How Advocates Use CARE to Accommodate the Needs of Domestic Violence Survivors Seeking Services With Brain Injuries and Mental Health Challenges: A Process Evaluation

Abstract

We evaluated the implementation of Connect, Acknowledge, Respond, and Evaluate (CARE), an organization-level intervention, to accommodate the health needs of survivors, including brain injury. Participants were staff or administrators at agencies serving domestic violence (DV) survivors (n = 57 advocates; n = 5 agencies). Process evaluation focus groups (n = 10 groups) were conducted. Two researchers coded/analyzed focus group transcripts using grounded theory. The use of CARE increased advocate awareness/knowledge of brain injury among survivors leading to improvements to the agencies’ provision of structural and functional social support to survivors. CARE is a valuable resource to accommodate survivors, thereby improving staff's perception of their ability to provide trauma-informed service provision for DV survivors.

Keywords

domestic violence acquired brain injury strangulation process evaluation social support

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References

Bandura

(2004). Health promotion by social cognitive means. Health Education & Behavior, 31(2), 143–164. https://doi.org/10.1177/1090198104263660

Birks

Mills

(2015). Grounded theory: A practical guide (2nd ed.). Sage.

De Boos

(2019). Review article: Non-fatal strangulation: Hidden injuries, hidden risks. Emergency Medicine Australasia, 31(3), 302–308. https://doi.org/10.1111/1742-6723.13243

Green

L. W.

Ottoson

J. M.

Garcia

Hiatt

R. A.

(2009). Diffusion theory and knowledge dissemination, utilization, and integration in public health. Annual Review of Public Health, 30(1), 151–174. https://doi.org/10.1146/annurev.publhealth.031308.100049

Jackson

Philp

Nuttall

R. L.

Diller

(2002). Traumatic brain injury: A hidden consequence for battered women. Professional Psychology: Research and Practice, 33(1), 39–45. https://doi.org/10.1037/0735-7028.33.1.39

Kemble

Sucaldito

Kulow

Ramirez

Hinton

Glasser

Wermert

Nemeth

J. M.

(2022). How CARE tools are being used to address brain injury and mental health struggles with survivors of domestic violence. The Journal of Head Trauma Rehabilitation, 37(1), E39–E47. https://doi.org/10.1097/HTR.0000000000000745

Kwako

L. E.

Glass

Campbell

Melvin

K. C.

Barr

Gill

J. M.

(2011). Traumatic brain injury in intimate partner violence: A critical review of outcomes and mechanisms. Trauma, Violence & Abuse, 12(3), 115–126. https://doi.org/10.1177/1524838011404251

Langford

C. P.

Bowsher

Maloney

J. P.

Lillis

P. P.

(1997). Social support: A conceptual analysis. Journal of Advanced Nursing, 25(1), 95–100. https://doi.org/10.1046/j.1365-2648.1997.1997025095.x

MacQueen, K., McLellan, E., Kay, K., & Milstein, B. (1998). Codebook development for team–based qualitative analysis. Field Methods, 10(2), 31–36. https://doi.org/10.1177/1525822X9801000203.

10.

Mengo

Beaujolais

Kulow

Ramirez

Brown

Nemeth

(2020). Knowledge and perspectives of domestic violence service providers about survivors with mental health disability. Journal of Family Violence, 35(2), 181–190. https://doi.org/10.1007/s10896-019-00053-3

11.

Mitton

Adair

C. E.

McKenzie

Patten

S. B.

Waye Perry

(2007). Knowledge transfer and exchange: Review and synthesis of the literature. The Milbank Quarterly, 85(4), 729–768. https://doi.org/10.1111/j.1468-0009.2007.00506.x

12.

Nemeth

Hinton

(2019). Post-CARE survivor interview (IRB Protocol #2017B0184) [Unpublished raw data]. The Ohio State University.

13.

Nemeth

Ramirez

Debowski

Kulow

Hinton

Wermert

Mengo

Malecki

Glasser

Montgomery

Alexander

(2023). The CARE health advocacy intervention improves trauma-informed practices at domestic violence service organizations to address brain injury, mental health, and substance use. The Journal of Head Trauma Rehabilitation, 38(6), 439–447. https://doi.org/10.1097/htr.0000000000000871

14.

Nemeth

J. M.

Mengo

Kulow

Brown

Ramirez

(2019). Provider perceptions and domestic violence (DV) survivor experiences of traumatic and anoxic-hypoxic brain injury: Implications for DV advocacy service provision. Journal of Aggression, Maltreatment & Trauma, 28(6), 744–763. https://doi.org/10.1080/10926771.2019.1591562

15.

Ottoson

J. M.

(2009). Knowledge-for-action theories in evaluation: Knowledge utilization, diffusion, implementation, transfer, and translation. New Directions for Evaluation, 2009(124), 7–20. https://doi.org/10.1002/ev.310

16.

Pritchard

A. J.

Reckdenwald

Nordham

(2017). Nonfatal strangulation as part of domestic violence. A Review of Research. Trauma Violence Abuse, 18(4), 407–424. https://doi.org/10.1177/1524838015622439

17.

Prochaska

J. O.

Velicer

W. F.

(1997). The transtheoretical model of health behavior change. American Journal of Health Promotion: AJHP, 12(1), 38–48. https://doi.org/10.4278/0890-1171-12.1.38

18.

Rosenstock

I. M.

(1974). Historical origins of the health belief model. Health Education Monographs, 2(4), 328–335. https://doi.org/10.1177/109019817400200403

19.

Synapse. (2018). Anoxic and hypoxic brain injury (lack of oxygen) . https://synapse.org.au/fact-sheet/anoxic-and-hypoxic-brain-injury-lack-of-oxygen/

20.

Valera

E. M.

Berenbaum

(2003). Brain injury in battered women. Journal of Consulting and Clinical Psychology, 71(4), 797–804. https://doi.org/10.1037/0022-006x.71.4.797

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How Advocates Use CARE to Accommodate the Needs of Domestic Violence Survivors Seeking Services With Brain Injuries and Mental Health Challenges: A Process Evaluation

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How Advocates Use CARE to Accommodate the Needs of Domestic Violence Survivors Seeking Services With Brain Injuries and Mental Health Challenges: A Process Evaluation