Advancing our knowledge of the complexity and management of intimate partner violence and co-occurring mental health and substance abuse problems in women

Mason, Robin; Mont, Janice Du

doi:10.12703/p7-65

Cited by 10 publications

(7 citation statements)

References 31 publications

(39 reference statements)

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“…The results of this study made it possible to identify certain fundamental needs in interventions with complex IPV cases. This finding was consistent with various articles recommending more cooperation between organizations and institutions in co-occurrence cases (Bromfield et al, 2010;Dumont, 2018;Hamilton et al, 2021;Laing et al, 2018;Lessard et al, 2014;Mason & DuMont, 2015;Mason et al, 2017;O'Leary et al, 2018;Stewart, 2020;Stylianou & Ebright, 2021). In each cooperation meeting, numerous possible avenues were identified for improving the victims' safety and enhancing practices in all of the regions' participating organizations.…”

Section: Discussionsupporting

confidence: 88%

Intimate Partner Violence and Other Associated Problems: Sectoral Cooperation to Optimize the Safety of Women and Children

Smedslund¹,

Poulin²,

Lessard³

et al. 2022

JSS

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The objective of this study was to evaluate the implementation of sectoral cooperation strategy involving different organizations concerned by intimate partner violence and other co-occurring problems in the province of Quebec (Canada). The sectoral cooperation meetings (N = 63) were held from February 2018 to June 2019 and 250 evaluation questionnaires were filled out by the practitioners. The data collection tool was composed of open-ended questions (qualitative section) along with Likert scales and multiple-choice questions (quantitative section). The results showed that a large majority of the practitioners considered that cooperation helped to improve the safety of the women and their children and to optimize their practice. Likewise, all of the practitioners considered that sectoral cooperation represented a winning strategy worthy of further development. Findings highlight the importance to support practitioners in complex clinical situations when IPV co-occurred alongside mental health problems, addiction problems, or child maltreatment, and this, in order to ensure the safety of intimate partner violence victims and their children.

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Section: Discussionsupporting

confidence: 88%

Intimate Partner Violence and Other Associated Problems: Sectoral Cooperation to Optimize the Safety of Women and Children

Smedslund¹,

Poulin²,

Lessard³

et al. 2022

JSS

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“…depression, PTSD, anxiety) and substance abuse challenges [ 6 , 7 ]. “The evidence is irrefutable – women’s experiences of domestic violence are connected in complex and reciprocal ways with poor mental health and substance use problems” [ 8 ]. Despite the prevalence and interconnections among these co-occurring problems, policies and funding formulas have resulted in services designed to address a single problem and women having to identify a priority treatment issue [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Making connections across silos: intimate partner violence, mental health, and substance use

Mason

O’Rinn

et al. 2017

BMC Women's Health

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BackgroundUntold numbers of women worldwide are survivors of intimate partner violence (IPV) with a substantial number of these experiencing co-occurring mental health and substance use problems. Despite the complex interconnections among these problems, funding mechanisms and organizational structures and mandates have been designed to address just a single, focal problem. One of the challenges for frontline providers is the lack of effective, evidence-informed inter-professional education or training to help them identify and appropriately respond to co-occurring problems. We developed an evidence-informed, competency-based curriculum to address this gap. In this paper we report on its effectiveness in increasing knowledge, changing beliefs and enhancing skills of frontline workers from all three sectors.MethodsThe curriculum consists of multiple elements: a text manual; an interactive, online series of modules; and, an in-person workshop. Frontline workers (n = 1111) in the violence against women (VAW) (n = 499), mental health (n = 229), addiction treatment (n = 167), and associated sectors (n = 149) were recruited to attend the workshop and instructed to read the manual or complete the online modules before attending. Some failed to respond (n = 67). Online pre- and post-tests were used to assess changes in knowledge, beliefs and skills; evaluations of the workshop were also collected.ResultsMatched pre- and post-tests were available for over half of the participants (n = 624). Results show statistically significant improvements across all six competency domains from pre to post-test (p <0.0001). Significant changes in participants’ knowledge and stigmatizing beliefs were achieved. There was no correlation among differences in sector, age, size of organization, years of experience or prior training. Participant feedback made evident prior misconceptions about women experiencing co-occurring problems, improved understanding about the need to bridge silos, as well as the need for enhanced self-care.ConclusionsAn educational intervention designed to sensitize frontline workers to the realities of women’s experiences of co-occurring problems, educate about the challenges of accessing help when there are co-occurring problems, and bridge discipline and practice-based silos, can effectively challenge and alter providers’ negative attitudes and stigmatizing beliefs. Decreasing stigmatizing beliefs and increasing knowledge has the potential to help survivors access needed help.Electronic supplementary materialThe online version of this article (doi:10.1186/s12905-017-0372-4) contains supplementary material, which is available to authorized users.

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“…40,45,78 A bidirectional association 31 has been previously suggested between IPV history and costly mental health problems 45 such as symptoms of depression, 79-81 PTSD, 82,83 suicidality, [84][85][86] and substance abuse. [87][88][89] In a recent study of women enrolled in the Group Health Cooperative, IPV exposure was specifically linked to excessive utilization of mental health services. 11,37 Comorbid mental health problems can adversely impact the success of IPV interventions and often present at EDs rather than specialized centers while being underdiagnosed by ED healthcare providers.…”

mentioning

confidence: 99%

Relationship of Physical Intimate Partner Violence with Mental Health Diagnoses in the Nationwide Emergency Department Sample

Beydoun

Williams

Beydoun

et al. 2017

Journal of Women's Health

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Objectives: We examined associations of physical intimate partner violence (PIPV) with selected mental health disorders using a nationally representative sample of emergency department (ED) discharges corresponding to men and women (18-64 years) from the 2010 Nationwide Emergency Department Sample. Methods: PIPV was determined using International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM) external cause of injury code E967.3 (battering by spouse or partner). ICD-9-CM clinical classification of discharge diagnoses was used to identify mental health disorders. Multivariable logistic regression models were constructed to estimate adjusted odds ratios (OR adj ) and their 95% confidence intervals (CIs). Results: PIPV prevalence was estimated at 0.36 per 1000 ED discharges. The strongest correlates of PIPV were alcohol-related (OR adj = 3.02, 95% CI: 2.62-3.50), adjustment (OR adj = 2.37, 95% CI: 1.56-3.58), intentional selfharm (OR adj = 1.41, 95% CI: 1.05-1.89), anxiety (OR adj = 1.23, 95% CI: 1.07-1.40), drug-related (OR adj = 1.22, 95% CI: 1.01-1.47), and mood (OR adj = 1.16, 95% CI: 1.04-1.31) disorders. PIPV's association with alcoholrelated disorders was stronger among women (OR adj = 3.22, 95% CI: 2.79-3.72) versus men (OR adj = 1.98, 95% CI: 1.42-2.77). Similarly, drug-related disorders were stronger correlates of PIPV among women (OR adj = 1.32, 95% CI: 1.09-1.60) versus men (OR adj = 0.59, 95% CI: 0.31-1.16). Conclusions: In EDs, PIPV was linked to several mental health disorders, with women experiencing comorbid PIPV and substance use more frequently than men.

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Advancing our knowledge of the complexity and management of intimate partner violence and co-occurring mental health and substance abuse problems in women

Cited by 10 publications

References 31 publications

Intimate Partner Violence and Other Associated Problems: Sectoral Cooperation to Optimize the Safety of Women and Children

Intimate Partner Violence and Other Associated Problems: Sectoral Cooperation to Optimize the Safety of Women and Children

Making connections across silos: intimate partner violence, mental health, and substance use

Relationship of Physical Intimate Partner Violence with Mental Health Diagnoses in the Nationwide Emergency Department Sample

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