The Full Frame Initiative Despite the many hard-won victories of the antidomestic violence movement, it has had less success in reaching one of its own primary goals: that of making intimate partner violence a problem of the community rather than a problem between two individuals. Most mainstream domestic violence service models have not prioritized ongoing engagement of survivors' informal social support networks as a core part of their work. Yet the perpetration of domestic violence occurs within a community context that contributes to the maintenance or alleviation of the problem. Given extensive research on the centrality of social networks to the fabric of survivors' daily lives, as well as their ongoing safety and emotional well-being, it is critical to consider how domestic violence services and systems can align with these social networks more effectively. Following a review of research on the role of informal social support in survivors' lives, this article calls for a shift in mainstream domestic violence services toward a more network-oriented approach, one that highlights potential partnerships between professionals and survivors' informal social support networks. Such a shift would require a reconceptualization of the role of the domestic violence practitioner and the scope and nature of services. It would also raise a series of emergent research questions about how informal network members can best support survivors, how domestic violence services can help survivors engage with existing and new supporters, and the extent to which specific types of network-oriented practices can indeed improve survivors' safety and well-being.

Until recently, the connection between intimate partner violence (IPV) and persistent poverty had been largely ignored. Recent research indicates, however, that the two phenomena cooccur at high rates; produce parallel effects; and, in each other's presence, constrain coping options. Therefore, both external situational, and internal psychological difficulties are missed when women contending with both poverty and IPV are viewed through the lens of just one or just the other. This article describes mental health consequences for women who contend with both partner violence and poverty. It proposes that the stress, powerlessness, and social isolation at the heart of both phenomena combine to produce posttraumatic stress disorder, depression, and other emotional difficulties. The article also introduces the term ''survival-focused coping'' to describe women's methods of coping with IPV in the context of poverty and highlights the role that domestic violence advocates, mental health providers, and researchers can play in addressing these tightly intertwined phenomena.

Increasing emphasis on specialization in social and mental health services leaves these systems largely unable to attend to marginalized women's complex needs, despite new models designed to ameliorate specialization's impact. In this article, the authors describe how inattention to these women's contexts leaves them ill-served and leaves programs struggling. The authors articulate a new framework of principles and practices that privileges context and community, and describe two programs that use this "Full-Frame Approach." The authors contend that systemic recognition of full-frame programs as a strategic counterbalance to specialization is a vital component of helping marginalized people and communities move to new levels of health and cohesion.

Objective: As budgets tighten and demand grows, domestic violence (DV) programs are facing enormous pressure to demonstrate the impact of their work. A critical challenge to doing so is the absence of outcome measures that reflect DV programs’ missions and survivors’ goals for themselves. Academic-community partnerships are critical to developing such measures. The 2 aims of this study were to (a) develop and validate a measure—the Measure of Victim Empowerment Related to Safety (MOVERS)—that taps a key goal shared by DV program staff and program participants, and (b) draw on and model the benefits of community-based participatory research. Method: We evaluated the factor structure, reliability, and validity of MOVERS through a 2-stage process in which we developed a university-community partnership with 17 DV programs across the Northeast and administered a survey to 230 help-seeking survivors. Results: A scree plot and parallel analysis supported a 3-factor solution, with subscales assessing the extent to which a survivor (a) has developed a set of safety-related goals and a belief in her ability to accomplish them, (b) perceives that she has the support she needs to move toward safety, and (c) senses that her actions toward safety will not cause new problems in other domains. Each subscale demonstrated good internal reliability and construct validity. Conclusion: MOVERS provides a tool for assessing a key dimension of survivors’ experience and enables the evaluation of domestic violence program practices in ways that are consistent with core program and survivor goals.

Although poverty is associated with a range of mental health difficulties among women in this country, mainstream mental health interventions are not sufficient to meet the complex needs of poor women. This article argues that stress, powerlessness, and social isolation should become primary targets of our interventions, as they are key mediators of the relationship between poverty and emotional distress, particularly for women. Indeed, if ways are not found to address these conditions directly, by increasing women's control, choice, and connections, the capacity to improve the emotional well-being of impoverished women will remain limited at best. This is the first of 5 articles that comprise a special section of the American Journal of Orthopsychiatry, called "Beyond the 50-Minute Hour: Increasing Control, Choice, and Connections in the Lives of Low-Income Women." Together, these articles explore the nature and impact of a range of innovative mental health interventions that are grounded in a deep understanding of the experience of poverty. This introduction: (a) describes briefly how mainstream approaches fail to address the poverty-related mental health needs of low-income women; (b) illuminates the role of stress, powerlessness, and social isolation in women's lives; (c) highlights the ways in which the articles included in this special section address each of these by either adapting traditional mental health practices to attend to poverty's role in participants' lives or adapting community-based, social-justice-oriented interventions to attend to participants' mental health; and (d) discusses the research and evaluation implications of expanding mental health practices to meet the needs of low-income communities.