Should Programs Designed to Help IPV Survivors Screen for Mental Health–Related Problems

2016 ◽  
Vol 23 (5) ◽  
pp. 603-622 ◽  
Author(s):  
Catherine A. Simmons ◽  
Matthew J. Delaney ◽  
Leslie Lindsey ◽  
Anna Whalley ◽  
Olliette Murry-Drobot ◽  
...  

Qualitative responses that 187 service providers gave to a question assessing whether agencies designed to help intimate partner violence (IPV) survivors should screen for mental health-related problems were analyzed using a version of the concept mapping approach. Nine central clusters emerged from the data analysis, which can be linked to three underlying themes: how the identification of mental health-related problems (i.e., labeling) could be misused when working with IPV survivors, ways screening can be appropriately used to help IPV survivors, and barriers that prevent screening. Findings highlight the importance of trauma-informed approaches across all aspects of service delivery.

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Karen Birna Thorvaldsdottir ◽  
Sigridur Halldorsdottir ◽  
Rhonda M. Johnson ◽  
Sigrun Sigurdardottir ◽  
Denise Saint Arnault

Abstract Background Even though traumatization is linked to substantially reduced health-related quality of life, help-seeking and service utilization among trauma survivors are very low. To date, there has not been available in Iceland a culturally attuned, self-reported measure on help-seeking barriers after trauma. This study aimed to translate and cross-culturally adapt the English version of Barriers to Help-Seeking for Trauma (BHS-TR) scale into the Icelandic language and context. Methods The BHS-TR was culturally adapted following well-established and rigorous guidelines, including forward-backward translation, expert committee review, and pretesting through cognitive interviews. Two rounds of interviews with 17 female survivors of intimate partner violence were conducted using a think-aloud technique and verbal probing. Data were analyzed using qualitative content analysis, a combination of deductive and inductive approaches. Results Issues with the BHS-TR that were uncovered in the study were classified into four categories related to general design, translation, cultural aspects, and post-trauma context. The trauma-specific issues emerged as a new category identified in this study and included concepts specific to trauma experiences. Therefore, modifications were of great importance—resulting in the scale becoming more trauma-informed. Revisions made to address identified issues improved the scale, and the process led to an Icelandic version, which appears to be semantically and conceptually equivalent to the original version; additionally, the results provided evidence of content validity. Conclusions As a cognitive interview study, it adds to the growing cognitive interviewing methodology literature. Furthermore, the results provide essential insights into the self-report response process of trauma survivors, highlighting the significance of making health-related research instruments trauma-informed.


2020 ◽  
pp. 088626052091258
Author(s):  
Douglas A. Brownridge ◽  
Tamara Taillieu ◽  
Marcelo L. Urquia ◽  
Alexandra Lysova ◽  
Ko Ling Chan ◽  
...  

This study examined the elevated risk of intimate partner violence (IPV) among persons with mental health-related disabilities (MH-RD) and the extent to which known risk factors accounted for this phenomenon. Data were drawn from a nationally representative sample of 33,127 Canadians collected in 2014 as part of Statistics Canada’s General Social Survey. Results showed that respondents with MH-RD had more than three-fold increased odds of both overall and severe IPV victimization. Although females were more likely to possess a MH-RD, males and females with MH-RD reported similarly elevated odds of IPV victimization. Risk factors that contributed to a significant reduction in elevated odds of IPV for respondents with MH-RD were child maltreatment (CM), respondents’ nonprescription drug abuse, and perpetrators’ jealous, monitoring, and socially isolating behaviors. The inability to test additional risk factors and bidirectionality in the relationship between MH-RD and IPV may have contributed to the failure to fully account for these respondents’ elevated odds of IPV. Future research is needed to understand the complex mechanisms contributing to the elevated risk of IPV and enhance prevention and intervention strategies for this underresearched and underserved vulnerable population.


2021 ◽  
pp. 107780122098835
Author(s):  
Rachel J. Voth Schrag ◽  
Leila G. Wood ◽  
Karin Wachter ◽  
Shanti Kulkarni

Gaps in knowledge related to occupational stress among the intimate partner violence (IPV) and sexual assault (SA) workforce remain. This study examined associations between key risk factors for occupational stress and compassion fatigue among a sample of IPV/SA service providers in the Southwestern United States ( N = 520). Results of the hierarchical regression analysis identified microaggressions, age, recent life stress, direct practice, and workload as factors associated with compassion fatigue. The findings point to the importance of incorporating trauma-informed organizational approaches to address microaggressions, reduce workload, and support staff experiencing recent stress and providing direct services.


2021 ◽  
pp. 107780122098834
Author(s):  
Sarah Tarshis ◽  
Ramona Alaggia ◽  
Carmen H. Logie

This article presents qualitative findings from a constructivist grounded theory study that examines intimate partner violence and employment-seeking from the perspectives of 10 service providers. Three distinct themes emerge through analysis: (a) understanding the intersecting barriers to employment faced by survivors, (b) integrated approaches to employment services, and (c) barriers to providing employment services. Findings have important theoretical implications on the intersectional nature of employment-seeking and provide insight into IPV service responses.


2021 ◽  
Author(s):  
Lena Grasskemper ◽  
Diogo Costa

This work explores the cross-sectional associations between Intimate Partner Violence (IPV) and anxiety, depressive symptoms, stress symptoms, and health-related quality of life (HRQoL), in a representative sample of German adult men (n=2,789) and women (n=3,149), and considers their involvement as victims or perpetrators of physical and psychological IPV. In this sample, physical IPV victimization was associated with anxiety and stress among men. Psychological IPV victimization was associated with depression among men, and with stress among both sexes. Physical IPV perpetration was significantly associated only with women depressive and stress symptoms. Psychological IPV perpetration was associated with stress for both men and women. The mental component of HRQoL was significantly lower for men and women involved in any type of IPV. These results support the need to consider the mental health consequences of IPV involvement for both men and women.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bushra Sabri ◽  
Nancy Glass ◽  
Sarah Murray ◽  
Nancy Perrin ◽  
James R. Case ◽  
...  

Abstract Background Intimate partner violence (IPV) disproportionately affects immigrant women, an understudied and underserved population in need for evidence-based rigorously evaluated culturally competent interventions that can effectively address their health and safety needs. Methods This study uses a sequential, multiple assignment, randomized trial (SMART) design to rigorously evaluate an adaptive, trauma-informed, culturally tailored technology-delivered intervention tailored to the needs of immigrant women who have experienced IPV. In the first stage randomization, participants are randomly assigned to an online safety decision and planning or a usual care control arm and safety, mental health and empowerment outcomes are assessed at 3-, 6- and 12-months post-baseline. For the second stage randomization, women who do not report significant improvements in safety (i.e., reduction in IPV) and empowerment from baseline to 3 months follow up (i.e., non-responders) are re- randomized to safety and empowerment strategies delivered via text only or a combination of text and phone calls with trained advocates. Data on outcomes (safety, mental health, and empowerment) for early non-responders is assessed at 6 and 12 months post re-randomization. Discussion The study’s SMART design provides an opportunity to implement and evaluate an individualized intervention protocol for immigrant women based on their response to type or intensity of intervention. The findings will be useful for identifying what works for whom and characteristics of participants needing a particular type or intensity level of intervention for improved outcomes. If found to be effective, the study will result in an evidence-based trauma-informed culturally tailored technology-based safety decision and planning intervention for immigrant survivors of IPV that can be implemented by practitioners serving immigrant women in diverse settings. Trial registration This trial was registered with ClinicalTrials.gov as NCT04098276 on September 13, 2019.


2019 ◽  
Vol 21 (2) ◽  
pp. 156-159
Author(s):  
Darius Tandon ◽  
Deborah F. Perry ◽  
Karen Edwards ◽  
Tamar Mendelson ◽  

Perinatal women enrolled in home visiting (HV) programs exhibit high rates of depression, substance use, and intimate partner violence (IPV). While HV programs have increasingly screened for these psychosocial risks, initiation and uptake of community-based services to address these risks remain challenging. This project used a community-engaged research approach to engage key HV stakeholders in developing the screening, referral, and individualized prevention and treatment (SCRIPT) model. We highlight how a group of key HV stakeholders—the SCRIPT Advisory Panel—collaborated with academic researchers to develop the SCRIPT model by reviewing literature on HV programs’ response to psychosocial risk factors and qualitative data obtained from mental health, substance use, and IPV service providers to whom HV programs referred clients. SCRIPT focuses on (a) screening for psychosocial risks, (b) developing partnerships with outside agencies to address these risk factors, and (c) establishing concrete and systematic processes for client referral and monitoring with outside agencies. SCRIPT provides a structured model for HV programs to systematically identify clients for key psychosocial risks and structure their referral and monitoring process when working with social service agencies. Future work should examine the impact of SCRIPT on mental health, substance use, and IPV service access and use by a vulnerable population.


Author(s):  
Suzanne Franzway ◽  
Nicole Moulding ◽  
Sarah Wendt ◽  
Carole Zufferey ◽  
Donna Chung

This chapter is about how living the connected effects of violence situates the argument that domestic violence reverberates across women's lives and erodes their citizenship. A data analysis here reveals the effects of intimate partner violence on the material, emotional, and social aspects of women's lives and how such violence disrupts and restricts their combined capabilities to participate in everyday life, very often for lengthy periods. The chapter offers insights into how women's experiences are shaped by a range of factors, such as state legislation and policy, the resilience or hostility of their own families and communities, and the availability of opportunities to gain and maintain employment. It reveals that women who have experienced violence rarely regain their place on their original life course. The quality of their housing, employment, mental health, and social participation is generally diminished.


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