Helping women with disabilities and domestic violence: strategies, limitations, and challenges of domestic violence programs and services.
OBJECTIVE
To describe the types of services provided to women with disabilities at community-based domestic violence programs in the state of North Carolina, the challenges faced, and strategies used to provide the services.


METHODS
We conducted a statewide cross-sectional survey of community domestic violence programs and had a response rate of 85%.


RESULTS
Of the participating programs, 99% provided services to at least one woman with a physical or mental disability in the preceding 12 months; 85% offered shelter services to women with physical or mental disabilities. Most respondents (94%-99%) reported that their programs were either somewhat able or very able to provide effective services and care to women with disabilities. The respondents also described challenges to serving women with disabilities, including lack of funding, lack of training, and structural limitations of service facilities. Strategies used by the programs to overcome these challenges were networking and coordinating care with organizations that specifically serve disabled populations.


CONCLUSIONS
Domestic violence programs in North Carolina provide services to women with disabilities but are faced with challenges stemming from limited funding, physical space, and training. Collaborations between domestic violence and disability service providers are necessary to improving the services and care delivered to women with disabilities who experience domestic violence.
Chang
Judy C
JC
Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA. jchang@mail.magee.edu
Martin
Sandra L
SL
Moracco
Kathryn E
KE
Dulli
Lisa
L
Scandlin
Donna
D
Loucks-Sorrel
Mary Beth
MB
Turner
Tracy
T
Starsoneck
Leslie
L
Dorian
Patty Neal
PN
Bou-Saada
Ingrid
I
D003156:Community Mental Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D019058:Community Networks; D032921:Consensus; D003430:Cross-Sectional Studies; D006233:Persons with Disabilities; D017579:Domestic Violence / Q000517:prevention & control*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D020380:Needs Assessment; D009657:North Carolina; D012946:Social Welfare; D014932:Women's Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data