Patient Perspectives on Intimate Partner Violence Discussion during Genetic Counseling Sessions

Chen, Christina; Greb, Anne; Kalia, Isha; Bajaj, Komal; Klugman, Susan

doi:10.1007/s10897-016-0047-6

Cited by 3 publications

(6 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This closes a previously established gap between research versus clinic‐based disclosure rates 5 . Likewise, the percentage of patients with PTSD identified resembles the population rates of PTSD in pregnancy 19 . The racial disparities in PTSD identified in this project closely resemble established racial disparities in PTSD rates 6 .…”

Section: Discussionsupporting

confidence: 70%

See 1 more Smart Citation

Trauma‐Informed Psychosocial Screening and Care Planning: A Patient‐Centered Improvement Project in a Midwife Clinic

Lefever‐Rhizal,

Collins‐Fulea,

Bailey

2023

J Midwife Womens Health

View full text Add to dashboard Cite

IntroductionTraumatic stress is associated with increases in preterm birth, low birth weight, and other perinatal complications. Yet the identification of patients with traumatic stress and intervention for traumatic stress prevention or treatment remain low. Locally in this university hospital‐based midwife clinic, a health records review found that trauma exposure was documented in 5% of patient records, and no records had a diagnosis of posttraumatic stress disorder (PTSD). This is lower than research‐based population estimates of 25% to 50% for trauma exposure and 8% for PTSD during pregnancy. The clinic staff did not screen for posttraumatic stress, and exposure screening was limited to intimate personal violence. Staff had not been trained in trauma‐informed care (TIC) as defined by the Substance Abuse and Mental Health Services Administration. The aim for this improvement project was to provide trauma screening and trauma‐related care planning, collectively referred to as trauma‐informed psychosocial care, to midwifery patients 85% of the time.ProcessInterventions were implemented over 4 plan‐do‐study‐act (PDSA) cycles. These included staff training in TIC; written screening at the new prenatal, third trimester, and postpartum visits; verbal broad inquiry at every visit; and bidirectional trauma‐specific care planning emphasizing patient and provider input into treatment choice. The clinic flow was changed to create privacy for patient‐staff interaction at every visit. Field notes and data were analyzed every 2 weeks and iterative changes applied.OutcomesTrauma disclosure increased from 5% to 30% and identification of PTSD from 0% to 7%. Bidirectional care plan documentation increased from 8% to 67%. Staff rated the workload as reasonable.DiscussionRedesigning psychosocial screening to align with TIC principles increased the discovery of trauma to levels consistent with research‐based population estimates. Gains were made in bidirectional care planning. This project illustrates practical methods of implementing TIC principles.

show abstract

Section: Discussionsupporting

confidence: 70%

“…Previous knowledge from the literature indicates that repeated invitations to share and education help overcome barriers to disclosure. 11,18 These practices may influence the increased rates of disclosure on the validated tools. They also helped hardwire principles of TIC into the design of the screening method.…”

Section: Discussionmentioning

confidence: 99%

Trauma‐Informed Psychosocial Screening and Care Planning: A Patient‐Centered Improvement Project in a Midwife Clinic

Lefever‐Rhizal,

Collins‐Fulea,

Bailey

2023

J Midwife Womens Health

View full text Add to dashboard Cite

show abstract

“…31 The potential benefits of health-care screening programmes rely on client expectations of compassionate, nonjudgemental, and effective care delivery from health-care providers. 32 If this is accomplished, health workers can provide appropriate referrals to further reduce exposure to IPV and its consequences. 32 Fragmented care has been identified as a barrier to effective management of IPV.…”

Section: Recommendations and Conclusionmentioning

confidence: 99%

“…32 If this is accomplished, health workers can provide appropriate referrals to further reduce exposure to IPV and its consequences. 32 Fragmented care has been identified as a barrier to effective management of IPV. Because gender-based violence services are not routinely offered as part of standard care, victims of IPV are often lost along the referral cascade.…”

Section: Recommendations and Conclusionmentioning

confidence: 99%

Victims and Perpetrators of Intimate Partner Violence Among Sexually Active Youth in a Community With a High HIV Prevalence in Western Kenya

Burmen

Olilo

Makanga

2018

EAHRJ

View full text Add to dashboard Cite

Background: Physical intimate partner violence (IPV) is an important risk factor for sexually transmitted infections, including HIV. We set out to determine the prevalence and correlates of IPV among youth aged 15 to 24 yearsin a community with a high HIV prevalencewith a view to recommending strategies to address IPV. Methods: We analysed data from an HIV seroprevalence survey, which included participants aged 13 years and above and was conducted between November 2012 and December 2014 in Gem Subcounty, Siaya County, Western Kenya. Participants between 15 and 24 years old (youth) were described as "perpetrators of IPV" if they had done anything to physically hurt their sexual partners in the previous year and as "victims of IPV" if they had been physically hurt by a sexual partner in the same timeframe. Logistic regression was used to determine factors associated with being either a victim or perpetrator of IPV. Results: Of 1,957 participants included in the analysis, 142 (7%) were victims of IPV, and 77 (4%) were perpetrators of IPV. Victims were likely to be women (adjusted odds ratio [AOR] 7.9; 95% CI, 3.6 to 17.5), in a relationship or married (AOR 3.1; 95% CI, 1.8 to 5.4), and to have had multiple lifetime sexual partners. Victims of IPV were also more likely than not to have been subjected to sexual violence in the past (AOR 1.9; 95% CI, 1.0 to 3.4) or recently (AOR 3.9; 95% CI, 2.2 to 6.8). Perpetrators were likely to be men (AOR 2.1; 95% CI, 1.2 to 3.7), with 5 or more lifetime sexual partners (AOR 2.8; 95% CI, 1.3 to 6.3), and to have committed sexual violence recently (AOR 2.9; 95% CI, 1.1 to 7.7). Conclusion: There was a high prevalence of IPV among sexually active youth in this rural community. Study participants were recurrent victims or perpetrators and reported behaviours that put them at risk of HIV acquisition. Health programmes should screen for IPV victims and perpetrators using identified characteristics. Existing policies regarding gender-based violence should be enforced, and future research should focus on the impact of IPV prevention programmes.

show abstract

“…Readers will undoubtedly find thought provoking several of the papers presenting ethical and legal dilemmas. One concerns identification and interventions regarding intimate partner violence (IPV), a social issue that is common but rarely raised in genetic counseling (Chen et al 2016). Two are especially provocative.…”

mentioning

confidence: 99%

Special Issue Introduction: Dealing with Psychological and Social Complexity in Genetic Counseling

Djurdjinovic

Peters

2017

Journal of Genetic Counseling

View full text Add to dashboard Cite

Patient Perspectives on Intimate Partner Violence Discussion during Genetic Counseling Sessions

Cited by 3 publications

References 19 publications

Trauma‐Informed Psychosocial Screening and Care Planning: A Patient‐Centered Improvement Project in a Midwife Clinic

Trauma‐Informed Psychosocial Screening and Care Planning: A Patient‐Centered Improvement Project in a Midwife Clinic

Victims and Perpetrators of Intimate Partner Violence Among Sexually Active Youth in a Community With a High HIV Prevalence in Western Kenya

Special Issue Introduction: Dealing with Psychological and Social Complexity in Genetic Counseling

Contact Info

Product

Resources

About