Essential Health Care Services Addressing Intimate Partner Violence (2024) / Chapter Skim
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Pages 241-254
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8 Recommendations1 The Committee on Sustaining Essential Health Care Services Related to Intimate Partner Violence During Public Health Emergencies carefully reviewed the available evidence about intimate partner violence (IPV) and public health emergency (PHE)
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242 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV Organization (WHO) ; and insight gleaned from presentations to the committee and a commissioned paper by experts in IPV-related care.
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RECOMMENDATIONS 243 IPV disclosure is frequently the first step in accessing IPV-related health care services. Universal IPV screening is meant to facilitate that disclosure.
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244 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV Recommendation 3: In order to reduce health inequities related to intimate partner violence (IPV) , health care systems should: • Ensure that individuals from historically marginalized communities and other communities adversely affected by health inequities are included in IPV care program development and planning.
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RECOMMENDATIONS 245 health, not situational pressure. Therefore, the same health care services related to IPV that are essential during steady state conditions are essential during PHEs.
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246 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV The committee prioritized delivery of essential health care services related to IPV that are most integral to protecting life safety during the initial phase of PHE response. In some cases, specific components of an essential health care service are essential for protecting life due to the severity and time-sensitive nature of certain IPV-related health conditions or are critical for women from groups that have an elevated risk for life threatening outcomes, such as pregnant women.
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RECOMMENDATIONS 247 Recommendation 5: Essential health care services related to intimate partner violence (IPV) during steady state conditions remain essen tial during public health emergencies (PHEs)
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248 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV Planning and Operationalization of Intimate Partner Violence Care During Public Health Emergencies The professionals who serve as disaster health responders during PHEs are expected to effectively deliver care in high stress and often unpredictable conditions. Given the increased prevalence and severity of IPV associated with PHEs, they are likely to encounter women who have experienced physical and psychological trauma related to IPV that may be compounded by trauma related to the PHE.
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RECOMMENDATIONS 249 training. Additionally, they may not regularly care for women experiencing IPV in their steady state roles.
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250 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV conditions. This makes protocols for IPV care during PHEs that are based on standardized guidance an important tool for ensuring disaster health responders can effectively deliver essential health care services related to IPV.
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RECOMMENDATIONS 251 • At the state, local, tribal, and territorial government level, IPV care planning and coordination should be assigned to a specific office or division that is part of the emergency planning or emergency management team. • At all levels, jurisdictional emergency planning teams should include representation from social service providers and IPV-related community-based organizations to ensure that strong partnerships exist between disaster health responders and the organizations providing care for IPV survivors.
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252 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV Intimate Partner Violence Research Early in the committee's deliberations, it was evident that data for the prevalence of IPV in the U.S. population has key limitations that negatively affect evidence-based care and prevention as well as evidence-based policy making related to IPV.
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RECOMMENDATIONS 253 The committee identified several key gaps and limitations in the IPVrelated research literature specific to this study's statement of task. These include: • population-based studies of individual IPV intervention outcomes and the effectiveness of those interventions during steady state and PHE conditions; • comparative effectiveness studies of adequate size to inform devel opment of best practices for IPV identification and care in the health care setting during steady state and PHE conditions; • population-based studies of the effects of different types of PHEs on IPV severity and prevalence; • large population-based studies of IPV in populations that experi ence health disparities; and • studies that clarify the occurrence and nature of harms associated with IPV screening and, if any harms are identified, best practices for reducing or avoiding those harms.
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254 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV understanding that different types of PHEs will require some differences in response activities. For example, response to an infectious disease outbreak may require the affected community to shelter-in-place and limit interactions with people from outside their homes for a period of time.
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