Economic Abuse: A Subtle but Common Form of Power and Control

2020 ◽  
pp. 088626052091626
Author(s):  
Kameri Christy ◽  
Tanice Welter ◽  
Kelly Dundon ◽  
Valandra ◽  
Ambra Bruce
Keyword(s):  
Partner Violence ◽  
Service Providers ◽  
Qualitative Interviews ◽  
Police Training ◽  
Distinct Type ◽  
Service Users ◽  
Economic Abuse ◽  
Frontline Workers ◽  
Professional Responses ◽  
Study Participants

Awareness of and responses to intimate partner violence against women (IPV-W) have been increasing steadily since the early 1970s. However, one of the most frequently used and effective strategies by abusive partners, economic abuse (EA), has received much less attention than physical or sexual abuse. In-depth qualitative interviews were conducted with IPV-W service users ( n = 15) and providers ( n = 24) in England to expand the knowledge-base and provide support regarding the reality and impact of EA, the economic barriers and supports experienced when trying to obtain help, and recommendations for remediating EA. Grounded theory procedures of open, axial, and selective coding techniques were utilized for data analysis. Five themes, (a) definitions and prevalence of EA, (b) service users experiences of EA, ( c) continued impact of EA, ( d) barriers to obtaining help, and (e) goals regarding finances, emerged with both groups. The theme professional responses to EA also surfaced for service providers, and service users discussed the additional theme of service users’ support when experiencing EA. The study participants’ recommendations include (a) identifying EA as a distinct type of IPV-W, (b) updating legal guideline to allow offenders of EA to be prosecuted, (c) encouraging banks to do more to assist victims of EA, and (d) updating police training and frontline workers to include EA. The narratives of the study participants underscore the import of collaboration with and involvement of IPV-W service user and provider stakeholders when developing and implementing policies, programs, and practices to prevent further EA and meet the distinctive needs of women who experience EA as a part of IPV-W.

How Research Evidence is Defined, Acquired, and Shared Across Systems That Address Intimate Partner Violence

2021 ◽  
pp. 107780122110259
Author(s):  
Taryn P. Lindhorst ◽  
Erin A. Casey ◽  
Claire Willey-Sthapit ◽  
Barbara Toews
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Research Evidence ◽  
Service Providers ◽  
Qualitative Interviews ◽  
Intimate Partner ◽  
Research Information ◽  
Professional Networks ◽  
Victim Services ◽  
Academic Settings

This exploratory study examined the flow of research evidence through systems that address intimate partner violence (IPV), including victim services, law enforcement, and criminal justice organizations. Qualitative interviews with representatives of these disciplines assessed how respondents define, acquire, and share research evidence. Findings suggest that research evidence is defined more broadly in the field than in academic settings, and is accessed primarily from trusted intermediaries within professional networks. State IPV coalitions and victim service providers are key intermediaries across sectors. Findings suggest the need for more tangible supports to support sharing of research information within and across service sectors.

scholarly journals Facilitating User Involvement in Activation Programmes: When Carers and Clerks Meet Pawns and Queens

2014 ◽  
Vol 44 (2) ◽  
pp. 235-254 ◽  
Author(s):  
ANNE BRITT DJUVE ◽  
HANNE C. KAVLI
Keyword(s):  
Human Factor ◽  
Service Providers ◽  
Qualitative Interviews ◽  
User Involvement ◽  
Individual Characteristics ◽  
Service Users ◽  
Ideal Types ◽  
Number Of Factors ◽  
User Influence ◽  
The Individual

AbstractUser involvement has become an explicit goal within social service provision. Even so, the term remains ambiguous, and its implementation troublesome. Implementation theory lists a number of factors influencing bureaucratic behaviour; in this paper we investigate the ‘human factor’. Our ambition is to provide a framework for analysis of user influence in activation programmes that includes the individual characteristics of both service users and service providers. Building on theoretical insights from the literature on activation and agency, we develop a framework that distinguishes between two ideal types of service users: Pawns and Queens, and two types of service providers: care-oriented Carers and rule-oriented Clerks. This framework is then applied to identify key challenges for the interaction between users and caseworkers in two challenging situations: when service users express little or no agency and when they express agency that is incompatible with the overall goals of the programme. We find that Carers show pronounced reluctance to overrule the choices made by service users even when they have conflicting views – and tend to postpone decisions when they interact with Pawns. Clerks tend to overrule the decisions of Queens when they have conflicting views, and to make decisions on behalf of Pawns. The analysis draws on data collected from 126 qualitative interviews with service providers and participants in the Norwegian Introductory Programme for immigrants and a survey of 320 caseworkers.

Examining the Relationship Between Intimate Partner Violence and Concern for Animal Care and Safekeeping

2017 ◽  
Vol 35 (9-10) ◽  
pp. 1866-1887 ◽  
Author(s):  
Melissa A. Wuerch ◽  
Crystal J. Giesbrecht ◽  
Jill A. B. Price ◽  
Tracy Knutson ◽  
Frances Wach
Keyword(s):  
Intimate Partner Violence ◽  
Rural Communities ◽  
Partner Violence ◽  
Service Providers ◽  
Qualitative Interviews ◽  
Intimate Partner ◽  
Decision To Leave ◽  
Community Based Research ◽  
Human Service Providers ◽  
Animal Care

The current study examined the knowledge and experience of animal welfare and human service providers in urban and rural communities of Saskatchewan, Canada. Nine exploratory qualitative interviews were conducted to gather a more in-depth understanding of whether the concern for animal care and safekeeping impacts the decision to leave situations of intimate partner violence. The interviews were semistructured and guided by four questions, which were designed, reviewed, and revised based on feedback from a community-based research team. Thematic analysis highlighted important findings, allowing for the generation of suggestions for improvement of current supports and services offered. The current study findings suggest that concern for animal care and safekeeping creates significant barriers regarding the decision to leave situations of intimate partner violence and abuse, warranting further research to inform support services and resources within a Canadian context.

scholarly journals Treatment challenges for alcohol service users in Kampala, Uganda

2017 ◽  
Vol 6 (1) ◽  
pp. 27-35 ◽  
Author(s):  
David Kalema ◽  
Wouter Vanderplasschen ◽  
Sofie Vindevogel ◽  
Peter K Baguma ◽  
Ilse Derluyn
Keyword(s):  
Service Providers ◽  
Qualitative Interviews ◽  
Alcohol Treatment ◽  
Capital City ◽  
Treatment Center ◽  
Service Users ◽  
Individual Level ◽  
Treatment Participation ◽  
Sub Saharan ◽  
The Individual

Kalema, D., Vanderplasschen, W., Vindevogel, S., Baguma, P., & Derluyn, I. (2017). Treatment challenges for alcohol service users in Kampala, Uganda. The International Journal Of Alcohol And Drug Research, 6(1), 27-35. doi:http://dx.doi.org/10.7895/ijadr.v6i1.240Background and Aims: Enhancing treatment participation of persons with substance use disorders is a challenge worldwide. Obstacles keeping people from entering or continuing treatment are well documented in Western countries, but such knowledge is scarce in majority countries that face particular challenges when implementing alcohol policies. This study aimed at identifying factors challenging treatment participation in Uganda, a Sub-Saharan country with a considerable alcohol problem.Methods: Data were collected during 30 in-depth, qualitative interviews on treatment challenges with 20 service providers and 10 male service users, who were recruited at one public and one private alcohol treatment center in the Ugandan capital city, Kampala. Men comprise about 90% of the total number of service users in these centers. Interview data were analyzed thematically, using Nvivo software, and were categorized around three levels of treatment challenges: societal, institutional, and personal challenges.Findings: Interview findings showed several treatment challenges relating to institutional aspects like inadequate human resources, overall insufficiency of services, and the treatment philosophy of available services. Respondents identified stigma and cultural interference as important challenges at the societal level, while limited awareness about addiction and denial of problems can be situated at the individual level.Conclusions: Institutional, societal, and personal challenges keep persons with AUD from participating in alcohol treatment in public and private services in Uganda. Alcohol regulation, sensitization, and prevention are needed to raise awareness at the societal and individual level, while appropriate training and additional financial resources may help to overcome institutional challenges.

scholarly journals Patient uptake and adherence to social prescribing: a qualitative study

BJGP Open ◽  
2018 ◽  
Vol 2 (3) ◽  
pp. bjgpopen18X101598 ◽  
Author(s):  
Julia Pescheny ◽  
Gurch Randhawa ◽  
Yannis Pappas
Keyword(s):  
Service Providers ◽  
Qualitative Interviews ◽  
Psychosocial Problems ◽  
Phone Call ◽  
Service Users ◽  
Factors Affecting ◽  
Care Experience ◽  
Face To Face ◽  
Perceived Need ◽  
Social Prescribing

BackgroundSocial prescription is an initiative that aims to link patients in primary care with sources of support within the community and voluntary sector to improve their health, wellbeing, and care experience. Such programmes usually include navigators, who work with referred patients and issue onward referrals to sources of non-medical support. Most research on social prescribing (SP) has focused on outcome evaluations, resulting in a knowledge gap of factors affecting uptake and adherence. Understanding such factors enables the refinement of programmes, which has the potential to enhance uptake and adherence, reduce health inequalities, and optimise investment.AimTo explore the experiences and views of service users, involved GPs, and navigators on factors influencing uptake and adherence to SP.Design & settingQualitative interviews were conducted with stakeholders involved in an SP programme in the east of England (Luton).MethodData were collected from semi-structured face-to-face interviews with service users, navigators, and GPs. Thematic analysis was used to analyse the data.ResultsFactors affecting uptake and adherence to SP were related to patients’ trust in GPs, navigators' initial phone call, supportive navigators and service providers, free services, and perceived need and benefits. Reported barriers to uptake and adherence were fear of stigma of psychosocial problems, patient expectations, and the short-term nature of the programme.ConclusionThis study provides an insight into factors affecting patient uptake and adherence to SP programmes. More research in this field, including patients who refused to participate in SP, is needed.

Experiences With Help Seeking Among Non–Service-Engaged Survivors of IPV: Survivors’ Recommendations for Service Providers

2020 ◽  
pp. 107780122096386
Author(s):  
Rachel J. Voth Schrag ◽  
Kristen Ravi ◽  
Sarah Robinson ◽  
Elyssa Schroeder ◽  
Diana Padilla-Medina
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Help Seeking ◽  
Service Providers ◽  
Qualitative Interviews ◽  
Intimate Partner ◽  
Formal Services ◽  
Future Risk ◽  
Informal Help

Engaging with formal intimate partner violence (IPV) services can buffer the impacts of violence and reduce future risk. Many survivors do not access or engage with such services. However, much of our knowledge related to the experiences and perspectives of IPV survivors comes from samples drawn from those seeking formal services. Qualitative interviews with 23 survivors of violence who are not currently engaged with formal IPV services were conducted, focused on the process and outcomes of choosing to seek help. Themes emerged within the categories of formal help-seeking experiences, informal help seeking, and recommendations for providers.

Restraint use in psychiatric emergency services: Intentions of staff vs consumer experiences in Singapore

2020 ◽  
Author(s):  
Daniel Poremski ◽  
Josephine Tham ◽  
Peizhi Wang ◽  
Doris Koh ◽  
Jayaraman Hariram ◽  
...  
Keyword(s):  
Emergency Services ◽  
Service Providers ◽  
Qualitative Interviews ◽  
Phenomenological Approach ◽  
Psychiatric Emergency ◽  
Service Users ◽  
Physical Restraints ◽  
Psychiatric Emergency Services ◽  
Restraint Use ◽  
The Individual

AbstractBackground: Physical restraints applied at psychiatric emergency services are infrequent but concerning. Such measures are deleterious to the health of the individual and to the working alliance that exists between the individual and service providers. Aims: To juxtapose service users’ experiences of restraints at a psychiatric emergency service in Singapore with staff’s intention. Methods: Three qualitative interviews were conducted over a year with 44 frequent service users to query their experiences with services. The views of 26 emergency department staff were also obtained. We took a descriptive phenomenological approach to analyse the data.Results: Sixteen of 44 frequent service users report being restrained at emergency services. Service users’ experiences are incongruent with the staff’s meaning of restraints, which relates to safety. The experience of being restrained began with confusion, followed by fear and irritation, ending with embarrassment. Importantly, these emotions were unaddressed during debriefing, when service users were released. Conclusions: Staff must be mindful that their actions are not perceived as intended. Additional staff training may help staff better understand the way in which service users perceive the phenomenon of restraint. De-escalation must not be done in a way that introduces anger into situations where it had previously been absent.

scholarly journals Facilitators and Barriers to Detection and Treatment of Depression, Anxiety and Experiences of Domestic Violence in Pregnant Women Attending Midwife Obstetric Units (MOUs) in Cape Town, South Africa: A Qualitative Study

2021 ◽  
Author(s):  
Zulfa Abrahams ◽  
Sonet Boisits ◽  
Marguerite Schneider ◽  
Simone Honikman ◽  
Crick Lund
Keyword(s):  
South Africa ◽  
Domestic Violence ◽  
Pregnant Women ◽  
Healthcare Workers ◽  
Service Providers ◽  
Qualitative Interviews ◽  
Service Users ◽  
Depression And Anxiety ◽  
Symptoms Of Depression ◽  
Facilitators And Barriers

Abstract Background In South Africa, symptoms of common mental disorders (CMDs) such as depression and anxiety are highly prevalent during the perinatal period and linked to experiences of domestic violence. However, limited routine detection and treatment is available to pregnant women with these problems, even though evidence suggests that screening and treating CMDs during pregnancy improves the health and economic outcomes of mothers and their children, and has been suggested as a key approach to improving the health of perinatal women and children. We investigated facilitators and barriers of service-providers and service-users in detecting and treating pregnant women with symptoms of CMDs and experiences of domestic violence. Methods This study was conducted in four midwife obstetric units (MOUs) in Cape Town, South Africa, and in the NPOs providing community-based support in the communities surrounding the MOUs. Service-provider perspectives were informed by qualitative interviews with 37 healthcare workers providing care to pregnant women. Qualitative interviews with 38 pregnant women attending the same MOUs for their first antenatal care visit provided service-user perspectives. Results Facilitators identified included the availability of a mental health screening questionnaire and the perceived importance of detection and treatment by both service-providers and -users. Barriers contributing to the low detection rates included service-users concerns about the lack of confidentiality and feelings of shame related to experiences of domestic violence as well as service providers discomfort in dealing with mental health issues, their limited time available and heavy patient load. In addition, service-providers highlighted the lack of standardised referral pathways and the poor uptake of referrals by women with symptoms of depression and anxiety, or experiences of domestic violence Conclusions While the system-level barriers need to be addressed at a policy level, the patient- and provider-level barriers identified indicate the need to strengthen health systems by training antenatal care nurses to detect symptoms of CMDs and experiences of domestic violence in pregnant women, developing standardised referral pathways and training lay healthcare workers to provide treatment for mild symptoms of depression and anxiety.

Experiences of Economic Abuse in the Community: Listening to Survivor Voices

Affilia ◽  
2019 ◽  
Vol 34 (3) ◽  
pp. 313-324 ◽  
Author(s):  
Rachel J. Voth Schrag
Keyword(s):  
Intimate Partner Violence ◽  
Social Workers ◽  
Partner Violence ◽  
Qualitative Interviews ◽  
Critical Issue ◽  
Intimate Partner ◽  
Economic Abuse ◽  
Economic Exploitation ◽  
Wide Range ◽  
Formal Services

Economic abuse (EA) comprises tactics of intimate partner violence (IPV) which undermine survivors’ economic self-sufficiency and self-efficacy. Evidence is strong that survivors of IPV who have accessed formal services have experienced a wide range of EA tactics. However, there remains a gap in our understanding of EA experiences for survivors who have not sought IPV services. Thus, this article presents the findings of qualitative interviews with a group of women attending community college ( n = 20) who screened as having experienced intimate partner violence in their current or most recent relationship but who have never sought formal IPV services. Four themes emerged: (1) economic control, (2) economic exploitation, (3) economic manipulation, and (4) the economics of safety. The voices of these survivors highlight how EA is a critical issue for social workers in IPV service agencies, along with those who interact with IPV survivors in a range of other settings. Empowering social workers to identify the tactics and impacts of EA could lead interventions aimed at supporting survivors and begin undoing the economics of abuse.

scholarly journals Facilitators and barriers to detection and treatment of depression, anxiety and experiences of domestic violence in pregnant women attending Midwife Obstetric Units (MOUs) in Cape Town, South Africa: A qualitative study

2021 ◽  
Author(s):  
Zulfa Abrahams ◽  
Sonet Boisits ◽  
Marguerite Schneider ◽  
Simone Honikman ◽  
Crick Lund
Keyword(s):  
South Africa ◽  
Domestic Violence ◽  
Pregnant Women ◽  
Healthcare Workers ◽  
Service Providers ◽  
Qualitative Interviews ◽  
Service Users ◽  
Depression And Anxiety ◽  
Symptoms Of Depression ◽  
Facilitators And Barriers

Abstract Background: In South Africa, symptoms of common mental disorders (CMDs) such as depression and anxiety are highly prevalent during the perinatal period and linked to experiences of domestic violence. However, limited routine detection and treatment is available to pregnant women with these problems, even though evidence suggests that screening and treating CMDs during pregnancy improves the health and economic outcomes of mothers and their children, and has been suggested as a key approach to improving the health of perinatal women and children. We investigated facilitators and barriers of service-providers and service-users in detecting and treating pregnant women with symptoms of CMDs and experiences of domestic violence. Methods: This study was conducted in four midwife obstetric units (MOUs) in Cape Town, South Africa, and in the NPOs providing community-based support in the communities surrounding the MOUs. Service-provider perspectives were informed by qualitative interviews with 37 healthcare workers providing care to pregnant women. Qualitative interviews with 38 pregnant women attending the same MOUs for their first antenatal care visit provided service-user perspectives. Results: Facilitators identified included the availability of a mental health screening questionnaire and the perceived importance of detection and treatment by both service-providers and -users. Barriers contributing to the low detection rates included service-users concerns about the lack of confidentiality and feelings of shame related to experiences of domestic violence as well as service providers discomfort in dealing with mental health issues, their limited time available and heavy patient load. In addition, service-providers highlighted the lack of standardised referral pathways and the poor uptake of referrals by women with symptoms of depression and anxiety, or experiences of domestic violenceConclusions: While the system-level barriers need to be addressed at a policy level, the patient- and provider-level barriers identified indicate the need to strengthen health systems by training antenatal care nurses to detect symptoms of CMDs and experiences of domestic violence in pregnant women, developing standardised referral pathways and training lay healthcare workers to provide treatment for mild symptoms of depression and anxiety.

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