We have developed semi-structured interviews around vulnerability which are used in both research and practice contexts. We are also pleased that these have been taken up internationally and we are now increasing other sites where training is held.
The ASI has been used in international practice and research contexts. Our recent trainings for practitioners have included Ireland, Canada and Australia with prior trainings in Italy and Malta. The ASI was utilised in an EU multisite project on perinatal health 20 years ago which involved seven European sites and translation into French, German and Italian. Researchers have also used it in Malaysia and Taiwan.
We also have three Centres where trainings are undertaken for local services or university research. These include Sweden (Professor Karen Lunden); Japan (Professors Keiko Yoshida and Momoko Hayashi) and most recently Australia (Lisa Gardiner and Liz Sanders of Secure Base Solutions). (Please contact CATS for further details).
We are delighted that the measure has been so widely disseminated and translated. The international centres also have a focus on adoption and fostering services, as well as on adolescents and mental health services.
The CECA has been used internationally for research and practice purposes. Training workshops were held in the USA over 20 years ago with MacArthur Funding, with others held more recently in Italy, Portugal, Belgium and Germany. The CECA has been the subject of a focused meta-analysis (Infurna et al., 2016) and involved in a wider one (Nanni, Uher, & Danese, 2012) to show consistent effect sizes with mental health outcomes. It has also been validated in Italian (Gianonne et al., 2011) and German samples (Kaess et al., 2011).
Gianonne, F., Schimenti, A., Caretti, V., Chiarenza, A., Ferraro, A., Guarino, S., . . . Bifulco, A. (2011). Validita attendibilita e proprieta pscyhometriche dela verdsione Italiana dell’intervista CECA (Childhood Experience of Care and Abuse). Psiciatria e Psicoterapia, 30, 3-21.
Infurna, M. R., Reichl, C., Parzer, P., Schimmenti, A., Bifulco, A., & Kaess, M. (2016). Associations between depression and specific childhood experiences of abuse and neglect: A meta-analysis. Journal of Affective Disorders, 190, 47-55. doi: 10.1016/j.jad.2015.09.06.
Kaess, M., Parzer, P., Mattern, M., Resch, F., Bifulco, A., & Brunner, R. (2011). Childhood Experiences of Care and Abuse (CECA) – validation of the German version of the questionnaire and interview, and results of an investigation of correlations between adverse childhood experiences and suicidal behaviour. Zeitschrift fur Kinder- und Jugendpsychiatrie und Psychotherapie [01 Jul 2011, 39(4), 243-252. doi: 10.1024/1422-4917/a000115.
Nanni, V., Uher, R., & Danese, A. (2012). Childhood maltreatment predicts unfavourable course of illness and treatment outcome in depression: A metaanalysis. American Journal of Psychiatry, 1-11. doi: 10.1176/ appi.ajp.2011.11020335.