Improving Domestic Violence Screening and Follow-Up in a Community Health Clinic

Purpose: To implement an improved DV screening and follow-up protocol at a suburban community health clinic that is consistently used by staff with appropriate female patients as well as to assess provider/staff barriers to this. Methods: The project was completed at a community health clinic and in...

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Main Authors: Katherine Collins, Silviya Kochuparambil Sebastian, Gwyneth Franck
Format: Article
Language:English
Published: SAGE Publishing 2023-07-01
Series:Journal of Primary Care & Community Health
Online Access:https://doi.org/10.1177/21501319231189074
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author Katherine Collins
Silviya Kochuparambil Sebastian
Gwyneth Franck
author_facet Katherine Collins
Silviya Kochuparambil Sebastian
Gwyneth Franck
author_sort Katherine Collins
collection DOAJ
description Purpose: To implement an improved DV screening and follow-up protocol at a suburban community health clinic that is consistently used by staff with appropriate female patients as well as to assess provider/staff barriers to this. Methods: The project was completed at a community health clinic and included 2 presentations: the first to outline current practices as well as the intervention plan at the pre-intervention time point and then to review results of the intervention and elicit feedback post intervention. Provider/staff barrier surveys were completed at both time points. The intervention consisted of completion of the HITS DV screening tool on all appropriate female patients and a system-level algorithm-based follow-up care plan for positive cases. Results: Eligible patient screening increased by 3.1% and patients screening positive increased from 0 to 1 from baseline to intervention. Average scores on the barrier surveys improved for all questions and improved significantly for 3 of the questions. The algorithm implemented was utilized for the positive screening. Conclusions: Use of a DV screening tool, that has shown good concurrent and construct validity in the literature, a system-level algorithm for follow-up care and addressing provider/staff barriers to screening and follow-up are essential components of a successful DV screening and follow-up program.
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spelling doaj.art-5e20c0814f88465eb179b20f2553256c2023-07-28T16:03:19ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272023-07-011410.1177/21501319231189074Improving Domestic Violence Screening and Follow-Up in a Community Health ClinicKatherine Collins0Silviya Kochuparambil Sebastian1Gwyneth Franck2The University of Wisconsin Madison School of Nursing, USAThe University of Illinois at Chicago College of Nursing, USAThe University of Illinois at Chicago College of Nursing, USAPurpose: To implement an improved DV screening and follow-up protocol at a suburban community health clinic that is consistently used by staff with appropriate female patients as well as to assess provider/staff barriers to this. Methods: The project was completed at a community health clinic and included 2 presentations: the first to outline current practices as well as the intervention plan at the pre-intervention time point and then to review results of the intervention and elicit feedback post intervention. Provider/staff barrier surveys were completed at both time points. The intervention consisted of completion of the HITS DV screening tool on all appropriate female patients and a system-level algorithm-based follow-up care plan for positive cases. Results: Eligible patient screening increased by 3.1% and patients screening positive increased from 0 to 1 from baseline to intervention. Average scores on the barrier surveys improved for all questions and improved significantly for 3 of the questions. The algorithm implemented was utilized for the positive screening. Conclusions: Use of a DV screening tool, that has shown good concurrent and construct validity in the literature, a system-level algorithm for follow-up care and addressing provider/staff barriers to screening and follow-up are essential components of a successful DV screening and follow-up program.https://doi.org/10.1177/21501319231189074
spellingShingle Katherine Collins
Silviya Kochuparambil Sebastian
Gwyneth Franck
Improving Domestic Violence Screening and Follow-Up in a Community Health Clinic
Journal of Primary Care & Community Health
title Improving Domestic Violence Screening and Follow-Up in a Community Health Clinic
title_full Improving Domestic Violence Screening and Follow-Up in a Community Health Clinic
title_fullStr Improving Domestic Violence Screening and Follow-Up in a Community Health Clinic
title_full_unstemmed Improving Domestic Violence Screening and Follow-Up in a Community Health Clinic
title_short Improving Domestic Violence Screening and Follow-Up in a Community Health Clinic
title_sort improving domestic violence screening and follow up in a community health clinic
url https://doi.org/10.1177/21501319231189074
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