Online Program

Overcoming clinical challenges in addressing intimate partner violence with pregnant and parenting adolescents

Sunday, November 3, 2013

Shanti Kulkarni, PhD LCSW, Department of Social Work, UNC Charlotte, Charlotte, NC
Carol Lewis, PhD, Center of Social Work Research, University of Texas at Austin, Austin, TX
IPV rates for adolescents seeking prenatal care range from 37% to 16%. Though programs for pregnant and parenting adolescents focus on educational, economic, and parenting outcomes, but don't always considering the impact of partner violence on these outcomes. Research has identified some of the organizational barriers to addressing IPV in health and health-care related settings, this study goes further in examining service providers' perceptions of adolescent IPV barriers and their strategies to overcome these barriers. Data from focus groups with service providers (n = 43) who work with pregnant and parenting adolescents was thematically analyzed data to learn about barriers and strategies for addressing IPV. Service providers described four primary barriers to addressing IPV with their adolescent clients: adolescent clients' definitions of love, intergenerational relationship patterns, cultural norms about gender and violence, and developmental-contextual considerations. Service providers also indicated that they respond to adolescents' IPV related concerns by taking steps to identify IPV, building working relationships, and taking appropriate follow-up action. Results suggest that providers can benefit from increased training and skill development in working with IPV, as well as working in interdisciplinary, collaborative teams to increase effectiveness with challenging cases. Programs should consider integrating IPV prevention initiatives that target broader social norms. Future research should pilot and test the effectiveness of targeted IPV training and programmatic interventions with service providers who work with this population.

Learning Areas:

Administer health education strategies, interventions and programs
Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Planning of health education strategies, interventions, and programs

Learning Objectives:
Discuss common explanations that service providers utilize to understand adolescent IPV; Identify the process that service providers’ utilize in working with adolescent IPV; Assess the connection between service providers’ understanding of adolescent IPV and their interventions.

Keyword(s): Adolescent Health, Domestic Violence

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: My research focuses on the impact of trauma, violence, and abuse upon vulnerable populations and seeks to positively influence practitioner behavior, service delivery systems, and policy in ways that best promote survivor healing. I engage in interdisciplinary community-based research utilizing qualitative, quantitative, and mixed methodologies to build and expand scientific knowledge. I have almost 20 years of experience as an advocate, clinician and researcher in the violence against women movement.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.