Introduction: Intimate partner violence is a serious public health concern in the United States. Despite recommendations that physicians should routinely screen their patients, research has shown that lack of specific training has resulted in many health care professionals feeling unable to adequately perform this difficult but vital task. Though many educational resources exist to teach intimate partner violence screening, they often lack specific guidance on how to navigate this difficult conversation. In addition, they often lack formal teaching on how to counsel and refer patients who are victims of intimate partner violence. Methods: This unique module, intended for a small-group setting of four to eight students, contains an intimate partner violence checklist with sample language that covers both screening and counseling using a motivational interviewing framework. Additional materials include a checklist companion for tips on how to navigate the conversation, two cases for role-play, a facilitator guide, and an objective structured clinical encounter case and assessment rubric. Results: This module was given to 260 second-year medical students at the Warren Alpert Medical School between 2015 and 2017 and was rated highly by almost 90% of students. Discussion: After completing this module, learners will be able to appropriately screen for intimate partner violence as well as counsel and refer patients who have screened positive. By implementing this module, educators can increase the number of health care professionals able to broach this difficult conversation with patients who may be in need of help and may otherwise go unaided.
Modified CBT offers promise as a feasible and acceptable treatment for perinatal women with low-incomes in prenatal care settings. Targeted delivery and content modifications are needed to engage populations tailored to setting and psychosocial challenges specific to the perinatal period.
In a clinical, community-based sample different types of childhood maltreatment are related to unique emotion regulation strategies. Implications for understanding the developmental antecedents of emotion regulation and depression are discussed.
Latina women, especially those who are immigrants, have an increased vulnerability to intimate partner violence, yet they also have a low rate of using formal services (i.e. health care and legal services). Existing research focused on Latina women's help seeking for intimate partner violence has identified multiple factors, such as the presence of children, cultural values, and type of victimization, that influence women's formal help seeking. Immigrant Latina women in particular commonly report many barriers to formal services; however, heterogeneity and nuanced patterns of help seeking exist across Latina survivors. While research has focused mainly on understanding factors that are barriers to help seeking by Latina women, there is an overwhelming dearth of research about interventions and factors that facilitate effective help-seeking experiences for Latina IPV survivors. In an effort to improve Latina IPV survivors' access to services, we examine the gaps in research across dimensions of access to care (i.e. availability, affordability, accessibility, accommodation, and acceptability of services). Research within each of these facets of access to services for Latina survivors is lacking. This brief commentary illustrates the sparse data to inform evidence based interventions for Latina IPV survivors and is a call for research in order to determine best practices and to move the knowledge base from the vast descriptive base to evidence-based, culturally appropriate and acceptable interventions.
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