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Intimate Partner Violence and Women with Severe Mental Illnesses: Needs and Challenges from the Perspectives of Behavioral Health and Domestic Violence Service Providers

  • Tonya B. Van DeinseEmail author
  • Amy Blank Wilson
  • Rebecca J. Macy
  • Gary S. Cuddeback
Article

Abstract

Women with severe mental illnesses face high rates of violence victimization, yet little is understood about the unique needs and challenges these women present to the domestic violence and behavioral health agencies that serve them. To help address this knowledge gap, focus groups were conducted with 28 staff members from local behavioral health and domestic violence service agencies. Results from this exploratory study suggest that women with severe mental illnesses who experience intimate partner violence face additional challenges that exacerbate behavioral health and domestic violence issues and put these women at greater risk for continued victimization. DV and behavioral health agency staff experience individual-, provider-, and system-level barriers to serving this high-risk, high-need population. Recommendations and implications for domestic violence and behavioral health providers are discussed.

Keywords

Severe mental illness Domestic violence Challenges Behavioral health services 

Notes

Compliance with Ethical Standards

Conflicts of Interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Howard LM, Trevillion K, Khalifeh H, et al. Domestic violence and severe psychiatric disorders: Prevalence and interventions. Psychological Medicine. 2010;40:881–893.CrossRefGoogle Scholar
  2. 2.
    Latalova K, Kamaradova D, & Prasko J. Violent victimization of adult patients with severe mental illness: A systematic review. Neuropsychiatric Disease and Treatment. 2014;10: 1925–1939.CrossRefGoogle Scholar
  3. 3.
    Mauritz MW, Goossens PJJ, Draijer N, et al. Prevalence of interpersonal trauma exposure and trauma-related disorders in severe mental illness. European Journal of Psychotraumatology. 2013; 4:1–15.CrossRefGoogle Scholar
  4. 4.
    Oram S, Trevillion K, Feder G, et al. Prevalence of experiences of domestic violence among psychiatric patients: Systematic review. British Journal of Psychiatry. 2013;202:94–99.CrossRefGoogle Scholar
  5. 5.
    Trevillion K, Oram S, Feder G, et al. Experiences of domestic violence and mental disorders: A systematic review and meta-analysis. PLoS One. 2012;7(12):e51740.CrossRefGoogle Scholar
  6. 6.
    Choe JY, Teplin LA, Abram KM. Perpetration of violence, violent victimization, and severe mental illness: Balancing public health concerns. Psychiatric Services. 2008;59:153–164.CrossRefGoogle Scholar
  7. 7.
    Hughes K, Bellis MA, Jones L, et al. Prevalence and risk of violence against adults with disabilities: A systematic review and meta-analysis of observational studies. Lancet. 2012;379(9826):1621–1629.CrossRefGoogle Scholar
  8. 8.
    Khalifeh H, Dean K. Gender and violence against people with severe mental illness. International Review of Psychiatry. 2010;22:535–546.CrossRefGoogle Scholar
  9. 9.
    Friedman SH, Loue S. Incidence and prevalence of intimate partner violence by and against women with severe mental illness. Journal of Women's Health. 2007;16:471–480.CrossRefGoogle Scholar
  10. 10.
    Goodman LA, Rosenberg SD, Mueser KT, et al. Physical and sexual assault history in women with serious mental illness: Prevalence, correlates, treatment, and future research directions. Schizophrenia Bulletin. 1997;23:685–696.CrossRefGoogle Scholar
  11. 11.
    Stover CS, Meadows AL, Kaufman J. Interventions for intimate partner violence: Review and implications for evidence-based practice. Professional Psychology: Research and Practice. 2009; 40:223–233.CrossRefGoogle Scholar
  12. 12.
    Macy RJ, Giattina MC, Parish SL, et al. Domestic violence and sexual assault services: Historical concerns and contemporary challenges. Journal of Interpersonal Violence. 2010; 25(1):3–32.CrossRefGoogle Scholar
  13. 13.
    Nyame S, Howard LM, Feder G, et al. A survey of mental health professionals' knowledge, attitudes and preparedness to respond to domestic violence, Journal of Mental Health 2013: 22(6):536–543,CrossRefGoogle Scholar
  14. 14.
    Goldman HH, Gattozzi AA, Taube CA. Defining and counting the chronically mentally ill. Hospital and Community Psychiatry. 1981; 32(1):21–27.Google Scholar
  15. 15.
    Thomas DR. A general inductive approach for analyzing qualitative evaluation data. American journal of evaluation. 2006 Jun; 27(2):237–46.CrossRefGoogle Scholar
  16. 16.
    Macy RJ, Ermentrout DM, Johns N. Health care for survivors of partner and sexual violence. In CM Renzetti, JL Edleson, RK Bergen (Eds.), Violence Against Women Sourcebook, Second Edition. Thousand Oaks, CA: Sage, 2011, pp. 289–308.CrossRefGoogle Scholar
  17. 17.
    Reeves E. A synthesis of the literature on trauma-informed care. Issues in mental health nursing. 2015 Sep 2;36(9):698–709.CrossRefGoogle Scholar
  18. 18.
    Logan TK, Walker R, Cole J, et al. Victimization and substance abuse among women: Contributing factors, interventions, and implications. Review of General Psychology. 2002; 6:325–397.CrossRefGoogle Scholar
  19. 19.
    Elliott DE, Bjelajac P, Fallot RD, Markoff LS, Reed BG. Trauma-informed or trauma-denied: principles and implementation of trauma-informed services for women. Journal of Community Psychology. 2005 Jul 1;33(4):461–77.CrossRefGoogle Scholar
  20. 20.
    Harris ME, Fallot RD. Using trauma theory to design service systems. Jossey-Bass; 2001.Google Scholar
  21. 21.
    Davidson L, Chinman M, Sells D, et al. Peer support among adults with serious mental illness: A report from the field. Schizophrenia Bulletin. 2006;32:443–450.CrossRefGoogle Scholar

Copyright information

© National Council for Behavioral Health 2018

Authors and Affiliations

  • Tonya B. Van Deinse
    • 1
    Email author
  • Amy Blank Wilson
    • 1
  • Rebecca J. Macy
    • 1
  • Gary S. Cuddeback
    • 1
  1. 1.School of Social WorkUniversity of North CarolinaChapel HillUSA

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