142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Using videos in clinic exam rooms for domestic violence and human trafficking screening

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 11:10 AM - 11:30 AM

Paula Tavrow, PhD , Department of Community Health Sciences, University of California at Los Angeles, Los Angeles, CA
Mellissa H. Withers, PhD, MHS , Institute for Global Health, USC School of Medicine, Los Angeles, CA
Brittnie Bloom, MS , Community Health Sciences, UCLA Fielding School of Public Heath, Los Angeles, CA
Rebecca Sussman, MPH , Development and Grant Evaluation, St. John's Well Child and Family Center, Los Angeles, CA
INTRODUCTION: Low-income women experiencing domestic violence (DV) or human trafficking (HT) often have difficulty getting help. Healthcare providers might be able to provide basic counselling and referrals if these women were “coached” by videos to self-reveal.  METHODS: We developed PSA-type three-minute videos using the “trusted friend” approach, in multiple languages and ethnicities, to be shown privately in exam rooms of four safety net clinics in Los Angeles.  We also created a website with embedded videos, multilingual pocket cards with hotline information, DV/HT training for providers, and clinic binders of local DV/HT resources.  We were able to track website hits and locations using google analytics. RESULTS:  In the first five months (August-December 2013), female patients aged 15 and above in target clinics accessed the videos 1936 times. Average length of time spent on the website was 3.5 to 6 minutes. Website hits per day were 0 to 62 for the clinics combined. During the study period, 23 women in the study clinics revealed current domestic violence to a provider, compared to 0 women in four comparison clinics. Challenges included: maintaining clinic interest in showing videos, theft and breakage of tablet computers, provider reluctance to query patients on DV, provider turn-over, and failure to re-stock the cards.  DISCUSSION:  Preliminary data suggests that private video screening on DV and HT is acceptable to female patients and may facilitate disclosure, if providers support the activity. CONCLUSION:  Clinic-based video screening may increase the likelihood of DV and HT identification and referral in safety net clinics.  

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Provision of health care to the public

Learning Objectives:
Explain why women experiencing domestic violence (DV) or human trafficking (HT) may not reveal their situation to healthcare providers. Describe a new tool designed to promote disclosure by female patients of DV/HT to their health care provider. Discuss the challenges for achieving regular clinic screening of low income women for DV/HT.

Keyword(s): Violence & Injury Prevention, Women's Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an Adjunct Associate Professor in the Department of Community Health Sciences at UCLA’s Fielding School of Public Health. I have been researching intimate partner violence in Kenya and the United States for the past decade. I am the principal investigator on the project for which I will be presenting.
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.