2017
DOI: 10.1089/jwh.2016.6093
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Implementing Trauma-Informed Partner Violence Assessment in Family Planning Clinics

Abstract: In real-world family planning clinic settings, a brief assessment and support intervention was successful in communicating provider caring and increasing knowledge of violence-related resources, endpoints previously deemed valuable by IPV survivors. Results emphasize the merit of universal education in IPV/RC clinical interventions over seeking IPV disclosure.

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Cited by 30 publications
(49 citation statements)
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“…Participants with a history of IPV were more likely to express strong preferences for methods that could be used independent of partners, which is consistent with research demonstrating a history of violence is associated with decreased condom or oral contraceptive use [30]. Together, these data suggest how trauma history may affect adolescent and young women's contraceptive preferences and use, and reinforce the importance of equipping staff to provide trauma-informed care in family planning settings [31].…”
Section: Discussionsupporting
confidence: 77%
“…Participants with a history of IPV were more likely to express strong preferences for methods that could be used independent of partners, which is consistent with research demonstrating a history of violence is associated with decreased condom or oral contraceptive use [30]. Together, these data suggest how trauma history may affect adolescent and young women's contraceptive preferences and use, and reinforce the importance of equipping staff to provide trauma-informed care in family planning settings [31].…”
Section: Discussionsupporting
confidence: 77%
“…From this study, an intervention named ARCHES (Addressing Reproductive Coercion in Health Settings) was designed and randomized to family planning clinics . Application of this intervention to family planning clients led to a significant increase in the perceived caring of the health care provider and confidence in the provider's ability to support patients affected by IPV and/or RC as well as more knowledge of available resources . The same intervention performed on a larger scale showed no difference in unintended pregnancy, recent IPV and/or RC, or increase in use of long‐acting reversible contraceptives, but it did improve contraceptive self‐efficacy and IPV‐related knowledge .…”
Section: What Can Providers Do?mentioning
confidence: 99%
“…Although evaluation was limited and it was not always clear how, or if, this led to changes in the services provided, there was some evidence that this was perceived positively by professionals, resulting in substantial increases in the numbers of children screened at intake by child welfare and mental health professionals [31,32]. While this mainly positive evaluation mirrors the findings from trauma-informed screening/assessment initiatives in health services [43,44,45], implementation challenges were also noted with regard to IT systems, local culture, limited buy-in and the availability of evidence-based treatment. The importance of winning “hearts and minds” is evident in the wider TIC literature with some routine inquiry initiatives failing due to uncertainties about the benefits of screening, lack of clarity about how to use the information and respond to disclosures and concerns regarding a lack of availability of services for onward referral [46].…”
Section: Discussionmentioning
confidence: 99%