PROGRAM
WARM REFERRALS
(link to healthcare, insurance enrollment, etc.) +Collaborative grants between evidence based programs and FJCs are available.
-Addressing IPV is still a sensitive issue with home-visitor programs – there is potential to reduce likelihood for disclosure (especially in child welfare programs) (Davidov et al., 2012)
WHO Clinical Guidelines (2013) recommend warm referrals as a standard practice of “woman-centered care”. Theories of Stakeholder engagement emphasize involving a variety of stakeholders, and identify their role and value early on in program development. Warm referrals have been used for a variety of low-enrollment programs within healthcare (Richter et al., 2012).
medical reporting and nurse/caseworker comfort in identifying, assessing, and discussing IPV - Difficult to maintain/expand large caseloads (individualized approach) +Partnership building - Potential for retraumatization +Opportunities to link advocacy and practice - Need established trauma-informed care protocols for treating the referral +Established via MOU (i.e. easily sustainable) - May be difficult to establish with already overburdened, serviceoriented, Community Health Centers
+Provides options for +Centers with limited health resources +Compatible with the +ACA’s emphasis on MOBILE expanding health TECHNOLOGY information technology, HEALTH including electronic PLATFORMS health records, health portals, etc.
- Expensive technology - Privacy and confidentiality concerns - Mandated medical reporting - May need an in-person follow-up to handle linkage to advocacy after disclosure, or link to long-term care after initial screening.
Promising practice – little outcome evaluation evidence to date. Computer-based IPV screening increased rates of disclosure and improved consistency of screening in one pilot study (Post et al., 2013). Provider follow-up after disclosure was most helpful in making successful links to care (Post et al., 2013). The ACA is supporting the expansion of electronic medical records (EMRs) and health information technology (HIT, such as patient portals).
ADDRESSING HEALTH NEEDS OF IPV SURVIVORS
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