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Linking abuse and recovery through advocacy: an observational study

  • K. Trevillion (a1), S. Byford (a2), M. Cary (a2), D. Rose (a3), S. Oram (a1), G. Feder (a4), R. Agnew-Davies (a5) and L. M. Howard (a1)...
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 < 0.05). Service users receiving the intervention reported significant reductions in violence (p < 0.001) and unmet needs at follow-up (p < 0.05).

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.

Copyright
Corresponding author
*Address for correspondence: Dr Kylee Trevillion, Section of Women's Mental Health, Health Service and Population Research Department, Institute of Psychiatry, King's College London, De Crespigny Park, London SE5 8AF, UK. (Email: kylee.trevillion@kcl.ac.uk)
References
Hide All
Agar K, Read J (2002). What happens when people disclose sexual or physical abuse to staff at a community mental health centre? International Journal of Mental Health Nursing 11, 7079.
Barber JA, Thompson SG (1998). Analysis and interpretation of cost data in randomised control trials: review of published studies. British Medical Journal 317, 11952000.
Barrett B, Byford S, Crawford M, Patton R, Drummond C, Henry J, Touquet R (2006). Cost-effectiveness of referral to an alcohol health worker in patients attending an accident and emergency department: a decision-making approach. Drug and Alcohol Dependence 81, 4754.
Boyatzis RE (1998). Transforming Qualitative Information: Thematic Analysis and Code Development. Thousand Oaks: London, California.
Bramesfeld A, Ungewitter C, Böttger D, El Jurdi J, Losert C, Kilian R (2012). What promotes and inhibits cooperation in mental health care across disciplines, services and service sectors? A qualitative study. Epidemiology and Psychiatric Sciences 21, 6372.
Brooks R (1996). EuroQol: the current state of play. Health Policy 37, 5372.
Byford S, Fiander M, Torgerson D, Barber J, Thompson S, Burns T (2000). Cost-effectiveness of intensive v. standard case management for severe psychotic illness: UK700 case management trial. British Journal of Psychiatry 176, 537543.
Campbell JC (2002). Health consequences of intimate partner violence. Lancet 359, 13311336.
Cavanagh M-R, Read J, New B (2004). Sexual abuse inquiry and response: a New Zealand training programme. New Zealand Journal of Psychology 33, 137144.
Connor P, Nouer S, Mackey S, Tipton N, Lloyd A (2010). Psychometric properties of an intimate partner violence tool for health care students. Journal of Interpersonal Violence 26, 124.
Connor P, Nouer S, Mackey S, Banet M, Tipton N (2011). Dental students and intimate partner violence: measuring knowledge and experience to institute curricular change. Journal of Dental Education 75, 10101019.
Curtis L (2010). Unit Costs of Health and Social Care 2010. PSSRU, University of Kent: Canterbury.
Department of Health (2011). National Schedule of Reference Costs 2009–10 for NHS Trusts. HMSO: London.
Dubourg R, Hamed J (2005). The Economic and Social Costs of Crime against Individuals and Households 2003/4. Home Office: London.
Duxbury F (2006). Recognising domestic violence in clinical practice using the diagnoses of posttraumatic stress disorder, depression and low self-esteem. British Journal of General Practice 56, 294300.
Efron B, Tibshirani RJ (1993). An Introduction to the Bootstrap. Chapman & Hall: New York.
EuroQol Group (1990). EuroQol – a new facility for the measurement of health-related quality-of-life. Health Policy 16, 199208.
Feder G, Ramsay J, Dunne D, Rose M, Arsene C, Norman R, Kuntze S, Spencer A, Bacchus L, Hague G, Warburton A, Taket A (2009). How far does screening women for domestic (partner) violence in different health-care settings meet criteria for a screening programme? Systematic reviews of nine UK, National Screening Committee criteria. Health Technology Assessment 13, iii113.
Feder G, Agnew-Davies R, Baird K, Dunne D, Eldridge S, Griffiths C, Gregory A, Howell A, Johnson M, Ramsay J, Rutterford C, Sharp C (2011). Identification and Referral to Improve Safety (IRIS) of women experiencing domestic violence with a primary care training and support programme: a cluster randomised controlled trial. Lancet 11, 18.
Foa EB (1995). Posttraumatic Stress Diagnostic Scale Manual. National Computer Systems Inc.: Minneapolis, MN.
Foa EB, Cashman L, Jaycox L, Perry K (1997). The validation of a self-report measure of posttraumatic stress disorder: The Posttraumatic Diagnostic Scale. Psychological Assessment 9, 445451.
Golding MJ (1999). Intimate partner violence as a risk factor for mental disorders: a meta-analysis. Journal of Family Violence 14, 99132.
Hegarty K (2011). Domestic violence: the hidden epidemic associated with mental illness. British Journal of Psychiatry 198, 169170.
Hegarty K, Sheehan M, Schonfeld C (1999). A multidimensional definition of partner abuse: development and preliminary validation of the Composite Abuse Scale. Journal of Family Violence 14, 399415.
Hegarty K, Bush R, Sheehan M (2005). The Composite Abuse Scale: further development and assessment of reliability and validity of a multidimensional partner abuse measure in clinical settings. Violence and Victims 20, 529547.
Home Office (2005). Domestic Violence: A National Report. Home Office: London.
Howard LM, Hunt K, Slade M, O'Keane SV, Leese M, Thornicroft G, Wiseman M (2008). CAN-M: Camberwell Assessment of Need for Mothers. Royal College of Psychiatrists: London.
Howard LM, Trevillion K, Agnew-Davies R (2010 a). Domestic violence and mental health. International Review of Psychiatry 22, 525534.
Howard LM, Trevillion K, Khalifeh H, Woodall A, Agnew-Davies R, Feder G (2010 b). Domestic violence and severe psychiatric disorders: prevalence and interventions. Psychological Medicine 40, 881893.
Krause DE, Kaltman S, Goodman AL, Dutton AM (2008). Avoidant coping and PTSD symptoms related to domestic violence exposure: a longitudinal study. Journal of Traumatic Stress 21, 8390.
Kuyken W, Byford S, Taylor R, Watkins E, Holden E, White K (2008). Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. Journal of Consulting and Clinical Psychology 76, 966978.
McFarlane J, Malecha A, Gist J, Watson K, Batten E, Hall I, Smith S (2002). An intervention to increase safety behaviors of abused women: results of a randomized clinical trial. Nursing Research 51, 347354.
Morgan J (2007). ‘Giving up the Culture of Blame’: Risk Assessment and Risk Management in Psychiatric Practice-Briefing Document to Royal College of Psychiatrists. Royal College of Psychiatrists: London.
Mueser KT, Goodman BL, Trumbetta LS, Rosenberg DS, Osher CF, Vidaver R, Auciello P, Foy WD (1998). Trauma and posttraumatic stress disorder in severe mental illness. Journal of Consulting and Clinical Psychology 66, 493499.
NHS Confederation (2008). Implementing National Policy on Violence and Abuse: A Slow but Essential Journey. pp. 16. Department of Health: London.
Oram S, Trevillion K, Feder G, Howard LM (2013). Prevalence of experiences of domestic violence among psychiatric patients: systematic review. British Journal of Psychiatry 202, 9499.
Phelan M, Slade M, Thornicroft G, Dunn G, Holloway F, Wykes T, Strathdee G, Loftus L, McCrone P, Hayward P (1995). The Camberwell Assessment of Need: the validity and reliability of an instrument to assess the needs of people with severe mental illness. British Journal of Psychiatry 167, 589595.
Posner J, Eilenberg J, Friedman JH, Fullilove MJ (2008). Quality and use of trauma histories obtained from psychiatric outpatients: a ten year follow-up. Psychiatric Services 59, 318321.
Priebe S, Huxley P, Knight S, Evans S (1999). Application and results of the Manchester Short Assessment of Quality of Life (MANSA). International Journal of Social Psychiatry 45, 712.
Read J, Fraser A (1998 a). Abuse histories of psychiatric inpatients: to ask or not to ask? Psychiatric Services 49, 355359.
Read J, Fraser A (1998 b). Staff response to abuse histories of psychiatric inpatients. Australian and New Zealand Journal of Psychiatry 32, 206213.
Read J, Hammersley P, Rudegeair T (2007). Why, when and how to ask about childhood abuse. Advances in Psychiatric Treatment 13, 101110.
Robinson AL (2004). Domestic Violence MARACs (Multi-Agency Risk Assessment Conferences) for Very High-Risk Victims in Cardiff, Wales: A Process and Outcome Evaluation. Cardiff University: Cardiff.
Rose D, Trevillion K, Woodall A, Morgan C, Howard LM (2011). Barriers and facilitators of disclosures of domestic violence by mental health service users: a qualitative study. British Journal of Psychiatry 198, 189194.
Royal Pharmaceutical Society (2010). British National Formulary 59. BMJ Group and RPS Publishing: London.
Secker J, Hacking S, Kent L, Shenton J, Spandler H (2009). Development of a measure of social inclusion for arts and mental health project participants. Journal of Mental Health 18, 6572.
Short ML, Alpert E, Harris MJ Jr, Surprenant JZ (2006). A tool for measuring physician readiness to manage intimate partner violence. American Journal of Preventive Medicine 30, 181185.
Siskind D, Harris M, Pirkis J, Whiteford H (2012). Personalised support delivered by support workers for people with severe and persistent mental illness: a systematic review of patient outcomes. Epidemiology and Psychiatric Sciences 21, 97110.
Trevillion K, Howard LM, Morgan C, Feder G, Woodall A, Rose D (2012 a). The response of mental health services to domestic violence: a qualitative study of service users' and professionals' experiences. Journal of the American Psychiatric Nurses Association 18, 326336.
Trevillion K, Oram S, Feder G, Howard LM (2012 b). Experiences of domestic violence and mental disorders: a systematic review and meta-analysis. PLoS ONE 7, e51740. doi:i10.1371/journal.pone.0051740.
Young M, Read J, Barker-Collo S, Harrison R (2001). Evaluating and overcoming barriers to taking abuse histories. Professional Psychology: Research and Practice 32, 407414.
Zimmerman M, Mattia J (1999). Is posttraumatic stress disorder underdiagnosed in routine clinical settings? Journal of Nervous and Mental Disease 187, 420428.
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Epidemiology and Psychiatric Sciences
  • ISSN: 2045-7960
  • EISSN: 2045-7979
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