Interventions for Intimate Partner Violence Against Women

Rhodes, Karin V.; Levinson, Wendy

doi:10.1001/jama.289.5.601

Cited by 81 publications

(59 citation statements)

References 40 publications

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“…Care providers are in the position of being able to help young mothers develop safety plans that focus attention on immediate needs such as mobilizing the woman's social network, and helping her negotiate multiple threats to her well-being (Davies & Lyon, 1998;Lindhorst, Nurius, & Macy, 2005). In addition, access to biopsychosocial interventions that can mitigate depressive symptoms among young battered women is also an important safety net for adolescent mothers coping with violence (Herman, 1992;Rhodes & Levinson, 2003).…”

Section: Discussionmentioning

confidence: 99%

The long-term effects of intimate partner violence on adolescent mothers’ depressive symptoms

Lindhorst

Oxford

2008

Social Science & Medicine

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Adolescent mothers are at high risk of experiencing intimate partner violence (IPV) which may increase their likelihood of depressive symptoms in adulthood, yet little is known about the longterm effects of IPV on adolescent mothers' trajectories of depressive symptoms. The study reported here uses prospective data spanning 14 years from a study of 229 adolescent mothers from Washington State, USA to evaluate the effects of adolescent exposure to IPV on the trajectories of depressive symptoms over time, as well as the likelihood of depressive symptoms at age 28 years. After controlling for levels of economic insecurity, the results indicate that adolescent IPV and an early vulnerability to depression were significantly related to the intercept, but not the slope of the adult depressive symptom trajectories. Both cumulative and concurrent IPV predicted the likelihood of depressive symptoms at age 28 years. Follow-up analyses indicate that adolescent IPV is associated with greater levels of adult IPV, and that women who report both adolescent and adult IPV have the highest mean levels of depressive symptoms. These findings suggest that exposure to IPV in adolescence may alter the life course of young women, increasing their risk for continuing exposure to intimate partner violence in adulthood and its concomitant negative mental health effects. Efforts aimed at prevention and early intervention in IPV among adolescent mothers are important components of the clinical care of young mothers.

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Section: Discussionmentioning

confidence: 99%

The long-term effects of intimate partner violence on adolescent mothers’ depressive symptoms

Lindhorst

Oxford

2008

Social Science & Medicine

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“…Domestic violence screening has been prominently advocated on the basis of both severity of impact and high prevalence. Questions remain about the efficacy of physician interventions [44,45], although practical experience is being accrued [34,46]. We might speculate that some of the attraction of maternal depression as a pediatric psychosocial risk factor is that the concept is already familiar to most physicians and has well-developed and commonly accepted interventions [47].…”

Section: Discussionmentioning

confidence: 99%

Child Injury Risks are Close to Home: Parent Psychosocial Factors Associated with Child Safety

Rhodes

Iwashyna

2007

Matern Child Health J

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Objective: In several populations, maternal depression has been associated with reduced child safety. In an urban pediatric Emergency Department, we examined the relationship between parental depression, social support, and domestic conflict and child safety behaviors.Methods: We studied consecutive patients in an Emergency Department. Trained interviewers used a structured instrument to assess patient, primary caregiver, and household demographics, socio-economic status, psychosocial factors, child safety behaviors (whether a gun was in the home, poisons were locked, a functioning smoke detector was present, and use of carseats or seatbelts), and whether the home was smokefree. 1,116 patients provided adequate data.Results: Depression was associated with a modest and not statistically significant reduction in child safety behaviors in this population. Lack of social support and the presence of domestic conflict were robustly, independently, and statistically significantly associated with less safe homes. Domestic conflict was associated with more smoking in the home.Conclusion: In our population, child safety was associated less with depression and more with parental lack of social support and domestic conflict. These can be assessed in a Emergency Department and may be amenable to intervention. Abstract Objective: In several populations, maternal depression has been associated with reduced child safety. In an urban pediatric Emergency Department, we examined the relationship between parental depression, social support, and domestic conflict and child safety behaviors.Methods: We studied consecutive patients in an Emergency Department. Trained interviewers used a structured instrument to assess patient, primary caregiver, and household demographics, socio-economic status, psychosocial factors, child safety behaviors (whether a gun was in the home, poisons were locked, a functioning smoke detector was present, and use of carseats or seatbelts), and whether the home was smoke-free. 1,116 patients provided adequate data.Results: Depression was associated with a modest and not statistically significant reduction in child safety behaviors in this population. Lack of social support and the presence of domestic conflict were robustly, independently, and statistically significantly associated with less safe homes. Domestic conflict was associated with more smoking in the home.Conclusion: In our population, child safety was associated less with depression and more with parental lack of social support and domestic conflict. These can be assessed in a Emergency Department and may be amenable to intervention.

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“…[5][6][7][8][9][10] Research indicates that screening and counseling for IPV can identify survivors and, in some cases, increase safety, reduce abuse, and improve clinical and social outcomes. [11][12][13][14][15][16][17][18][19] Possible harms or unintended consequences of clinical assessment have been raised and considered in research trials, but thus far no evidence of such harm has emerged. [19][20][21] Barriers for implementation of IPV screening and counseling are myriad, including clinician concerns about time; limited incentives for screening 22 ; either nonexistent or poorly implemented policies to guide clinicians and practices in conducting screening; lack of knowledge and confidence about how to support a patient who discloses IPV, [23][24][25][26][27] which may reflect lack of reliable intervention services 28 ; and inadequate crosssector collaborations with victim service advocates.…”

Section: Introductionmentioning

confidence: 99%

Integrating Intimate Partner Violence Assessment and Intervention into Healthcare in the United States: A Systems Approach

Miller

McCaw

Humphreys

et al. 2015

Journal of Women's Health

151

116

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The Institute of Medicine, United States Preventive Services Task Force (USPSTF), and national healthcare organizations recommend screening and counseling for intimate partner violence (IPV) within the US healthcare setting. The Affordable Care Act includes screening and brief counseling for IPV as part of required free preventive services for women. Thus, IPV screening and counseling must be implemented safely and effectively throughout the healthcare delivery system. Health professional education is one strategy for increasing screening and counseling in healthcare settings, but studies on improving screening and counseling for other health conditions highlight the critical role of making changes within the healthcare delivery system to drive desired improvements in clinician screening practices and health outcomes.This article outlines a systems approach to the implementation of IPV screening and counseling, with a focus on integrated health and advocacy service delivery to support identification and interventions, use of electronic health record (EHR) tools, and cross-sector partnerships. Practice and policy recommendations include (1) ensuring staff and clinician training in effective, client-centered IPV assessment that connects patients to support and services regardless of disclosure; (2) supporting enhancement of EHRs to prompt appropriate clinical care for IPV and facilitate capturing more detailed and standardized IPV data; and (3) integrating IPV care into quality and meaningful use measures. Research directions include studies across various health settings and populations, development of quality measures and patient-centered outcomes, and tests of multilevel approaches to improve the uptake and consistent implementation of evidence-informed IPV screening and counseling guidelines.

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Interventions for Intimate Partner Violence Against Women

Cited by 81 publications

References 40 publications

The long-term effects of intimate partner violence on adolescent mothers’ depressive symptoms

The long-term effects of intimate partner violence on adolescent mothers’ depressive symptoms

Child Injury Risks are Close to Home: Parent Psychosocial Factors Associated with Child Safety

Integrating Intimate Partner Violence Assessment and Intervention into Healthcare in the United States: A Systems Approach

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