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299358
Essentials of an Intimate Partner Violence Screening Protocol for Pregnant Woman in a Health Care Setting
Wednesday, November 19, 2014
: 10:30 AM - 10:50 AM
Liza Eshilian-Oates, MD
,
SCAL Family Violence Prevention Program, Kaiser Permanente - Orange County, Brea, CA
Linh Thai, BS
,
School of Social Work, University of Southern California, Irvine, CA
Kathy Wei, BA
,
School of Social Work, University of Southern California, Irvine, CA
Juan Gavia, BA
,
School of Social Work, University of Southern California, Irvine, CA
Intimate partner violence (IPV) is a serious preventable public health problem. IPV is defined as any of the following actions: physical and sexual violence, threats of physical or sexual violence, and psychological abuse. The estimated cost of IPV (combined medical, mental health, and lost productivity) among women exceeds $8.3 billion per year. Furthermore, women exposed to IPV are at higher risk to experience negative physical and mental health outcomes, such as posttraumatic stress disorder symptoms, depression, anxiety, suicidal behavior, sexually transmitted infections, and unintended pregnancy. Among pregnant woman and during the postpartum period, the risk of IPV increases. In response to pregnancy being a high risk time for IPV among women of childbearing age, Kaiser Permanente Orange County prenatal clinics implemented an IPV screening tool administered four times during the woman’s pregnancy care. This presentation will review the following steps taken in the program implementation: 1) identifying appropriate stakeholders, 2) training of providers to address IPV in prenatal setting, 3) discuss workflow created to screen and offer immediate services to victim, 4) share data collection, which has resulted in increase disclosure of IPV among pregnant women, 5) share case vignette, 6) lessons learned from first year of implementation to improve and sustain program in the coming year and 7) plans for replication at other prenatal clinics.
Learning Areas:
Administer health education strategies, interventions and programs
Administration, management, leadership
Program planning
Learning Objectives:
List the consequences of intimate partner violence on a pregnant woman’s well-being
Describe the process of implementing the intimate partner violence screening tool in a prenatal clinic
Identify key stakeholders and collaborative partners who can enhance and support the on-going progress of the program.
Discuss and apply lessons learned from this program to replication of a similar program on other prenatal settings.
Keyword(s): Health Care Delivery, Domestic Violence
Presenting author's disclosure statement:Qualified on the content I am responsible for because: She brings over 19 years of experience working in both public health and social service settings. She has conducted research and developed curriculums on intimate partner violence (IPV) abuse. Presently, she is a clinic manager at Kaiser Permanente Psychiatry Department and teaches part-time at University of Southern California, where she addresses IPV in both clinical setting and academic setting. She also co-chairs the Orange County Kaiser Permanente Family Violence Prevention Program.
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.
