Mental Health Outcomes in Abused Women

受虐妇女的心理健康结果

• 批准号: 7481358
• 负责人: LINDA L TOCHE-MANLEY
• 金额: $ 42.19万
• 依托单位: POLARIS HEALTH DIRECTIONS, INC.
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-15 至 2011-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7481358
• 关键词: Academy; Address; Advocate; Algorithms; Area; Attitude; Authorization documentation; Battered Women; Behavior; Caring; Characteristics; Child; Child Abuse; Child Welfare; Clinical; Clinical assessments; Collaborations; Commit; Communication; Communities; Computer Hardware; Computer software; Computers; Condition; Data; Data Aggregation; Data Collection; Databases; Detection; Development; Diagnostic; Documentation; Domestic Violence; Elderly; Ensure; Event; Exposure to; Family; Future; Goals; Guidelines; Health; Health Insurance Portability and Accountability Act; Health Services; Home environment; Human Resources; Institution; Intake; Internet; Intervention; Iowa; Justice; Law Enforcement; Legal; Letters; Longitudinal Studies; Manuals; Medical; Mental Health; Modeling; Monitor; Morbidity - disease rate; New York; Online Systems; Outcome; Pattern; Personal Satisfaction; Phase; Physicians; Procedures; Process; Provider; Public Health; Purpose; Qualifying; Rate; Readiness; Recovery; Report (document); Reporting; Research; Research Personnel; Resources; Risk; Risk Factors; Safety; Screening procedure; Secure; Services; Severities; Site; Small Business Funding Mechanisms; Small Business Innovation Research Grant; Societies; Standards of Weights and Measures; System; Technology; Time; Today; Training; Trauma; United States; Universities; Update; Validity and Reliability; Victimization; Violence; Woman; Work; Writing; abuse victim; base; commercialization; design; emotional abuse; experience; improved; innovation; instrumentation; interest; member; mental health welfare; predictive modeling; prevent; resilience; response; social; success; treatment planning; web-accessible; web-enabled

DESCRIPTION (provided by applicant): Domestic violence is a pervasive problem in our society that impacts women and their families as well as the multiple social institutions and agencies that must grapple with its effects: Child Welfare, Mental Health, Law Enforcement, and Domestic Violence. Women who are abused are likely to find themselves in a pattern of revictimization, endangering not just themselves but their children as well. The Polaris DV-MH system will help providers' better coordinate their treatment strategies as they work with women and their families to establish a safe home, improve well-being, and reduce the risk of revictimization. Polaris DV-MH is a computer-supported assessment system designed to address long-term mental health and functioning issues that are a result of exposure to trauma. The system is intended for use by domestic violence agencies and other providers who treat abused women. It will enable interagency treatment team members (from physicians to legal advocates to child welfare and domestic violence case workers) to access case information useful in monitoring recovery from co-morbid mental health problems and abuse. Women will complete assessments on the Internet using HIPAA compliant software; once finished, a clinical report is automatically generated for immediate use in the treatment process. Polaris DV-MH reports are used to improve the detection of prior abuse, co-morbid mental health problems, and a woman's compensating strengths that move her and her family towards improved resilience. It will improve the ability for all agencies to detect factors associated with revictimization as well as the subtle changes in relational schema that will help the woman avoid revictimization in future relationships. Polaris DV-MH will contribute to the safety and well-being of women and their children by the assessment of mental health co-morbidity as well as relational schema associated with future revictimization. The Phase II specific aims are to: (1) enhance the DV-MH Update Report to include indicators associated with revictimization; 2) modify software to administer update assessments in English and Spanish; (3) build an algorithm to detect inauthentic responses in abused women, (4) develop predictive models for revictimization, (5) develop automated aggregate data access and reports, (6) write implementation and system documentation and (7) generate web-accessible provider training materials. PUBLIC HEALTH RELEVANCE: Polaris DV-MH will contribute to the safety and well-being of women and their children by the assessment of mental health co-morbidity as well as relational schema associated with future revictimization. Polaris DV-MH will provide multi-agency domestic violence professionals with reports documenting progress in changing high- risk attitudes, behaviors, and the relational schema to self and others that put a woman and her children at further risk for violence. It will also provide treatment teams with information relating to co-morbid mental health conditions that impact the woman's rate of recovery from abuse as well as information about her readiness to change relational patterns. It will improve the quality and coordination of services provided by providers seeking to support women in their long-term recovery from abuse, to develop compensating resources to effectively care for themselves and any children who are also dealing with the impact of abuse. Key components of Polaris DV-MH include: (1) focusing on the common cross-agency goal of preventing revictimization; (2) streamlining interagency communication; and (3) emphasizing women's empowerment and resilience from abuse. Polaris DV-MH is designed to support domestic violence professionals as they: (1) decide if mental health intervention is warranted; (2) decide if the woman is in immediate danger from the abuser; (3) assess the woman's strengths that may be useful in treatment planning; (4) assess factors related to victimization to provide appropriate levels of protection to the woman and family; (5) coordinate with multiple agencies to ensure effective communication; (6) support legal procedures to successfully hold the batterer accountable by documenting severity and impact of abuse; and (7) monitor and document progress towards long-term recovery.

描述（由申请人提供）：家庭暴力是我们社会中普遍的问题，影响妇女及其家人以及必须努力应对其影响的多个社会机构和机构：儿童福利，心理健康，执法和家庭暴力。受虐待的妇女可能会发现自己处于一种复兴的模式，不仅危害自己，而且危害自己的孩子。 Polaris DV-MH系统将帮助提供者更好地协调其治疗策略，因为她们与妇女及其家人合作，建立一个安全的房屋，改善福祉并减少重新审议的风险。 Polaris DV-MH是一种由计算机支持的评估系统，旨在解决长期的心理健康和功能性问题，这是暴露于创伤的结果。该系统旨在由家庭暴力机构和其他治疗受虐待妇女的提供者使用。它将使机构间治疗团队成员（从医师到法律倡导者再到儿童福利和家庭暴力案件工人），访问有助于监视合并心理健康问题和虐待中恢复的案件信息。妇女将使用符合HIPAA的软件在互联网上完成评估；完成后，会自动生成临床报告，以立即在治疗过程中使用。 Polaris DV-MH报告用于改善对先前虐待，联合心理健康问题的检测以及妇女的补偿优势，这些优势将她和她的家人带入提高韧性。它将提高所有机构检测与重复化相关的因素的能力，以及关系模式的细微变化，这将帮助妇女避免在未来的关系中恢复复兴。 Polaris DV-MH将通过评估心理健康合并症以及与未来复兴相关的关系架构来为妇女及其子女的安全和福祉做出贡献。第二阶段的特定目的是：（1）增强DV-MH更新报告，包括与复兴相关的指标； 2）修改软件以管理英语和西班牙语的更新评估； （3）构建一种算法来检测受虐待妇女的不真实响应，（4）开发重新启动的预测模型，（5）开发自动化的汇总数据访问和报告，（6）写入实施和系统文档以及（7）生成可访问的Web-Accessible提供者培训材料。公共卫生相关性：Polaris DV-MH将通过评估心理健康合并症以及与未来重新审核相关的关系架构来为妇女及其子女的安全和福祉做出贡献。 Polaris DV-MH将为多机构的家庭暴力专业人员提供报告，记录了改变高风险态度，行为以及对自我和其他人的关系模式的进展，这些模式使妇女和她的孩子面临进一步的暴力风险。它还将为治疗团队提供与联合心理健康状况有关的信息，这些信息影响了女性从虐待中恢复的速度以及有关她准备改变关系模式的信息。它将提高寻求支持妇女从虐待长期康复的服务提供者提供的服务的质量和协调，以开发补偿资源以有效地照顾自己和任何也应对虐待影响的孩子。 Polaris DV-MH的关键组成部分包括：（1）关注预防复兴的共同跨机构目标； （2）简化机构间通信； （3）强调妇女的授权和虐待中的韧性。 Polaris DV-MH旨在支持家庭暴力专业人员：（1）确定是否需要精神健康干预； （2）确定该妇女是否处于施虐者的危险中； （3）评估女性的优势，可能在治疗计划中有用； （4）评估与受害有关的因素，为妇女和家人提供适当的保护； （5）与多个机构协调以确保有效的沟通； （6）支持法律程序，通过记录严重性和虐待的影响，成功地使殴打者责任； （7）监视和记录长期恢复的进展。