Feasibility of a reconfigured domestic violence and abuse training and support intervention responding to affected women, men, children and young people through primary care
<p><strong>Background:</strong> Identification in UK general practice of women affected by domestic violence and abuse (DVA) is increasing, but men and children/young people (CYP) are rarely identified and referred for specialist support. To address this gap, we collaborat...
| Main Authors: | , , , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
BioMed Central
2024
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| _version_ | 1826312262934069248 |
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| author | Szilassy, E Coope, C Emsley, E Williamson, E Barbosa, EC Johnson, M Dowrick, A Feder, G |
| author_facet | Szilassy, E Coope, C Emsley, E Williamson, E Barbosa, EC Johnson, M Dowrick, A Feder, G |
| author_sort | Szilassy, E |
| collection | OXFORD |
| description | <p><strong>Background:</strong> Identification in UK general practice of women affected by domestic violence and abuse (DVA) is increasing, but men and children/young people (CYP) are rarely identified and referred for specialist support. To address this gap, we collaborated with IRISi (UK social enterprise) to strengthen elements of the IRIS + intervention which included the identification of men, direct engagement with CYP, and improved guidance on responding to information received from other agencies. IRIS + was an adaptation of the national IRIS (Identification and Referral to Improve Safety) model focused on the needs of women victim-survivors of DVA. Without diminishing the responses to women, IRIS + also responded to the needs of men experiencing or perpetrating DVA, and CYP living with DVA and/or experiencing it in their own relationships. Our study tested the feasibility of the adapted IRIS + intervention in England and Wales between 2019–21.</p>
<p><strong>Methods:</strong> We used mixed method analysis to triangulate data from various sources (pre/post intervention questionnaires with primary care clinicians; data extracted from medical records and DVA agencies; semi-structured interviews with clinicians, service providers and referred adults and children) to assess the feasibility and acceptability of the IRIS + intervention.</p>
<p><strong>Results:</strong> The rate of referral for women doubled (21.6/year/practice) from the rate (9.29/year/practice) in the original IRIS trial. The intervention also enabled identification and direct referral of CYP (15% of total referrals) and men (mostly survivors, 10% of total referrals). Despite an increase in self-reported clinician preparedness to respond to all patient groups, the intervention generated a low number of men perpetrator referrals (2% of all referrals). GPs were the principal patient referrers. Over two-thirds of referred women and CYP and almost half of all referred men were directly supported by the service. Many CYP also received IRIS + support indirectly, via the referred parents. Men and CYP supported by IRIS + reported improved physical and mental health, wellbeing, and confidence.</p>
<p><strong>Conclusions:</strong> Although the study showed acceptability and feasibility, there remains uncertainty about the effectiveness, cost-effectiveness, and scalability of IRIS + . Building on the success of this feasibility study, the next step should be trialling the effectiveness of IRIS + implementation to inform service implementation decisions.</p> |
| first_indexed | 2024-03-07T08:26:28Z |
| format | Journal article |
| id | oxford-uuid:972c4872-9dae-4fd9-b6ca-f68de545f067 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T08:26:28Z |
| publishDate | 2024 |
| publisher | BioMed Central |
| record_format | dspace |
| spelling | oxford-uuid:972c4872-9dae-4fd9-b6ca-f68de545f0672024-02-15T06:27:27ZFeasibility of a reconfigured domestic violence and abuse training and support intervention responding to affected women, men, children and young people through primary careJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:972c4872-9dae-4fd9-b6ca-f68de545f067EnglishSymplectic ElementsBioMed Central2024Szilassy, ECoope, CEmsley, EWilliamson, EBarbosa, ECJohnson, MDowrick, AFeder, G<p><strong>Background:</strong> Identification in UK general practice of women affected by domestic violence and abuse (DVA) is increasing, but men and children/young people (CYP) are rarely identified and referred for specialist support. To address this gap, we collaborated with IRISi (UK social enterprise) to strengthen elements of the IRIS + intervention which included the identification of men, direct engagement with CYP, and improved guidance on responding to information received from other agencies. IRIS + was an adaptation of the national IRIS (Identification and Referral to Improve Safety) model focused on the needs of women victim-survivors of DVA. Without diminishing the responses to women, IRIS + also responded to the needs of men experiencing or perpetrating DVA, and CYP living with DVA and/or experiencing it in their own relationships. Our study tested the feasibility of the adapted IRIS + intervention in England and Wales between 2019–21.</p> <p><strong>Methods:</strong> We used mixed method analysis to triangulate data from various sources (pre/post intervention questionnaires with primary care clinicians; data extracted from medical records and DVA agencies; semi-structured interviews with clinicians, service providers and referred adults and children) to assess the feasibility and acceptability of the IRIS + intervention.</p> <p><strong>Results:</strong> The rate of referral for women doubled (21.6/year/practice) from the rate (9.29/year/practice) in the original IRIS trial. The intervention also enabled identification and direct referral of CYP (15% of total referrals) and men (mostly survivors, 10% of total referrals). Despite an increase in self-reported clinician preparedness to respond to all patient groups, the intervention generated a low number of men perpetrator referrals (2% of all referrals). GPs were the principal patient referrers. Over two-thirds of referred women and CYP and almost half of all referred men were directly supported by the service. Many CYP also received IRIS + support indirectly, via the referred parents. Men and CYP supported by IRIS + reported improved physical and mental health, wellbeing, and confidence.</p> <p><strong>Conclusions:</strong> Although the study showed acceptability and feasibility, there remains uncertainty about the effectiveness, cost-effectiveness, and scalability of IRIS + . Building on the success of this feasibility study, the next step should be trialling the effectiveness of IRIS + implementation to inform service implementation decisions.</p> |
| spellingShingle | Szilassy, E Coope, C Emsley, E Williamson, E Barbosa, EC Johnson, M Dowrick, A Feder, G Feasibility of a reconfigured domestic violence and abuse training and support intervention responding to affected women, men, children and young people through primary care |
| title | Feasibility of a reconfigured domestic violence and abuse training and support intervention responding to affected women, men, children and young people through primary care |
| title_full | Feasibility of a reconfigured domestic violence and abuse training and support intervention responding to affected women, men, children and young people through primary care |
| title_fullStr | Feasibility of a reconfigured domestic violence and abuse training and support intervention responding to affected women, men, children and young people through primary care |
| title_full_unstemmed | Feasibility of a reconfigured domestic violence and abuse training and support intervention responding to affected women, men, children and young people through primary care |
| title_short | Feasibility of a reconfigured domestic violence and abuse training and support intervention responding to affected women, men, children and young people through primary care |
| title_sort | feasibility of a reconfigured domestic violence and abuse training and support intervention responding to affected women men children and young people through primary care |
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