Journal article
Adoption, penetration, and effectiveness of a secondary risk screener for intimate partner violence: Evidence to inform screening practices in integrated care settings
General hospital psychiatry, v 51, pp 79-84
01 Mar 2018
PMID: 29353128
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: Veterans Health Administration (VHA) has implemented screening for past-year intimate partner violence (IPV) in some healthcare facilities along with secondary screening of risk for severe violence among those screening positive in order to facilitate follow-up care for high-risk patients. We evaluated the adoption, penetration, and effectiveness of secondary screening as a tool to facilitate timely follow-up services.
Methods: Retrospective review of medical records (screening and healthcare use) of 774 women screening positive for past-year IPV (IPV+) at 11 facilities nationwide from April 2014-April 2016. Chi-square and t-tests examined factors related to secondary screening.
Results: Three of eleven (27.3%) facilities that implemented primary IPV screening adopted secondary screening. At adopting sites, 56.4% eligible (i.e., IPV+) women received secondary screening. Among 185 IPV+ women who completed secondary screening, 33.0% screened positive for severe IPV. Screening positive during secondary screening was associated with higher rate of psychosocial care within 60 days (73.8% vs. 54.0% of IPV + patients screening negative; p < .05), posttraumatic stress disorder diagnosis (31.1% vs. 15.3%; p < .05), and being physically threatened or harmed (> 50% vs . < 15%; p < .001).
Conclusions: Secondary risk assessment following IPV screening may expedite access to psychosocial follow-up care in integrated healthcare settings. However, program uptake needs to be enhanced.
Metrics
Details
- Title
- Adoption, penetration, and effectiveness of a secondary risk screener for intimate partner violence: Evidence to inform screening practices in integrated care settings
- Creators
- Katherine M. Iverson - Boston UniversityAnneliese E. Sorrentino - Philadelphia VA Medical CenterScarlett L. Bellamy - Drexel UniversityAlessandra R. Grillo - VA Boston Healthcare SystemTerri N. Haywood - Philadelphia VA Medical CenterElina Medvedeva - Philadelphia VA Medical CenterChristopher B. Roberts - Philadelphia VA Medical CenterMelissa E. Dichter - University of Pennsylvania
- Publication Details
- General hospital psychiatry, v 51, pp 79-84
- Publisher
- Elsevier
- Number of pages
- 6
- Grant note
- IIR 15-142 / U.S. Department of Veterans Affairs, Health Services Research and Development (HSRD) Service; US Department of Veterans Affairs 5R25MH08091607 / Implementation Research Institute (IRI) at the George Warren Brown School of Social Work of Washington University through National Institute of Mental Health USA14-275 / Presidential Early Career Award for Scientists and Engineers; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA VA HSR&D Service Quality Enhancement Research Initiative
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000428710400013
- Scopus ID
- 2-s2.0-85041568278
- Other Identifier
- 991019167784604721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychiatry