Developing a Model to Address Mental Health, Substance Use, and Intimate Partner Violence Among Home Visiting Clients

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.

2021 ◽  
pp. 107780122097880
Author(s):  
Laura Navarro-Mantas ◽  
Soledad de Lemus ◽  
Jesús L. Megías

Violence against women (VAW) is currently one of the main problems in El Salvador, which leads the ranking of femicides in the world. We conducted the first national survey on VAW in El Salvador following the World Health Organization (WHO) methodology, to determine the impact of violence on women’s mental health ( N = 1,274). Women who had experienced intimate partner violence showed significantly poorer mental health and more suicidal ideations. Common mental disorders were significantly associated with the experience of all forms of violence, after adjusting for sociodemographic variables and stressful life experiences. The results are discussed in connection with the primary care protocols and the design of public policies.


2005 ◽  
Vol 78 (1) ◽  
pp. 39-47 ◽  
Author(s):  
Sherry Lipsky ◽  
Raul Caetano ◽  
Craig A. Field ◽  
Gregory L. Larkin

2018 ◽  
Vol 5 ◽  
Author(s):  
A. Schafer ◽  
P. Koyiet

Introduction:Kenya has some of the highest rates of gender-based violence (GBV) in the world, particularly intimate partner violence. World Vision completed a rapid ethnographic assessment to explore common problems faced by men and local perspectives about the links between men, mental health, alcohol use and GBV.Methods:Data from community free-listing surveys (n = 52), four focus group discussions and two key informant interviews formed the basis for thematic analysis and findings.Results:Lack of jobs, ‘idleness’ and finances were viewed as top priority concerns facing men; however, alcohol and substance use were equally prioritised. Family problems, crime and general psychosocial issues (e.g., high stress, low self-esteem) were also reported. Men withdrawing socially, changing behaviour and increasing alcohol consumption were described as signs that men were experiencing mental health challenges. The community observed alcohol use as the biggest cause of GBV, believing men resorted to drinking because of having ‘too much time’, marital conflict, psychosocial issues and access to alcohol. The findings theorise that a circular link between unemployment, alcohol and crime is likely contributing to familial, psychosocial and gender concerns, and that men's mental health support may assist to re-direct a trajectory for individuals at risk of perpetrating GBV.Conclusions:Data confirmed that GBV is a major concern in these Kenya communities and has direct links with alcohol use, which is subsequently linked to mental health and psychosocial problems. Attempting to disrupt progression to the perpetration of violence by men, via mental health care interventions, warrants further research.


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.


2020 ◽  
pp. 107780121989347
Author(s):  
Roberto Cancio

This study considers variations of intimate partner violence (IPV) from the point of the perpetrator to test the impact of demographic factors on the type of IPV most prevalent among pre-9/11 and post-9/11 military families from the National Longitudinal Study of Adolescent to Adult Health (1994–2008): Waves I and IV in-home interviews ( N = 499). Study findings indicate that the perpetration of physical and sexual IPV depends on the context of veteran cohort and race/ethnicity. Models for substance use and IPV patterns were not similar across military cohorts and/or racial/ethnic groups.


2019 ◽  
pp. 107780121988249 ◽  
Author(s):  
Lindsay B. Gezinski ◽  
Kwynn M. Gonzalez-Pons ◽  
Mallory M. Rogers

This study examined substance use disorder (SUD) and mental health (MH) among survivors of intimate partner violence, with data collected from 102 participants. Both survivors and service providers emphasized SUD and MH as top priorities and reported a high prevalence of post-traumatic stress disorder (PTSD), depression, anxiety, and low self-esteem coupled with increasing rates of heroin, methamphetamine, and pharmaceutical abuse. Emergent themes included (a) trauma impacts functioning, (b) substances as coping strategy, (c) weighing safety against need, (d) lacking SUD and MH services, and (e) need for comprehensive and culturally specific resources. Scarcity of funding demands cross-sector collaboration to support survivors.


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