Rurality as Concordance: Mental Health Service Delivery for Rural Survivors of Intimate Partner Violence

2021 ◽  
pp. 073112142110190
Author(s):  
Michele Statz ◽  
Katie R. Billings ◽  
Jordan Wolf
Keyword(s):  
Mental Health ◽  
Intimate Partner Violence ◽  
Rural Women ◽  
Partner Violence ◽  
Care Delivery ◽  
Health Service Delivery ◽  
The United States ◽  
Intimate Partner ◽  
Mental Health Crisis ◽  
Health Crisis

This manuscript examines how a shared sociospatial or “rural” identity may uniquely facilitate mental health care delivery. In particular, we consider the significant but largely unexplored role that domestic violence center staff, whom we term “Reputational Provider-Experts” or RPEs, play in addressing the mental health needs of rural women who have experienced intimate partner violence. Using data collected through semi-structured individual and focus group interviews with RPEs across 12 counties and four tribal reservations in northern Wisconsin ( N = 15), we detail the sociospatial commonalities that enable RPEs to provide trusted, sustained mental health support to rural women. Because these advocates are rural community members whose approach implicitly appeals to local norms and values, we argue that they represent rurally concordant providers. In this way, rurality emerges as a meaningful and novel form of patient-provider concordance, one with critical relevance to addressing the rural mental health crisis in the United States.

scholarly journals Exploring the intersection of traumatic brain injury and mental health in survivors of intimate partner violence

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Danielle Toccalino ◽  
Amy Moore ◽  
Sophia Chuon Gutierrez ◽  
Angela Colantonio ◽  
Christine M. Wickens ◽  
...  
Keyword(s):  
Mental Health ◽  
Traumatic Brain Injury ◽  
Intimate Partner Violence ◽  
Brain Injury ◽  
Partner Violence ◽  
The United States ◽  
Intimate Partner ◽  
Future Research ◽  
Heterosexual Relationships ◽  
Economic Implications

Introduction: One in four Canadian women experience intimate partner violence (IPV) in their lifetime. The COVID-19 pandemic has significantly increased rates of IPV globally and the level of violence encountered, exposing IPV survivors to greater risk of physical injury, including traumatic brain injury (TBI). Up to 75% of survivors are suspected of sustaining a TBI and 50-75% experience mental health or substance use challenges (MHSU) as a result of IPV, resulting in extensive personal, social, and economic implications. Objective: The objective of this scoping review was to synthesize what is currently known in the literature about MHSU and TBI among survivors of IPV and identify gaps. Methods: MEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane, Scopus, and Web of Science were searched for relevant articles using a search strategy including text words and subject headings related to TBI, IPV, and MHSU. Two reviewers independently assessed articles for inclusion. Results: The search identified 399 unique articles, 34 of which were included in this study. Of these, 11 articles reported on MHSU in IPV-related TBI and 9 articles reported on both TBI and MHSU in IPV but did not discuss the groups together. The remainder were reviews or theses that noted MHSU in IPV-related TBI. Included articles predominantly focused on cis-gendered women in heterosexual relationships and were conducted in the United States. Only three articles focused on the experiences of Black or Indigenous women and none of the included studies discussed implications of co-occurring TBI and MHSU on survivor’s healthcare-related needs or access to care. Conclusions: Despite the high rates of co-occurring TBI and MHSU among survivors of IPV, there is little research on this intersection and no investigation of the impacts on the health system. Future research should focus on identifying the healthcare-related needs of survivors and identifying and mitigating barriers to access.

Intimate Partner Violence and Mental Health Outcomes Among Hispanic Women in the United States: A Scoping Review

2021 ◽  
pp. 152483802110438
Author(s):  
Miranda E. Reyes ◽  
Lauren Simpson ◽  
Tami P. Sullivan ◽  
Ateka A. Contractor ◽  
Nicole H. Weiss
Keyword(s):  
Mental Health ◽  
United States ◽  
Intimate Partner Violence ◽  
Health Outcomes ◽  
Partner Violence ◽  
Hispanic Women ◽  
The United States ◽  
Intimate Partner ◽  
Mental Health Outcomes ◽  
Scoping Reviews

Hispanic women in the United States experience disproportionate mental health impacts of intimate partner violence (IPV). Following the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews guidelines, we synthesized the existing knowledge based on IPV and mental health outcomes among Hispanic women in the United States. In May 2020, we searched five electronic databases (i.e., MEDLINE, PILOTS, PSYCInfo, PSYCArticles, and EMBASE). From the initial 1,180 results, 13 articles met inclusion criteria for this review (written in English, empirical study, focus on the experiences of victimization from an intimate partner, focus on mental health outcomes occurring in the person experiencing IPV, included women who identify as Hispanic, and included participants residing in the United States), representing 4,060 women. Findings highlighted significant positive associations between IPV ( n = 13; 4,060 women) and general mental health outcomes ( n = 4; 759 women) as well as the specific outcomes of depression ( n = 12; 2,661 women), anxiety ( n = 1; 274 women), post-traumatic stress disorder ( n = 3; 515 women), and substance misuse ( n = 2; 1,673 women) among Hispanic women in the United States. Limitations included heterogeneity across Hispanic populations and methodological differences between studies. Key avenues for future research were identified, including the need to examine mental health outcomes understudied in relation to IPV among Hispanic women (e.g., personality, obsessive-compulsive, and eating disorders) and to identify cultural and demographic factors (e.g., nativity status, level of acculturation) that may influence relations between IPV and mental health outcomes among Hispanic women. Such research can inform prevention and intervention efforts aimed at improving mental health among Hispanic women in the Untied States experiencing IPV.

scholarly journals Post-Intimate Partner Violence Difficulty Sleeping, Perceived Mental Health, and PTSD Among Heterosexual and Bisexual Women in the United States

2018 ◽  
Author(s):  
Bethany M Coston
Keyword(s):  
Mental Health ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
The United States ◽  
Intimate Partner ◽  
Bisexual Women ◽  
Straight Women ◽  
And Bisexual ◽  
The Impact ◽  
Women Abused

Using data from the National Intimate Partner and Sexual Violence survey, this paper examines the relationship between sexuality and mental health outcomes in survivors of intimate partner violence. Findings indicate that heterosexual/straight women abused by women and bisexual women abused by women are significantly more likely to report current difficulty sleeping, while heterosexual/straight women abused by women and bisexual women abused by men are more likely to self-rate their overall mental health as poor (versus good or excellent). This is the first study using population-based data that takes into account all forms of violence and its impact on sexually diverse women—when we include psychological abuse and controlling tactics, the impact on mental health is worse than previously noted: around 80-90% of all women experience some form of anxiety, depression, intense fear, restlessness, nightmares, or stressors that impact their ability to work, go to school, and complete daily life activities.

Witnessing Intimate Partner Violence Across Contexts: Mental Health, Delinquency, and Dating Violence Outcomes Among Mexican Heritage Youth

2020 ◽  
pp. 088626052094681
Author(s):  
Lela Rankin Williams ◽  
Heidi Adams Rueda
Keyword(s):  
Mental Health ◽  
United States ◽  
Intimate Partner Violence ◽  
Dating Violence ◽  
Partner Violence ◽  
The United States ◽  
Intimate Partner ◽  
Path Model ◽  
Witness Violence ◽  
The Impact

Immigrant Mexican American (MA) youth are at greater risk for violence exposure due to risk factors associated with migration–postmigration processes and as they settle into urban U.S. communities marked by crime and poverty. Less is known about the contexts of this exposure. Specifically, what are the ecological contexts in which youth witness intimate partner violence (IPV), how do these experiences differ by immigration generational status, and what is the impact on youth’s externalizing and internalizing behaviors? MA adolescents ( N = 279; 15–17 years, M = 16.17, SD = 0.81) from the Southwest United States participated in an online survey. Over half of adolescents had witnessed at least one incidence of IPV in the prior 2 weeks, usually involving their peers. Adolescents who had spent more time in the United States were more likely to witness violence and rated it as more severe than more recently immigrated youth. A cross-sectional path model revealed that witnessing IPV was associated with internalizing and externalizing problems. However, the associations between witnessing IPV and dating violence perpetration and victimization were mediated through acceptance of dating violence norms. Each successive generation may be more likely to witness violence across a range of ecological contexts. Witnessing violence may be central to a host of negative outcomes, including deviancy, poor mental health, and dating violence. However, preventive interventions can help youth to challenge violence norms within intimate partnerships as well as to cope with violence in their homes, peer groups, and communities.

Understanding Intimate Partner Violence Against Women in the Rural South

2008 ◽  
Vol 23 (3) ◽  
pp. 390-405 ◽  
Author(s):  
Robert D. Shuman ◽  
Jeanne McCauley ◽  
Eve Waltermaurer ◽  
W. Patrick Roche ◽  
Helen Hollis ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Rural Women ◽  
Partner Violence ◽  
Small Body ◽  
The United States ◽  
Intimate Partner ◽  
Rural Setting ◽  
Care Providers ◽  
Medical Response ◽  
Increased Risk

Most U.S. intimate partner violence (IPV) research to date has been limited to women residing in urban areas, with the small body of research focusing on rural populations being primarily qualitative. In this case-control study of Southern rural women, while many factors are consistent with those found in urban settings, unlike findings elsewhere, IPV risk appears to increase with age, and race showed no increased risk. Furthermore, in rural areas where guns are more acceptable than in other parts of the United States, partners of IPV victims are considerably more likely to carry weapons than partners of nonabused women. Given the geographic limitations to police and medical response to severe IPV in a rural setting, an improved understanding of IPV risk among this population can aid health care providers in ascertaining risk before it escalates further.

Therapists' Experiences of Working With Iranian-Immigrant Intimate Partner Violence Clients in the United States

Partner Abuse ◽  
2021 ◽  
pp. PA-2021-0003
Author(s):  
Fatemeh Nikparvar ◽  
Sandra M. Stith
Keyword(s):  
Mental Health ◽  
United States ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Cultural Context ◽  
Well Being ◽  
The United States ◽  
Intimate Partner ◽  
Culturally Appropriate ◽  
Broad Perspective

Mental health practitioners have a responsibility to provide effective interventions to all their clients, accounting for each client’s cultural context and values relevant to their well-being. In this study, eight therapists who have worked with Iranian-immigrant intimate partner violence (IPV) clients were interviewed to answer two questions: (a) What have therapists who work in the United States learned about challenges of working with Iranian IPV clients living in the United StatesŒ and (b) What suggestions do these therapists have for improving services to Iranian IPV clients living in the United StatesŒ In response to this question, six main themes were found: (a) Clients’ lack of knowledge, (b) cultural acceptance that men are not accountable for their behaviors/gender norms in patriarchal culture, (c) women’s sense of disempowerment (victim’s role), (d) clients do not disclose IPV due to a sense of obligation, (e) clients’ fear of consequences of disclosing, and (f) clients’ difficulty trusting therapists and the mental health field. In response to the second question, that is, what suggestions do these therapists have for improving the services to Iranian IPV clients living in the United StatesŒ three main themes emerged: (a) clients need for knowledge and psychoeducation, (b) the services for Iranian-immigrant clients are not culturally appropriate, (c) therapists need to have a broad perspective of clients. Results add to the understanding of IPV grounded in the Iranian immigrant culture and ultimately contribute to a culturally based conceptualization of IPV among Iranian immigrants to sensitize therapists regarding culturally appropriate interventions that reflect the concerns of the Iranian living in the United States.

Women’s Mental Health and Intimate Partner Violence Following Natural Disaster: A Scoping Review

2016 ◽  
Vol 31 (6) ◽  
pp. 648-657 ◽  
Author(s):  
Sue Anne Bell ◽  
Lisa A. Folkerth
Keyword(s):  
Mental Health ◽  
Intimate Partner Violence ◽  
Health Outcomes ◽  
Natural Disasters ◽  
Natural Disaster ◽  
Scoping Review ◽  
Partner Violence ◽  
The United States ◽  
Intimate Partner ◽  
Mental Health Outcomes

AbstractIntroductionSurvivors of natural disasters in the United States experience significant health ramifications. Women particularly are vulnerable to both post-disaster posttraumatic stress disorder (PTSD) and depression, and research has documented that these psychopathological sequelae often are correlated with increased incidence of intimate partner violence (IPV). Understanding the link between these health concerns is crucial to informing adequate disaster response and relief efforts for victims of natural disaster.PurposeThe purpose of this review was to report the results of a scoping review on the specific mental health effects that commonly impact women following natural disasters, and to develop a conceptual framework with which to guide future research.MethodsA scoping review of mental and physical health effects experienced by women following natural disasters in the United States was conducted. Articles from 2000-2015 were included. Databases examined were PubMed, PsycInfo, Cochrane, JSTOR, Web of Science, and databases available through ProQuest, including ProQuest Research Library.ResultsA total of 58 articles were selected for inclusion, out of an original 149 that were selected for full-text review. Forty-eight articles, or 82.8%, focused on mental health outcomes. Ten articles, or 17.2%, focused on IPV.DiscussionCertain mental health outcomes, including PTSD, depression, and other significant mental health concerns, were recurrent issues for women post-disaster. Despite the strong correlation between experience of mental health consequences after disaster and increased risk of domestic violence, studies on the risk and mediating factors are rare. The specific challenges faced by women and the interrelation between negative mental health outcomes and heightened exposure to IPV following disasters require a solid evidence base in order to facilitate the development of effective interventions. Additional research informed by theory on probable health impacts is necessary to improve development/implementation of emergency relief policy.BellSA, FolkerthLA. Women’s mental health and intimate partner violence following natural disaster: a scoping review. Prehosp Disaster Med. 2016;31(6):648–657.

Guns, Alcohol, and Intimate Partner Violence: The Epidemiology of Female Suicide in New Mexico

Crisis ◽  
1999 ◽  
Vol 20 (3) ◽  
pp. 121-126 ◽  
Author(s):  
Lenora Olson ◽  
Frank Huyler ◽  
Arthur W Lynch ◽  
Lynne Fullerton ◽  
Deborah Werenko ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
New Mexico ◽  
American Indians ◽  
Partner Violence ◽  
The United States ◽  
Intimate Partner ◽  
Injury Death ◽  
Female Suicide ◽  
Blood Alcohol Levels ◽  
Associated Risk Factors

Suicide is among the leading causes of death in the United States, and in women the second leading cause of injury death overall. Previous studies have suggested links between intimate partner violence and suicide in women. We examined female suicide deaths to identify and describe associated risk factors. We reviewed all reports from the New Mexico Office of the Medical Investigator for female suicide deaths occurring in New Mexico from 1990 to 1994. Information abstracted included demographics, mechanism of death, presence of alcohol/drugs, clinical depression, intimate partner violence, health problems, and other variables. Annual rates were calculated based on the 1990 census. The New Mexico female suicide death rate was 8.2/100,000 persons per year (n = 313), nearly twice the U. S. rate of 4.5/100,000. Non-Hispanic whites were overrepresented compared to Hispanics and American Indians. Decedents ranged in age from 14 to 93 years (median = 43 years). Firearms accounted for 45.7% of the suicide deaths, followed by ingested poisons (29.1%), hanging (10.5%), other (7.7%), and inhaled poisons (7.0%). Intimate partner violence was documented in 5.1% of female suicide deaths; in an additional 22.1% of cases, a male intimate partner fought with or separated from the decedent immediately preceding the suicide. Nearly two-thirds (65.5%) of the decedents had alcohol or drugs present in their blood at autopsy. Among decedents who had alcohol present (34.5%), blood alcohol levels were far higher among American Indians compared to Hispanics and non-Hispanic Whites (p = .01). Interpersonal conflict was documented in over 25% of cases, indicating that studies of the mortality of intimate partner violence should include victims of both suicide and homicide deaths to fully characterize the mortality patterns of intimate partner violence.

Abusive Men's Use of Children to Control Their Partners and Ex-Partners

2007 ◽  
Vol 12 (1) ◽  
pp. 54-61 ◽  
Author(s):  
Marisa L. Beeble ◽  
Deborah Bybee ◽  
Cris M. Sullivan
Keyword(s):  
United States ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Emotional Abuse ◽  
The United States ◽  
Intimate Partner ◽  
Anecdotal Evidence ◽  
Multiple Variables ◽  
The Relationship

While research has found that millions of children in the United States are exposed to their mothers being battered, and that many are themselves abused as well, little is known about the ways in which children are used by abusers to manipulate or harm their mothers. Anecdotal evidence suggests that perpetrators use children in a variety of ways to control and harm women; however, no studies to date have empirically examined the extent of this occurring. Therefore, the current study examined the extent to which survivors of abuse experienced this, as well as the conditions under which it occurred. Interviews were conducted with 156 women who had experienced recent intimate partner violence. Each of these women had at least one child between the ages of 5 and 12. Most women (88%) reported that their assailants had used their children against them in varying ways. Multiple variables were found to be related to this occurring, including the relationship between the assailant and the children, the extent of physical and emotional abuse used by the abuser against the woman, and the assailant's court-ordered visitation status. Findings point toward the complex situational conditions by which assailants use the children of their partners or ex-partners to continue the abuse, and the need for a great deal more research in this area.

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