average intellectual development with good attention and social skills
® Competence at doing something that attracts the praise and admiration of adults and peers
® Feelings of self-esteem and self-efficacy

® Religious affiliations, or spiritual beliefs that give meaning to life

m Parent to C! about Do!

Q: What should parents tell their children about domestic violence?

A: Some parents may be reluctant to tell you that their children have witnessed domestic violence.
Others may try to minimize the children's actual exposure to the violence (saying, for example,
“They didn’t know it was happening,” or “They were always asleep or at school”).

A victimized parent may also avoid talking to a child about

domestic violence. The parent may assume that a child When his aunt told Charlie,
is too young to understand, or that it’s better to just “You know, you can ask me
move on. But many children who've experienced domestic anything you need to about
violence need to talk about it. They may misunderstand what happened yesterday,”
what happened or why it happened. They may blame the preschooler broke his
themselves, biame the victim, or blame the police or silence for the first time
other authorities who intervened. They may have fantasies since his dad was taken
about how they can “fix” their family. They may take away.

parental silence as a signal to keep silent themselves or
to feel ashamed about what happened in their family.

As a domestic violence advocate, you may be in the position of speaking to children yourself. If
not, you can support the parents in breaking the silence. Start by assuming that children know
more than we think they know. Talk to them about what happened, listen openty to what they
have to say, and offer the following key messages:

® “The violence was not and is not okay.”

® “It is not your fault.”

= “| will listen to you.”

® “You can tell me how you feel; it is important.”

® “f'm sorry you had to see (or hear) that.”

The National Child Traumatic Stress Network 5
www.NCTSN.org


Maintaining Personal Health and Well-Be'

Q: What is secondary trauma and how does it affect me?

A: Caring for survivors of domestic violence and their children can exact a toll. In the process of
hearing the vivid details of domestic violence, and responding with empathy, advocates themselves
can experience traumatic stress reactions. A victim’s story may even serve as a trauma reminder if
you have experienced domestic violence or other traumatic events in your own life.

Repeated exposure to trauma reminders can compromise your

After Barbara heard health and well-being. For example, you may feei overwhelmed
the vivid details of by what you have heard or seen, and perhaps find yourself

her client's abuse, losing patience with a demanding mother or child. Reactions
she found herself like these are often referred to as signs of secondary traumatic
dreading the client's stress (or compassion fatigue, or vicarious trauma). Secondary
next appointment. trauma is not a sign of weakness or lack of skill. It is a normal

response to working in the field of domestic violence advocacy.
Possibie signs of secondary traumatic stress include

Increased irritability or impatience with clients

Intense feelings and intrusive thoughts (including nightmares) about a client's trauma
Changes in how you experience yourself, others, and the world

Persistent anger or sadness

increased fatigue or iliness.

Disconnection from your colleagues or loved ones

lf you notice these or other signs of secondary trauma, take steps to care for yourself and get
support relevant to your work. Consider these possible strategies:

Talk to a professional if your symptoms are affecting your day-to-day functioning at work
or at home.

Seek professional heip to address your own history of domestic violence or other trauma.
Reach out to team leaders, managers, and colleagues for support.

Renew your commitment to creating a work-life balance.

identify and use coping strategies to manage stress.

Utilize personal support systems.

Attend to your physical, spiritual, and emotional health needs.

Take some time off.

to

Domestic Violence and Children: Questions and Answers for Domestic Violence Project Advocates
November 2010


Protecting Child

n and

ping with ‘their Feelings and Behaviors

Q: How can advocates protect children from adult information?

A: As an advocate, you may find
yourself filling out legal paperwork,
discussing details, and reviewing
domestic violence incidents with clients
in the presence of their children.
Hearing the specific details of events
can act as a trauma reminder for
children. The descriptions themselves
can be disturbing, as can the parent's
distress in recounting them. A child too
young to understand the content can
still become upset. Even babies react
to a caretaker's emotional distress with
their own increased heart rates and
signs of stress. The situation presents
a challenge for advocates, but the
following strategies can guide you in
protecting children:

® If atall possible, avoid talking
about the specifics of the
domestic violence in front of
children,

® Maintain a child-friendly waiting
area for children old enough to
wait on their own.

® Offer toys and games that may
distract or comfort children if
they have to be in the room with adults.

® Inform children that the advocate and parent are going to be talking about what
happened, and that they might have some feelings about this. Check in on the child’s
feelings throughout the conversation, and offer comfort and reassurance.

® Encourage parents whenever possible to use natural supports for child care (such as
friends, families, or familiar service providers), or ask if there is someone who can come
and stay in the waiting room with the children for at least part of the time.

® Seek volunteers to provide child care during regularly scheduled hours in outreach offices
and shelters.

The National Child Traumatic Stress Network 7
www.NCTSN.org


“You do not deserve to have this in your family.”
“It is not your job or responsibility to prevent or change the situation.”

“We can talk about what to do to keep you safe if it happens again” (such as staying in
the bedroom, going to neighbors, calling a relative or 911).

“| care about you. You are important.”>

“It is the job of adults to keep kids safe. There are adults who will work to keep you and
your family safe.”

Q: How much information is enough but not too much?

A; Parents often struggle with how much specific information to share with children about what
happened during a domestic violence incident. To gauge the right level of discussion, parents will
find it helpful to

Think about how to present the information in a form the child will understand. The amount
of detail shared will often depend on the age and developmental stage of the child.

Start by providing straightforward messages of support (see above), or by asking what the
child saw, feels, or thinks about what happened.

Ask the child if he or she has questions. Children will often stop asking questions when
they have enough information to feel safe and secure. Refrain from giving them more
information than they need or want.

Remember that it is always okay to ask children what they know and what they think.

Understand that giving children an opportunity to talk openly and ask questions about
what they experienced can be more effective than reviewing the details from the adult's
perspective.

Q: What should a parent tell a child about the parent who was abusive?

A: Parents who have experienced domestic violence often seek guidance on what to tell their
children about the parent or partner who was abusive. Here are some key messages for children:

The abusive behavior was not okay; violence is not okay.

The abusive person is responsibie: “It’s not your fault. It's not my fault.”
t's okay to love and want to spend time with the person who was abusive.
It's okay to be mad at or scared of the person who was abusive.

It's also okay to feel mad at but still love the person who was abusive.*

Domestic Violence and Children: Questions and Answers for Domestic Violence Project Advocates
November 2010


Specific praise. Using very specific praise to reward positive behavior not only increases
the likelihood that the behavior will be repeated, but helps children feel valued and proud
of themselves. Active ignoring is often most effective when paired with specific praise.

Rules and routines. Structured, consistent, and predictable rules and routines can

be extremely helpful. Children living with domestic violence often see the worid as
unpredictable and unsafe. Maintaining consistent rules and routines teaches children that
life can be predictable. It also helps improve behavior problems and contributes to the
child's sense of safety.

Relaxation. Teaching children simple relaxation skills, such as deep breathing, and
providing the space for them to practice relaxing, can be very effective in helping them
manage fear and anxiety. Relaxation can decrease acting-out behavior that may be due
to anxiety and exposure to trauma reminders. For younger children, providing a safe and
quiet place to play and explore can be helpful.

Adequate support. Parents who get help and support in coping with their own feelings
are better equipped to heip their children. They should be encouraged to seek help from
mental health professionals or other support systems.

Q: How can advocates determine when a child needs more help?

A: Exposure to domestic violence can piace children at risk for a variety of emotional, social,
and behavioral problems. Some children, including those who exhibit the following warning signs,
may require additional professional help to achieve recovery. If parents describe these signs, you
should consider talking with them about seeking additionai help:

The child’s traumatic stress reactions—such as reexperiencing, withdrawal, arousal,
sleep disturbances, and reactions to trauma reminders—are severe enough to interfere
with daily life.

The child doesn’t seem like herself. The child's behavior or

mood has changed. Andrew, an 11th-

grader, withdrew

The child is having significant trouble eating or sleeping, from his friends

or complains of a lot of physical symptoms that have no and stopped trying

apparent medica! cause. in school after the
police failed to

The child’s behaviors are becoming more risky and less put his mother’s

predictable. abusive boyfriend

‘ail,
The child seems sad, depressed, clingy, hopeless, or 'n Ja

withdrawn from activities that were once foved.

The child talks about dying or engages in seif-injurious behaviors such as substance
abuse, unhealthy sexual activity, cutting, or head banging.

The child is increasingly worried, anxious, or fearful, or exhibits increased anger or aggression.

The National Child Traumatic Stress Network 9
www.NCTSN.org


NCTSN  thomate’Siess Network

Domestic Violence and Children

Questions and Answers for Domestic Violence Project Advocates

his fact sheet was developed in collaboration with domestic violence project advocates from

across the country who brought us the questions they struggle with daily in their work with
families. Our hope is to enhance your understanding of how domestic violence affects children,
and guide you in the crucial contributions you make to family recovery.

Of course, we cannot address the full range of unique needs and circumstances of every family
and cultural group. It is important to remember that cultural differences affect how families
define, understand, and respond to domestic violence.

ren’s Responses to Domestic Violence:

Q: How do children react to domestic violence?

A: Many factors influence children's responses to domestic violence. As you have probably
observed in your work, not all children are equally affected. Some children do not show obvious
signs of stress or have developed their own coping strategies. Others may be more affected. A
child's age, experience, prior trauma history, and temperament all have an influence. For example,
an adolescent who grew up in an atmosphere of repeated acts of violence may have different
posttraumatic stress reactions than a 12-year-old who witnessed a single violent fight. A sixyear
old girl who saw her mother bleeding on the floor and feared she would die would likely have more
severe reactions than a child who perceived the incident she witnessed to be less dangerous.

This project was funded by the Substance Abuse and Mental Health Services Administration (SAMHSA), US
Department of Health and Human Services (HHS). The views, policies, and opinions expressed are those of the
authors and do not necessarily reflect those of SAMHSA or HHS.


Recommended Citation

National Child Traumatic Stress Network, Domestic Violence Cotlaborative Group. (2010). Domestic violence and
children: Questions and answers for domestic violence project advocates. Los Angeles, CA, and Durham, NC: National
Center for Child Traumatic Stress.

Copyright © 2010, National Center for Child Traumatic Stress on behalf of Rebecca Brown, LCSW, Faye Luppi, JD,
and the National Child Traumatic Stress Network. This work was funded by the Substance Abuse and Mental Health
Services Administration (SAMHSA), US Department of Health and Human Services (HHS), which retains for itself and
others acting on its behalf a nonexclusive, irrevocable worldwide license to reproduce, prepare derivative works, and
distribute this work by or on behalf of the Government. All other rights are reserved by the copyright hoider(s).

About the National Child Traumatic Stress Network

Established by Congress in 2000, the National Child Traumatic Stress Network (NCTSN) is a unique collaboration

of academic and community-based service centers whose mission is to raise the standard of care and increase
access to services for traumatized children and their families across the United States. Combining knowledge of chiid
development, expertise in the full range of child traumatic experiences, and attention to cultural perspectives, the
NCTSN serves as a national resource for developing and disseminating evidence-based interventions, trauma-informed
services, and public and professional education.

12 Domestic Violence and Children: Questions and Answers for Domestic Violence Project Advocates
November 2010


For further information about the impact of domestic violence
on children and families, these Web sites offer valuable
resources for advocates and parents:

® National Child Traumatic Stress Network
htto://www.netsn.or;

® Nationa! Center for Children Exposed to Violence
http://www.necev.or

® Safe Start Center
http://www. safestartcenter.ors

® National Coalition Against Domestic Violence
http://www. ncadv.org

® Office on Violence Against Women
http://www.enditnow.gov

1. Edleson, J. L., in consultation with Nissiey, B. (2006). Emerging responses to children
exposed to domestic violence. Harrisburg, PA: VANet, of the National Resource Center on
Domestic Violence/Pennsylvania Coalition Against Domestic Violence. Retrieved July 29,
2008, from: http://www.vawnet.org

2. National Child Traumatic Stress Network (2008). Questions and answers about domestic
violence: An interview with Betsy McAlister Groves, MSW. Available at: htto://www.nctsn.org

3. Crager, M., and Anderson, A. (1997). Helping children who witness domestic violence: A guide
for parents. Minnesota Center Against Violence and Abuse. Retrieved December 16, 2009,
from: http://www.mincava.umn.edu/documents/materiais/instructor.htm!

Acknowledgments ; ;

The content of this fact sheet was developed and adapted by Rebecca Brown, LCSW, Faye
Luppi, JD, and other members of The Greater Portland Children’s Trauma Response Initiative
of Community Counseling Center in Portland, ME, in collaboration with the Domestic Violence
Collaborative Group of the National Child Traumatic Stress Network (NCTSN).

The National Child Traumatic Stress Network qt
www.NCTSN.org


Q: How should parents respond to and cope with their children’s feelings about them?

A: Children who have witnessed domestic violence often have confused and contradictory
feelings. They may worry about the safety of the parent who has been abused. They may also
worry that their parents won't be able to protect them. They may see the parent who was
abusive as generous and loving some of the time, and terrifying and dangerous at other times.
They may even blame the abused parent for causing the abuse that led to separation from the
other parent. Often, children feel torn over loyalties and caught in the middie. Here are some
messages to offer children to help them explore and cope with these feelings:

® tis okay to feel more than one emotion at the same time
(such as anger and love).

Carly tried to

“fix” her family by ® [tis normal to feel angry at either or both parents when
rushing home from violence happens.

schoo! each day 7
to cook and clean ® You can love someone and hate that person’s behavior.
for her abused ® It's okay to love both parents at the same time.
mother.

® Violence is an adult problem and it is not your fault or
responsibility. You can’t fix it.?

Q: What are some strategies for managing children’s behaviors that may occur in families with
domestic violence?

A: A parent who has experienced domestic violence may expend a lot of energy simply surviving
and helping the children survive. Other aspects of parenting may suffer as a consequence. The
parent may become either overly permissive or too rigid and harsh in applying discipline. Or the
parent may be inconsistent and fluctuate between permissiveness and harshness. Roles in the
family may have become reversed. Children may have taken on parenting responsibilities in an
effort to care for and protect family members.

In addition to providing emotional support and safety for families following domestic violence,

advocates may need to model better parenting and offer strategies for behavior management.
Indeed, these strategies may be needed immediately for some families in offices and shelters.
Basic strategies include

® Active ignoring or “picking your battles.”
Children’s negative behaviors may be
efforts to get attention from adults.
An effective strategy is to identify the
behaviors that can be ignored. Of course, a
parent cannot ignore unsafe behaviors, but
withdrawing attention from other negative
or unwanted behaviors should eventually
decrease them.

8 Domestic Violence and Children: Questions and Answers for Domestic Violence Project Advocates
November 2010


Possibie Reactions to Domestic Violence

Birth to age 5 Ages 6-11. Apes 12-18

Sleep or eating disruptions

Nightmares, sieep disruptions | Antisocial behavior

Withdrawal or lack of Aggression and difficulty with School failure

responsiveness peer relationships in school -
Impulsive or reckless behavior,

Intense and pronounced separation | Difficulty with concentration such as.
anxiety and task completion in school « Truancy
Crying inconsolably Withdrawal and emotional « Substance abuse
numbiny .
Developmental regression, loss J Running away
of acquired skills such as toilet School avoidance or truancy * Involvement in violent
training, or reversion to earlier or abusive dating
behaviors, such as asking for a Stomachaches, headaches, or relationships
bottle again other physical complaints
Depression
Intense anxiety, worries, or new fears .
Anxiety
Increased aggression or impulsive .
behavior Withdrawal
Acting out witnessed events in play, Self-destructive behavior such
such as having one doll hit another as cutting

doll

It is important to remember that any of these symptoms can alse be associated with other stress, traumas, or developmental
disturbances. They should be considered in the context of the child's and family’s functioning.

Q: What are the factors that help children recover?

A: Most children are resilient if given
the proper help following traumatic
events, Research has shown that the
support of family and community are
key to increasing children’s capacity
for resilience and in helping them to
recover and thrive."

Crucial to a child’s resiliency is the
presence of a positive, caring, and
protective adult in a child’s life. Although
a long-term relationship with a caregiver
is best, even a brief relationship with
one caring adult—a mentor, teacher,
day-care provider, an advocate in a
domestic violence shelter-—can make
an important difference.

4 Domestic Violence and Children: Questions and Answers for Domestic Violence Project Advocates
November 2010


Reactions to reminders. The child may react to any

reminder of the domestic violence. Sights, smeils, Ariel, an 11-month-
tastes, sounds, words, things, places, emotions, old who was present
even other people can become linked in the child's when her mother
mind with the traumatic events. For example, a was attacked by
school-age child may become upset when watching her boyfriend, kept
a football game because the violent contact waking up at night
between players is a reminder of domestic violence. screaming.

Sometimes behavior that seems to come out of
nowhere, such as a sudden tantrum, is actually a
reaction to a trauma reminder.

Trouble going to sleep or staying asleep, or having nightmares.

Repetitive talk or play about the domestic violence. For example, a young girl may act out
violence when playing with her dolis.

Other short-term symptoms may include anxiety (for example, separation anxiety); depression;
aggression (perhaps reenactment of the witnessed aggression); physical complaints
(stomachaches, headaches); behavioral problems (fighting, oppositional behavior, tantrums);
feelings of guilt or self-blame; and poor academic performance.

Q: What about children’s responses in the long term?

A: Research suggests that in the long term, children who

have been exposed to domestic violence—especially those Ten-year-old Paul,
children who do not receive therapeutic intervention—may be at who frequently
increased risk of witnessed violent

fignts between his

Depression’ and anxiety parents, punched

Substance abuse another boy who
teased him in line
Self-destructive or suicidal behaviors at school.

impulsive acts, including risky sex and unintended
pregnancy

Chronic health problems
Low self-esteem
Criminal and violent behavior (including perpetration of domestic violence)

Victimization by an intimate partner

The National Child Traumatic Stress Network
www.NCTSN org,


A child's proximity to the violence also makes a difference. Consider the very different
experiences of a 12-year-old child who was in another room with headphones on while her
parents battied; an eight-year-old who had to call 914 despite a raging parent's threats against
him; and a teenager who has frequently put himself at risk by getting into the middle of fights to
protect his mother from her estranged boyfriend.

Here are some of the factors that can influence:children’s reactions to domestic violence:

® The severity of the violence (Was it life-threatening? Did the victim express terror in front
of the child? Was a weapon used or brandished? Was there a serious injury?)

® The child’s perception of the violence (A child may perceive violence as life-threatening
even if adults do not.)

® The age of the child (see table, Possible Reactions to Domestic Violence, page 4)
® The quality of the child’s relationships with both parents (or involved parties)

® The child's trauma history (What other traumatic events has the child experienced? Was
the child also a victim of physical abuse?)

® Secondary adversities in the child's life, such as moving, changing schools, or leaving
behind support systems +?

Q: What are some typical short-term responses?

A: Children commonly respond to domestic
violence as they do to other traumatic events.
Shortterm traumatic stress reactions include

® Hyperarousal. The child may become
jumpy, nervous, or easily startled.

® Reexperiencing. The child may continue
to see or relive images, sensations, or
memories of the domestic violence despite
trying to put them out of mind.

® Avoidance. The child may avoid situations,
people, and reminders associated with
the violence, or may try not to think or talk
about it.

® Withdrawal. The child may feel numb,
frozen, or shut down, or may feel and act
as if cut off from normal life and other
people.

2 Domestic Violence and Children: Questions and Answers for Domestic Violence Project Advocates
November 2010.