Increasing familial engagement in family violence services: a systematically conducted realist review of barriers and facilitators - Scorecard - 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 Scorecard: Enhancing Family Involvement in Services Addressing Family Violence: A Systematic Realist Review of Challenges and Enablers

At a Glance

CategoryDetail
ConditionFamily Violence (FV)
Key MechanismsBarriers and facilitators to engagement in FV services.
Target PopulationFamilies experiencing physical, emotional, and sexual violence.
Care SettingServices designed to reduce and prevent family violence.

Key Highlights

  • Facilitators of engagement include provider-family rapport and family-centred approaches.
  • Barriers include socioeconomic challenges and inadequate provider-client rapport.
  • Effective FV services require participant engagement to reduce negative impacts.

Guideline-Based Recommendations

Diagnosis

  • Identify barriers to engagement in FV services.

Management

  • Implement family-centred approaches during service delivery.

Monitoring & Follow-up

  • Evaluate strategies for improving family engagement in FV services.

Risks

  • Underreporting of FV due to coercive control and fear of mandatory reporting.

Patient & Prescribing Data

Individuals and families affected by family violence.

Engagement in services can reduce the occurrence of FV.

Clinical Best Practices

  • Utilize priming and introductory sessions to enhance engagement.
  • Foster empathy and trustworthiness in provider-client relationships.
  • Consider socioeconomic factors when designing FV services.

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