Abstract
This article examines the implementation of a health advocacy model designed for survivors of interpersonal violence (IPV) in a metropolitan area of North Texas. Using a framework influenced by motivational interviewing, solution-focused therapy, and trauma-informed care, this program engaged IPV survivors in creating health and safety goals. Goal attainment scaling was used to track progress after each health advocacy encounter. Clients could set their own goals for healthcare, self-care, and safety. The program served 419 clients and 648 goals were set by clients at the first visit. Among all goals, 89% selected goals focused on healthcare, with 47% of those selecting obtaining health insurance or coverage as a need. These results demonstrate the need for an enhanced healthcare response for this population. The remaining goals selected were self-care (7%) and safety (3%). The design of the health advocacy intervention shows promise towards filling the gaps between IPV and healthcare service delivery systems.
Highlights
The purpose of this paper is to describe the implementation of the TESSA health advocacy approach, including the types of goals set by the interpersonal violence (IPV) clients who participated in the program
Health advocacy requires a unique set of skills in order to address the medical, behavioral, and safety concerns that may arise in interactions with people who have experienced IPV
TESSA health advocates were trained in motivational interviewing, solution-focused approaches, and trauma-informed care, which formed the foundation of the intervention
Summary
Interpersonal violence (IPV) is a public health crisis that intersects multiple disciplines, including social services, healthcare, and criminal justice. Individuals who experience IPV have an increased likelihood of gynecological, digestive, cardiovascular, central nervous system, chronic stress, and psychological health issues [4,5,6]. These health consequences lead to healthcare utilization rates and costs that are higher for victims than non-victims [7,8,9]. Health advocacy offers a linkage by embedding advocates in both settings to coordinate healthcare services while at the same time providing broader wellness coaching and crisis support
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