title: The anatomy of a community health center system-level intervention for intimate partner violence.
abstract: The US Preventive Services Task Force (USPSTF) now recommends screening for intimate partner violence (IPV) as part of routine preventive services for women. However, there is a lack of clarity as to the most effective methods of screening and referral. We conducted a 3-year community-based mixed-method participatory research project involving four community health centers that serve as safety net medical providers for a predominately indigent urban population. The project involved preparatory work, a multifaceted systems-level demonstration project, and a sustainability period with provider/staff debriefing. The goal was to determine if a low-tech system-level intervention would result in an increase in IPV detection and response in an urban community health center. Results highlight the challenges, but also the opportunities, for implementing the new USPSTF guidelines to screen all women of childbearing years for intimate partner violence in resource-limited primary care settings.
authors.affiliation: School of Medicine, University of Pennsylvania, Philadelphia, USA, karin.rhodes@uphs.upenn.edu.
authors.forename: Karin V
authors.initials: KV
authors.lastname: Rhodes
authors.forename: Jeane Ann
authors.initials: JA
authors.lastname: Grisso
authors.forename: Melissa
authors.initials: M
authors.lastname: Rodgers
authors.forename: Mira
authors.initials: M
authors.lastname: Gohel
authors.forename: Marcy
authors.initials: M
authors.lastname: Witherspoon
authors.forename: Martha
authors.initials: M
authors.lastname: Davis
authors.forename: Sandra
authors.initials: S
authors.lastname: Dempsey
authors.forename: Paul
authors.initials: P
authors.lastname: Crits-Christoph
mesh_terms: D000293:Adolescent; D000328:Adult; D003151:Community Health Centers / Q000458:organization & administration*; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D015143:Philadelphia; D012307:Risk Factors; D012747:Sexual Partners; D013179:Spouse Abuse / Q000175:diagnosis* / Q000706:statistics & numerical data; D014505:Urban Population; D055815:Young Adult
references.citation: Med Care. 2006 Aug;44(8):738-44
references.pmid: 16862035
references.citation: Am J Prev Med. 1998 Oct;15(3):235-42
references.pmid: 9791642
references.citation: Arch Pediatr Adolesc Med. 2010 Jan;164(1):16-23
references.pmid: 20048237
references.citation: Arch Intern Med. 2006 May 22;166(10):1107-14
references.pmid: 16717173
references.citation: J Womens Health (Larchmt). 2009 Aug;18(8):1259-64
references.pmid: 19627223
references.citation: JAMA. 1996 Jun 26;275(24):1863-5
references.pmid: 8648850
references.citation: Health Care Manage Rev. 2002 Summer;27(3):60-73
references.pmid: 12146784
references.citation: Nurs Res. 2002 Nov-Dec;51(6):347-54
references.pmid: 12464754
references.citation: Am J Prev Med. 2000 Nov;19(4):230-7
references.pmid: 11064226
references.citation: J Gen Intern Med. 2011 Aug;26(8):894-9
references.pmid: 21404130
references.citation: Aust N Z J Public Health. 2001 Oct;25(5):433-7
references.pmid: 11688623
references.citation: JAMA. 2009 Aug 5;302(5):493-501
references.pmid: 19654384
references.citation: J Gen Intern Med. 2005 Aug;20(8):731-7
references.pmid: 16050883
references.citation: Med Care. 1999 Jan;37(1):104-11
references.pmid: 10413398
references.citation: JAMA. 2012 Aug 15;308(7):681-9
references.pmid: 22893165
references.citation: Health Aff (Millwood). 2010 May;29(5):835-43
references.pmid: 20439869
references.citation: BMC Public Health. 2011 Mar 23;11:178
references.pmid: 21429226
references.citation: Ann Intern Med. 2007 Nov 6;147(9):620-7
references.pmid: 17975184
references.citation: Obstet Gynecol. 2010 Feb;115(2 Pt 1):273-283
references.pmid: 20093899
references.citation: Fam Syst Health. 2010 Dec;28(4):298-307
references.pmid: 21299277
references.citation: Matern Child Health J. 2011 Jan;15(1):19-28
references.pmid: 20082130
references.citation: Obstet Gynecol. 2006 Feb;107(2 Pt 1):348-54
references.pmid: 16449123
references.citation: Obstet Gynecol. 2008 Sep;112(3):611-20
references.pmid: 18757660
references.citation: J Emerg Med. 1997 Jul-Aug;15(4):447-51
references.pmid: 9279693
references.citation: J Interpers Violence. 2009 Feb;24(2):280-306
references.pmid: 18378805
references.citation: Health Serv Res. 2009 Jun;44(3):1052-67
references.pmid: 19674432
references.citation: Am J Prev Med. 2002 Nov;23(4):260-8
references.pmid: 12406480
references.citation: Womens Health Issues. 2006 Sep-Oct;16(5):252-61
references.pmid: 17055378
references.citation: Patient Educ Couns. 2012 Sep;88(3):443-8
references.pmid: 22770815
references.citation: Acad Emerg Med. 2001 Feb;8(2):131-8
references.pmid: 11157288