title: Working with families experiencing violence: the Ploeger Model of enhanced maternal and child health nursing practice.
abstract: This paper describes the Ploeger Model of enhanced maternal and child health (EMCHN) nursing practice that has been operationalised since 1997. These EMCHNs work with families whose infants and children are exposed to violence. Family violence is complex and many layered. It presents a situation of fear and unpredictability that is difficult to identify and manage. If this situation continues during the child rearing years the effect on the health and wellbeing of infants and children may range from death to life long disabilities. Maternal, siblings and families' health and wellbeing can also be impacted upon for life. The need for enhanced skills for identifying and supporting vulnerable families and safeguarding children at risk has been highlighted by the Department of Health (2004). The Ploeger Model provides an example of early identification and intervention using both secondary and tertiary prevention strategies to identify and make referrals within a multidisciplinary, collaborative partnership, and a process of mutual clinical supervision. Another feature of the model is 'assertive outreach', which assists with early engagement with the family focusing on social support. Each of these helps achieve positive outcomes for children and their families. Such front line professionals must have the knowledge, skills, time and management support to work effectively with these families.
authors.affiliation: RMIT University - Bundoora West Campus, Bundoora Victoria.
authors.forename: Gay
authors.initials: G
authors.lastname: Edgecombe
authors.forename: Heather
authors.initials: H
authors.lastname: Ploeger
mesh_terms: D002669:Child Welfare; D002675:Child, Preschool; D017579:Domestic Violence / Q000517:prevention & control*; D005260:Female; D006801:Humans; D007223:Infant; D016389:Maternal-Child Nursing / Q000379:methods*; D016294:Models, Nursing; D009730:Nursing Assessment; D010348:Patient Care Team; D012944:Social Support; D014739:Victoria