Women veterans want options, follow up support when dealing with intimate partner violence

Intimate partner violence (IPV) is a significant health issue faced by women veterans, but little has been known up until now about their preferences for IPV-related care. A new study has found that most of these women support routine screening for IPV and want options, follow-up support, transparent documentation and Veterans Health Administration (VHA) and community resources. These findings appear in the journal Research in Nursing and Health.

Although of all socio-demographic groups are at risk for IPV, population-based research suggests that are at higher risk for IPV than non-veteran women. In order to better understand their attitudes and preferences regarding IPV and response issues, five focus groups were conducted with 24 female of the Veterans Health Administration (VHA) with and without a lifetime history of IPV.

"In general, we found that women veterans support routine IPV screening and comprehensive IPV-related care within the VHA," explained corresponding author Katherine Iverson, PhD, assistant professor of psychiatry at Boston University School of Medicine (BUSM) and a clinical research psychologist at the VA Boston Healthcare System and the VA's National Center for PTSD. "As we move forward with routine IPV screening, it is important that these women are offered options in terms of what, how, when, and to whom to disclose and follow-up support. In addition, these women must be approached with sensitivity and connectedness with the understanding that different patients are in different stages of recovery."

Overall, women indicated that the HITS screening tool [the four-item screening tool (Hurt/Insult/Threaten/Scream) tested by Iverson and her colleagues that can be used in under four minutes] could be useful in helping VHA providers identify women who have experienced IPV. Using the existing clinical reminder dialogue system a notification could be imbedded into a patients' electronic medical records (EMR's) to use HITS to assess IPV, ensuring that screening is occurring. This would be similar to clinical EMRs for mammograms and pap smears.

The researchers point out that use of EMRs may be a potential barrier to disclose for some women because of privacy and confidentiality concerns. Study participants suggested that this barrier can be overcome by providers' use of transparency with respect to documentation. For example, providers can talk with their patients about what they would like to document in the EMR and problem-solve any concerns the patients may raise. In addition, providers can discuss privacy protections in place at VHA and engage patients in conversations about the advantages and disadvantages of documentation. EMRs can also prompt providers to engage in other procedures that were recommended by participants in this study, such as offering information about VHA and community resources.

The researchers believe the VHA has a timely opportunity and is well-positioned to serve as a national model for the implementation of best practices for IPV screening and response. "By incorporating the recommendations expressed by women in this study, VHA and other may increase the likelihood of identifying IPV, improve patient satisfaction with care, connect veterans with the services they need, reduce healthcare costs to the patient and system at large, and ultimately improve the health and well-being of female veteran patients," added Iverson.

Related Stories

Silent victims—an epidemic of childhood exposure

date Oct 30, 2013

Over 15 million children are exposed to intimate partner violence (IPV) each year, and the health consequences of this exposure are well-documented. The Institute of Medicine and the United States Preventive Services Task ...

Screening for intimate partner violence proves beneficial

date May 08, 2012

(HealthDay) -- Screening instruments can be used in the health care setting to accurately identify women who are experiencing intimate partner violence (IPV), with minimal adverse effects, according to a review ...

Recommended for you

Link between alcohol outlets and assaults

date 1 hour ago

A study exploring the established link between off-premise alcohol outlets and the rate of assaults and injuries in Australia has found that large bottleshops and liquor chains contribute most substantially ...

Mobilising against hypertension in South Africa

date 1 hour ago

Lifestyle-related disease is on the rise in South Africa, including high blood pressure. An ingenious partnership involving Oxford University is putting the nation's extensive mobile phone network to work ...

Making an impact on concussions

date 1 hour ago

The crash test dummy head is weighted and hauled with a pulley up the track. After a final check of the instruments and a quick countdown, the helmeted head plummets into an inevitable collision, moving at ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.