Essential Health Care Services Addressing Intimate Partner Violence (2024) / Chapter Skim
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7 Planning and Operationalization of IPV Essential Health Care Services During PHEs
7 Planning and Operationalization of IPV Essential Health Care Services During PHEs
Pages 205-240
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and other actors involved in IPV care o Community-based organizations o Identifying adaptations for how organizations can deliver care during disasters • Supplies: The countermeasures, equipment, and basic necessities required to care for people experiencing IPV during an emergency. o Tailored supply caches for IPV care o Strategic National Stockpile resources o Medications o Guidance from the Inter-Agency Emergency Reproductive Health Kits for Use in Humanitarian Settings (UNFPA, 2019)
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Developing protocols specific to IPV will help sustain essential health care services related to IPV during PHEs. This chapter discusses these four factors and how they affect care for people experiencing IPV during emergencies.
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. By including IPV-related efforts in their preparedness tasks, HCCs can help sustain essential health care services related to IPV.
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. PROMISING MODELS FOR IPV CARE IN PUBLIC HEALTH EMERGENCIES Rapid Response Teams and Mobile Health Clinics Some countries have developed models of IPV care delivery for use during humanitarian crises, in some cases through nongovernmental organizations.
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However, some models have built out broader systems around these concepts. For example, the Pathways Program2 at Chicago's Swedish Hospital3 is a model designed to bridge the gap between health care services, support services, and social services for intimate partner violence, such as those offered by governmental domestic violence agencies and community organizations (see Box 7-1)
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Presented at Sustaining Essential Health Care Services Related to Intimate Partner Violence During Public Health Emergencies Meeting #2, Irvine, CA. may be referred from the hospital's emergency department, inpatient units, labor and delivery unit, psychology unit, outpatient medical offices, and community partners.
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The PurpLE Health Foundation patient population consists of those currently experiencing IPV or trafficking, those who have recently left a relationship due to IPV, and those who are several years removed from an abusive relationship and still struggling to receive care. PurpLE also emphasizes continuity of care for patients and aims to keep those services consistent regardless of the social service the patient was referred to them through.
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Presented at Sustaining Essential Health Care Services Related to Intimate Partner Vio lence During Public Health Emergencies Meeting #3B, Washington, D.C. A core component of the PurpLE organization is planning for long-term survivorship, and it is committed to helping IPV victims regardless of insurance coverage.
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Presented at Sustaining Essential Health Care Services Related to Intimate Partner Vio lence During Public Health Emergencies Meeting #3A, Washington, D.C. PREPUBLICATION COPY -- Uncorrected Proofs
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Healing Shelter) , Incorporated,7 provides services to people experiencing intimate partner violence, domestic violence, sexual assault, and rape in the Chinle Agency of the Navajo Nation.
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Healing Shelter. Presented at Sustaining Essential Health Care Services Related to Intimate Partner Violence During Public Health Emergencies Meeting #3A, Washington, D.C.
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. Expanding web-based services for those experiencing IPV, combined with 24-7 digitalized responses (e.g., domestic violence hotlines, telehealth services including counseling, and guidance on relevant mobile apps)
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do not have equitable access to technology delivered IPV services. Unstable or unavailable Internet connectivity can contribute to inequities in delivering IPV services.
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Healing Shelter. Presented at Sustaining Essential Health Care Services Related to Intimate Partner Violence During Public Health Emergencies Meeting #3A, Washington, D.C.
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These harms can be exacerbated for people experiencing intimate partner violence, and services uniquely for people experiencing IPV can also be disrupted. For example, IPV shelter operations may be interrupted during an emergency, leaving shelter clients unable to secure housing away from the person engaging in IPV.
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Community-Based IPV Programs State, local, tribal, and territorial (SLTT) governments can help ensure that people experiencing IPV have the resources they need by linking them to key social and support services.
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Presented at Sustaining Essential Health Care Services Related to Intimate Partner Violence During Public Health Emergencies Meeting #2, Irvine, CA. a Florida Statutes Title XLIII.
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: • Tailoring the approach to address the unique barriers to uptake that are experienced by the community; • Delivering services with attention to linguistic and cultural needs and preferences and Americans with Disabilities Act accessibility; and • Using partnerships and community-engaged decision making 9 The information on the CACTIS Foundation in this section is based on a presentation to the committee by Hirsch Handmaker, Sustaining Essential Health Care Services Related to Intimate Partner Violence During Public Health Emergencies, Meeting 3B, April 4, 2023. PREPUBLICATION COPY -- Uncorrected Proofs
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Presented at Sustaining Essential Health Care Services Related to Intimate Partner Violence During Public Health Emergencies Meeting #3B, Irvine, CA. Many communities that provide services to women experiencing IPV have adopted a Coordinated Community Response (CCR)
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. Health centers and support services agencies' organizational readiness can be assessed using checklists to assist sites in reviewing protocols and practices relevant to care for IPV survivors, staff support and training, clinical workflows, accessibility of educational materials, inclusion of diverse populations, and data collection (IPV Health Partners, 2017)
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Disaster health responders, both in health care and community settings, need to be able to recognize the signs and symptoms of IPV and feel confident in addressing IPV. Critical education and training needs for IPV care providers and disaster health responders in a PHE are summarized below.
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: • safety; • trustworthiness and transparency; • peer support; • collaboration and mutuality; • empowerment and choice; • cultural, historical, and gender issues. Given the intersectional identities of women experiencing IPV, the syndemic context of IPV (i.e., co-occurrence with other traumas, behavioral health issues such as substance abuse, and health conditions such as HIV)
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. However, systematic reviews of IPV training have found that although these educational strategies may positively affect health care professionals' attitudes toward individuals experiencing IPV, there is limited evidence about how these affect the identification of IPV and safety planning (Kalra et al., 2021)
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• dangerousness assessment and safety planning, such as the L ethality Assessment Program for police officers, which involves screening and immediate connection to a domestic violence advocate (Messing et al., 2015) ; • the Coordinated Community Response Council for hyperlocal responses (Shorey et al., 2014)
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Care Setting–Specific Protocols and Training The limited existing protocols and training programs specific to essential health care services for IPV in PHEs underscores the need to develop such interventions. In keeping with an all-hazards framework, programming is needed that is rapidly deployable, that can be harmonized across different care settings, and that can provide relevant and applicable but broad guidance.
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IPV care providers can provide culturally aligned social and health care services in PHEs. One way to ensure the delivery of culturally aligned services is to hire and train staff to develop expertise in culturally relevant care.
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. Expanding the Role of Nursing in IPV Disaster Response Nurses represent the largest health care workforce in the United States, making it imperative that the nursing workforce fully engage in disaster management (Smiley et al., 2023; Veenema et al., 2016)
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Additionally, disaster medical assistant teams could develop and offer IPV training through online modules accessible to all team members. SPACE AND SHELTERING IN PUBLIC HEALTH EMERGENCIES Guidance on Sheltering Both the U.S.
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. These guidelines were originally created for shelters for people experiencing homelessness, but they could apply to protecting the safety of people experiencing IPV who go to disaster shelters.
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Systems and settings that currently exist to support disaster response can be adapted to serve people experiencing IPV. For example, federal medical stations, health care coalitions, and alternative care sites can all be designed for IPV care.
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2022. Curricular limitations and recommen dations for training health care providers to respond to intimate partner violence: An integrative literature review.
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2022. Evidence of help-seeking behaviors among Black women under community supervision in New York City: A plea for culturally tailored intimate partner violence interventions.
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Paper presented at Presented at Sustaining Essential Health Care Services Related to Intimate Partner Violence During Public Health Emergencies Meeting #3B, Irvine, CA. HHS (US Department of Health and Human Services)
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Paper presented at Sustaining Essential Health Care Services Related to Intimate Partner Violence During Public Health Emergencies Meeting #3A, Washington, D.C.
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Paper presented at Sustaining Essential Health Care Services Related to Intimate Partner Violence During Public Health Emergencies Meeting #3B, Washington, D.C. Saboori, Z., R
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2021. Provider perspectives on the provision of safe, equitable, trauma informed care for intimate partner violence survivors during the covid-19 pandemic: A qualitative study.
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