TY - JOUR
KW - Adult
KW - behavioral health
KW - Delivery of Health Care, Integrated/statistics & numerical data
KW - Electronic Health Records/statistics & numerical data
KW - Female
KW - Humans
KW - implementation
KW - Intimate Partner Violence/statistics & numerical data
KW - Mental Disorders/diagnosis/therapy
KW - Mental Health Services/statistics & numerical data
KW - Middle Aged
KW - Retrospective Studies
KW - Risk
KW - Risk Assessment/statistics & numerical data
KW - Screening
KW - service utilization
KW - Social Work/statistics & numerical data
KW - Timeliness
KW - United States
KW - United States Department of Veterans Affairs/statistics & numerical data
KW - Women veterans
AU - K. M. Iverson
AU - A. E. Sorrentino
AU - S. L. Bellamy
AU - A. R. Grillo
AU - T. N. Haywood
AU - E. Medvedeva
AU - C. B. Roberts
AU - M. E. Dichter
A1 - 
AB - OBJECTIVE: Veterans Health Administration (VHA) has implemented screening for past-year intimate partner violence (IPV) in some healthcare facilities along with secondary screening of risk for severe violence among those screening positive in order to facilitate follow-up care for high-risk patients. We evaluated the adoption, penetration, and effectiveness of secondary screening as a tool to facilitate timely follow-up services. METHODS: Retrospective review of medical records (screening and healthcare use) of 774 women screening positive for past-year IPV (IPV+) at 11 facilities nationwide from April 2014-April 2016. Chi-square and t-tests examined factors related to secondary screening. RESULTS: Three of eleven (27.3%) facilities that implemented primary IPV screening adopted secondary screening. At adopting sites, 56.4% eligible (i.e., IPV+) women received secondary screening. Among 185 IPV+ women who completed secondary screening, 33.0% screened positive for severe IPV. Screening positive during secondary screening was associated with higher rate of psychosocial care within 60days (73.8% vs. 54.0% of IPV+ patients screening negative; p50% vs. <15%; p<.001). CONCLUSIONS: Secondary risk assessment following IPV screening may expedite access to psychosocial follow-up care in integrated healthcare settings. However, program uptake needs to be enhanced.
BT - General hospital psychiatry
C5 - Healthcare Disparities; Measures
CY - United States
JF - General hospital psychiatry
N2 - OBJECTIVE: Veterans Health Administration (VHA) has implemented screening for past-year intimate partner violence (IPV) in some healthcare facilities along with secondary screening of risk for severe violence among those screening positive in order to facilitate follow-up care for high-risk patients. We evaluated the adoption, penetration, and effectiveness of secondary screening as a tool to facilitate timely follow-up services. METHODS: Retrospective review of medical records (screening and healthcare use) of 774 women screening positive for past-year IPV (IPV+) at 11 facilities nationwide from April 2014-April 2016. Chi-square and t-tests examined factors related to secondary screening. RESULTS: Three of eleven (27.3%) facilities that implemented primary IPV screening adopted secondary screening. At adopting sites, 56.4% eligible (i.e., IPV+) women received secondary screening. Among 185 IPV+ women who completed secondary screening, 33.0% screened positive for severe IPV. Screening positive during secondary screening was associated with higher rate of psychosocial care within 60days (73.8% vs. 54.0% of IPV+ patients screening negative; p50% vs. <15%; p<.001). CONCLUSIONS: Secondary risk assessment following IPV screening may expedite access to psychosocial follow-up care in integrated healthcare settings. However, program uptake needs to be enhanced.
PP - United States
PY - 2018
SN - 1873-7714; 0163-8343
SP - 79
EP - 84
EP - 
T1 - Adoption, penetration, and effectiveness of a secondary risk screener for intimate partner violence: Evidence to inform screening practices in integrated care settings
T2 - General hospital psychiatry
TI - Adoption, penetration, and effectiveness of a secondary risk screener for intimate partner violence: Evidence to inform screening practices in integrated care settings
U1 - Healthcare Disparities; Measures
U2 - 29353128
VL - 51
VO - 1873-7714; 0163-8343
Y1 - 2018
ER -