Increasing familial engagement in family violence services: a systematically conducted realist review of barriers and facilitators - Report - MDSpire

Increasing familial engagement in family violence services: a systematically conducted realist review of barriers and facilitators

  • By

  • Stefan Kurbatfinski

  • Julia Wilson

  • Daniel Cosic

  • Alexa Toews

  • K. Alix Hayden

  • Sarah Erickson

  • Nicole Letourneau

  • July 8, 2026

  • 0 min

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Clinical Report: Enhancing Family Involvement in Services Addressing Family Violence

Overview

This systematic realist review identifies barriers and facilitators to family engagement in services addressing family violence (FV) based on findings from 24 studies. Key facilitators include provider-family rapport and family-centered approaches, while barriers encompass socioeconomic challenges and inadequate accessibility, as evidenced in the reviewed literature.

Background

Family violence (FV) encompasses various forms of violence among family members, significantly impacting all involved, particularly mothers and children, as shown in multiple studies. Effective engagement in FV services is crucial for reducing its negative effects and improving quality of life. Understanding the barriers and facilitators to engagement, as identified in the literature, can help optimize service delivery and participant retention.

Data Highlights

This review synthesized findings from 24 studies focusing on engagement in FV services, including qualitative and quantitative research that highlights various barriers and facilitators.

Key Findings

  • Facilitators of engagement include priming sessions, provider-family rapport, and empathy, as identified in the reviewed studies.
  • Barriers to engagement consist of socioeconomic challenges and competing demands, supported by the literature.
  • Family-centered approaches that consider familial needs are essential for effective service delivery, as indicated in the findings.
  • Long service durations and intense initial meetings can deter participation, according to the studies reviewed.
  • Interagency collaboration is recommended to enhance service effectiveness, as noted in the literature.

Clinical Implications

Strategies to improve family engagement in FV services should focus on enhancing initial interactions and maintaining rapport throughout service delivery, as indicated by the findings. Addressing socioeconomic factors and ensuring accessibility are critical for participant retention, based on the evidence reviewed.

Conclusion

The findings from the review highlight the importance of understanding barriers and facilitators to enhance family engagement in FV services, which is essential for effective intervention, as supported by the literature.

Related Resources & Content

  1. BMJ Paediatrics Open, 2024 -- Exploring the barriers and facilitators of implementing family-focused child development programmes in real-world settings: a scoping review
  2. Frontiers in Psychiatry, 2026 -- Pre–post differences in outcomes associated with participation in the Criar sin violencia © brief psychotherapy protocol in an Ecuadorian sample: An observational study
  3. BMJ Paediatrics Open, 2024 -- Codesign and knowledge translation of the Strength-based, Tiered, Accessible Resources and Supports (STARS) for Kids study to identify and support child development, parental mentalwell-being and family psychosocial needs: a mixed-methods research protocol
  4. Frontiers in Pediatrics, 2026 -- Family quality of life in early intervention: systematic review and meta-analysis
  5. Final Recommendation Statement: Intimate Partner Violence and Caregiver Abuse of Older or Vulnerable Adults: Screening | United States Preventive Services Taskforce
  6. Essential Health Care Services Addressing Intimate Partner Violence - NCBI Bookshelf
  7. Membership of the Guideline Development Group for update of guidelines on responding to violence against women
  8. Overview | Domestic violence and abuse: multi-agency working | Guidance | NICE
  9. https://prevention-collaborative.org/wp-content/uploads/2024/05/9789241548595_eng.pdf
  10. Electronic Health Record–Based Screening for Intimate Partner Violence
  11. Interventions for Perpetrators of Intimate Partner Violence: An Umbrella Review of Systematic Reviews - PMC
  12. Intimate Partner Violence
  13. 45 CFR § 1321.77 - person- and family-centered, trauma-informed. | Electronic Code of Federal Regulations (e-CFR) | US Law | LII / Legal Information Institute
  14. Recommendations | Domestic violence and abuse: multi-agency working | Guidance | NICE

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