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Balkan Epidemiological Study on Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Child Abuse & Neglect (BECAN) Project Project Overview & Progress Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social Welfare, Institute of Child Health, Greece

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Page 1: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Balkan Epidemiological Study on Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Child Abuse & Neglect (BECAN)

ProjectProjectOverview & ProgressOverview & Progress

George Nikolaidis1

1Department of Mental Health and Social Welfare, Institute of Child Health, Greece

Page 2: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Project’s IdentityProject’s IdentityContract Number: HEALTH-F2-2009-223478Type of Project: Collaborative

Call: FP7-HEALTH-2007-B

Co-funding:Research Directorate General EC & 9 Balkan Participating OrganizationsDuration: 36 months

October 2009 - September 2012Participating countries

AlbaniaBosnia & HerzegovinaBulgariaCroatiaFormer Yugoslav Republic of MacedoniaGreeceRomaniaSerbiaTurkey

Page 3: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

BECAN ConsortiumBECAN Consortium

Page 4: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

BECAN Project: BECAN Project: Structure & ActivitiesStructure & Activities

WP1Build National Networks of experts & child welfare services in the 9 participating

countries

WP2 Prepare the instruments to be used for data collection (translation & cultural validation) &Train the research groups to adequately & uniformly collect (WP3), extract (WP4) & code data

WP3 Conduct an epidemiological study aiming at mapping CAN in a representative sample of 11 to 16-year-old children’s general

population in Greece, Albania, Bosnia, Bulgaria, FYROM, Romania, Serbia, Croatia and Turkey &

examining the association between CAN & socio-demographic characteristics of the sample

WP4 Identify equivalent numbers of already reported and/or detected cases of CAN in 9 Balkan countries & examine types of CAN and socio-demographic characteristics of families

WP5 Disseminate the project’s aims and deliverables with emphasis on results of the studies

WP6 Provide the scientific & strategic basis for annual evaluation of CAN issues in the 9 Balkan countries as well as an open forum for continuing discussion on CAN issues

WP7 Monitor the process & evaluate achievement of the project’s objectives, impact and outcome

WP8 Monitor & evaluate ethical issues related to research at both, National and Balkan level

Page 5: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Main aim of the BECAN Main aim of the BECAN ProjectProject

Mapping of CAN incidence and prevalence for children 11-16 years old in 9 Balkan countries

Valid & representative data creation of a robust basis for

Evaluation of CAN preventive policies and interventions

Harmonization of CAN screening and surveillance processes in the Balkan area

Development of evidence-based recommendations for improvement of national policies concerning CAN administration

More effective CAN preventionMore effective CAN prevention

Page 6: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Networking ActivitiesNetworking Activities

Aim: build national networks of experts and child welfare services in all of the participating countriesProcess: definition of eligibility criteria, identification of potential members, invitation of members, building National Networks for CAN preventionCurrent National Networks

Activation of national networksOrganizing network meetingsPlanning common activities towards CAN-intervention & preventionDisseminating information

WP1

Page 7: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Set up of National e-ForaSet up of National e-ForaAim: the best functioning of the national networks and project

National Forums Members Views (5/2011)

Albania 26 >300

Bosnia & Herzegovina 07 >650

Bulgaria 12 >150

Croatia 58 >400

FYROM 22 >210

Greece 94 >2000

Romania 11 >170

Serbia 53 >670

Turkey 244 >1310

Process: setting up 9 national fora (+1 BECAN Managerial forum); drafting and disseminating a users’ guide including “Instructions for members of the CAN Network forum”

Current status:

WP1

Page 8: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Capacity Building ActivitiesCapacity Building Activitiesa. a. Development of research Development of research

toolstoolsResearch tools related to WP3 (Epidemiological Survey)

Obtaining permission from ISPCAN to translate, culturally adapt, modify & use the ICAST toolsTranslation, adaptation and cultural validation into 10 Balkan languages of

ICAST-CH toolICAST-P toolEpidemiological field survey protocolInformed consent and parent info sheetChild assent form

Research tools related to WP4 (Case-based Surveillance)Development of the CBSS extraction methodology & tools

CBSS protocolOperations' bookletExtraction form part I (Agency related information)Extraction form part II (CAN cases-related information)SPSS files & codification notes

Translation and adaptation into 9 Balkan languages

WP2

Page 9: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Cultural validation of ICAST Cultural validation of ICAST toolstools

Focus GroupsNumber of participants in the FG/country/children’s age cluster

Total number of participants in the Focus Groups conducted with children & parents per country

Country

Children

Parents11 years

old13 years

old16 years

old Drop-outs

Albania 13 12 13   11

Serbia 21 14 13   5

FYROM 16 17 16 4 11

B & H 7 26 7   7

Greece 8 7 2   3

Turkey 8 7 9   11

Romania - 36 18 9 11

Croatia 19 17 19 9 16

Bulgaria 14 11 14 6 18

Sub Total 106 147 111 28 93

Total 392 93

WP2

Page 10: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Capacity Building ActivitiesCapacity Building Activitiesb. b. TrainingTraining

Training related to WP3 (Epidemiological Survey)Train the trainers on ICAST delivery field survey to research methodologyto be able to train their national research groups Train the research groups

Training related to WP4 (Case-based Surveillance)Train the trainers on case-based surveillance to research methodology to be able to train their national research groupsTrain the research groups

CountryNo of Trained Field

Researchers

Albania 9

Bulgaria 34

Croatia 72

Romania 21

Turkey(*) N/A

FYROM 13

Serbia 33

B&H 21

Greece 17

Total 218

CountryNo of Trained Field

Researchers

Albania 4

Bulgaria 10

Croatia 32

Romania 27

Turkey(*) N/A

FYROM 7

Serbia 18

B&H 7

Greece 7

Total 112

WP2

Page 11: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

BECAN Research ActivitiesBECAN Research ActivitiesEpidemiological Survey

Target group: Children 11-16 years oldSchool status:

– Children attending school

– Children who have dropped out

Methods:Distribution of the ICAST-CH and ICAST-P questionnaires to a sample of ~40,000 children and their parents to explore and measure CAN cases for a 12-month time period (previous year)

Case-based surveillance study

Target group: Children 11-16 years oldSchool status:

– Children attending school

– Children who have dropped out

Methods:Extraction of CAN data from available archives/databases derived from agencies belonging to the health-, welfare-, justice- and public order-sectors as well as related NGOs

WP3WP4

Page 12: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Scheduling of Research ActivitiesScheduling of Research ActivitiesPreparatory Phase-CompletedPreparatory Phase-Completed

Epidemiological survey

Train-the-field researchers’ national workshops: Aim: to adequately and uniformly implement the field survey in schools

Trained trainers on the basis of adapted & translated material

Duration: 16 hoursWorkshops’ evaluation

Modification of material/process on the basis of evaluation results (where needed)

Case-based Surveillance

Train-the-field researchers’ national workshops: Aim: to adequately and uniformly extract data and code them

Facilitators: Trained trainersOne 2-day workshop/countryContent of training

CBSS ProtocolCBSS Extraction Forms & Operations’ bookletProcess of extracting data available in existing archives/databasesMock extraction (3 cases)

WP3WP4

Page 13: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Scheduling of research activitiesScheduling of research activitiesTimetable/TasksTimetable/Tasks

Epidemiological Survey

Official PermissionOfficial Permission

Collection of data for samplingCollection of data for sampling

SamplingSampling

Securing access to schoolsSecuring access to schools

Development of the research teamDevelopment of the research team

Scheduling and supervision Scheduling and supervision methodologymethodology

Preparation of materialsPreparation of materials

Focus GroupsFocus Groups

Pilot StudiesPilot Studies

Core Field Surveys data collectionCore Field Surveys data collection

Children and their parentsChildren and their parents

School drop outs and their parentsSchool drop outs and their parents

Coding and data cross-checkingCoding and data cross-checking

Statistical analysisStatistical analysis

Results’ reportingResults’ reporting

Case-based surveillance

Identification of eligible organizations and Identification of eligible organizations and agenciesagencies

Tracing of respectful databases, archives, Tracing of respectful databases, archives, recordsrecords

Recording of characteristics of pre-existing Recording of characteristics of pre-existing databasesdatabases

Maintaining access to datasetsMaintaining access to datasets

Development of the research teamDevelopment of the research team

Scheduling and supervision methodologyScheduling and supervision methodology

Preparation of materialsPreparation of materials

Scheduling of in situ visitation to Scheduling of in situ visitation to organizationsorganizations

CAN related data collectionCAN related data collection

Data extraction on the basis of a Data extraction on the basis of a specific formspecific form

Coding and data cross-checkingCoding and data cross-checking

Statistical analysisStatistical analysis

Results’ reportingResults’ reporting

WP3WP4

completedcompletedongoingongoingpendingpending

Page 14: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Epidemiological Survey-Implementation FlowchartEpidemiological Survey-Implementation Flowchart

Applying and obtaining permission for ICAST

usage to ISPCAN

Translating ICAST in national languages

Focus Groups for culturally validation of ICAST

Developing Training Manuals for tools’ usage

by Field Researches

Final national ICAST-CHICAST-P

Training Field Researchers

Applying and obtaining official permission(s) to implement research in

schools

Conducting Pilot Studies

Conducting main body “core” field research

Developing Coding Files and set of data entry

codification instructions

Results’ data entryResults’ statistical analysis

and interpretation

Conducting School Drop outs’ Survey

Conducting Sampling

Conducting School Drop outs’ Focus Groups

WP3

Page 15: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

CBSS-Implementation FlowchartCBSS-Implementation Flowchart WP4

Page 16: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

WP3 initial samplingWP3 initial sampling

SchoolsClass-rooms

Students Sample Schools

Class-rooms

Students Sample

Albania 104 178 3005 Greece 406 993 19411Age 11 36 67 1109 Age 11 223 273 5346Age 13 36 60 1109 Age 13 94 266 6576Age 16 32 51 787 Age 16 89 454 7489Bulgaria 74 219 3915 Romania 149 265 6350Age 11 27 69 1233 Age 11 58 90 2100Age 13 25 72 1294 Age 13 58 90 2100Age 16 22 78 1388 Age 16 33 85 2150B. & H. 165 180 4125 Serbia 100 320 10469Age 11 55 59 1375 Age 11 35 96 2628Age 13 55 58 1375 Age 13 38 118 2699Age 16 55 63 1375 Age 16 27 106 5142Croatia 109 213 5025  Turkey 5590 15687 11699Age 11 40 77 1746 Age 11 2.808 5.908 4.036Age 13 40 78 1779 Age 13 2.086 5.453 3.563Age 16 29 58 1500 Age 16 696 4.326 4.100FYROM 48 110 1850 TOTAL 6.745 18.165 60.824Age 11 15 40 620 Age 11 3.297 6.679 20.193Age 13 15 40 630 Age 13 2.447 6.235 21.125Age 16 18 30 600 Age 16 1.001 5.251 24.531

Initial Planning 2009-2010

Country

Initial Planning 2009-2010

Country

Page 17: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Research progress insofarResearch progress insofarCountry WP3 WP4

Greece Ongoing ≈2/3 of the total sample

Ongoing ≈1/2 complete

Albania Completed To be implemented

Bulgaria Completed Ongoing

Bosnia Completed To be implemented

Croatia Completed Completed

FYROM Ongoing ≈85% of the total sample

Ongoing

Romania Completed Completed

Serbia Ongoing To be implemented

Turkey To be implemented To be implemented

Page 18: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Some examples of WP3’s progress Some examples of WP3’s progress insofar: Greeceinsofar: Greece

Sample size: 19.411 children and their parentsPercentage of the representative sample: 5% of the children’s populationInsofar coverage: 12.631 children and their parentsChildren’s response rate: ≈65% (higher in 11y.o., relatively lower in 16y.o. especially in vocational high schools; higher in rural and lower in urban regions)Parent’s response rate: ≈40% of the sample ≈70% of the participating children’s sample

Page 19: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Some examples of WP3’s progress Some examples of WP3’s progress insofar: Albaniainsofar: Albania

Sample size: 4.561 children and their parents

Percentage of the representative sample: 3% of the children’s population

Children’s response rate: 3.467 ICAST-CH (76% RR; 73% urban RR, 78% rural RR)

Parent’s response rate: 2.512 ICAST-P (55% sample RR, 76% children’s RR)

Page 20: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Some examples of WP3’s progress Some examples of WP3’s progress insofar: Croatiainsofar: Croatia

Sample size: 5.006 children and their parents

Percentage of the representative sample: 2% of the children’s population

Children’s response rate: 3.688 ICAST-CH (73,67% overall RR; 69,24% 11y.o. and 13y.o.; 84,12% 16y.o.)

Page 21: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Some examples of WP3’s progress Some examples of WP3’s progress insofar: FYROMinsofar: FYROM

Sample size: 1.850 children and their parents

Percentage of the representative sample: 3% of the children’s population

Children’s response rate: 47% 11y.o.; 45% 13y.o.; 97% 16y.o.

Parent’s sample response rate: 31% 11y.o.; 30,5% 13y.o.; 66% 16y.o.

Page 22: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

WP4’s progress insofar: GreeceWP4’s progress insofar: GreeceType of Organization 2010 (0-18y.o.) CAN cases

detected/reported in Attica

Ombudsman for the Rights of the Child (Independent Authority) 88

Supportive Services of the Ministry of Justice (Juvenile Supervisors’ Agencies, Ministry of Justice’s Shelters etc)

189

National Center for Social Solidarity (Ministry of Health and Social Solidarity) 317

Other central governmental Social Services and Structures (Ministry of Health and Social Solidarity)

258

Child and Adolescent Mental Health Services of the Hellenic National Health System (Ministry of Health and Social Solidarity)

540

Health and Social Services (excluding mental health ones) of the Hellenic National Health System (Ministry of Health and Social Solidarity) – mainly social services of N.H.S.’s hospitals

363

Social Services of municipalities and prefectures (Ministry of Public Administration) 678

Supportive and Consulting Centers (mainly of municipal authorities under the auspices of Ministry of Public Administration)

122

Specialized structures of Ministry of Education (mainly services for children with special disabilities)

76

NGOs having residential child care facilities (Homes, Shelters etc) 712

NGOs without having residential child care facilities (Homes, Shelters etc) 616

TOTALTOTAL 39593959

Page 23: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Dissemination ActivitiesDissemination ActivitiesAim: disseminate the existence of the project, its aims, methodology, results of the studies and all the deliverables to the authorities of the Balkan countries and other entities working on CAN in the Balkans and worldwideProcess: a press office was set up at the beginning of the project; a dissemination plan was drafted; the website of the project was developedResults:

national BECAN conference(s) (in certain countries up to today)several Press Releases both in English and in national languagesdevelopment of newsletters, leaflets and information material (in certain countries) >5 oral presentations in international Conferences>15 in national major scientific events Conferences a significant number of web-based publications on scientific websites a significant number of web-based publications on informative general public websites 2 brief communications to the EU summarizing the project’s progress (3rd & 15th month)other communications briefly summarizing the objectives and progress of the project were sent to respectful EU’s agencies to be uploaded on EU-Internet applications (CORDIS etc.)

BECAN Consortium decided to prepare for publication the process and outcome of WP2 as well as WP8 (modification of ICAST tools, development of CBSS extraction tools and innovative solutions for various ethical issues in conducting field research on CAN respectfully)

WP5

Page 24: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Dissemination activities: Dissemination activities: presentationspresentations

Nikolaidis, G. & Petroulaki, K. Real World Research on Child Abuse and Neglect: the case of Greece and the Balkans. 11th Biennial International EUSARF Conference, 22-25 Sep 2010, Groningen-The Netherlands Nikolaidis, G. Cross National Child Maltreatment Survey through self report studies. 18th International ISPCAN Conference, 26-29 Sep 2010, Honolulu-HawaiiNikolaidis, G. Cross National Comparisons in youth population surveys about child maltreatment. 18th International ISPCAN Conference, 26-29 Sep 2010, Honolulu-HawaiiPetroulaki, K., Ntinapogias S., Tsirigoti, A., Hatzinikolaou, K., Nikolaidis, G. BECAN project. 8th National Congress on Public Health & Health Services “Social Epidemics”. 15-17 Mar 2010, Athens-Greece Petroulaki, K., Tsirigoti, A., Stavrianaki, M., Georgoulas, S., Nikolaidis, G. Real world research on child abuse and neglect the case of Greece and the Balkans. 8th National Congress on Public Health & Health Services “Social Epidemics”. 15-17 Mar 2010, Athens-Greece Petroulaki, K., Tsirigoti, A., Fatsea, E., Milioni, F., Nikolaidis, G. For the Development of a National Unified System of Report of CAN in Greece. 8th National Congress on Public Health & Health Services “Social Epidemics”. 15-17 Mar 2010, Athens-Greece Ntinapogias, S. Case-based Surveillance Study in the Attica Prefecture (BECAN WP4). National Congress on Child Abuse and Neglect. Institute of Child Health, Dept of Mental Health and Social Welfare. 9-10 May 2011, Athens-GreeceDimitrokali, A., Vasilakopoulou, A., Papageorgopoulos, G., Tsouvelas, G., Ntinapogias, S. Field survey: Facilitators and barriers during the implementation of case-based surveillance study. National Congress on Child Abuse and Neglect. Institute of Child Health, Dept of Mental Health and Social Welfare. 9-10 May 2011, Athens-Greece

WP5

Page 25: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Zorec, L., Rimac, I., Ogresta, E. Application of the focus group method in pilot studies: Experiences from the project BECAN. 3rd scientific-expert conference dedicated to the questions of violence: psychosocial aspects of violence in modern society–a challenge to the family, school and community. 27 Nov 2010, Zagreb-CroatiaAjdukovic, M., Rajter, M., Sušac, N. Specifics of the research ethics of violence against children. 3rd scientific-expert conference dedicated to the questions of violence: psychosocial aspects of violence in modern society–a challenge to the family, school and community. 27 Nov 2010, Zagreb-CroatiaAjdukovic, M. Ethics of professional conduct in cases of violence. 3rd scientific-expert conference dedicated to the questions of violence: psychosocial aspects of violence in modern society–a challenge to the family, school and community. 27 Nov 2010, Zagreb-CroatiaCroatian Team. BECAN Project. 3rd scientific-expert conference dedicated to the questions of violence: psychosocial aspects of violence in modern society–a challenge to the family, school and community. 27 Nov 2010, Zagreb-CroatiaRaleva, M. Progress in Violence prevention initiatives in the Republic of Macedonia. Third Global Meeting of WHO Violence and Injury Prevention Focal Points, 20-21 Sept 2010, London-UKRaleva, M. BECAN Project. Global Conference on Safety, 21-24 Sep 2010, London-UKRaleva, M. Methodology of the BECAN research study. Meeting of National Coordinative Body on Combating Domestic Violence. 23 Nov 2010. UCP-FYR MacedoniaVlajkovic, A., Hanak, N., Tenjovic, L., Ispanovic-Radojkovic. V. Balkanska epidemioloska stija o zlostavljanju I zanemarivanju dece. 2nd Congress of Society of Child & Adolescent Psychiatry, 22-25 Apr 2010, Zlatibor-SerbiaSerbian Team. Balkanska epidemioloska studija o zlostavljanju I zanemarivanju dece. Annual Conference of the Serbian Victimology Society, Serbia

WP5

Dissemination activities: Dissemination activities: presentationspresentations

Page 26: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Dissemination activities: Dissemination activities: presentationspresentations

Hanak, N., Vlajkovic, A., Tenjovic, L., Ispanovic-Radojkovic. V. Istrazivanje zlostavljanja I zanemarinvanja dece: Iskustva u primeni ICAST upitnika. Conference of the Association of Psychologist of Serbia, 28 May 2010, Zlatibor-SerbiaSerbian Team. Balkanska epidemioloska studija o zlostavljanju I zanemarivanju dece. (Poster). Council for Children’s Rights ConferenceStancheva-Popkostantinova, V. From Adolescence to Adulthood: normality and pathology. 8-12 Sept 2010, Larnaca-Cyprus Stancheva-Popkostantinova, V. Evidence-based approaches for prevention of CAN. Contribution of project BECAN. Bulgarian Scientific Society on Child Neurology, Psychiatry and Developmental Psychology. 21-23 Oct 2010, Sofia-Bulgaria Stancheva-Popkostantinova, V. Current approaches for prevention of CAN. Contribution of project BECAN. National Conference of Lecturers in Social Work. 3-4 Dec 2010. Stara Zagora-Bulgaria Stancheva-Popkostantinova, V. Ministry of Education, Agency for Social Suport, State Agency for Child Protection, Educational Directorates in Blagoevgrad, Veliko Tyrnovo, Varna-Bulgaria Stancheva-Popkostantinova, V. Balkan research network in the prevention of child abuse and neglect. The contribution of project BECAN (FP7). International University Seminar for Balkan Studies and Specialization South-West University "Neofit Rilski“Oral, R. SARSILMIŞ. BEBEK SENDROMU. İstismara Bağlı Kafa Travması. COCUK ISTISMARINI VE IHMALINI ONLEME KONGRESI. 26-28 Mayis 2010. Ankara-TurkeySofuoglu, T. Significance of Case –Based Surveillance Study in WP4. 1st National Congress of Paediatric Emergency and Ambulatory Pediatrics. 3-5 Nov 2010, Kusadasi, Izmir-TurkeySofuoglu, T., Olmezoglu, Z. BECAN project: Aim, Scope and Expectations. Child Abuse and Neglect Symposium- EgeUniversity. 13 Dec 2010, Izmir-TurkeyOlmezoglu, Z. BECAN project. International AGEAN Ambulance Rally, 16-19 Sep 2010, Izmi-Turkey

WP5

Page 27: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Dissemination activities: Dissemination activities: presentations in the context of the current presentations in the context of the current

eventevent12th ISPCAN European Regional Conference on Child Abuse and Neglect Challenging Social Responsibilities for Child Abuse and Neglect. 18-21 September 2011, Tampere, FinlandRound Table: Ethical and Methodological Issues on Child Abuse and Neglect Research

Nikolaidis, G., Salvanou, A. Ethical challenges in conducting field research in GreeceBrowne, K. Ethical dilemmas in the prevalence studies of child abuse and neglect Roth, M., Antal, I., Tonk, G., Kacso, A. Consent request from parents for CAN surveys completion by children 10-14. A nonsense Rajter, M., Ajduković, M., Sušac, N. Ethical and Methodological Issues on Child abuse and Neglect Research in Croatia

Round Table: Epidemiological Field Research and Administrative Data Case-Surveillance Studies on Child Abuse and Neglect

Nikolaidis, G., Petroulaki, K., Ntinapogias, S., Tsirigoti, A., Zarokosta, F. Representative sample’s randomized epidemiological field research in Greece Cenko, E., Hazhiymeri, E., Hazizaj, A., Coku, B. The adaptation and piloting of the ISPCAN Child Abuse Screening Tool Children’s Version in Albanian Rajter, M., Sušac, N., Rimac, I., Ogresta, J., Skokandić, L., Ajduković, M. Epidemiological field research in Croatia Antal, I., Tonk, G., Roth, M., David-Kacso, A., Voicu, K., Mezei, E., Szasz R. Field epidemiology in Romania: the BECAN project

WP5

Page 28: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

BECAN website BECAN website www.becan.euwww.becan.eu

BECAN ProjectIdentityCoordinatorConcept and objectivesConsortiumFundingMethodology & WorkplanPotential ImpactEthical IssuesGender aspects

Work PackagesWP1: Coordination and NetworkingWP2: Instruments & Training on MethodologyWP3: Epidemiological StudiesWP4: Case-based SurveillanceWP5: DisseminationWP6: SustainabilityWP7: EvaluationWP8: Supervision of Ethical Issues

Primary linksForumContact usSearchSitemapDisclaimer

Useful linksGreeceBulgariaRomaniaAlbaniaFormer Yugoslav Republic of MacedoniaTurkeyCroatiaSerbiaBosnia & HerzegovinaGlobal

WP5

Page 29: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

SustainabilitySustainabilityObjectives:

Provide the scientific and strategic basis for annual evaluation of CAN issues in each Balkan partner country development of a strategic plan for the prevention of CAN at national and Balkan levelsProvide an open forum for continuing discussion on CAN issues for interested parties and the public

WP6 objectives will be achieved through synergies with other relevant WPs via

horizontal actions such as networking CAN-related professionals, organizations and agencies in all participant countries widely disseminating the current situation on CAN in each participant country For example: National Reports on the current situation regarding CAN have been widely circulated

maintenance of website and forums

WP6

http://www.becan.eu/node/21

Page 30: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

WP1WP1Provide information for the 9

National Networks & maintain the BECAN portal

Sustainability: WP interconnectionSustainability: WP interconnection WP6WP6

AIMAIMBased on information provided by WP1, 3, 4 & 5,

the Strategic Plan for the development of a Strategic Plan for the development of a

permanent CAN Monitoring Systempermanent CAN Monitoring System in 9 Balkan countries in 9 Balkan countries

Activities towards SustainabilityActivities towards Sustainabilityto promote the strategic plan to be used for systematic annual national evaluation of CAN issues aiming at:

follow up on the rates and characteristics of CAN in 9 Balkan countriescreation of a basis for future assessments of the effectiveness and efficiency of any CAN-related preventive, legal or other intervention

to invite relevant national Organizations (and Authorities) to continue the CAN surveillance at national level after the end of the BECAN project

WP3-WP4WP3-WP4Provide results (WP3)

protocol and database for the recording of CAN cases WP(4)

(13th month) Provide information on the

results for national statistical & child protection services

WP5WP5Maintain the BECAN website

Disseminate the Strategic Plan

WP6

Page 31: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Potential content of an initial version of the Potential content of an initial version of the Strategic PlanStrategic Plan

Part 1: The need & the aim of permanent National CAN Monitoring Systems

– Why there is a need for permanent national CAN Monitoring Systems

– Aim & Objectives

Part 2: How to achieve the objectives– Technical specifications for following up CAN at a national level

via » BECAN project’s available tools» Additional tools (proposed to be developed)

Part 3: CAN-Registration Toolkit– ANNEX with a complete set of ready-to-use available tools

(protocol, database, instructions)

WP6

Page 32: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Activities towards feasibilityActivities towards feasibility

Development of the Strategic Plan for the creation of a permanent CAN registration system

Adaptation of the content of the initial version of the strategic plan for each country-specific characteristics and translation

Dissemination/communication plan for the strategic plan (WP6 & WP5)

Implementation of dissemination and lobbying for the strategic plan at national level

Lobbying towards sustainability

WP6

Page 33: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

EvaluationEvaluationResponsible Organization: Istituto degli InnocentiObjectives:

Process monitoring, evaluation and corrective interventionsEvaluation of achievement of the project’s main objectivesImpact and outcome evaluation

Results and progress insofar development of a comprehensive plan of constant monitoring and evaluation of the project; the strategy applied was multi-level, addressing the various aspects of the evaluation process:

a combination of process and outcome evaluation approach utilizing indicators from both perspectives in order to cover the project’s implementation more globally,a combination of 5 major axis-criteria namely Efficiency, Effectiveness, Relevance, Sustainability/Consistency and Utility to be applied sequentially in regards to the project’s unfolding over time and a combination of input for evaluation, collaboration with the consortium, attending project meetings and communicating directly with other stakeholders to get as much genuine feedback as possible by the Evaluator

WP7

Page 34: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Overall illustration of evaluation Overall illustration of evaluation resultsresults

DELIVERABLES

Del. no.

Deliverable nameVersi

onLead

beneficiaryNature

Disseminati

on level*

Delivery

date from

Annex I

Actual /

Forecast

delivery date

StatusSubmitted

or Not

Contractual

Yes/No

7.1 Goal-setting scheme Final 01 R COMonth

19Submitted Yes

7.2.1First Interim Evaluation Report

Final 01 R COMonth

19Submitted Yes

(*) PU = Public PP = Restricted to other programme participants (including the Commission Services). RE = Restricted to a group specified by the consortium (including the Commission Services). CO = Confidential, only for members of the consortium (including the Commission Services).

Milestone no.

MILESTONES WP(s) involved

Lead Benefici

ary

Delivery Date

Means of Verification Achieved

Yes/No

Actual/Forecast achievement date

5 1st Interim evaluation report

1,2,3,4,5,6,7

01 13th month

Presented during the 3rd managerial meeting (month 13) and delivered to the principal coordinator

Yes Project’s 13th Month

6 Mid-term project review to EC

1,2,3,4,5,6,7,8

01 18th month

Mid-term review delivered to the European Committee

Yes Project’s 19th Month

WP No. WP7 Start Date or Starting Event Month 1

WP Title Evaluation USE OF RESOURCESActivity Type OTHER

Participant number 1 2 3 4 5 6 7 8 9 10

Person-Months per participant 9 3 3 3 3 3 3 3 24 3

Actualized WP7s’ activities during the 1st 18monhts’ Reporting PeriodParticipant number

1 2 3 4 5 6 7 8 9 10

Actualized Person-Months per participant

0 0 0 0 0 0 0 1,73 0

Differences between contractual provisos (36 months’) and actualized WM during the 1st Reporting Period (18monhts’)

-9 -3 -3 -3 -3 -3 -3 -3 -22,27 -3

WP7

Page 35: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

EthicsEthics

ObjectivesMonitoring and evaluation of ethical issues, and corrective interventions

Securing the rights of children and adults participating in the study

Results:all partners formed their National Advisory Boards on Ethical issues (NAB) the Central Independent Ethical Advisory Board was formed to supervise the whole project in terms of ethics, with the participation of internationally recognized professionals and experts in the field of CAN research and preventionAll NABs were provided with material and guidelines on ethical issues by the BECAN Coordinator and were informed in detail about the methodology as well as the ethical requirements of the project

WP8

Page 36: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

Informed consent: Example of main ethical Informed consent: Example of main ethical issueissue

Type of parental consent per age group

Country 11 y.o. 13 y.o. 16 y.o.

Albania Passive Passive Passive

Bulgaria Active Active Active

Croatia Active Active No consent*

Romania Passive Passive No consent*

Turkey Active Active Active

FYROM Active Active Active/Passive**

Serbia Passive Passive Passive

B&H Active Active No consent*

Greece Active/Passive** Active/Passive** Active/Passive**

(*) No parental consent provided for according to existing national legislation and/or applying national Code for Ethics of conducting research with children in schools.

(**) Change in applying national legal framework and/or particular authoritative agency’s permission terms during the implementation of the survey.

Field epidemiological survey: • the situation appeared quite differentiated in terms of legal and/or regulatory

provisos for conducting research involving children• other perplexities

WP8

Page 37: Balkan Epidemiological Study on Child Abuse & Neglect (BECAN) Project Overview & Progress George Nikolaidis 1 1 Department of Mental Health and Social

BECAN Website & ForumBECAN Website & Forum www.www.becanbecan..eueu