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J Fam Viol (2012) 27:233–241

DOI 10.1007/s10896-012-9416-6

ORIGINAL ARTICLE

School-Based Group Interventions for Children Exposed


to Domestic Violence
E. Heather Thompson & Shannon Trice-Black

Published online: 6 March 2012


# Springer Science+Business Media, LLC 2012

Abstract Children exposed to the trauma of domestic vio- in the school setting (Farmer et al. 2003; Salmon and Kirby
lence tend to experience difficulties with internalized and 2008). Recent research indicates the importance of provid-
externalized behavior problems, social skills deficits, and ing mental health services for children within their schools
academic functioning. Mental health practitioners in the in order to help them succeed academically and socially
school setting, including school counselors, school psycholo- (Baker et al. 2006; Farmer et al. 2003).
gists, and school social workers, can address developmental School mental health professionals often provide preven-
concerns that impede development through group counseling tive and responsive interventions to student needs (American
interventions that include both structured activities and play School Counselor Association [ASCA] 2005; National
therapy. The school environment offers an ideal setting in Association of School Psychologists 2010). In fact, the
which to work with child survivors of trauma, as all students ASCA (2005) recommends that school counselors spend at
have accessibility to school mental health resources. This least 80% of their time in direct contact with students. Based
article outlines the primary objectives and corresponding pro- on this, schools counselors often are faced with the wide-
cedures for a developmentally- appropriate group interven- reaching problem of domestic violence which affects ap-
tions for elementary-aged children who have been exposed to proximately 15 million children each year (McDonald et al.
the trauma of domestic violence. 2006). Children who reside in homes marked by domestic
violence are exposed to various forms of aggression which
Keywords Domestic violence . Children . Counseling may include repeated physical assaults, mental humiliation
and degradation, threats and assaults with guns and knives,
threats of suicide and homicide, and destruction of property
Nearly four million children in the United States struggle (McClosky et al. 1995). Investigation of the negative effects
with a diagnosable mental disorder that significantly hinders of children’s exposure to domestic violence reveals a link
various areas of functioning which impacts their ability to be between witnessing violence in the home and a wide array of
successful at school (U.S. Department of Health and Human adjustment problems. Child-witnesses of domestic violence
Services 1999). Less than 20% of those children will get the often experience chaotic, distressing events, of which they
mental health services they need (U.S. Department of Health have very little control or comprehension. Expressions of
and Human Services 2000). Many of the urgent mental hostility between intimate partners are often followed by
health needs of children are first recognized and addressed what appear to be loving exchanges, which may inhibit
children’s abilities to trust, develop a sense of personal
control, or develop a sense of safety and security in the world
E. H. Thompson
Counseling Department, Western Carolina University, (Campbell and Lewandowski 1997; Tyndall-Lind 1999).
Candler, NC 28715-8945, USA Emotional problems related to children’s exposure to domes-
tic violence include depression, anxiety (Litrownik et al.
S. Trice-Black (*)
2003), somatic complaints, sleep disturbances, separation
Counselor Education Department, College of William and Mary,
Williamsburg, VA 23187-8795, USA anxiety, and withdrawal (Margolin and Gordis 2000; Pepler
e-mail: stblack@wm.edu et al. 2000). Child-witnesses of domestic violence also may
234 J Fam Viol (2012) 27:233–241

have feelings of self-blame for the abuse of a household Research on domestic violence interventions with chil-
member (Sullivan et al. 2004). Witnessing domestic violence dren indicates the benefit of treatment early on (Suderman et
is also associated with increased risks for suicidal behaviors, al. 2000; Sullivan et al. 2004). Child-witnesses who partic-
phobias, and decreased self-esteem (Fantuzzo and Mohr ipate in group counseling interventions experience a reduc-
1999). Furthermore, research has shown that children ex- tion in internalizing and externalizing behavior problems, an
posed to domestic violence may externalize their emotional increase in self-esteem (Kot et al. 2005), diminished feelings
problems behaviorally exhibiting problems in hyperactivity, of self-blame, and increased safety knowledge (Suderman et
reduced impulse control, temper tantrums, aggression, bul- al. 2000; Sullivan et al. 2004). Elementary school interven-
lying, and cruelty to animals (Fantuzzo and Mohr 1999; tions for children exposed to domestic violence, such as
Pepler et al. 2000). small group counseling, can provide support, assist with
Additionally, children who reside in families character- emotional and problem-solving skills, and help prevent
ized by violence often exhibit decreased levels of social problems later in life.
competence, which is evidenced by diminished interper- The majority of families in the general population who
sonal sensitivity, empathy, and appropriate interpersonal are affected by domestic violence do not receive clinical
problem-solving skills (Margolin and Gordis 2000; services (Huth-Bocks et al. 2001). The current economic
Fantuzzo & Mohr, 1999). Childhood exposure to domestic struggles have impacted many domestic violence shelters,
violence is related to the attitudes that children develop and the services they provide. As a result, many children
regarding the use of violence as an appropriate strategy for exposed to violence may not receive therapeutic services. In
stress reduction and an acceptable approach to conflict order to reach the vast number of children exposed to
resolution (Hay-Yahia and Dawud-Noursi 1998; Mihalic domestic violence, supportive services may be provided in
and Elliot 1997). Poor conflict resolution skills or the the school setting. School mental health professionals, such
avoidance of conflict all-together can hinder the develop- as counselors, psychologists, and social workers can provide
ment of significant interpersonal skills. Any feelings of services to child-witnesses of domestic violence in order to
grief, anxiety, helplessness, and isolation in conjunction help them succeed socially, personally, and academically.
with maladaptive externalizing behaviors such as bullying, The school environment offers an ideal setting in which to
aggression, disobedience, and difficulty concentrating may work with children exposed to domestic violence, as all
further exacerbate a lack of social competence. students have access to school mental health resources.
Furthermore, children exposed to domestic violence Domestic violence counseling in the school setting reduce
have a greater risk of developing Posttraumatic Stress Dis- limitations of accessibility, transportation, and scheduling
order (PTSD), which may further exaggerate developmental that are often an obstacle when children are in need of
problems related to exposure to domestic violence. Physio- services (Huth-Bocks et al. 2001).
logical responses to repeated exposure to domestic violence Although school mental health professionals often cannot
elevate the stress feedback system in the brain and heighten change the home and community environments in which
the child’s perception of danger (Mohr & Fantuzzo, 1999). child-witnesses live, they can create a safe environment for
This heightened awareness may be evidenced by trauma the development of affirmative and encouraging relation-
symptoms such as hypervigilance, exaggerated startle re- ships, emotional and academic support, and healthy models
sponse, anxiety, poor regulation of affect, and depression of interaction styles. Clinicians within the school can play
which may worsen externalizing behavioral problems, an integral part in bolstering resilience and healthy coping
decrease academic functioning, and hinder social skill skills in children exposed to domestic violence in order to
development. promote academic and social successes (Dean et al. 2008;
The ramifications of exposure to domestic violence often McAdams et al. 2009; Silva et al. 2003).
follow children into adolescence and adulthood. For exam- Group counseling is one of the most efficient ways in
ple, it frequently leads to problematic behaviors in adoles- which school mental health professionals can promote the
cence such as substance abuse, aggressive and antisocial growth and development of children exposed to domestic
behavior, interpersonal problems in school, and decreased violence. This form of treatment enhances relatedness be-
academic functioning (Fisher 1999; Maker et al. 1998). In tween and among children within a supportive social system
early adulthood, Evans and Sullivan (1995) found that un- that permits mutual aid which empowers children to be
dergraduate college students who witnessed abuse experi- sources of assistance to each other as well as recipients of
enced higher levels of depression, trauma-related symptoms, support (Emshoff and Jacobus 2001). Research indicates
and lower self-esteem than non-witnesses. As adults, the that group counseling is an effective approach to addressing
ramifications of childhood exposure to violence include developmental issues related to exposure to domestic violence
increased risk for violent behavior, criminal activity, and (Huth-Bocks et al. 2001; Kot et al. 2005; Sullivan et al. 2004).
poor parenting practices (Margolin and Gordis 2000). Through group counseling, children can contribute to the
J Fam Viol (2012) 27:233–241 235

development of one another as the adverse effects of exposure Child-witnesses of domestic violence may also be referred
to domestic violence are explored (Huth-Bocks et al. 2001; for a formal intake with the school mental health profes-
Kot et al. 2005; Sullivan et al. 2004). The group setting, as sional through self-referral, teacher referral, and parent re-
opposed to one-on-one counseling, is often less threatening to ferral. The following questions can assist in the discussion
child-witnesses, which may reduce anxiety while stimulating of domestic violence: “Who do you call family?”, “Who
activity and spontaneity among the group members (Landreth lives with you?”, “Have you ever seen grown-ups fight?”,
and Sweeney 1999). A group environment helps bridge the and “What happens when they fight?” (Thompson, in press).
gap in trust for child-witnesses by forming a safe and nurtur-
ing environment in which group members can learn to reach Informed Consent and Confidentiality
out and connect (Nisivoccia and Lynn 1999). The group also
provides a forum for children to develop new patterns of Prior to starting the group, a full explanation of the group in
interactions that enhance social skills and the development order to obtain parental permission is important for pre-
of empathy for others (Landreth and Sweeney 1999). group screening and informed consent (American Counsel-
The purpose of this article is to illuminate the ways in ing Association [ACA] 2005; ASCA 2010). Consent forms
which school mental health professionals can facilitate can be sent home to the parents/caregivers of children ex-
group interventions that address the social, emotional, be- posed to violence who do not currently reside with an active
havioral, and cognitive development of elementary-age perpetrator. It may not be safe for children who reside with
children who have been exposed to domestic violence. The an active perpetrator to participate in a domestic violence
group intervention outlined in this article includes evidence- group. These child-witnesses may be safer working with
based interventions and techniques that promote the well- school mental health professionals individually or partici-
being of children exposed to the trauma of domestic vio- pating in other counseling groups such as self-esteem or
lence (Suderman et al. 2000; Sullivan et al. 2004). This friendship groups. As part of informed consent, school
particular model emerged from a qualitative study detailing mental health professionals are required to explain the
the interactions of children engaged in counseling groups parameters of student confidentiality to student participants
for child-witnesses of domestic violence (Thompson 2011). as well as their parents/caregivers (ASCA 2010). School
The child-witnesses who participated in this domestic vio- mental health professionals can explain confidentiality to
lence group, which included many of the structured and students in child-friendly language such as, “What is said
non-structured interventions discussed in this article, devel- in here stays in here.” Exceptions to confidentiality should
oped protective factors such as the ability to trust, share, also be explained to group members. As with all types of
offer support to others, take perspective, solve problems, counseling, confidentiality for group members cannot be
assert themselves, voice attitudes against violence, and cor- guaranteed. Efforts that can help maintain confidentiality
rectly attribute of blame. include continual discussions, explanations, and references
to confidentiality throughout the group sessions.
According to the Code of Ethics of the ACA (2005) and
School-Based Group Interventions the ACSA’s Ethical Standards for School Counselors
(2010), school counselors are expected to protect student
Selection of Group Members confidentiality unless information is deemed to be of clear
and imminent danger to the student or to others, or it is
Classroom guidance lessons provide an appropriate venue legally required to break confidentiality. Notes or documen-
for school mental health professionals to present safety tation regarding the counseling group can be considered part
planning and prevention of abuse for all students. One of a student’s record, and therefore, accessible by parents, as
way to present this material, in an elementary setting, is to outlined in the federal law of Family Educational Rights and
begin a classroom lesson with a therapeutic story such as, Privacy Act (FERPA 1974). School mental health profes-
Mommy and Daddy are Fighting, which is written from the sionals should be familiar with their state’s mandated report-
perspective of a child who witnesses a fight between her ing laws for child maltreatment. Some children who are
parents (Paris 1986). The school mental health professional exposed to severe violence at their home are at significant
can help the students process the story through discussion risk and should be reported to child protection agencies
and drawing pictures of the story and of their own (Edleson 1999).
experiences.
Children who reveal exposure to violence in their homes Parental Participation
can have an opportunity to meet with a school mental health
professional for a more formal intake to determine the Support services for non-violent parents and caregivers can
appropriateness of the counseling group for the child. be provided while their children participate in group
236 J Fam Viol (2012) 27:233–241

counseling. Domestic violence interventions for non-violent exposed to family violence and in teaching children nonvi-
parents or caregivers can provide validation and support, as olent means of conflict resolution (Butterworth and Fulmer
well as education about domestic violence, conflict resolu- 1991). There are several therapeutic stories and videos for
tion, normative child development, empowering parenting children who have been exposed to domestic violence. A
practices, and safety planning. While concurrent caregiver video used by the first author, in the domestic violence
and family sessions are recommended best practices, it is groups she facilitates is Tulip Doesn’t Feel Safe, which is a
not always feasible, due to reasons such as a lack of personal 12-minute video designed to help children develop safety
readiness on the part of the parent/caregiver for counseling, plans, label and express feelings, and explore alternative
inability to participate because of work schedules, and/or responses to domestic violence (Prin 1993). Examples of
possible transportation issues. Children should not be de- books for children’s domestic violence groups include: A
nied services because of limited parental/caregiver involve- Terrible Thing Happened, (Holmes 2002), Mommy and Dad-
ment. In such cases, school mental health providers can dy are Fighting (Paris 1986), and Something is Wrong at My
schedule brief weekly phone conferences to communicate House, (Davis 1984).
support, validate parent/caregiver experiences, and discuss School mental health professionals can assist members in
group objectives, activities, and ways to cement their child’s meeting the group objectives by processing the content and
learning at home. messages presented in videos and books. Group facilitators
can ask questions about the characters, explore possible
Group Interventions feelings expressed or experienced by characters, and en-
courage children to draw pictures of personal experiences
The foundation of this group intervention is based on related to those of the characters. Simple, yet effective
evidence-based practices in the field of domestic violence, exploration of feelings with children can be facilitated with
the facilitation of numerous domestic violence groups in the choice of four feelings: sad, mad, glad, or scared. Facil-
school settings, and a thorough understanding of the litera- itators may also use these opportunities to help reinforce
ture on domestic violence. Within the group setting, school safety plans for group members.
mental health professionals can offer both structured inter-
ventions and non-structured play therapy, in order to provide Play Therapy
children with a safe environment in which to explore their
personal feelings and experiences and learn safety skills. Through play therapy, school mental health professionals
The following are descriptions of group play therapy and can enter the world of elementary school students by using
structured group interventions for use when working with children’s play and toys as a common language (Landreth et
children exposed to domestic violence. al. 2009). The Piagetian perspective of development empha-
sizes the power of play as a natural form of communication
Structured Interventions for children to express their thoughts, feelings, and experi-
ences (Sweeney and Homeyer 1999). Based on Piagetian
Structured interventions aimed at the amelioration of the tenets of cognitive development, play is the most develop-
developmental consequences of exposure to violence in mentally appropriate means of communication for young
the home can benefit children exposed to domestic violence children (Kot et al. 1998; Landreth 2002). Children’s
(Sullivan et al. 2004). Structured interventions refer to a responses to traumatic experiences such as exposure to
variety of techniques such as problem-solving role-plays domestic violence are influenced by their developmental
and the identification of feelings and safety measures stage (Bokszczanin 2007; Gumpel 2008; Lieberman and
through games, puppets, stories, videos, and art projects. Knorr 2007; Solberg et al. 2007). Unlike adults, young chil-
With structured group interventions, group members can dren are significantly limited in their ability to use abstract
work together to discuss common problems and to create cognitive verbalization as their primary means of communi-
social, emotional, and behavioral skills to promote resiliency. cation. Play, however, bridges the developmental gap between
Role-plays, games, and discussion can be used to address concrete and abstract thought. Through the vehicle of sym-
issues related to labeling feelings, self-esteem, coping skills, bolic representation in play, children may be able to commu-
safety planning, attitudes about violence, and dealing with nicate feelings associated with traumatic life experiences, such
loss (Jaffe et al. 1986). as domestic violence (Sweeney and Homeyer 1999).
In play therapy, children gain emotional distance from the
Bibliotherapy anxiety-provoking past experiences by using toys to explore
and discharge hidden fears and emotional tensions related to
Bibliotherapy, through the use of stories and videos, has intense traumatic experiences (Doyle and Stoop 1999;
been shown to be an effective tool in helping children Robinson 1999). By projecting intense feelings and
J Fam Viol (2012) 27:233–241 237

emotions towards toys, and experiencing control and mas- Objective 1: Conflict resolution and problem-solving
tery over situations in fantasy, children experience empow-
erment rather than helplessness (Robinson 1999; Webb The ability to resolve conflict through the assertive
1999). As the feelings of mastery become incorporated in expression of needs and feelings is an important attri-
the child’s sense of self, the child’s self-concept and self- bute to the overall healthy development of children.
efficacy are enhanced (Kot and Tyndall-Lind 2005; Schaefer Poor conflict resolution skills or the avoidance of con-
and Carey 1994). During play therapy in the group session, flict hinders the development of significant interpersonal
members may be permitted to shape the direction of the skills that are necessary for success in school. Children
group through play and interactions. Play therapy can also can grow in areas of social competence, which enhances
assist with reduction in self-blame by providing a safe venue conflict resolution skills, by: (a) using words to solve
in which to overcome feelings of shame and guilt (Namka conflicts, (b) acknowledging and appropriately respond-
1995; Carmichael and Lane 1997). ing to the feelings of others, (c) verbalizing needs, (d)
Through the provision of a wide variety of toys, children verbalizing feelings, and (d) sharing and taking turns
may experience and demonstrate responsibility and (Stevahn et al. 2000). These skills can be enhanced
decision-making in the safety of the group setting. Utiliza- through games, role plays, and interventions occurring
tion of crayons, play dough, and blocks, which can be in the here-and-now (Stevahn et al. 2000).
mastered and manipulated easily, can help facilitate the Additionally, visual tools, such as that of a stoplight, can
development of a positive self-image (Landreth 2002). enhance the teaching and learning of conflict resolution. The
Real-life toys such as dolls, animals, puppets, cars and use of a stoplight is a structured intervention influenced by
trucks, and a phone may allow group members to express the work of the Exchange Club Family Center in Memphis,
lived-experiences. Aggression-release toys such as an alli- Tennessee (The Exchange Club Family Center 2004). The
gator puppet, a boxing glove, and soldiers provide avenues stoplight can be used to demonstrate appropriate choices
for children to express hostility and anger. Power and con- when confronted with intense emotion. By applying the
trol toys such as handcuffs and a rope allow for the expres- stoplight to problem-solving scenarios, children can learn
sion of power. Nurturing toys, which may include a medical the importance of stopping their actions (red light), thinking
kit, kitchen set, baby bottle, and baby doll, can also be of a good choice (yellow light), and selecting the good
provided. As the group facilitator, the school clinician can choice (green light). As the group facilitator, the school
rely on limit setting and the reflection of feelings to help mental health professional may tailor specific problem sce-
children learn to identify and express their emotions in a narios to pertinent issues in her or his group.
socially appropriate manner (Landreth 2002; Webb 1999).
Limits can be set in the form of choices, thereby honoring Objective 2: Identification and expression of feelings
the child’s natural ability to make positive behavioral
choices. Through art and play, children can learn about and explore
difficult feelings related to personal trauma (St. Thomas and
Group Objectives Johnson 2007). Group facilitators may assist children in
their exploration and discovery of their feelings by asking
Through both play therapy and structured interventions, questions such as: “How did you feel when that happened?”,
school mental health professionals can focus on primary “Can you show me an (angry, sad, scared, happy, etc.)
objectives related to areas of concern commonly experienced face?”, “Show me where the (anger, sadness, fear, happi-
by young children exposed to domestic violence. The over- ness, etc.) goes in your body.”, “How do you get those
arching goals of the group should be to improve children’s feelings out?”, “How do you feel now that you talked
emotional, behavioral, social, and academic development. about…?”, “What is one thing you can do to feel better
The primary objectives could include: (a) conflict resolution when…happens?”, “Draw me a picture of a time you
and problem solving (Margolin and Gordis 2000; Mohr and felt….”, and “What made you feel…?” Through the reflec-
Fantuzzo 2000); (b) identification and expression of feelings tion of group members’ feelings in structured exercises, as
(Schewe 2008); (c) reduction in self-blame (Schewe 2008; well as that of play therapy, children can learn more about
Fosco et al. 2007); (d) safety planning, which includes the their own feelings and develop empathy for the feelings of
development of protective coping strategies and the identifi- others. Reflecting feelings through play therapy can help
cation and utilization of supportive adults (Schewe 2008; children use words to share their internal experiences (Land-
Peled and Edleson 1998); (e) increased knowledge, aware- reth et al. 2009). Structured interventions, such as teaching
ness, and attitudinal changes about the use of violence coping mechanisms to deal with intense emotional experi-
(Schewe 2008; Wilson et al. 1989); and (f) enhanced self- ences, can contribute to the reduction in externalizing
concept (Schewe 2008; Holt et al. 2008). behaviors exhibited in the classroom.
238 J Fam Viol (2012) 27:233–241

Objective 3: Reduction in self-blame 911, (b) stand there and watch, or (c) go outside and play or
go to a neighbor’s house until the fight ends? GO with the
Children who witness domestic violence often struggle with best choice.”
feelings of self-blame, guilt, and desires to intervene in Facilitators may want to give each group member a
fights at home which may stem from child-witnesses’ sticker labeled with his or her address and encourage them
beliefs that they are responsible for preventing or ending to place the stickers in easily accessible areas, such as the
fights that occur in the home (Fosco et al. 2007). Correct refrigerator, in order to provide a 911 operator the necessary
attribution of blame can be enhanced by asking questions information. Group members should complete a visual
about culpability related to a child’s drawings and stories of safety plan after practicing calling 911. A sample safety
domestic violence. The group facilitator might ask: “Who plan might include the following: (a) When I get scared,
caused the fight to happen?”, “Are children to blame for I can think about ___________, (b) When there is a
fights?”, and “Who is to blame when adults choose to hit fight at my house, I can go to ___________, (c) In case
another person?” Self-blame should be assessed and cor- of an emergency, I can call _____________, and (d) my
rected continuously throughout the group process. address is ______________. Group members should be
encouraged to identify a neighbor or family member
Objective 4: Safety planning whose house they may go to in an emergency. Each
child’s safety plan should be personalized because chil-
Children who are exposed to domestic violence often report dren who live in rural areas may not live close to others
feelings of personal responsibility to intervene in violent and not all children have access to a phone.
conflicts (Burgess et al. 2006; Gumpel 2008; Laumakis et Safety plans are important tools for use in enhancing a
al. 1998). Compelled by a sense of obligation, children may child’s ability to cope with aggressive disruptions in the
go to courageous lengths to protect loved ones from abusive home. Other coping mechanisms that empower young chil-
adults, which jeopardizes the physical safety of children. dren who are exposed to domestic violence include the
Children can be provided with the knowledge to engage in identification of adults who can provide guidance, reassur-
the creation of a safety plan, modified for their own personal ance, and a model of appropriate interpersonal responding.
and unique circumstances (Cohen and Mannarino 2008). School mental health professionals can help children iden-
Research indicates that elementary- and middle school- tify realistic and accessible support people, a means in
aged children, who have been exposed to trauma, can de- which to contact that person, and examples of times when
velop a sense of empowerment and control through the they have talked to this person about difficulties. Group
creation of individual safety plans (Brown et al. 2006). facilitators can role-play conversations with children and
Safety knowledge can be enhanced through structured inter- the support people they have identified. Puppets may be
ventions in which group members are encouraged to do the helpful in getting children to role-play the initiation of
following: (a) identify people in their lives who can provide potential conversations with their identified support person.
support in dealing with problematic situations related to Creating safety plans, practicing coping skills, and identify-
domestic violence, (b) list both safe and unsafe places to ing support people may empower children by helping them
go when fighting occurs in the home, and (c) distinguish feel better prepared to cope. Children who feel more
when it is appropriate and how to call 911. Safety planning empowered to cope with aggressive family disruptions
questions might include: “Can you remember a fight that may in turn feel decreased powerless and fearfulness mak-
happened at your house?”, “What did you do when…?”, ing them better able to focus and succeed in other areas of
“What would you do now to be safe?”, “Who can you talk to their life including school.
about fights?”, and “How would you start to talk to them?”
The use of puppets and drawing may also help children Objective 5: Knowledge, awareness, and attitudes about
demonstrate safety skills. domestic violence
Group members should be taught when and how to call
911. Group members can practice choosing when to dial 911 The group setting provides a social microcosm in which
using a structured technique such as, “Stop, Think and Go,” children can learn to deal with conflict. Group facilitators
in which school mental health professionals create different can set limits, which communicates to group members that
scenarios based on the experiences of group members certain behaviors such as hitting, kicking, and pushing are not
(Exchange Club Family Center 2004). For example, the appropriate ways to express oneself (Landreth et al. 2009).
school mental health professional might provide a concrete First, facilitators can verbalize the limit (“People are not for
example such as, “Your mom’s boyfriend is yelling at her hitting”) and then redirect the child to an appropriate outlet for
because she spends too much money at the store. You feel her or his aggression, such as a pillow or punching bag. The
scared. STOP! THINK of a good choice. Do you (a) call facilitator should then use empowering language to
J Fam Viol (2012) 27:233–241 239

acknowledge the child when the behavior changes (“You violence. Schools provide an ideal setting for an interven-
chose to hit the bag instead of your friend. That is a safe tion, as all children have access to school mental health
choice.”). The manner in which the limits are set communi- professionals; whereas many children may not have access
cates the boundary without embarrassing or shaming the child to supportive services outside of the school environment.
for her or his behavior. Acknowledging the child’s choice to While a wealth of research indicates that domestic vio-
change her or his behavior communicates to the child that she lence can significantly impact the overall functioning of
or he has the power to make good choices. The group setting young children, many school mental health professionals
provides an opportunity for the facilitator to actively take may not feel prepared to address issues regarding children
advantage of opportunities to facilitate constructive problem- exposed to domestic violence because information on spe-
solving conversations between and among group members cific interventions is not easily accessible. This manuscript
who are in conflict. In addition to these structured interven- provides school mental health professionals with informa-
tions, group facilitators can allow non-structured time in each tion on the effects of domestic violence on children and
group session, in order to permit the natural emergence of specific, detailed interventions that can help identify and
conflicts and the proceeding facilitation of conflict resolution assist elementary-aged child-witnesses in a counseling
in the here-and-now. group setting. Providing young child-witnesses with a sup-
portive environment in which to explore and share experi-
Objective 6: Self-concept ences, identify and express feelings, enhance social skills,
create personalized safety plans, develop coping skills, and
Child-witnesses often reside in home environments charac- internalize experiences of success, mastery, and acceptance,
terized by negative messages resulting in the internalization will help promote the personal, social, and academic success
of negative ideas as part of the child’s self-concept. Enhanc- of children exposed to domestic violence.
ing a child’s self-concept can serve as a protective factor that
improves children’s abilities to cope with domestic violence
(Tyndall-Lind 1999). Group facilitators should make a con- References
certed effort to do this by giving praise and calling attention
to prosocial behaviors exhibited by group members. These
American Counseling Association. (2005). ACA code of ethics.
behaviors may include sharing, taking turns, waiting pa-
Alexandria, VA: Author.
tiently, supporting another group member, offering a com- American School Counselor Association. (2005). The ASCA national
pliment or advice to another group member, asserting model: A framework for school counseling programs (2nd ed.).
personal needs, verbalizing feelings, appropriately express- Alexandria: Author.
American School Counselor Association. (2010). Ethical standards for
ing feelings, and exercising self-care or self-soothing behav-
school counselors. Retrieved from http://www.schoolcounselor.
iors. Group facilitators should offer acknowledgement and org/files/EthicalStandards2010.pdf
encouragement for good choices and appropriate social Baker, J. A., Kamphaus, R. W., Horne, A. M., & Winsor, A. P. (2006).
interactions. For example, the group facilitator might say, Evidence for population-based perspectives on children’s behav-
ioral adjustment and needs for service delivery in schools. School
“You chose to share the markers and that was kind of you,”
Psychology Review, 35, 31–46.
or “You really want to play with that, and you are waiting Bokszczanin, A. (2007). PTSD symptoms in children and adolescents
patiently for your turn.” These are examples of empowering 28 months after a flood: age and gender differences. Journal of
statements that can be internalized by children and re- Traumatic Stress, 20, 347–351.
Brown, E. J., McQuaid, J. H., Farina, L., Ali, R., & Winnick-Gelles, A.
enacted later, which may further facilitate the enhancement
(2006). Matching interventions to children’s mental health needs:
of self-concept. feasibility and acceptability of a pilot school-based trauma interven-
tion program. Education and Treatment of Children, 29, 257–286.
Discussion Burgess, A., Garbarino, C., & Carlson, M. I. (2006). Pathological
teasing and bullying turned deadly: shooters and suicide. Victims
and Offenders, 1(1), 1–14.
The need for therapeutic interventions that address develop- Butterworth, M. D., & Fulmer, K. A. (1991). The effect of family
mental problems and adjustment concerns related to domes- violence on children: intervention strategies including bibliother-
tic violence is evident. Although limited in nature, findings apy. Australian Journal of Marriage & Family, 12(3), 170–182.
Campbell, J., & Lewandowski, L. (1997). Mental and physical health
from research on the effectiveness of domestic violence
effects of intimate partner violence on women and children.
group interventions with children indicate that children ben- Psychiatric Clinics of North America, 20, 353–374.
efit from early interventions (Suderman et al. 2000; Sullivan Carmichael, K. D., & Lane, K. S. (1997). Play therapy with children of
et al. 2004; Wagar and Rodway 1995). School counseling alcoholics. Alcoholism Treatment Quarterly, 15(1), 43–51.
Cohen, J. A., & Mannarino, A. P. (2008). Trauma-focused cognitive
groups facilitated by school-based counselors, social work- behavioural therapy for children and parents. Child and Adolescent
ers, and psychologists can provide structured interventions Mental Health, 13(4), 158–162.
and play therapy for young children exposed to domestic Davis, D. (1984). Something is wrong at my house. Seattle: Parenting.
240 J Fam Viol (2012) 27:233–241

Dean, K. L., Langley, A. K., Kataoka, S. H., Jaycox, L. H., Wong, M., Landreth, G. L. (2002). Play therapy: The art of the relationship. New
& Stein, B. D. (2008). School-based disaster mental health serv- York: Taylor & Francis.
ices: clinical, policy, and community challenges. Professional Landreth, G. L., & Sweeney, D. S. (1999). The freedom to be:
Psychology: Research and Practice, 39(1), 52–57. Child-centered group play therapy. In D. S. Sweeney & L. E.
Doyle, J. S., & Stoop, D. (1999). Witness and victim of multiple Homeyer (Eds.), Group play therapy (pp. 39–64). San Francisco:
abuses: case of Randy, age 10, in a residential treatment center, Jossey-Bass.
and follow-up at age 19 in prison. In N. B. Webb (Ed.), Play Landreth, G. L., Ray, D. C., & Bratton, S. C. (2009). Play therapy in
therapy with children in crisis (pp. 131–163). New York: elementary schools. Psychology in the Schools, 46, 281–289.
Guilford. Laumakis, M. A., Margolin, G., & John, R. S. (1998). The emotional,
Edleson, J. L. (1999). Children’s witnessing of adult domestic vio- cognitive, and coping responses of preadolescents children to
lence. Journal of Interpersonal Violence, 14, 839–870. different dimensions of marital conflict. In G. W. Holden, R.
Emshoff, J. G., & Jacobus, L. L. (2001). Play therapy for children of Geffner, & E. N. Jouriles (Eds.), Children exposed to marital
alcoholics. In A. A. Drews, L. J. Carey, & C. E. Schaefer (Eds.), violence: Theory, research, and applied issues (pp. 257–288).
School-based play therapy (pp. 194–215). New York: Wiley. Washington: American Psychological Association.
Evans, K., & Sullivan, J. M. (1995). Treating addicted survivors of Lieberman, A. F., & Knorr, K. (2007). The impact of trauma: a
trauma. New York: Guilford. developmental framework for infancy and early childhood. Psy-
Exchange Club Family Center. (2004). Family violence intervention chiatric Annals, 37, 416–422.
program [Brochure]. Memphis: Author. Litrownik, A. J., Newton, R., Hunter, W. M., English, D., & Everson,
Fantuzzo, J. W., & Mohr, W. K. (1999). The prevalence and effects of M. D. (2003). Exposure to family violence in young at-risk
child exposure to domestic violence. The Future of Children, 9(3), children: a longitudinal look at the effects of victimization and
21–32. witnessed physical and psychological aggression. Journal of
Farmer, E., Burns, B., Phillips, S., Angold, A., & Costello, E. (2003). Family Violence, 18, 59–73.
Pathways into and through mental health services for children and Maker, A. H., Kemmelmeier, M., & Peterson, C. (1998). Long-term
adolescents. Psychiatric Services, 54, 60–66. psychological consequences in women of witnessing parental
Family Educational Rights and Privacy Act, 20 U.S.C. § 1232 g, 34 physical conflict and experiencing abuse in childhood. Journal
CFR Part 99 (1974). of Interpersonal Violence, 13, 574–589.
Fisher, D. (1999). Preventing childhood trauma resulting from Margolin, G., & Gordis, E. (2000). The effects of family and commu-
exposure to domestic violence. Preventing School Failure, 44 nity violence on children. Annual Psychological Review, 51, 445–
(1), 25–27. 479.
Fosco, G. M., DeBoard, R. L., & Grych, J. H. (2007). Making sense of McAdams, C. R., Foster, V. A., Dotson-Blake, K., & Brendel, J. M.
family violence: Implications of children’s appraisals of interpar- (2009). Dysfunctional family structures and aggression in chil-
ental aggression for their short and long-term functioning. dren: A case for school-based, systemic approaches with violent
European Psychologist, 12(1), 6–16. students. Journal of School Counseling, 7(9). Retrieved from
Gumpel, T. (2008). Behavioral disorders in the school: participant roles http://www.jsc.montana.edu/articles/v7n9.pdf
and sub-roles in three types of school violence. Journal of McClosky, L. A., Figueredo, A. J., & Koss, M. P. (1995). The effects of
Emotional and Behavioral Disorders, 16(3), 145–162. systemic family violence on children’s mental health. Child De-
Hay-Yahia, M. M., & Dawud-Noursi, S. (1998). Predicting the use of velopment, 66, 1239–1261.
different conflict tactics among Arab-American siblings in Israel: McDonald, R., Jouriles, E. N., Ramisetty-Mikler, S., Caetano, R., &
a study based on social learning theory. Journal of Family Green, C. E. (2006). Estimating the number of American children
Violence, 13, 81–103. living in partner-violent families. Journal of Family Psychology,
Holmes, M. (2002). A terrible thing happened: A story for children 20(1), 137–142.
who have witnessed violence or trauma. Washington: American Mihalic, S. W., & Elliot, D. (1997). A social learning theory model of
Psychological Association. marital violence. Journal of Family Violence, 12, 21–47.
Holt, S., Buckley, H., & Whelan, S. (2008). The impact of exposure to Mohr, W. K., & Fantuzzo, J. W. (2000). The neglected variable of
domestic violence on children and young people: a review of the physiology in domestic violence. In R. A. Geffner, P. G. Jaffe, &
literature. Child Abuse & Neglect, 32, 797–810. M. Suderman (Eds.), Children exposed to domestic violence:
Huth-Bocks, A., Schettini, A., & Shebroe, V. (2001). Group play Current issues in research, intervention, and policy development
therapy for preschoolers exposed to domestic violence. Journal (pp. 69–84). Binghamton: The Hawthorn Maltreatment & Trauma
of Child and Adolescent Group Therapy, 11(1), 19–34. Press.
Jaffe, P., Wilson, S., & Wolfe, D. A. (1986). Promoting change in Namka, L. (1995). Shame busting: Incorporating group social skills
attitudes and understanding of conflict resolution among child training, shame release, and play therapy with a child who was
witnesses of family violence. Canadian Journal of Behavioral sexually abused. International Journal of Play Therapy, 4(1), 81–
Science, 18, 356–366. 98.
Kot, S., & Tyndall-Lind, A. (2005). Intensive play therapy with child National Association of School Psychologists. (2010). Principles for
witnesses of domestic violence. In L. A. Reddy, T. M. Files-Hill, professional ethics. Retrieved from http://www.nasponline.org/
& C. E. Schaefer (Eds.), Empirically based play interventions for standards/2010standards/1_%20Ethical%20Principles.pdf
children (pp. 31–49). Washington: American Psychological Nisivoccia, D., & Lynn, M. (1999). Helping forgotten victims: Using
Association. activity groups with children who witness violence. In N. B.
Kot, S., Landreth, G. L., & Giordano, M. (1998). Intensive child- Webb (Ed.), Play therapy with children in crisis (pp. 74–101).
centered play therapy with child witnesses of domestic violence. New York: Guilford.
International Journal of Play Therapy, 7(2), 17–36. Paris, S. (1986). Mommy and daddy are fighting. Seattle: Seal.
Kot, S., Landreth, G. L., & Giordano, M. (2005). Intensive group play Peled, E., & Edleson, J. L. (1998). Predicting children’s domestic
therapy with child witnesses of domestic violence. In G. L. violence service participation and completion. Research on Social
Landreth, D. S. Sweeney, D. C. Ray, L. E. Homeyer, & G. J. Work Practice, 8, 698–712.
Glover (Eds.), Play therapy interventions with children’s prob- Pepler, D. J., Catallo, R., & Moore, T. E. (2000). Consider the children:
lems (pp. 240–242). Oxford: Rowman & Littlefield. Research informing interventions for children exposed to
J Fam Viol (2012) 27:233–241 241

domestic violence. In R. A. Geffner, P. G. Jaffe, & M. Suderman A. Geffner, P. G. Jaffe, & M. Suderman (Eds.), Children exposed
(Eds.), Children exposed to domestic violence: Current issues to domestic violence: Current issues in research, intervention, and
in research, intervention, and policy development (pp. 37–58). policy development (pp. 147–160). Binghamton: Hawthorn
Binghamton: The Hawthorn Maltreatment & Trauma Press. Maltreatment & Trauma Press.
Prin, J. (Producer). (1993). Tulip doesn’t feel safe [Video]. Minneap- Sullivan, M., Egan, M., & Gooch, M. (2004). Conjoint interven-
olis, MN: Johnson Institute. tions for adult victims and children of domestic violence: a
Robinson, R. (1999). Unresolved conflicts in a divorced family: Case program evaluation. Research on Social Work Practice, 14
of Charlie, age 10. In N. B. Webb (Ed.), Play therapy with (3), 163–170.
children in crisis (pp. 272–293). New York: Guilford. Sweeney, D. S., & Homeyer, L. E. (1999). The handbook of group play
Salmon, G., & Kirby, A. (2008). Schools: central to providing com- therapy. San Francisco: Jossey-Bass.
prehensive CAMH services in the future? Child and Adolescent Thompson, E. H. (2011). Stages and processes of a group for child-
Mental Health, 13(3), 107–114. witnesses exposed to domestic violence. Journal for Specialists in
Schaefer, C. E., & Carey, L. (1994). Family play therapy. Northvale: Group Work, 36(3), 178–201.
Jason Aronson. Tyndall-Lind, A. (1999). Revictimization of children from violent fami-
Schewe, P. A. (2008). Direct service recommendations for children and lies: child centered theoretical formulation and play therapy treat-
caregivers exposed to community and domestic violence. Best ment implication. International Journal of Play Therapy, 8, 9–25.
Practices in Mental Health: An International Journal, 4(1), 31–47. U.S. Department of Health and Human Services. (1999) Mental
Silva, R. R., Cloitre, M., Davis, L., Levitt, J., Gomez, S., Ngai, I., & health: A report of the surgeon general. Rockville, MD:
Brown, E. (2003). Early intervention with traumatized children. Author. Retrieved from http://www.surgeongeneral.gov/library/
Psychiatric Quarterly, 74, 333–347. mentalhealth/home.html
Solberg, V., Scott, H., Carlstrom, A. H., Howard, K. A. S., & Jones, J. U.S. Department of Health and Human Services. (2000). Report of the
E. (2007). Classifying at-risk youth: the influence of exposure to surgeon general’s conference on children’s mental health: A
community violence and protective factors on academic and national action agenda. Washington: Author.
health outcomes. The Career Quarterly, 55, 313–327. Wagar, J., & Rodway, M. (1995). An evaluation of a group treatment
St. Thomas, B., & Johnson, P. (2007). Powering children through art approach for children who have witnessed wife abuse. Journal of
and expression: Culturally sensitive ways of healing trauma and Family Violence, 10, 295–306.
grief. Philadelphia: Jessica Kingsley. Webb, N. B. (1999). The child witness of parental violence: Case of
Stevahn, L., Johnson, D. W., Johnson, R. T., Oberle, K., & Wahl, L. Michael, age 4, and follow up at age 16. In N. B. Webb (Ed.), Play
(2000). Effects of conflict resolution integrated into a kindergar- therapy with children in crisis (pp. 49–73). New York: Guilford.
ten curriculum. Child Development, 71, 772–784. Wilson, S. K., Cameron, S., Jaffe, P., & Wolfe, D. (1989). Children
Suderman, M., Marshall, L., & Loosely, S. (2000). Helping children exposed to wife abuse: an intervention model. Social Casework,
who reside at shelters for battered women: Lessons learned. In R. 70(3), 180–184.

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