PROXIMITY TO INTERPERSONAL VIOLENCE

SDOH: PROXIMITY TO INTERPERSONAL VIOLENCE

SDOH: PROXIMITY TO INTERPERSONAL VIOLENCE

Proximity to Interpersonal Violence

The intentional use of physical force or power, threatened or actual, against oneself, another person, or a group or community, that either results in, or has a high likelihood of resulting in, injury, death, psychological harm, maldevelopment, or deprivation

The Office of Disease Prevention and Health Promotion (2020) identifies interpersonal violence as a social determinant of health under the neighborhood and built environment domain. Interpersonal violence is a broad term that refers to violence between individuals (World Health Organization, 2023).

Interpersonal violence is a risk factor associated with poor mental and physical health outcomes (Murphy et. al., 2021). Acts of violence can lead to injuries like cuts and bruising, even yielding the potential for causing death and long-term disability (Office of Disease Prevention and Health Promotion [ODPHP], 2020).

Along with physical pain from these injuries, survivors of violence may develop stress-related mental disorders, such as depression, bipolar disorder, and/or post-traumatic stress disorder (Murphy et. al., 2021). In terms of physical health outcomes, exposure to violence can increase risk of asthma exacerbation, hypertension, endocrine disorders, metabolic and gastrointestinal disorders, heart disease, cancer, and stroke (ODPHP, 2020; Murphy et. al., 2021)

Key Points and Resources

Identify and respond to victims of interpersonal violence

Anyone can be a victim of interpersonal violence, and anyone can be a perpetrator of abuse Communities with high rates of poverty, unemployment, violence, and crime are more likely to have higher rates of interpersonal violence

Nurses are mandated reporters of abuse in the state of Georgia

Short screening tools

Community resources and hotlines

Nurses should always be aware what community resources and hotlines are available for interpersonal violence situations and how to access them to provide timely, appropriate support for both the abuser and the abused.

National Domestic Violence Hotline

Resources and tools for preventing violence

Respond to victims of violence against women

Create a safe and understanding environment

Nurses should be aware of the importance of culturally competent and trauma informed care to provide adequate care to both the abuser and the abused. Understanding the ethnicity and culture of affected patients can help health care providers create a safe and understanding environment where patients can disclose their information and receive care that meets their needs (Pokharel et. al., 2021).

Trauma-informed model

Cognitive Processing Psychotherapy (CPT)

Identify and respond to victims of interpersonal violence

Anyone can be a victim of interpersonal violence, and anyone can be a perpetrator of abuse Communities with high rates of poverty, unemployment, violence, and crime are more likely to have higher rates of interpersonal violence

Nurses are mandated reporters of abuse in the state of Georgia

Short screening tools

Community resources and hotlines

Nurses should always be aware what community resources and hotlines are available for interpersonal violence situations and how to access them to provide timely, appropriate support for both the abuser and the abused.

National Domestic Violence Hotline

Resources and tools for preventing violence

Respond to victims of violence against women

Create a safe and understanding environment

Nurses should be aware of the importance of culturally competent and trauma informed care to provide adequate care to both the abuser and the abused. Understanding the ethnicity and culture of affected patients can help health care providers create a safe and understanding environment where patients can disclose their information and receive care that meets their needs (Pokharel et. al., 2021).

Trauma-informed model

Cognitive Processing Psychotherapy (CPT)

Identify and respond to victims of interpersonal violence

Anyone can be a victim of interpersonal violence, and anyone can be a perpetrator of abuse Communities with high rates of poverty, unemployment, violence, and crime are more likely to have higher rates of interpersonal violence

Nurses are mandated reporters of abuse in the state of Georgia

Short screening tools

Community resources and hotlines

Nurses should always be aware what community resources and hotlines are available for interpersonal violence situations and how to access them to provide timely, appropriate support for both the abuser and the abused.

National Domestic Violence Hotline

Resources and tools for preventing violence

Respond to victims of violence against women

Create a safe and understanding environment

Nurses should be aware of the importance of culturally competent and trauma informed care to provide adequate care to both the abuser and the abused. Understanding the ethnicity and culture of affected patients can help health care providers create a safe and understanding environment where patients can disclose their information and receive care that meets their needs (Pokharel et. al., 2021).

Trauma-informed model

Cognitive Processing Psychotherapy (CPT)

References

American Psychiatric Association. (2019, March 1). APA Guide to IPV: Treating women who have experienced intimate partner violence. Psychiatry.org. https://www.psychiatry.org/File%20Library/Psychiatrists/Cultural-Competency/IPV-Guid e/APA-Guide-to-IPV-Among-Women.pdf

Georgia Department of Human Services Division of Aging Services. (2023). Report Elder Abuse. https://aging.georgia.gov/report-elder-abuse.

Georgia Office of the Child Advocate. (2023). Mandated Reporting. Training. https://oca.georgia.gov/training/mandated-reporting.

Murphy, S., Kruse, M., Elklit, A., & Brink, O. (2021). Psychiatric and Physical Health Outcomes Associated with Interpersonal Violence: A Propensity Score Matching Approach. Psychiatric Quarterly, 92, 1635–1644 (2021). https://doi.org/10.1007/s11126-021-09910-1

National Domestic Violence Hotline. (2023, April 27). The Hotline. https://www.thehotline.org/

National Network to End Domestic Violence. (2023). Family Violence Prevention and Services Act. Policy Center: Policy Issues. https://nnedv.org/content/family-violence-prevention-services-act/

Office of Disease Prevention and Health Promotion. (2020). Neighborhood and Built Environment: Crime and Violence. Healthy People 2030. https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-sum maries/crime-and-violence

Open Resources for Nursing (Open RN). (2022). 15.5 intimate partner violence. Nursing Mental Health and Community Concepts. https://wtcs.pressbooks.pub/nursingmhcc/chapter/15-5-intimate-partner-violence/#:~:text=The%20nurse%20must%20ensure%20that,for%20the%20interview%20and%20examination

Pokharel, B., Yelland, J., & Taft, A. (2021). A systematic review of culturally competent family violence responses to women in primary care. Trauma, Violence, & Abuse, 24(2), 926-945. https://doi.org/10.1177/15248380211046968.

Substance Abuse & Mental Health Service Administration. (2023). Trauma-informed Care Implementation Resource Center. DBHIS Resource Center: SAMHSA. https://www.samhsa.gov/resource/dbhis/trauma-informed-care-implementation-resource-center

World Health Organization. (2023). The VPA Approach. Violence Protection Alliance. https://www.who.int/groups/violence-prevention-alliance/approach

PROXIMITY TO INTERPERSONAL VIOLENCE

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