Een kritische blik op MDA++

Why collaboration in tackling complex forms of domestic violence is so difficult In the Netherlands, a special form of collaboration in dealing with domestic violence and the abuse of children. is the so-called MDA++ approach. MDA++ is characterized as a solution to the bottlenecks in the regular approach of these violent phenomena. The letters MDA stand for Multidisciplinary Approach. The first plus sign stands for ‘intersectoral and multidisciplinary’ and implies cooperation in and between the aid chain, safety chain and the medical care circuit. The second plus sign stands for ‘specialist’, which means that all professionals are experts in their own field and have knowledge about the effect of violence, neglect and abuse on individuals and relationships. In this contribution based on a review of literature an overview is given of the genesis of MDA++ and successes and problems of its implementation in practice.