An Ecological Approach for Reducing Violence in the Community 31st Annual Cross Cultural Conference

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An Ecological Approach for Reducing Violence
in the Community31st Annual Cross Cultural
ConferenceYouth, Family and Community
ViolenceStrategies for Prevention, Intervention
and Post-Treatment Support

• Dr. Deborah Williamson, DHA, MSN, CNM
• Dianna Inman, MSN, APRN, CPNP
• Tiffany Williams, MSN, APRN, CPNP
• Anna Tecklenburg, MA
• Melissa Cox, MPH
• Funded by The Duke Endowment

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Center for Community Health Partnerships

• Mission To engage with communities in activities
  that promote health, reduce the risk of illness
  and disease, manage adaption to chronic
  conditions and build community resilience.
• Goals
• Strengthen the capacity for existing and
  potential MUSC- community partnerships
• Stimulate the discovery, translation, and
  dissemination of research in community settings
• Increase visibility, impact and sustainability of
  community based participatory research

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Previous work

• Domestic Violence grant
• To raise awareness of DV and provide resources
  for victims
• Film Picking Up the Pieces
• Partnership with the National Crime Victims
  Center
• Network of School-based health centers
• Title I Schools in Charleston County

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Partnerships
Community Health Centers Charleston County School
District North Charleston Police
Department National Crime Victims
Center Communities in Schools
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Project Overview
Key Strategies GIS mapping of information for
community solutions Promote effective screening
and appropriate referral for victims of intimate
partner violence Prevent violent and aggressive
behaviors in children
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Working with health professionals

• To promote effective screening and appropriate
  referrals for interpersonal violence by primary
  care providers
• Support best practices education, resources
  quality assurance
• Inform the next generation of professionals

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Whats happening now?
Policies and procedures in primary
care? Training of health professionals? Resource
s available?
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Whats happening now?
Policies and procedures in primary care
practices? Training of health professionals? Res
ources available?
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Whats happening now?
Policies and procedures in primary care
practices? Training of health professionals? Res
ources available?
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IPV Program Assessment Tool for Primary Care
Practices Written Policies Q Are there
official, written policies regarding the
assessment and treatment of victims of
IPV? Physical Environment Q Are there
posters and/or brochures related to IPV on public
display at your practice? Cultural
Environment Q Are translator/interpreters
available for working with victims if English is
not the victims first language?
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IPV Program Assessment Tool for Primary Care
Practices Provider Staff Training Q During
the last 12 months, has your practice provided
any training on intimate partner
violence? Assessment Referral Q Do all
providers and staff use standardized questions to
screen patients for IPV? Documentation Q
Does your practice use standardized
documentation (EMR or paper form) to record known
or suspected cases of IPV?
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Pilot Results
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Pilot Results
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Pilot Results
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Pilot Results
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Pilot Results
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Expansion/Revisions

• Expanded sites for survey administration
• Expanded cadre of professionals
• Dentists, physical therapists, pharmacists,
  social workers
• Tool revisions for easier and more concise survey
  administration

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Interprofessional Education

• Informing the next generation of health
  professionals
• Medicine
• Nursing
• Graduate Studies
• PT/OT
• Pharmacy
• Interprofessional education and opportunities
  with health, law, social services

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Next Steps

• Toolkit for providers
• Staff training on best practices for screening
  and referral of IPV victims
• Web-based training module