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

To synthesize literature on barriers and facilitators to individuals’ engagement in family violence (FV) services.

Approach:
  • Method: label
  • Method: text
Key Findings:
  • Facilitators of engagement include priming sessions, provider-family rapport, group formats, empathy, trustworthiness, and family-centred approaches.
  • Barriers to engagement include socioeconomic challenges, competing demands, childcare responsibilities, inadequate provider-client rapport, limited accessibility, intense initial meetings, and long service duration.
Interpretation:

Strategies to improve family engagement in FV services focus on opportunities during service intake, initiation, and delivery, considering context and potential mechanisms.

Limitations:
  • The review may not encompass all relevant literature due to the selection criteria.
  • Findings are based on a limited number of studies, which may affect the generalizability of the results.
Conclusion:

Strategies rooted in family-centred approaches and interagency collaboration could be evaluated using implementation science methods.

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