Web resource:	http://www.futureswithoutviolence.org/health/ejournal/archive/1-2/Coben.pdf
Type:	Journal Article
Title:	Evaluating the implementation of hospital-based domestic violence programs
Other Titles:	Family violence prevention and health practice [electronic resource] : an [cut]
Authors:	Fisher, Elizabeth J Coben, Jeffrey H
Keywords:	Advocacy;Health;Policy;Screening
Year:	2005
Publisher:	Family Violence Prevention Fund
Citation:	1 (2), June 2005
Notes:	This article describes a statewide evaluation of the US Pennsylvania Coalition Against Domestic Violence (PCADV) health-care-based domestic violence programme. It summarises the variation in programme implementation, changes in performance over time, factors associated with successful programme implementation, and challenges in meeting the needs of domestic violence victims and health care providers. Evaluations were done at 34 different health sites, over a 21-month period between May 2002 and February 2004, with the second visit at least 12 months after the first visit. Semi-structured interviews with programme planners and participants were conducted. The Delphi Instrument for Hospital-based Domestic Violence Programs (Delphi) was used. Delphi is described as a consensus-driven quality assessment tool, with 37 performance measures within 9 domains of programme activities such as: 1) Policies and procedures; 2) Physical environment; 3) Cultural environment; 4) Training of providers; 5) Screening; 6) Documentation; 7) Intervention services; 8) Evaluation activities; and 9) Collaboration. Lessons learned and recommendations are presented. At the hospital level, the importance of a strong interdisciplinary DV task force is a recurring theme. The task force needs to have the authority to influence hospital policy, including representation from medical staff and hospital administration. A formal written training plan for ongoing staff training is recommended. Significant variability is found across the sites with regard to screening or routine assessment. Programme planners need to consider how screening is conducted, who performs the screening, and the quality of the screening methods. A standardised intervention checklist is found to be rarely used when such a checklist could ensure more consistent interventions by hospital staff and advocates. Identifying a ‘champion’ within the health care setting to sustain and promote the programme is suggested. Community-based domestic violence advocates involved in the programmes are also a key factor to the programme’s success.
URI:	https://anrows.intersearch.com.au/anrowsjspui/handle/1/14602
ISSN:	15564827
Appears in Collections:	Journal Articles

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