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Cry for health: a quantitative evaluation of a hospital-based advocacy intervention for domestic violence and abuse

Show simple item record Halliwell, Gemma Dheensa, Sandi Fenu, Elisabetta Jones, Sue Asato, Jessica Jacob, Suzanne Feder, Gene 2020-05-15T21:08:48Z 2020-05-15T21:08:48Z 2019
dc.identifier.citation Halliwell, G., Dheensa, S., Fenu, E. et al. (2019). Cry for health: a quantitative evaluation of a hospital-based advocacy intervention for domestic violence and abuse. BMC Health Services Research: 19, 718. en_US
dc.description.abstract Background: Domestic violence and abuse (DVA) damages the health of survivors and increases use of healthcare services. We report findings from a multi-site evaluation of hospital-based advocacy services, designed to support survivors attending emergency departments and maternity services. Methods: Independent Domestic Violence Advisors (IDVA) were co-located in five UK hospitals. Case-level data were collected at T1 (initial referral) and T2 (case closure) from survivors accessing hospital (T1 N = 692; T2 N = 476) and community IDVA services (T1 N = 3544; T2 N = 2780), used as a comparator. Measures included indicators of sociodemographic characteristics, experience of abuse, health service use, health and safety outcomes. Multivariate analyses tested for differences in changes in abuse, health and factors influencing safety outcomes. Health service use data in the 6 months pre-and post- intervention were compared to generate potential cost savings by hospital IDVA services. Results: Hospital IDVAs worked with survivors less visible to community IDVA services and facilitated intervention at an earlier point. Hospital IDVAs received higher referrals from health services and enabled access to a greater number of health resources. Hospital survivors were more likely to report greater reductions in and cessation of abuse. No differences were observed in health outcomes for hospital survivors. The odds of safety increased two-fold if hospital survivors received over five contacts with an IDVA or accessed six or more resources / programmes over a longer period of time. Six months preceding IDVA intervention, hospital survivors cost on average £2463 each in use of health services; community survivors cost £533 each. The cost savings observed among hospital survivors amounted to a total of £2050 per patient per year. This offset the average cost of providing hospital IDVA services. Conclusions: Hospital IDVAs can identify survivors not visible to other services and promote safety through intensive support and access to resources. The co-location of IDVAs within the hospital encouraged referrals to other health services and wider community agencies. Further research is required to establish the cost-effectiveness of hospital IDVA services, however our findings suggest these services could be an efficient use of health service resources. (Author Abstract) en_US
dc.language.iso en_US en_US
dc.publisher BioMedCentral (BMC) en_US
dc.subject Data Analysis en_US
dc.subject Hospital-based en_US
dc.subject Victim Advocacy en_US
dc.subject Domestic Violence en_US
dc.subject Intimate Partner Violence en_US
dc.subject Partner Abuse en_US
dc.subject Interventions en_US
dc.subject Program Evaluation en_US
dc.subject Survivors of Harm en_US
dc.subject Victims en_US
dc.subject Demographics en_US
dc.subject Healthcare en_US
dc.subject Victim Services en_US
dc.subject Victim Outcomes en_US
dc.subject Health Consequences en_US
dc.subject Victim Safety en_US
dc.subject Referrals en_US
dc.subject Violence Reduction en_US
dc.subject Dosage en_US
dc.subject Costs of Crime en_US
dc.subject Economic Burden en_US
dc.subject Financial Burden en_US
dc.title Cry for health: a quantitative evaluation of a hospital-based advocacy intervention for domestic violence and abuse en_US
dc.type Article en_US

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