Essential Health Care Services Addressing Intimate Partner Violence (2024) / Chapter Skim
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7 Planning and Operationalization of Intimate Partner Violence Essential Health Care Services During Public Health Emergencies
7 Planning and Operationalization of Intimate Partner Violence Essential Health Care Services During Public Health Emergencies
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 public health emergencies (PHEs)
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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 INTIMATE PARTNER VIOLENCE 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 2 See https://swedishcovenant.org/community/pathways-program (accessed September 15, 2023)
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Presented at Sustaining Essential Health Care Services Related to Intimate Partner Violence During Public Health Emergencies Meeting 2, Irvine, CA. by governmental domestic violence agencies and community organizations (see Box 7-1)
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Because the health care setting is more discreet than going to a shelter or seeking counseling services elsewhere, it provides both cover and privacy for people experiencing IPV. Hospitals allow for more ambiguity, as routine treatments are provided there and allow for an easy explanation as to why someone might see a medical professional.
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Presented at Sustaining Essential Health Care Services Related to Intimate Partner Violence 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 Violence During Public Health Emergencies Meeting 3A, Washington, D.C.
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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. It provides shelter, food, transportation, and support groups in a culturally relevant manner.
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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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is one way to connect people experiencing IPV to the services and resources they may need. DCM is a time-limited partnership between a trained case manager and a disaster survivor that entails the development of a disaster recovery plan and a shared effort to meet the unmet needs caused by the disaster that are outlined in the recovery plan (FEMA, 2023)
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Community-Based Intimate Partner Violence 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 about 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.
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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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. SUPPLIES FOR INTIMATE PARTNER VIOLENCE CARE IN PUBLIC HEALTH EMERGENCIES Several federal systems exist to supply disaster health responders during emergencies.
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TRAINING STAFF FOR INTIMATE PARTNER VIOLENCE CARE IN EMERGENCIES Those who provide health care services during PHEs have diverse needs, and the contexts they serve vary greatly. This section addresses the need to train disaster health responders and IPV care providers in IPV identification and care and strategies to manage stress and reduce the likelihood of burnout.
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The Centers for Disease Control and Prevention's Office of Readiness and Response collaborated with the Substance Abuse and Mental Health Service Administration National Center for Trauma-Informed Care to develop training for disaster health responders in PHEs that can be used for addressing IPV (CDC, 2020b)
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Training Health Care Professionals Many training options for health care professionals to respond to IPV can be used during PHEs. The National Resource Center on Domestic Violence has created a collection of educational materials related to IPV care and disaster planning (VAWnet, 2021)
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. Within 12 months post-intervention, the evidence suggests that IPV training may improve IPV care providers' attitudes toward IPV survivors, their self-perceived readiness to respond to IPV survivors, and their knowledge of IPV (Kalra et al., 2021)
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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 10 https://healthpartnersipve.org/ (accessed September 4, 2023)
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. Tailoring protocols to specific areas such as medically underserved areas, health care professional shortage areas, mental health professional shortage areas, areas served by Indian Health Services, community health centers, Federally Qualified Health Centers, the National Disaster Medical System, and HRSA need to be considered.
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. Expanding the Role of Nursing in Intimate Partner Violence Disaster Response Nurses represent the largest health care workforce in the United States, making it imperative that the nursing workforce fully engage in disaster
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. One innovative solution for increasing the availability of IPV care providers is implementing a protocol for an on-call, telehealth Sexual Assault Nurse Examiner (SANE)
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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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CHALLENGES ASSOCIATED WITH SHELTERING The guiding principles and recommendations for domestic violence shelters can be combined with those for PHE shelters to meet sheltering needs for those experiencing IPV during a PHE. The common characteristics between domestic violence and PHE shelters include having a welcoming space, accepting all those in need, (e.g., regardless of COVID-19 vaccination status or immigration status)
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Health care settings and community-based organizations have also developed models to treat IPV during PHEs such as the COVID-19 pandemic. These examples offer guidance for planning, operationalizing, and sustaining essential health services for IPV during PHEs.
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2022. Perspectives on delivering safe and equitable trauma-focused intimate partner violence interventions via virtual means: A qualitative study during COVID-19 pandemic.
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Healing Shelter. 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 pre sented at Sustaining Essential Health Care Services Related to Intimate Partner Violence During Public Health Emergencies Meeting 2, Irvine, CA. Messing, J
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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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