title: Development of an Innovative Treatment Paradigm for Intimate Partner Violence Victims With Depression and Pain Using Community-Based Participatory Research.
abstract: Intimate partner violence (IPV) is a public health issue with complex physical health, mental health and social consequences that can exacerbate survivors' barriers to health care engagement and support. Furthermore, health care professionals are often unaware of or feel ill-equipped to address survivors' complex needs. Depression and chronic pain are particularly prevalent co-occurring problems for survivors and can impede engagement and outcomes in traditional health care. This study's purpose was to understand what interventions might be more responsive to survivors' myriad needs, particularlly those with depression and pain. Survivors were involved with the design, execution, analysis, and interpretation of results, based on community-based participatory research principles. Intervention development happened in two phases: the first consisted of focus groups with survivors to inform the intervention and the second included intervention design, informed by a community advisory board (CAB). Thirty-one survivors participated in Phase 1, and they reported preferring a range of support including formal help-seeking, informal coping strategies, and spirituality. In Phase 2, the CAB (comprised of survivors, health care professionals, and researchers) identified three distinct aspects of a comprehensive IPV intervention: (a) education regarding both the complex health issues and available local resources; (b) an integrated consultation service for providers to seek recommendations for responding to the full spectrum of survivors' needs; and (c) a trauma-informed, accessible clinic. Academic medical centers could not have designed this intervention in isolation; survivors and providers played an integral part of this process, and continue to inform our current work.
authors.affiliation: 1 University of Rochester, NY, USA.
authors.forename: Ellen
authors.initials: E
authors.lastname: Poleshuck
authors.affiliation: 2 SUNY Buffalo State College, NY, USA.
authors.forename: Catherine
authors.initials: C
authors.lastname: Mazzotta
authors.affiliation: 1 University of Rochester, NY, USA.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Resch
authors.affiliation: 1 University of Rochester, NY, USA.
authors.forename: Adriana
authors.initials: A
authors.lastname: Rogachefsky
authors.affiliation: 1 University of Rochester, NY, USA.
authors.forename: Kelly
authors.initials: K
authors.lastname: Bellenger
authors.affiliation: 1 University of Rochester, NY, USA.
authors.forename: Christina
authors.initials: C
authors.lastname: Raimondi
authors.affiliation: 1 University of Rochester, NY, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Thompson Stone
authors.affiliation: 1 University of Rochester, NY, USA.
authors.forename: Catherine
authors.initials: C
authors.lastname: Cerulli
mesh_terms: D055812:Community-Based Participatory Research; D003863:Depression / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D000066511:Intimate Partner Violence / Q000517:prevention & control* / Q000523:psychology; D008297:Male; D008603:Mental Health; D010146:Pain / Q000517:prevention & control* / Q000523:psychology; D012107:Research Design; D017741:Survivors / Q000523:psychology*
keywords: anything related to domestic violence; domestic violence; intervention/treatment; mental health and violence