HIV/AIDS Knowledge and Prevention Programming in Domestic Violence Shelters: How Are We Doing?

Rountree, Michele; Goldbach, Jeremy T.; Bent‐Goodley, Tricia B.; Bagwell, Meredith

doi:10.1080/15381501.2011.549068

Cited by 9 publications

(20 citation statements)

References 24 publications

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“…Ninety-two percent of the DV shelter workers reported that HIV prevention interventions had never been implemented at their shelter and educational brochures about HIV prevention were rarely provided to residents. These findings are consistent with other reports that DV shelters are underutilized in HIV prevention (Rountree et al, 2011; Rountree et al, 2008). …”

Section: Discussionsupporting

confidence: 93%

Adapting an evidence-based HIV-prevention intervention for women in domestic violence shelters.

Cavanaugh¹,

Campbell²,

Braxton³

et al. 2016

Psychology of Violence

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Objective Despite the documented intersection of intimate partner violence and HIV, there is a paucity of evidence-based HIV prevention interventions for female survivors of intimate partner violence in the United States. This paper describes the adaptation of an effective HIV prevention intervention, Sisters Informing Sisters about Topics on AIDS (SISTA), for women in domestic violence shelters and the steps taken to improve the adapted intervention’s implementation. Method The adaptation process was guided by the ADAPT-ITT framework and data collected from directors, direct client service providers, and residents of two domestic violence shelters located in urban areas, as well as topical experts. Results Eleven of 12 shelter staff (92%) reported that HIV interventions had never been implemented at their shelter and 64% reported they had not provided residents with educational brochures about HIV prevention. Changes made to adapt SISTA for this population and enhance the implementation of the intervention included reducing the intervention’s duration; adding education about the intersection of intimate partner violence, substance use, and HIV; and adding an HIV risk assessment and safety plan. Conclusions Next steps will include implementing the adapted intervention and evaluating its perceived acceptability and efficacy, and assessing whether contextual factors influence the intervention’s implementation.

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Section: Discussionsupporting

confidence: 93%

Adapting an evidence-based HIV-prevention intervention for women in domestic violence shelters.

Cavanaugh¹,

Campbell²,

Braxton³

et al. 2016

Psychology of Violence

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“…Shelter residents also reported high levels of satisfaction with the intervention. These findings further support that women perceive shelters as a safe and protective environment for HIV testing and risk prevention (Cavanaugh et al, 2016; Rountree et al, 2011). …”

Section: Discussionsupporting

confidence: 71%

mentioning

confidence: 99%

“…Women in shelters have already initiated a change in their life, and BWS provide a confidential, safe, supportive, and resource rich environment where women can safely obtain test results, cope, and access treatment if HIV positive (Rountree, Goldback, Bent-Goodley, & Bagwell, 2011). However, in a study of 59 BWS, 54% did not disseminate HIV information to residents and only 17% offered testing or sexual safety planning (Rountree et al, 2011). More recently, Cavanaugh and colleagues (2016) conducted a needs assessment for HIV prevention services within BWS and found 92% of shelter staff reported that HIV interventions were never administered within shelter and only 35% reported that they provide HIV educational materials to residents.…”

mentioning

confidence: 99%

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Rapid Human Immunodeficiency Virus Testing and Risk Prevention in Residents of Battered Women's Shelters

Johnson

Beckwith

et al. 2017

Women's Health Issues

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Background HIV and Intimate Partner Violence (IPV) are interconnected public health problems. However, few HIV prevention interventions address the unique needs of IPV survivors in shelter and none of the CDC’s best-evidence risk reduction interventions adequately explore the complex relationship between IPV and HIV risk. Although battered women’s shelters provide a safe and supportive environment for women in crisis, most do not offer HIV risk reduction services or sexual safety planning. Methods This study evaluated the feasibility, acceptability, and initial efficacy of a rapid HIV-testing and brief risk prevention intervention developed for residents of battered women’s shelters. The Safe Alternatives For Empowered sex for intimate partner violence (IPV) intervention (SAFE-IPV) was evaluated in an open trial (N = 98). Participants were assessed with a series of standardized interviews and self-reports at screening and three-months after leaving shelter. Results Few eligible participants declined SAFE-IPV and participants who received SAFE-IPV reported high levels of satisfaction. No participants in the open trial tested positive for HIV. However, participants reported significantly fewer unprotected vaginal and anal sexual occasions and increased intentions to engage in risk preventative behaviors three months after leaving shelter compared to the three months prior to shelter. Additionally, participants reported significant improvements on HIV-risk factors addressed in SAFE-IPV at three-month follow-up (i.e., reduced emotional, physical and sexual harm by abuser, posttraumatic stress symptoms, hazardous alcohol use, and drug use). Discussion Results extend prior research on HIV prevention with women with IPV, demonstrating the acceptability, feasibility and initial efficacy of SAFE-IPV within battered women’s shelter settings.

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“…[41][42][43][44] However, the best practices for implementing a continuous universal IPV screening protocol within a HIV clinical care setting has not yet been fully developed.…”

Section: Introductionmentioning

confidence: 99%

Implementing an Intimate Partner Violence (IPV) Screening Protocol in HIV Care

Raissi

Krentz

Siemieniuk

et al. 2015

AIDS Patient Care and STDs

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HIV and intimate partner violence (IPV) epidemics propagate and interact in a syndemic fashion contributing to excess burden of disease and poorer health outcomes. In order to understand the impact of IPV on HIV disease management, a universal screening program was implemented in the Southern Alberta Clinic in May 2009. We evaluated our IPV screening protocol and made recommendations for its usage in HIV care. IPV data obtained from patients were evaluated, supplemented with responses from a subset of in-depth interviews. 35% of 1721 patients reported experiencing IPV. Prevalence was higher among females (46%), Aboriginal Canadians (67%), bisexual male/females (48%), and gay males (35%). Of 158 patients interviewed, only 22% had previously been asked about IPV in any health care setting. Patients were responsive to routine IPV screening emphasizing that referral services need to be easily accessible. 23% of patients disclosing IPV subsequently connected to additional IPV resources after screening. We recommend that universal IPV screening be incorporated within regular HIV clinic care. The IPV survey should be given after trust has been established with regular follow-up every 6-12 months. A referral process to local agencies dealing with IPV must be in place for patients disclosing abuses.

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HIV/AIDS Knowledge and Prevention Programming in Domestic Violence Shelters: How Are We Doing?

Cited by 9 publications

References 24 publications

Adapting an evidence-based HIV-prevention intervention for women in domestic violence shelters.

Adapting an evidence-based HIV-prevention intervention for women in domestic violence shelters.

Rapid Human Immunodeficiency Virus Testing and Risk Prevention in Residents of Battered Women's Shelters

Implementing an Intimate Partner Violence (IPV) Screening Protocol in HIV Care

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