Essential Health Care Services Addressing Intimate Partner Violence (2024) / Chapter Skim
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1 Introduction
1 Introduction
Pages 19-36
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The committee on Sustaining Essential Health Care Services Related to Intimate Partner Violence During Public Health Emergencies was formed and convened four in-person meetings and four virtual meetings in response to HRSA's request. 19 PREPUBLICATION COPY -- Uncorrected Proofs
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based on currently available evidence; • Define essential health care services related to IPV in PHEs based on currently available evidence; • Identify ways to prepare for and prioritize the provision of essential health care services related to IPV before PHEs; • Describe health disparities related to IPV in PHEs • Identify innovations and best practices to prepare for and opera tionalize the equitable delivery of essential health care services related to IPV during PHEs; • Identify promising practices in the prevention of IPV; and • Develop strategies to overcome barriers faced by HRSA-supported and safety-net care settings in providing essential health care services related to IPV during PHEs, particularly for underserved populations. STUDY APPROACH AND SCOPE Defining Intimate Partner Violence The committee adopted the Centers for Disease Control and Prevention's (CDC's)
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It only included references and data that referred to DV for consideration if the source's definition of DV was limited to abuse and aggression between current or former intimate partners. IPV should not be confused with interpersonal violence.
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. The committee considers essential health care services for the parent or caregiver experiencing IPV that reduce barriers to disclosure and IPV care by supporting the safety of their child or children.
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populations; IPV care delivery in American Indian and Alaska Native populations; individuals with lived experience of IPV; and individuals with lived experience providing IPV care during PHEs. Conceptual Framework The statement of task identified the value of an overarching conceptual framework to guide the committee's process for identifying essential health care services related to intimate partner violence.
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In other cases, these community-based settings may be the initial site of care. The committee appreciates the value and interdependence of connections between the health care system and community-based care settings.
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The committee notes that not all essential health care services related to IPV are d elivered within the health care system or by clinicians. The committee identified the following criteria for essential health care services related to IPV: • evidence-based health care services that address the most common and most serious health outcomes related to experiencing IPV; • preventive services recommended by USPSTF and WPSI; and • specific support services required to meet the basic safety and hous ing needs of people experiencing IPV.
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. The most recent National Intimate Partner and Sexual Violence Survey (NISVS)
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Health Equity, Health Disparities, and Resilience The committee sought to center health equity in developing a framework for delivering essential health care services related to IPV during PHEs. In the article "Systems of Power, Axes of Inequity: Parallels, Intersections, Braiding the Strands," Camara P
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Committee members kept this in mind throughout their work. They sought to develop a framework for delivering essential primary care and preventive health care services related to IPV during PHEs that did not reinforce pre-existing health care disparities or improve access for one community at the expense of another.
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. Key Terminology Public Health Emergency In 2020, the National Academies consensus study report Evidence Based Practice for Public Health Emergency Preparedness and Response defined the term public health emergency as "a situation with health consequences whose scale, timing, or unpredictability threatens to overwhelm routine capabilities" (NASEM, 2020, p.
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HRSA described three categories of public health prevention strategies applicable to IPV in its 2023–2025 HRSA Strategy to Address Intimate Partner Violence.4 Those three are: 4 See https://www.hrsa.gov/office-womens-health/addressing-intimate-partner-violence (ac cessed August 28, 2023)
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Emergency Personnel For the purposes of this report, the term emergency personnel refers to general leads and staff within emergency management infrastructures deployed throughout the emergency environment, including social services and other entities supporting the emergency response. IPV Care Providers For the purposes of this report, IPV care providers refer to staff and administrators whose expertise and role are focused on providing care for people experiencing IPV in the health care, social services, and support services settings.
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Chapter 4 discusses the most common and most serious health conditions related to experiencing IPV. Chapter 5 identifies the essential health care services related to IPV, the settings where care is typically delivered during steady state conditions, and promising models for IPV care during steady state conditions.
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2011. Intimate partner violence and adverse health consequences.
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2022. The national intimate partner and sexual violence survey: 2016/2017 report on intimate partner violence.
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2011. Implementing successful intimate partner violence screening programs in health care settings: Evidence generated from a realist-informed systematic review.
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2022. Signs and symptoms of intimate partner violence in women attending primary care in Europe, North America and Australia: A systematic review and meta-analysis.
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