Mental Health Outcomes in Abused Women

受虐妇女的心理健康结果

• 批准号: 7840439
• 负责人: LINDA L TOCHE-MANLEY
• 金额: $ 19.17万
• 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 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7840439
• 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; Comorbidity; Computer Hardware; Computer software; Computers; 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; New York; Online Systems; Outcome; Pattern; Personal Satisfaction; Phase; Physicians; Procedures; Process; Provider; Qualifying; Readiness; Recovery; Report (document); Reporting; Research; Research Personnel; Resources; Risk; Risk Factors; Safety; Screening procedure; Secure; Services; Severities; Site; Small Business Innovation Research Grant; Societies; System; Technology; Time; Training; Trauma; United States; Universities; Update; Validity and Reliability; Victimization; Violence; Woman; Work; Writing; abuse victim; base; commercialization; design; effective therapy; emotional abuse; empowerment; evidence base; experience; high risk; improved; innovation; instrumentation; interest; meetings; member; mental health welfare; predictive modeling; prevent; public health relevance; resilience; response; revictimization; social; success; treatment planning; treatment strategy; 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一个普遍存在的问题，影响着妇女及其家庭以及必须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。受到虐待的妇女很可能会发现自己再次受害，不仅危及自己，还危及孩子。 Polaris DV-MH 系统将帮助医疗服务提供者更好地协调治疗策略，与妇女及其家人一起建立安全的家庭、改善福祉并降低再次受害的风险。 Polaris DV-MH 是一种计算机支持的评估系统，旨在解决因遭受创伤而导致的长期心理健康和功能问题。该系统供家庭暴力机构和其他治疗受虐待妇女的提供者使用。它将使跨机构治疗团队成员（从医生到法律倡导者，再到儿童福利和家庭暴力案件工作者）能够获取有助于监测共病心理健康问题和虐待的康复情况的病例信息。女性将使用符合 HIPAA 标准的软件在互联网上完成评估；完成后，会自动生成临床报告，以便在治疗过程中立即使用。 Polaris DV-MH 报告用于更好地发现先前的虐待、共病心理健康问题以及女性的补偿优势，从而促使她和她的家人提高复原力。它将提高所有机构检测与再次受害相关的因素以及关系模式的微妙变化的能力，从而帮助女性避免在未来的关系中再次受害。 Polaris DV-MH 将通过评估心理健康共病以及与未来再次受害相关的关系模式，为妇女及其子女的安全和福祉做出贡献。第二阶段的具体目标是： (1) 增强 DV-MH 更新报告，纳入与再次受害相关的指标； 2) 修改软件以管理英语和西班牙语的更新评估； (3) 建立算法来检测受虐待妇女的不真实反应，(4) 开发再次受害的预测模型，(5) 开发自动汇总数据访问和报告，(6) 编写实施和系统文档，以及 (7) 生成可通过网络访问的文件提供商培训材料。公共卫生相关性：Polaris DV-MH 将通过评估心理健康共病以及与未来再次受害相关的关系模式，为妇女及其子女的安全和福祉做出贡献。 Polaris DV-MH 将为多机构家庭暴力专业人士提供报告，记录在改变高风险态度、行为以及使妇女及其子女进一步面临暴力风险的自我和他人关系模式方面取得的进展。它还将为治疗团队提供有关影响妇女从虐待中恢复率的共病心理健康状况的信息，以及有关她准备改变关系模式的信息。它将提高服务提供者提供的服务的质量和协调性，以支持妇女从虐待中长期康复，开发补偿资源，以有效照顾自己和任何同样面临虐待影响的儿童。 Polaris DV-MH 的关键组成部分包括：(1) 关注防止再次受害的跨机构共同目标； (2) 简化机构间沟通； (3) 强调妇女赋权和免受虐待的能力。 Polaris DV-MH 旨在为家庭暴力专业人士提供支持，因为他们：(1) 决定是否需要心理健康干预； (2) 确定该妇女是否面临施虐者的直接危险； (3) 评估女性的优势，这可能有助于制定治疗计划； (4) 评估与受害相关的因素，为妇女及其家人提供适当水平的保护； （5）与多个机构协调，确保有效沟通； (6) 通过记录虐待的严重程度和影响，支持法律程序，成功追究施虐者的责任； (7) 监测并记录长期恢复的进展。