Exploring Australian psychiatrists’ and psychiatric trainees’ knowledge, attitudes and preparedness in responding to adults experiencing domestic violence

Forsdike, Kirsty; O’Connor, Manjula; Hegarty, Kelsey

doi:10.1177/1039856218789778

Cited by 27 publications

(30 citation statements)

References 19 publications

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“…Trained MHC clinicians felt more knowledgeable and skilled to handle individuals who had experienced DVA. The impact of previous DVA training on self-confidence to handle DVA is supported by findings of previous studies among MHC professionals in the UK, USA and Australia 25 , 32 , 33 and paramedic students. 34 All studies concluded that the level of knowledge, skills and preparedness on DVA of MHC clinicians needs improvement.…”

Section: Discussionsupporting

confidence: 71%

Mental health professionals' knowledge, skills and attitudes on domestic violence and abuse in the Netherlands: cross-sectional study

et al. 2019

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BackgroundDespite the high prevalence of domestic violence and abuse (DVA) among patients with psychiatric conditions, detection rates are low. Limited knowledge and skills on DVA in mental healthcare (MHC) professionals might contribute to poor identification.AimsTo assess the level of, and factors associated with, DVA knowledge and skills among MHC professionals.MethodA total of 278 professionals in Dutch MHC institutions completed a survey assessing factual knowledge, perceived knowledge, perceived skills and attitudes about DVA.ResultsOn average, low scores were reported for perceived skills and knowledge. MHC professionals in primary care scored higher than those working with individuals with severe mental illness (P<0.005). Levels of factual knowledge were higher; levels of attitudes moderate. Previous training was positively associated with skills (odds ratios (OR) = 3.0) and attitudes (OR = 2.7). Years of work was negatively associated with factual knowledge (OR = 0.97). Larger case-loads predicted higher scores on skills (OR = 2.1).ConclusionsTraining is needed, particularly for clinicians working with patients with severe mental illness.Declaration of interestNone.

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Section: Discussionsupporting

confidence: 71%

Mental health professionals' knowledge, skills and attitudes on domestic violence and abuse in the Netherlands: cross-sectional study

et al. 2019

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“…Indeed, a survey of mental health professionals’ knowledge and skills in IPV in the Netherlands found low levels of both knowledge and confidence supporting the need for more education and focus on IPV within mental health (Ruijne et al, 2019) with similar findings in other jurisdictions (Trevillion et al, 2016). Furthermore, a survey of mental health clinicians training found few had adequate training in assessment and identification of IPV (Forsdike et al, 2019). This was confirmed in a study of professionals specifically in relation to SMI, family and domestic violence (FDV) and pregnancy (Van Deinse et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Is intimate partner violence more common in pregnant women with severe mental illness? A retrospective study

Suparare¹,

Watson

Binns

et al. 2020

Int J Soc Psychiatry

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Objective: To examine the risk of past and current experiences of intimate partner violence (IPV) in women with severe mental illness (SMI) in pregnancy. Methods: We examined past and current experiences of IPV in women with SMI in pregnancy. The data of 304 women with SMI including schizophrenia and related psychotic disorders and Bipolar Disorder meeting International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM) criteria were extracted from hospital records at King Edward Memorial Hospital, Western Australia. Comparisons were made between our study data and the Australian population data reported by the Australian Bureau of Statistics, which included data on pregnant women in Western Australia. Additional measures included reported demographics, substance use and pregnancy variables. Results: Around 48% of pregnant women with SMI had experienced IPV and were three times the risk when compared with the general pregnant population in Australia. There was no difference in rates of IPV in those women with psychotic disorders when compared with bipolar disorder. Furthermore, the rates of smoking and illicit substance use were significantly higher in pregnant women with SMI who experienced IPV compared with those who have not experienced IPV. Conclusion: These findings suggest women with SMI in pregnancy are at significantly higher risk of having experienced or experiencing IPV. In addition, IPV in pregnant women with SMI may increase the risk of smoking and illicit substance use. Together this suggests that maternity and mental health services should ensure there are both screening and support pathways for IPV that are developed and evaluated specifically for pregnant women with SMI.

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“…Data for the study were collected using an online survey, via the SurveyMonkey platform. Existing clinician questionnaires within the literature were considered, but found to be too lengthy for the purposes of a large hospital-wide survey, 30 , 31 or to contain too many questions related to personal attitudes about domestic violence. 32 Two other more recently published tools were not available at the time the study was conducted.…”

Section: Methodsmentioning

confidence: 99%

Assisting patients experiencing family violence: A survey of training levels, perceived knowledge, and confidence of clinical staff in a large metropolitan hospital

Fisher

Rudkin

Withiel

et al. 2020

Womens Health (Lond Engl)

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Objectives: Family violence is a public health issue. It occurs in many forms, is most commonly directed at woman and children, and contributes significantly to death, disability, and illness. This study was conducted in the clinical staff in a large metropolitan hospital and aimed to determine levels of family violence training, self-perceived knowledge and confidence, specific clinical skills, and barriers to working effectively in the area. Methods: A short, targeted online survey was designed to capture the required information. Descriptive statistics were calculated, and free-text responses were analyzed using qualitative content analysis. Results: Survey responses were received from 534 staff (242 nurses, 225 allied health, 67 medical). Sixty-five percent had received some form of family violence training, mostly of short duration (1–3 h); 72% reported having little or no confidence working in the area, while 76% indicated that they had little or no knowledge in the area. Longer duration training was associated with an increase in knowledge and confidence ratings. Family violence screening rates and knowledge of several specific family violence clinical skills (how to appropriately ask clients about family violence and family violence risk factors) were also low. Thirty-four percent indicated that they did not know what to do, when a patient disclosed experiencing family violence. The most commonly indicated barriers to working effectively in this area were suspected perpetrators being present, perceived reluctance of patients/clients to disclose when asked, and time limitations. Conclusion: This research provides a useful snapshot of clinical staff perceptions of their family violence skill levels in a large metropolitan Australian tertiary hospital. It highlights the need for further in-depth training in clinical health professionals in family violence. The research will allow for family violence training to be tailored to the needs of the professional discipline and clinical area.

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Exploring Australian psychiatrists’ and psychiatric trainees’ knowledge, attitudes and preparedness in responding to adults experiencing domestic violence

Abstract: Findings suggest more training in DV for psychiatrists is needed.

Cited by 27 publications

References 19 publications

Mental health professionals' knowledge, skills and attitudes on domestic violence and abuse in the Netherlands: cross-sectional study

Mental health professionals' knowledge, skills and attitudes on domestic violence and abuse in the Netherlands: cross-sectional study

Is intimate partner violence more common in pregnant women with severe mental illness? A retrospective study

Assisting patients experiencing family violence: A survey of training levels, perceived knowledge, and confidence of clinical staff in a large metropolitan hospital

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