Anne Lazenbatt

Health Psychology

BSc MSc PhD
22.98

Publications

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    ABSTRACT: The paper presents a protocol for ‘A randomized controlled trial of functional family therapy (FFT): an Early Intervention Foundation (EIF) partnership between Croydon Council and Queen's University Belfast’. The protocol describes a trial that uses FFT as an alternative intervention to current use of the youth justice system and local authority care with the aim of reducing crime/recidivism in young people referred to Croydon Council. The trial will take place over a period of 36 months and will involve up to 154 families. Croydon Council will employ a team of five Functional Family Therapists who will work with families to promote effective outcomes. The Centre for Effective Education at Queen's University Belfast will act as independent evaluators of outcomes for families and young people. The work is supported from the United Kingdom Economic & Social Research Council/Early Intervention Foundation Grant Number ES/M006921/1
    International Journal of Educational Research 12/2015; 70. DOI:10.1016/j.ijer.2015.01.001 · 0.51 Impact Factor
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    ABSTRACT: The manifesto Start Well, Live Better by the UK Faculty of Public Health (Start Well, Live Better-A Manifesto for the Public's Health. London: UK Faculty of Public Health, 2014) sets out 12 compelling priorities for the protection of people's health. The focus of this document is preventative, calling for a comprehensive strategy to target a wide-ranging set of challenges to public health; however, it fails to mention child maltreatment and its negative impact on long-term health outcomes. In this article, we explore the long-term negative consequences of child maltreatment and how these can be conceptually aligned with four different characteristics of long-term health conditions. We suggest that situating child maltreatment within a long-term conditions framework could have significant advantages and implications for practice, policy and research, by strengthening a commitment across disciplines to apply evidence-based principles linked with policy and evaluation and recognizing the chronic effects of maltreatment to concentrate public, professional and government awareness of the extent and impact of the issue. We argue that a public health approach is the most effective way of focusing preventative efforts on the long-term sequelae of child maltreatment and to foster cooperation in promoting children's rights to grow and develop in a safe and caring environment free from violence and abuse. © The Author 2015. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
    Journal of Public Health 08/2015; DOI:10.1093/pubmed/fdv117 · 2.30 Impact Factor
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    ABSTRACT: Women and their babies are entitled to equal access to high quality maternity care. However, when women fit into two or more categories of vulnerability they can face multiple, compound barriers to accessing and utilising services. Disabled women are up to three times more likely to experience domestic abuse than non-disabled women. Domestic abuse may compromise health service access and utilisation and disabled people in general have suboptimal access to healthcare services. Despite this, little is known about the compounding effects of disability and domestic abuse on women's access to maternity care. The aim of the study was to identify how women approach maternity care services, their expectations of services and whether they are able to get the type of care that they need and want. We conducted a qualitative, Critical Incident Technique study in Scotland. Theoretically we drew on Andersen's model of healthcare use. The model was congruent with our interest in women's intended/actual use of maternity services and the facilitators and barriers impacting their access to care. Data were generated during 2013 using one-to-one interviews. Five women took part and collectively reported 45 critical incidents relating to accessing and utilising maternity services. Mapped to the underpinning theoretical framework, our findings show how the four domains of attitudes; knowledge; social norms; and perceived control are important factors shaping maternity care experiences. Positive staff attitude and empowering women to have control over their own care is crucial in influencing women's access to and utilisation of maternity healthcare services. Moreover these are cyclical, with the consequences and outcomes of healthcare use becoming part of the enabling or disabling factors affecting future healthcare decisions.Further consideration needs to be given to the development of strategies to access and recruit women in these circumstances. This will provide an opportunity for under-represented and silenced voices to be heard.
    BMC Pregnancy and Childbirth 01/2015; 15:181. DOI:10.1186/s12884-015-0616-y · 2.15 Impact Factor
  • Anne Lazenbatt
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    ABSTRACT: Although the impact of multiple adverse events in childhood is well known, it is equally accepted that the variation in individual trajectories and outcomes is significant. Resilience focuses on positive adaption in the face of adversity, offering a counterbalance to deficit-based research and risk averse, procedurally driven practice. Positive relationships and secure attachments are widely considered to be the cornerstone of resilience, yet, within social work practice, there is a tendency to consider attachment only in relation to children and adults. Three biographical narratives are used to explore resilience and attachment through a narrative identity framework, exploring parents’ experiences of multiple adversities over their lifespan their close relationships, and their experiences of child welfare interventions. It argues for the importance of narrative in social work assessment, particularly in relation to families with complex needs, illustrating how this enables a richer, more nuanced understanding of mothers and fathers as individuals in their own right and provides insight into how alternative narratives might be better supported and developed.
    Qualitative Social Work 01/2015; DOI: 10.1177/1473325015590680. DOI:10.1177/1473325015590680
  • Julie Taylor · Anne Lazenbatt
    10/2014; Dunedin., ISBN: 1756-0691
  • Anne Lazenbatt
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    ABSTRACT: This book also aims to increase our understanding of how we identify these risks to children and families before it is too late; to assess the impacts of these risks upon children and families; to highlight the learning we have gained from evidence based practice and research; and to view the current landscape of service delivery in relation to child abuse within ‘high risk families’. There are overwhelming moral, ethical, economic and ecological reasons why this topic should be of paramount concern. The scale of the problem alone suggests that families living in high risk situations that lead to child maltreatment are displaying significant issues within all four countries of the UK1. The costs, both direct [e.g. medical care] and indirect [e.g. criminal justice] of addressing these consequences are enormous(Browne et al. 2007). In Europe only the UK has attempted to calculate the total economic burden of maltreatment. In 1996 this was estimated at £735 million(National Commission of Inquiry into the Prevention of Child Abuse 1996).
    High Risk Families and child abuse, Dunedin Press: Scotland (in press (October 2014) edited by Julie taylor and Anne Lazenbatt, 10/2014; Dunedin Press.
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    Smith · Allardyce · Hackett · Bradbury-Jones · Lazenbatt · Taylor
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    ABSTRACT: This article considers the trajectory and effectiveness of policy, procedures and practice in the UK since the early 1990s in responding to young people who display problematic and harmful sexual behaviours. It draws on data from three publications in which research, policy and practice in the last 20 years have been reviewed. Key themes raised by Masson and Hackett are revisited including: denial and minimisation; terminology and categorisation; similarities with other young offenders; the child protection and youth justice systems; and assessment and interventions. The authors find that there is improvement in recognition of, and practice in response to, this group of young people, but good practice standards are inconsistently applied. With devolution of political powers, Scotland and Northern Ireland are now embarking on a more strategic response than England. The absence of a public debate and prioritising of primary prevention of child sexual abuse is noted.
    Journal of Sexual Aggression 09/2014; 20(3). DOI:10.1080/13552600.2014.927010
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    ABSTRACT: Background Although disabled women are significantly more likely to experience domestic abuse during pregnancy than non-disabled women, very little is known about how maternity care access and utilisation is affected by the co-existence of disability and domestic abuse. This systematic review of the literature explored how domestic abuse impacts upon disabled women’s access to maternity services. Methods Eleven articles were identified through a search of six electronic databases and data were analysed to identify: the factors that facilitate or compromise access to care; the consequences of inadequate care for pregnant women’s health and wellbeing; and the effectiveness of existing strategies for improvement. Results Findings indicate that a mental health diagnosis, poor relationships with health professionals and environmental barriers can compromise women’s utilisation of maternity services. Domestic abuse can both compromise, and catalyse, access to services and social support is a positive factor when accessing care. Delayed and inadequate care has adverse effects on women’s physical and psychological health, however further research is required to fully explore the nature and extent of these consequences. Only one study identified strategies currently being used to improve access to services for disabled women experiencing abuse. Conclusions Based upon the barriers and facilitators identified within the review, we suggest that future strategies for improvement should focus on: understanding women’s reasons for accessing care; fostering positive relationships; being women-centred; promoting environmental accessibility; and improving the strength of the evidence base.
    BMC Pregnancy and Childbirth 07/2014; 14(1):234. DOI:10.1186/1471-2393-14-234 · 2.15 Impact Factor
  • Anne Lazenbatt ·  Devaney · J. Bunting · Davidson · Hayes · Lazenbatt · A. Spratt
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    ABSTRACT: Suicide is a multi-faceted phenomenon involving the interaction between biological, psychological, sociological, environmental and cultural factors. Suicide in adolescents has been identified as a serious public health problem worldwide. However, although adolescent suicide remains a well-researched area it still remains a poorly understood phenomenon. There has been some research which considers self-harm and suicide among children and young people in Northern Ireland but there are major gaps in the available knowledge and research on how children and young people are positioned in relation to self-harm and suicide. Prevention of suicidal behaviour is often difficult, and poses a major challenge given the relative rarity of the event. Effective prevention therefore requires sound knowledge of the key risk factors with the main target of effective prevention of youth suicides being to reduce suicide risk factors with one of the most significant being the exposure to and experience of adversity in childhood.
    ISPCAN Dublin, Dublin; 08/2013
  • Anne Lazenbatt · Julie Taylor
    Child Care in Practice 07/2013; 19(3). DOI:10.1080/13575279.2013.795354
  • Anne Lazenbatt ·  Smith · C. Allardyce · Bradbury-Jones · Lazenbatt · Taylor
    IPSCAN, Dublin; 07/2013
  • Anne Lazenbatt · Lisa Bunting
    NSPCC Conference, Glasgow; 04/2013
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    Anne Lazenbatt · John Devaney · Aideen Gildea
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    ABSTRACT: Although domestic violence is seen as a serious public health issue for women worldwide, international evidence suggests that women aged over 50 who are victims are suffering in silence because the problem is often ignored by health professionals. More U.K. research is needed to identify the extent of the problem, and services to meet the needs of older women. This study aims to bridge this gap by gaining a deeper understanding of how 'older women' cope with domestic violence and how it affects their wellbeing. Eighteen older women who were currently, or had been in an abusive relationship were recruited. Semi-structured interview schedules were used to discuss the personal nature of DV and its effects on wellbeing, ways of coping and sources of support. Findings suggest that living in a domestically violent context has extremely negative effects on older women's wellbeing leading to severe anxiety and depression. Three-quarters of the women defined themselves as in 'very poor' mental and physical health and were using pathogenic coping mechanisms, such as excessive and long-term use of alcohol, prescription and non-prescription drugs and cigarettes. This negative coping increased the likelihood of these women experiencing addiction to drugs and alcohol dependence and endangered their health in the longer term. Our findings suggest that health professionals must receive appropriate education to gain knowledge and skills in order to deal effectively and support older women experiencing domestic violence.
    Community practitioner: the journal of the Community Practitioners' & Health Visitors' Association 02/2013; 86(2):28-32.
  • Anne Lazenbatt
    Evidence-based nursing 01/2013; DOI:10.1136/eb-2012-101045
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    John Devaney · Lisa Bunting · Hayes Dr · Anne Lazenbatt
    01/2013; Department of Health, Social Services and Public Safety.
  • Anne Lazenbatt
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    ABSTRACT: Although child maltreatment due to abuse or neglect is pervasive within our society, less is known about fabricated or induced illness by carers (FII), which is considered to be a rare form of child abuse. FII occurs when a caregiver (in 93% of cases, the mother) misrepresents the child as ill either by fabricating, or much more rarely, producing symptoms and then presenting the child for medical care, disclaiming knowledge of the cause of the problem. The growing body of literature on FII reflects the lack of clarity amongst professionals as to what constitutes FII, the difficulties involved in diagnosis, and the lack of research into psychotherapeutic intervention with perpetrators. This lack of clarity further complicates the identification, management and treatment of children suffering from FII and may result in many cases going undetected, with potentially life-threatening consequences for children. It has been suggested that there is a national under-reporting of fabricated or induced illness. In practice these cases are encountered more frequently due to the chronic nature of the presentations, the large number of professionals who may be involved and the broad spectrum including milder cases that may not all require a formal child protection response. Diagnosis of fabricated disease can be especially difficult, because the reported signs and symptoms cannot be confirmed (when they are being exaggerated or imagined) or may be inconsistent (when they are induced or fabricated). This paper highlights and discusses the controversies and complexities of this condition, the risks to the child and how it affects children; the paucity of systematic research regarding what motivates mothers to harm their children by means of illness falsification; how the condition should be managed and treated for both mother and child; and implications for policy and practice.
    Child Care in Practice 01/2013; 19(1). DOI:10.1080/13575279.2012.732928
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    11/2012; Northern Ireland Commissioner for Children and Young People.
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    Nahla Mansour Al-Ali · Anne Lazenbatt
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    ABSTRACT: The purpose of this study was to examine the cross-cultural differences in the knowledge, definitions, and current training and educational experiences of domestic violence (DV) among third-year undergraduate nursing, dental, and medical students from two distinct universities in Northern Ireland and Jordan. A convenience sample of 774 undergraduate students was recruited. Analysis was based on gender, culture, and educational speciality, as seen through the integrated lens of a social ecological and feminist theory model. The results showed that a substantial percentage of all participants had never received any education or training on DV in their undergraduate programs. The majority of participants had good knowledge about DV, and half of the participants believed that DV is “common” in their respective countries. Significant gender and cultural differences in the definition of DV were also revealed, with Northern Irish students and female students in both cultures more likely to regard a range of behaviors as a form of DV. The research findings suggest several potential directions for change, emphasizing the importance of establishing a systematic evidence-based multidisciplinary and interagency approach to teaching and learning for student health care professionals on the topic of DV in their undergraduate programs.
    SAGE Open 10/2012; 2(4). DOI:10.1177/2158244012464974
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    A. Lazenbatt · L. Bunting · J. Taylor
    09/2012; 1(3):171-175. DOI:10.12968/bjmh.2012.1.3.171
  • Anne Lazenbatt
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    ABSTRACT: This chapter highlights over recent years that there has been an upsurge in research that has increased our knowledge and understanding of how pregnancy and the first postnatal year can lay significant foundations for positive child development. This new knowledge has created a consensus of opinion about the need to develop early interventions to help young children get the best start in life. Child abuse and maltreatment can have an impact early in an infant’s life, even as early as pregnancy and the postpartum period and can affect infants’ physical and emotional health, their learning and their capacity to form positive relationships throughout their lives. Child abuse is a major and complex public health and social welfare problem, caused by a myriad of factors that involve the individual, the family and the community. We know that child abuse or neglect and general trauma, including the witnessing of domestic abuse, are major threats to child health and wellbeing; they alter normal child development and, without intervention, may have lifelong consequences (Flaherty et al 2009).
    ‘Understanding and treating the life-long consequences of childhood sexual abuse’, 1st edited by Wilmer, G et al, 04/2012: chapter 1. Lazenbatt, A. (2012) Impact of abuse and neglect on the health and wellbeing of children and young people, In Wilmer, G et al. ‘Understanding and treating the life-long consequences of childhood sexual abuse’, The Lantern Project, Kilburn Prints: Leeds: pages 192; Lantern Press, Kilburn Prints: Leeds..

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