Carpinelli Luna, D'Elia Daniela, Savarese Giulia
Department of Medicine and Surgery, University of Salerno, 84081 Baronissi, Italy.
Children (Basel). 2022 Mar 4;9(3):358. doi: 10.3390/children9030358.
Adverse childhood experiences (ACEs) may be an important risk factor for the onset of developmental psychopathological disorders. Families involved in ACEs are often the subject of social or welfare policies aimed solely at the victim, without a proper consideration of family functionality.
We describe the results of an Italian intervention project, which aimed to reinforce both the local networking of the Campania region, and the skills of the operators involved in actions to prevent and combat ACEs. The project was characterized by different phases and two actions, namely: (1) diagnosis and therapy aimed at child victims of ACEs and their families; (2) supervision of the operators of the multidisciplinary specialized teams (MSTs).
99% of the cases under review were characterized by intra-family violence; 34% suffered psychological abuse, 33% neglect, 23% inappropriate care, 4% sexual abuse, 3% excessive care and 3% physical abuse.
Thanks to the interventions carried out, severe and chronic ACE situations were recognized, and processes of de-institutionalization and the construction of life projects were carried out in accordance with the territorial services. This offered child victims and their families an opportunity to restore the conditions of well-being, both for the growth of the individual and the family system.
童年不良经历（ACEs）可能是发展性精神病理障碍发病的重要风险因素。涉及ACEs的家庭往往是仅针对受害者的社会或福利政策的对象，而没有适当考虑家庭功能。
我们描述了一个意大利干预项目的结果，该项目旨在加强坎帕尼亚地区的地方网络以及参与预防和应对ACEs行动的工作人员的技能。该项目具有不同阶段和两项行动，即：（1）针对ACEs儿童受害者及其家庭的诊断和治疗；（2）对多学科专业团队（MSTs）工作人员的监督。
99%的审查案例存在家庭暴力；34%遭受心理虐待，33%被忽视，23%缺乏适当照顾，4%遭受性虐待，3%受到过度照顾，3%遭受身体虐待。
由于开展了干预措施，识别出了严重和长期的ACE情况，并根据地区服务开展了去机构化和生活项目建设进程。这为儿童受害者及其家庭提供了恢复幸福状态的机会，无论是对个人成长还是家庭系统而言。
