‘If the Partner Finds Out, then there’s Trouble’: Provider Perspectives on Safety Planning and Partner Interference When Offering HIV Pre-exposure Prophylaxis (PrEP) to Women Experiencing Intimate Partner Violence (IPV)

2022 ◽  
Author(s):  
Noelene K. Jeffers ◽  
Jessica L. Zemlak ◽  
Lourdes Celius ◽  
Tiara C. Willie ◽  
Trace Kershaw ◽  
...  
2017 ◽  
Vol 22 (4) ◽  
pp. 1190-1200 ◽  
Author(s):  
Tiara C. Willie ◽  
Jamila K. Stockman ◽  
Nicole M. Overstreet ◽  
Trace S. Kershaw

2021 ◽  
Vol 44 (1) ◽  
Author(s):  
Heather Douglas ◽  
Stella Tarrant ◽  
Julia Tolmie

This article considers what evidence juries need to help them apply the defence of self-defence where a woman claims she has killed an abusive partner to save her own life. Drawing on recent research and cases we argue that expert evidence admitted in these types of cases generally fails to provide evidence about the nature of abuse, the limitations in the systemic safety responses and the structural inequality that abused women routinely face. Evidence of the reality of the woman’s safety options, including access to, and the realistic support offered by, services such as police, housing, childcare, safety planning and financial support should be presented. In essence, juries need evidence about what has been called social entrapment so they can understand how women’s safety options are deeply intertwined with their degree of danger and therefore with the question of whether their response (of killing their abuser) was necessary based on reasonable grounds. We consider the types of evidence that may be important in helping juries understand the concept and particular circumstances of social entrapment, including the role of experts in this context.


2020 ◽  
Vol 10 (12) ◽  
pp. 76
Author(s):  
Camille Burnett ◽  
Esha Rawat ◽  
Ashley Hudson ◽  
Tamia Walker-Atwater ◽  
Donna Schminkey

Intimate partner violence (IPV) has a 1 in 4 prevalence for women globally. Nursing programs are positioned to prepare students to address IPV screening and brief counselling policy recommendations within curricula. The purpose of this project was to refine the undergraduate nursing curriculum to better facilitate student comfort with and knowledge of IPV screening and intervention using simulation. Methods: We used a 4-item pre/posttest tool to evaluate nursing students’ comfort level with IPV screening and safety planning before and after an IPV simulation with a standardized patient as part of the formative assessment of the simulation. Results: Close to 80% of students (N = 133) reported feeling more comfortable with discussing IPV, screening for IPV, talking to people about IPV, and safety planning after completing the IPV simulation. Conclusion: Infusing IPV screening and intervention simulation into curricula gives students a hands-on opportunity to practice critical trauma-informed skills before encountering a patient exposed to violence. This exposure enhances student comfort with and increases knowledge of screening and intervening with families exposed to IPV and as a result may help to decrease known barriers to IPV screening and intervening post licensure.


2020 ◽  
pp. 088626052098330
Author(s):  
Leila Wood ◽  
Rachel Voth Schrag ◽  
Elizabeth Baumler ◽  
Dixie Hairston ◽  
Shannon Guillot-Wright ◽  
...  

In the face of increasing risk for intimate partner violence (IPV) and sexual assault during the COVID-19 pandemic, there is an urgent need to understand the experiences of the workforce providing support to survivors, as well as the evolving service delivery methods, shifting safety planning approaches, and occupational stress of frontline workers. We addressed this gap by conducting an online survey of members of IPV and sexual assault workforce using a broad, web-based recruitment strategy. In total, 352 staff from 24 states participated. We collaborated with practitioner networks and anti-violence coalitions to develop the brief survey, which included questions about work and health, safety planning, and stress. We used chi-square, t-test, and ANOVA analysis techniques to analyze differences within position and demographic variables. For qualitative data, we used thematic analysis to analyze responses from four open-ended questions. The sample was majority female-identified (93.7%) and essential workers in dual IPV and sexual assault programs (80.7%). Findings demonstrated that since the pandemic began, IPV and sexual assault staff are experiencing more personal and professional stressors, perceive a decrease in client safety, and lack resources needed to help survivors and themselves. Common problems included a lack of food or supplies at home and work and housing and financial support for survivors. There was a 51% increase in the use of video conference for work, which contributed to workforce strain. Reductions in overall service capacity and a shift to remote service provision have implications for both survivors and staff. These findings suggest a critical need for additional training, infrastructure, and support for the IPV and sexual assault workforce. There is an urgent need to classify IPV and sexual assault staff as first responders and address the occupational stress associated with the COVID-19 pandemic.


2016 ◽  
Vol 23 (2) ◽  
pp. 222-242 ◽  
Author(s):  
Lori K. Sudderth

Victim advocates help victims of intimate partner violence to plan for their safety and encourage them to find social support. In New Zealand, however, victims often bring supportive allies with them to safety planning meetings, and those allies help to plan for the victim’s safety. Interviews were conducted with representatives from 24 refuges in New Zealand, and from their perspective, the inclusion of allies in safety planning meetings is beneficial not only for social support but also for enhancing the safety of the victim. The benefits and implications of enlisting informal community members to help keep victims safe are discussed.


2021 ◽  
pp. 152483802110131
Author(s):  
Bushra Sabri ◽  
Saraniya Tharmarajah ◽  
Veronica P. S. Njie-Carr ◽  
Jill T. Messing ◽  
Em Loerzel ◽  
...  

Intimate partner violence (IPV) disproportionately affects marginalized women in the United States. This calls for effective safety planning strategies to reduce the risk for future revictimization and address safety needs of survivors from marginalized groups. This review identified types of interventions that incorporated safety planning and were successful in reducing the risk for future revictimization among IPV survivors from diverse groups, examined elements of safety planning in effective interventions, and described challenges or limitations in safety planning intervention research with marginalized women. A systematic search of five databases was performed. The search resulted in inclusion of 17 studies for synthesis. The included studies were quantitative, U.S.-based, evaluated interventions with a safety planning component, and had an outcome of change in IPV. Effective interventions that incorporated safety planning were empowerment and advocacy focused. Elements included were comprehensive assessments of survivors’ unique needs and situations, educating them about IPV, helping them identify threats to safety, developing a concrete safety plan, facilitating linkage with resources, providing advocacy services as needed, and conducting periodic safety check-ins. For survivors with mental and behavioral health issues, effective interventions included psychotherapeutic approaches along with safety planning to address survivors’ co-occurring health care needs. Although most studies reported positive findings, there were limitations related to designs, methods, adequate inclusion, and representation of marginalized women and cultural considerations. This calls for additional research using rigorous and culturally informed approaches to establish an evidence base for effective interventions that specifically address the safety planning needs of marginalized survivors of IPV.


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