Domestic Violence Training Research Articles

\u201cFrom taboo to routine\u201d: a qualitative evaluation of a hospital-based advocacy intervention for domestic violence and abuse

BackgroundHealth services are often the first point of professional contact for people who have experienced domestic violence and abuse. We report on the evaluation of a multi-site, hospital-based advocacy intervention for survivors of domestic violence and abuse. Independent Domestic Violence Advisors (IDVAs), who provide survivors with support around safety, criminal justice, and health and wellbeing, were located in five hospitals in England between 2012 and 2015 in emergency departments and maternity services. We present views about IDVAs’ approaches to tackling domestic violence and abuse, how the IDVA service worked in practice, and factors that hindered and facilitated engagement with survivors.MethodsWe adopted a convenience sampling approach and invited participation from all who offered to take part within the study timeframe. Sixty-four healthcare professionals, IDVAs, IDVA service managers, and commissioners at all sites were interviewed. Interviews were analysed using a thematic approach: familiarising ourselves with the data through repeated readings and noting initial ideas; generating initial codes through double coding notable features of the data across the dataset; collating codes into potential themes; and reviewing themes to ensure they captured the essence of the data.ResultsTwo key themes emerged. The first was Hospital-based IDVAs fulfil several crucial roles. This theme highlighted that healthcare professionals thought the hospital-based IDVA service was valuable because it enhanced their skills, knowledge, and confidence in asking about domestic violence and abuse. It enabled them to immediately refer and provide support to patients who might have otherwise been lost along a referral pathway. It also reached survivors who might otherwise have remained hidden. The second theme was Success hinges on a range of structural factors. This theme illustrated the importance of ongoing domestic violence and abuse training for staff, the IDVA having private and dedicated space, and the service being embedded in hospital infrastructure (e.g. featuring it in hospital-wide policies and enabling IDVAs access to medical records).ConclusionHospital-based IDVAs offer a unique and valued way to respond to domestic violence and abuse in a healthcare setting. Further work must now be done to explore how to implement the service sustainably.

Longitudinal evaluation of a domestic violence training program for midwives

Background: In Australia, 36% of women who experienced violence by a partner reported that this occurred when they were pregnant.1 Around seventeen percent of women experience domestic violence (DV) for the first time during pregnancy. Routine enquiry about domestic violence during pregnancy is now accepted best practice. Training is essential to improve knowledge and practice. Yet very few studies have undertaken a comprehensive evaluation of training impact over time. Aim: This presentation will provide an overview of an evaluation of the longitudinal impact of a domestic violence training and support program to promote midwives’ routine antenatal enquiry for domestic violence using a mixed methods design. Method: Data sources included (1) surveys of midwives at 6 months post-training, (2) interviews with key stakeholders at 12 months, (3) chart audit data of screening, risk, and disclosure rates (for 16 months). Measures included midwives’ knowledge and preparation for routine antenatal enquiry, and perceptions of organisational barriers to routine enquiry. Findings: Forty (out of 83) participant surveys could be matched and responses compared to baseline and post-training scores. Wilcoxon signed-rank test identified that all 6-month follow-up scores were significantly higher than those at baseline. Level of preparedness increased from 42.3 to 51.05 (Z = 4.88, p 90%) reported improved confidence to undertake routine inquiry. A chart audit of screening rates for 16 months post-training revealed of the 6671 women presenting for antenatal care, nearly 90% were screened. Disclosure of domestic violence was low (<2%) with most women at risk or experiencing violence declining referral. Contribution to policy & practice: Training, support processes, and referral pathways, contributed to midwives’ sustained preparedness and knowledge to conduct routine enquiry and support women disclosing domestic violence.

Does Training and Coursework in Domestic Violence Affect Students' Perceptions of Behaviors as Domestic Violence?

Some argue that training and/or coursework in domestic violence (DV) could impact the beliefs criminal justice (CJ) majors have about DV and, in turn, affect their future job performance in cases involving victims of DV. This study examined the association of previous education and training in DV on the beliefs college students hold about what behaviors qualify as DV. Further, it examined the association between CJ versus non-CJ majors on beliefs about DV behaviors. Results indicated prior education on DV, but not training outside of coursework, was associated with differences in students' beliefs about acts of sexual aggression qualifying as DV. Education and training on DV were not significantly related to differences in beliefs about acts of physical or verbal/emotional aggression being DV. Moreover, CJ majors are less likely to believe that verbal/emotional aggression was an act of DV, compared to non-CJ majors. Implications of these findings for policy and educational efforts impacting CJ majors are discussed.

Perinatal Depression Knowledge, Attitudes, and Beliefs Among Graduate Social Work Students

The purpose of this study was to identify the proportion of Master of Social Work (MSW) students who received perinatal depression (PD) training as part of their coursework. Additionally, we sought to identify differences in PD knowledge, attitudes, beliefs, and openness to further education between students who had received PD training compared to students without PD training. Using a cross-sectional design and convenience sampling, 177 largely female (91.0%), Hispanic (46%), and Caucasian (28.2%) MSW students from five public California universities electronically provided demographic data and completed the Depression in Women's Health Settings scale. Most MSW students reported health/mental health (38%) or children/youth/and families (47.5%) as their field of practice. Twenty-nine MSW students (16.4%) reported receiving PD training, 61% child abuse/neglect training, and 50% domestic violence training. Students with PD training were significantly more knowledgeable and reported having the skills to assess, screen, identify, and care for women with PD symptoms versus students without PD training. Given the well-documented association of PD with child abuse/neglect and domestic violence, early PD screening, identification, and referral information must be incorporated into MSW curricula and continuing education in order to promote maternal-infant well-being outcomes.

Properly Accounting for Domestic Violence in Child Custody Cases: An Evidence-Based Analysis and Reform Proposal

Promoting the best interests of children and protecting their safety and well-being in the context of a divorce or parentage case where domestic violence has been alleged has become highly politicized and highly gendered. There are claims by fathers’ rights groups that mothers often falsely accuse fathers of domestic violence to alienate the fathers from their children and to improve their financial position. They also claim that children do better when fathers are equally involved in their children’s lives, but that judges favor mothers over fathers in custody cases. As a consequence, fathers’ rights groups have engaged in a nationwide effort to reform the custody laws to create a presumption of equal parenting time, with no exception when one of the parents has engaged in domestic violence. Domestic violence survivors and their advocates, however, claim that the needs of survivors of domestic violence and their children to be safe and free from further abuse are not being met in custody cases, that their claims of abuse are not being believed, and that the harm when a parent commits domestic violence against the other parent is not being recognized and addressed by judges and the family law professional upon whom they rely. This Article first presents a literature review, with articulated scientific standards applied to each of the pieces of research cited in this review, on what is happening outside of court and in court relating to domestic violence and best practices for taking domestic violence into account in these child custody cases. Among the key findings from this literature review are: (1) when a parent commits domestic violence against the other parent, this can cause serious long-term harm to children, (2) custody judgments tend to favor fathers over mothers because greater weight is placed on claims of alienation than on domestic violence claims, (3) long-term harms can be mitigated by evidence-based best practices, most notably, supporting non-abusive parents in their efforts to protect themselves and their children from further domestic violence, (4) family law judges and professionals must be trained on domestic violence and its nuances, as well as how to screen for domestic violence, to adequately support them, and (5) a component of this training is learning how to distinguish mutual “situational couple violence” for which “parallel parenting” custody arrangements might be feasible, from a pattern of “coercive abuse,” where sole decision-making and primary parenting time should be ordered to the non-abusive parent, and protective restrictions on parenting time should be ordered to the abusive parent. The Article then reports on a fifty-state review of custody-related laws (laws determining which parent makes major decisions relating to the child, who is allocated primary parenting time, and whether protective restrictions shall be placed on the parenting time of a parent who has engaged in domestic violence). This review found serious gaps between what evidence-based best practices suggest, and what is currently required by law in many states. These gaps in the law, including the failure of the law to require domestic violence screening and training for judges and other family law professionals, contribute to poor custody decision-making by them that compromises the safety and welfare of domestic violence survivors and their children. The Article then proposes nuanced law reforms that would align custody-related laws with evidence-based best practices for taking domestic violence into account in custody cases, including creating rebuttable presumptions, burdens of proof, and definitions of domestic violence that conform with these evidence-based best practices.

Comorbid Depression and Substance Abuse in Domestic Homicide: Missed Opportunities in the Assessment and Management of Mental Illness in Perpetrators.

Almost 40% of murdered women are victims of domestic homicide across the world. However, research has yet to examine comorbid depression and substance abuse in domestic homicide perpetrators, despite comorbid mental health conditions being associated with homicide in the general population. A retrospective case analysis approach was performed using domestic homicide cases that had been reviewed by the Domestic Violence Death Review Committee in Ontario, Canada. Group comparisons were made by compiling cases into groups based on perpetrators with depression and/or substance abuse: a no history of depression and/or substance use group, depression only group, substance abuse only group, and comorbid depression and substance abuse group. Statistical analyses compared groups on number and types of risk factors and service provider contacts. A major finding of the current study was the resounding lack of mental health care and batterer intervention program engagement across groups. Results also indicated that perpetrators with comorbid depression and substance abuse have an elevated number of risk factors for domestic homicide and elevated number of service provider contacts. Furthermore, results indicated that perpetrators with comorbid depression and substance abuse had an increased likelihood of having engaged in hostage-taking behavior and increased likelihood of having contact with mental health and health care providers. The study demonstrates the necessity for future research into the barriers associated with help-seeking by perpetrators, family and friends, as well as the barriers to agency referral and to mental health agencies providing service to perpetrators. It also highlights the need for service providers to take multiple mental health conditions into account when working with perpetrators of domestic homicide. Overall, this study underscores the importance of mental health and domestic violence training for service providers in different sectors. Moreover, it emphasizes the necessity of collaboration among service providers to address both violence-specific and mental health-specific concerns in perpetrators of domestic violence.

Stalking: an examination of the correlates of subsequent police responses

PurposeFew studies have explored the correlates of police responses to the crime of stalking. The purpose of this paper is to examine the correlates of nine specific police actions (no action, multiple actions, took a report, talked to perpetrator, arrested perpetrator, recommended PO or RO, recommended self-protection, referred to prosecutor’s office and referred to social services) to this type of crime. This study found three of the four incident measures (victim-offender relationship, intimidation and physical injury) and three of the four victim demographic measures (age, gender and marital status) significantly predicted seven of the nine police actions.Design/methodology/approachData for this study came from the 2006 Stalking Victimization Supplement of the National Crime Victimization Survey (NCVS). The sample included stalking cases that were reported to the police and all measures were constructed using victims’ responses to survey questionnaires. Nine logistic regression models were estimated and in each model, four incident characteristic variables and four victim demographic variables were regressed on each of the nine police actions.FindingsThis study found three of the four incident characteristic measures (victim-offender relationship, intimidation, and physical injury) and three of the four victim demographic variables (age, gender and marital status) were significantly related to seven of the nine specific police actions (no action, multiple actions, arrested perpetrator, recommended PO or RO, recommended self-protection, referred to prosecutor’s office and referred to social services). None of the incident characteristic and victim demographic measures were related to two of the nine specific police actions (took a report and talked to perpetrator).Research limitations/implicationsThis study possesses the same shortcomings associated with the NCVS. The current study involves cross-sectional, official data that are over 10 years old. The measures employed in the current study are victims’ perceptions of how the officers acted. The study does not include information regarding how many times the victim contacted the police or the nature of the stalking episode. The study excludes other variables (suspect’s demeanor, the presence of witnesses) that may be relevant in examining subsequent police responses to stalking.Practical implicationsFrontline offices should be required to undertake stalking training. Further, stalking training needs to be conducted independently from domestic violence training. Mandatory stalking training for law enforcement officers will lead to a greater comprehension of existing stalking statute for the officers as well as help increase the number of offenders being identified and charged with this crime by the officers.Social implicationsPolice inaction to reported stalking not only dissuade victims from reporting future victimizations, it will also result in stalking being an under-reported crime. Police inaction could potentially compromise victim safety and/or offender accountability. Police inaction also undermines the legitimacy of law enforcement and attenuates the relationship between citizens and police agencies.Originality/valueTo date, only one study has examined the correlates of subsequent police responses to the crime of stalking. However, this study employed broad measures of police actions (formal and informal). The current study involves specific police actions (e.g. taking a report, referring the victim to social service agencies). Contrary to the prior study that found none of the incident and victim characteristics was related to two broad measures of subsequent police responses, this study found several incident and victim measures significantly predicted seven specific police actions.

Cost-effectiveness of a domestic violence and abuse training and support programme in primary care in the real world: updated modelling based on an MRC phase IV observational pragmatic implementation study

ObjectivesTo evaluate the cost-effectiveness of the implementation of the Identification and Referral to Improve Safety (IRIS) programme using up-to-date real-world information on costs and effectiveness from routine clinical practice. A...

Exploring Australian psychiatrists' and psychiatric trainees' knowledge, attitudes and preparedness in responding to adults experiencing domestic violence.

Examine knowledge, opinions and practices of psychiatrists and trainees in responding to domestic violence (DV). Online survey including two sub-scales from PREMIS (Physician Readiness to Manage Intimate Partner Violence Survey): knowledge (10 items) and preparedness (10 items). Of psychiatrists completing the survey (216), 47% had received less than 2 hours of training in DV. PREMIS findings showed moderate knowledge of, and preparedness to deal with, DV. Participants with more clinical experience had significantly more knowledge and preparedness to deal with DV. Findings suggest more training in DV for psychiatrists is needed.

Longitudinal evaluation of a training program to promote routine antenatal enquiry for domestic violence by midwives.

Routine enquiry about domestic violence during pregnancy is accepted best practice. Training is essential to improve knowledge and practice. Few studies have undertaken a comprehensive evaluation of training impact over time. To evaluate the longitudinal impact of a domestic violence training and support program to promote midwives' routine antenatal enquiry for domestic violence using a mixed methods design. Data sources included (1) surveys of midwives at 6 months post-training, (2) interviews with key stakeholders at 12 months, (3) chart audit data of screening, risk, and disclosure rates (for 16 months). Measures included midwives' knowledge, preparation for routine enquiry, knowledge of domestic violence and perceptions of impact of the training and support for practice change. Forty (out of 83) participant surveys could be matched and responses compared to baseline and post-training scores. Wilcoxon signed-rank test identified that all 6-month follow-up scores were significantly higher than those at baseline. Level of preparedness increased from 42.3 to 51.05 (Z=4.88, p<.001); and knowledge scores increased from a mean of 21.15 to 24.65 (Z=4.9, p<.001). Most participants (>90%) reported improved confidence to undertake routine inquiry. A chart audit of screening rates revealed that of the 6671 women presenting for antenatal care, nearly 90% were screened. Disclosure of domestic violence was low (<2%) with most women at risk or experiencing violence declining referral. Training, support processes, and referral pathways, contributed to midwives' sustained preparedness and knowledge to conduct routine enquiry and support women disclosing domestic violence.

“He Just Snapped”

This article presents findings and recommendations for journalists and educators based on a study of more than 20 years’ reporting of infanticide, filicide and family murder–suicide in the United Kingdom’s national and regional press. On average, 50 children die each year at the hands of parents in the United Kingdom, and the deaths receive significant media attention. This study finds journalists exhibit a gender-biased trend in their writing depending on the sex of the perpetrator. Furthermore, most media coverage fails to acknowledge that killings by men are often the culmination of long-term domestic violence. Findings suggest news values and sourcing strategies are distorting the true picture and foregrounding tragedy narratives for the predominantly male perpetrators, often blaming women for leading a loving father to “snap”. In sharp contrast, mothers who kill are more negatively portrayed. The research finds that crime reporters need training in domestic violence to look beyond simplistic stereotypes.

Domestic violence: a neglected epidemic in obstetrics and gynaecology training

Key content There needs to be improved understanding of issues around domestic violence, particularly among obstetrics and gynaecology clinicians. Domestic violence occurring during pregnancy has negative consequences on morbidity and mortality for both the mother and the unborn child. Up to 30% of women present as victims of domestic violence in pregnancy; therefore, it is of the utmost importance that teaching on this topic is introduced into the national obstetrics and gynaecology curriculum. The current provision of undergraduate and post‐qualification training in domestic violence in obstetrics and gynaecology falls below the standards set by other professional groups. Learning objectives To understand the impact of domestic violence presenting in obstetrics and gynaecology. To review the undergraduate obstetrics and gynaecology curriculum and CPD in domestic violence. To consider opportunities for multidisciplinary training about domestic violence.

The Role and Education of Dental Care Professionals in Identifying Domestic Violence: Report of an Audience Participation Exercise and Round Table Discussion

Domestic violence (DV) is a major public problem affecting 30% of women over 16. Three quarters of victims have violence to the head and neck, and therefore the role of the dentist is paramount in DV identification. Only one-third of dental schools in the UK include DV in their curricula and there is a need to introduce effective education for the whole profession. This study reported the results of an anonymous questionnaire delivered to an international senior academic and professional audience and a subsequent roundtable discussion of experts who considered issues and education surrounding DV. A 10 question survey was administered to an international audience from 14 countries with specific interests in education. It followed an introductory lecture on DV, and gathered on-the-spot feedback of the audience’s perceptions of the problem of DV and dental education. The results were collated and used to inform the expert roundtable group that aimed to discuss professional responsibility, dental education and training in DV, and potential further work. Fifty-seven questionnaires were returned from participants spanning 14 countries, though comparing the views of different groups in the survey was not possible, as this was anonymous and voluntary feedback. Only 42% of the audience considered that DV was sufficiently covered by the dental curriculum with a lack of certainty over professional responsibility. The roundtable group of 11 senior academics and professionals from five countries felt that dental professionals were well place to intervene in DV and have a responsibility to do so. They could potentially break the cycle of events. Embedding key knowledge in undergraduate curricula and continuing professional development training was considered essential to create a safe environment for screening and referral. A well-designed online course was perceived as an effective way of delivering such training. DV is a widespread and serious problem that can be identified by dental professionals. However, there are gaps in training that need to be addressed, and could facilitated by a well-designed online course.

Making the links between domestic violence and child safeguarding: an evidence-based pilot training for general practice.

We describe the development of an evidence‐based training intervention on domestic violence and child safeguarding for general practice teams. We aimed – in the context of a pilot study – to improve knowledge, skills, attitudes and self‐efficacy of general practice clinicians caring for families affected by domestic violence. Our evidence sources included: a systematic review of training interventions aiming to improve professional responses to children affected by domestic violence; content mapping of relevant current training in England; qualitative assessment of general practice professionals' responses to domestic violence in families; and a two‐stage consensus process with a multi‐professional stakeholder group. Data were collected between January and December 2013. This paper reports key research findings and their implications for practice and policy; describes how the research findings informed the training development and outlines the principal features of the training intervention. We found lack of cohesion and co‐ordination in the approach to domestic violence and child safeguarding. General practice clinicians have insufficient understanding of multi‐agency work, a limited competence in gauging thresholds for child protection referral to children's services and little understanding of outcomes for children. While prioritising children's safety, they are more inclined to engage directly with abusive parents than with affected children. Our research reveals uncertainty and confusion surrounding the recording of domestic violence cases in families' medical records. These findings informed the design of the RESPONDS training, which was developed in 2014 to encourage general practice clinicians to overcome barriers and engage more extensively with adults experiencing abuse, as well as responding directly to the needs of children. We conclude that general practice clinicians need more support in managing the complexity of this area of practice. We need to integrate and further evaluate responses to the needs of children exposed to domestic violence into general practice‐based domestic violence training.

Examining the Long-Term Effects of a Domestic Violence Training for Educators

ABSTRACTDomestic violence affects not only the victims and perpetrators, but also children living in these households. This study examined the long-term effects of a training presented to all employees working in 22 different rural school districts (N = 556). Quantitative and qualitative data were collected to determine the long-term impact of the training. After approximately 4 years, the staff who had received the training reported that they had significantly more confidence in handling families dealing with domestic violence; however, both groups reported similar levels of general knowledge of the topic. Recommendations for training school personnel are provided along with key elements for replicating the training.

Relaxation of rules for science detrimental to children

ABSTRACTThis article examines the impact of the current role of evaluators in divorce and child custody cases where there are allegations of domestic violence and/or child abuse and what the courts permit as testimony by experts. The authors explore the courts’ permissive rules in family courts, and the influence evaluators have on the resulting decisions in those court cases as well as how personal beliefs, knowledge, experiences, and biases of the evaluators can affect evaluators’ recommendations to family court judges. The rules which permit less use of traditional normative tools, such as tests and assessments, in the specialized environment of a divorce proceeding or allegations of abuse are examined by the authors. This exploration takes place in the context of the scientific and professional associations that govern the psychology community. Finally, the article examines how a child’s report of abuse can negatively impact the court when in the hands of an evaluator who lacks sufficient training in domestic violence and child abuse and/or lacks the tools necessary to properly assess the issues before the court.

Domestic Violence Training Experiences and Needs Among Mental Health Professionals: Implications From a Statewide Survey.

There is growing recognition of the interconnections between domestic violence and mental health, especially related to mental health concerns among those who have experienced domestic violence victimization. Despite high rates of mental health concerns among victims and survivors, many mental health professionals lack sufficient training to understand and address domestic violence in their clinical work. The North Carolina Governor's Crime Commission convened a task force to examine training experiences and needs among mental health professionals in the state. A statewide survey revealed that mental health professionals vary in their levels of training to address domestic violence. A key finding was that mental health professionals who had received any training in domestic violence reported engaging in more comprehensive assessment and intervention practices. Implications for future research, practice, and policy are discussed.

What do EMS personnel think about domestic violence? An exploration of attitudes and experiences after participation in training

IntroductionIn 2012, the American College of Emergency Physicians (ACEP) reaffirmed that domestic violence is a serious public health hazard that emergency medical services (EMS) personnel will encounter. Many victims of domestic violence may refuse transport to the hospital, making EMS prehospital field personnel --EMTs and paramedics-- their only contact with healthcare providers. Despite these facts, the interaction of field EMS personnel and victims of domestic violence remains largely unexamined. ObjectivesGiven the importance of the interaction of field EMS personnel have with victims of domestic violence, the goal of this study is to explore attitudes about and experiences of EMS personnel on the issue of domestic violence after completing a training on domestic violence. MethodsParticipants were recruited by researchers contacting multiple EMS agencies. Data were gathered using a survey attached to an online domestic violence training for field EMS personnel (EMTs and paramedics) circulated in a large southern state. Participants were able to obtain continuing education credits for completing the online modules. ResultsA total of 403 respondents completed the survey. 71% of respondents indicated that they frequently encounter patients who disclose domestic violence; 45% believe that if a victim does not disclose abuse, there is little they can do to help; and from 32% to 43% reported assumptions and attitudes that indicate beliefs that victims are responsible for the abuse. ConclusionsImplications of the data are discussed suggesting that EMS providers are aware that they frequently assist victims of domestic violence, yet many continue to endorse common myths and negative attitudes about victims. Core components of training that can educate EMS personnel about the dynamics of domestic violence are described, and a new free online training for medical professionals on domestic violence is offered for use as part of ongoing education to enhance the EMS response to victims.

40-Hour Domestic Violence Training Ensures a Good Fit

40-Hour Domestic Violence Training Ensures a Good Fit

Cost-Effectiveness of Electronic Training in Domestic Violence Risk Assessment

The need for domestic violence training has increased with the development of evidence-based risk assessment tools, which must be scored correctly for valid application. Emerging research indicates that training in domestic violence risk assessment can increase scoring accuracy, but despite the increasing popularity of electronic training, it is not yet known whether it can be an effective method of risk assessment training. In the present study, 87 assessors from various professions had training in the Ontario Domestic Assault Risk Assessment either face-to-face or using an electronic training program. The two conditions were equally effective, as measured by performance on a post-training skill acquisition test. Completion rates were 100% for face-to-face and 86% for electronic training, an improvement over a previously evaluated manual-only condition. The estimated per-trainee cost of electronic training was one third that of face-to-face training and expected to decrease. More rigorous evaluations of electronic training for risk assessment are recommended.