A novel intervention for system-involved female intimate partner violence survivors: Changes in mental health.

Female intimate partner violence (IPV) survivors who are their children's primary caregivers are often mandated to services by child protection services (CPS) and/or the courts. Unfortunately, scant evidence exists regarding mandated programs for CPS- and/or court-involved IPV survivors, particularly the mental health outcomes of such programs. Two human service agencies in the southeastern United States collaborated to develop and implement a novel 13-week intervention to address the needs of these mothers' as related to safety, parenting, and mental health. The intervention uses a psychoeducation approach and participants are provided dinner, childcare, transportation, and on-site security. This community-based, quasi-experimental study gathered preliminary evidence regarding whether the intervention enhanced participants' (N = 70) mental health (i.e., depression and posttraumatic stress symptoms). Growth curve analyses using hierarchical linear modeling examined whether participants experienced improvements in mental health at completion (3 months) and follow-up (6 months). Participants reported significant improvements on depression and posttraumatic stress symptoms at both postintervention time points. This exploratory study provides preliminary support for engaging court- and CPS-involved female IPV survivors in specialized, group-based interventions designed to address their mental health needs. Future research should investigate this and other similar programming using (a) larger samples, (b) comparison groups, and (c) randomized designs. It will also be important to replicate this program in other settings to establish evidence for the intervention's underlying approach. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Research With Children Exposed to Partner Violence: Perspectives of Service-Mandated, CPS- and Court-Involved Survivors on Research With Their Children.

Rapidly growing numbers of female survivors of intimate partner violence (IPV) who are the primary caregivers for their children are being mandated to services by child protective services (CPS) and/or the court system. Research is needed to better understand the experiences of these children; however, such research is hindered by the dearth of empirical evidence to guide researchers in how best to recruit and collect data about and from IPV-exposed children whose families are mandated to services. From a qualitative study with 21 CPS- and/or court-involved mothers, this article reports findings about participants' perspectives regarding research with their IPV-exposed children. Our analyses determined three key findings: (a) mothers' reasons or motivations for allowing their children to participate in research, (b) mothers' reasons for refusing consent for their children to participate, and (c) strategies for increasing research participation among this population. Based on these findings, we offer recommendations for enhancing research participation among IPV-exposed children from CPS- and/or court-involved families mandated to services, including specific recruitment and data collection strategies. These recommendations and strategies also hold value for research with other vulnerable families and children struggling with violence.

"This Is About Me": Feasibility Findings From the Children's Component of an IPV Intervention for Justice-Involved Families.

Two community-based agencies collaborated to create a program for justice-involved female intimate partner violence (IPV) survivors and their children. Our research team conducted a feasibility study of the children's program using an exploratory, multimethod qualitative design with child participants (n = 8), adult participants (n = 18), and providers (n = 7). Analyses determined four key findings: (a) importance of attendance; (b) the need for a flexible, child-driven curriculum; (c) improvement through expression and peer bonding; and (d) the value of specific program content. The findings point to indispensable program elements and enhancement recommendations. Implications for other communities and providers serving IPV-exposed children are described.

Characteristics, needs, and help seeking of partner violence victims mandated to community services by courts and child protective services.

The rapid growth of a subpopulation of women victimized by intimate partner violence (IPV) garnered the attention of 2 human service agencies in 1 Southeastern United States city. These agencies noted a shift in their clientele from female IPV victims who voluntarily sought agency services to victims who were mandated to agency services by child protective services (CPS), the court system, or both. Court-referred victims had been arrested for perpetrating IPV against their male partners. CPS-referred victims were experiencing concerning levels of IPV in their families, whether or not the victim had ever perpetrated IPV. Moreover, this subpopulation of women tended to be primary caregivers of children. In response to the growth of this subpopulation, the agencies collaborated to design and implement a program targeting female IPV victims who were primary caregivers for their children and who had been mandated to the agencies' services. The research team partnered with the agencies to conduct an investigation of this community-developed program and its participants. This article presents an exploratory, descriptive study that investigates (a) the characteristics of service-mandated, parenting IPV victims; (b) the needs of service-mandated, parenting IPV victims; and (c) the types of help-seeking behavior these women had engaged in before their service referral. Study findings indicate that, although the participants showed parenting strengths and active help-seeking efforts, this sample of women was characterized by severe IPV experiences and serious mental health needs.

Directors' opinions about domestic violence and sexual assault service strategies that help survivors.

Little evidence is available regarding recommended practices for domestic violence and sexual assault services. Although there is a literature concerned with these services, few studies have investigated recommended practices from the perspective of community providers. In addition, researchers have not yet investigated the utility of specific domestic violence and sexual assault service delivery strategies. To help address these knowledge needs, the authors investigated agency directors' perspectives on six types of services typically offered by domestic violence and sexual assault agencies including crisis, legal advocacy, medical advocacy, support group, individual counseling, and shelter. The authors also examined the extent to which directors' opinions about service delivery practices differed based on key agency's characteristics, specifically the services offered (i.e., domestic violence, sexual assault, or both) and agency location (i.e., rural, suburban, or urban). A sample of 97 (94% response rate) North Carolina agency directors completed a survey on recommended service delivery practices. The authors conducted descriptive analyses to identify directors' overall opinions about service delivery practices and used multivariate analysis of variance to examine whether directors' opinions about service delivery practices differed according to agency characteristics. Findings showed differences in directors' opinions about service delivery practices based on their agency's service location. Practice recommendations were garnered from the study's results.

Domestic violence and sexual assault agency directors' perspectives on services that help survivors.

Community-based domestic violence and sexual assault service providers need sound knowledge regarding services that work well to improve the lives of survivors. This exploratory, qualitative research aimed to help provide such knowledge by investigating domestic violence and sexual assault agency executive directors' ( n = 14) opinions regarding what services are most helpful for survivors. In-depth interviews with directors provided findings about (a) critical services for survivors; (b) essential service delivery practices; (c) ideal services that are challenging to deliver because of funding and other barriers; and (d) areas of service delivery practice uncertainty due to a lack of best practices.

Determining user preferences between touch and pen data entry methods in the Tablet PC computing environment.

Tablet personal computers (PCs) are becoming common in the clinical environment. In a recent survey comparing mobile devices, the Tablet PC was perceived to have made the most significant difference in the delivery of healthcare. As the use of Tablet PC technology increases, understanding which features are most usable for data entry becomes important. The modality used for data entry on the Tablet PC has evolved. Initially, most Tablet PCs required the use of a stylus or specialized pen for user interaction with the system. Recently, touch screen technology has become available on the Tablet PCs. Tablet PCs with touch screens allow the user to interact with the system using their finger instead of a pen. Little information is available is available concerning user preferences regarding the modality used for data entry on the Tablet PC. In this project we assessed the usability of the two data entry modalities by directly comparing a pen-based and a touch-based Tablet PC through focus groups. This project was part of a Duke IRB approved study designed to assess patient attitudes towards the clinical use of pharmacogenetic data.