Linking abuse and recovery through advocacy: an observational study

K. Trevillion*, S. Byford, M. Cary, D. Rose, S. Oram, G. Feder, R. Agnew-Davies, L. M. Howard

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

21 Citations (Scopus)

Abstract

Aims.

High numbers of psychiatric service users experience domestic violence, yet limited interventions exist for these victims. We piloted a domestic violence intervention for community mental health services to explore the feasibility of a future cluster randomized controlled trial.

Methods.

Quasi-experimental controlled design within five Community Mental Health Teams (three intervention and two control teams). The intervention comprised domestic violence training for clinicians' and referral to domestic violence advocacy for service users. Clinicians' (n=29) domestic violence knowledge, attitudes and behaviours were assessed before and 6 months post-training. Service users' (n=34) safety behaviours, unmet needs, quality of life and frequency/severity of abuse were examined at baseline and 3 months follow-up. Process evaluation data were also collected.

Results.

Clinicians receiving the intervention reported significant improvements in domestic violence knowledge, attitudes and behaviours at follow-up (p

Conclusions.

Interventions comprising domestic violence training for clinicians and referral to domestic violence advocacy may improve responses of psychiatric services. Low rates of identification among teams not receiving training suggest that future trials using service user outcomes are unlikely to be feasible. Therefore, other methods of evaluation are needed.

Original languageEnglish
Pages (from-to)99-113
Number of pages15
JournalEpidemiology And Psychiatric Sciences
Volume23
Issue number1
DOIs
Publication statusPublished - Mar 2014

Keywords

  • intervention studies
  • Domestic violence
  • Community mental health services
  • POSTTRAUMATIC-STRESS-DISORDER
  • INTIMATE PARTNER VIOLENCE
  • SEVERE MENTAL-ILLNESS
  • DOMESTIC VIOLENCE
  • PSYCHIATRIC-INPATIENTS
  • COST-EFFECTIVENESS
  • HEALTH
  • HISTORIES
  • PREVALENCE
  • VALIDATION
  • Acknowledged-BRC
  • Acknowledged-BRC-13/14

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