Please use this identifier to cite or link to this item: https://anrows.intersearch.com.au/anrowsjspui/handle/1/22936
Record ID: 7bbb41a6-545d-4e2c-96bf-2e8e8c38762b
DOI: 10.1089/vio.2023.0068
Web resource: https://www.liebertpub.com/doi/10.1089/vio.2023.0068
Type: Journal Article
Title: A rapid evidence review of interventions to identify, prevent, and address intimate partner violence experienced by refugee women in post-settlement settings
Authors: Clarke, Samantha
Toole-Anstey, Chye
Cameron, Jacqui
Spence, Nigel
Spangaro, Jo
Keywords: Systematic Review and Meta-Analysis;International Perspectives;Migrants and Refugees;Culturally and Linguistically Diverse (CALD) Communities;Intimate Partner Violence (IPV);Migrant and Refugee Settlement Services;Structural Inequities;Responses to Violence
Topic: Structural inequities
Population: Culturally and linguistically diverse
Migrants and refugees
Year: Dec-2024
Publisher: Mary Ann Liebert, Inc
Citation: Vol. 11, No. 4
Abstract:  Intimate partner violence (IPV) occurs across cultures with adverse health and social outcomes for women. Refugee women experience additional challenges that hinder help-seeking in post-settlement contexts. The aim of this review was to identify interventions that identify and respond to post-settlement IPV experiences of refugee women. An electronic search was undertaken, between May and June 2022, of the following databases: Scopus, PsycINFO, Proquest, Web of Science, PubMed, and PTSDpubs for publications. The quality of the included studies was assessed using the Mixed Methods Appraisal Tool. This rapid evidence review using narrative synthesis identified seven studies from six databases. Four narratives for interventions for refugee women in post-settlement settings were identified: (1) working across cultural barriers; (2) gender inequality as a barrier to accessing IPV interventions; (3) understanding rights, responsibilities, systems, and supports are central; and (4) coordinated responses are essential to interventions. Cultural barriers and gender inequality were identified as hindering the implementation of IPV interventions. Interventions aimed to ensure refugees understood post-settlement rights, responsibilities, systems, and supports are warranted. Furthermore, when language barriers were overcome, coordinated service responses produced favourable outcomes for refugee women experiencing IPV. The results identified possible means of addressing challenges to IPV interventions with refugee communities including overcoming language barriers, enacting cultural responsiveness, addressing pre-and post-migration stressors, and providing education to support women to understand rights, responsibilities, and post-settlement systems. Future research, practice, and policy should consider coordinated service responses for IPV interventions with refugee women in post-settlement settings.
Notes:  This research was included in the ANROWS Register of Active Research (RAR). Please visit https://www.anrows.org.au/register-of-active-research/ for more information on the RAR.

Project: Safety and health after arrival: Identifying and responding to domestic violence experienced by refugee and migrant women recently arrived in Australia

Abstract/project description: Refugee and other migrant women are at higher risk of domestic violence, which has serious impacts and costs to community. A first for settlement programs, the study aims to test a model of care for identifying and responding to domestic violence with refugee women. Expected outcomes include prevalence data, culturally sensitive scalable tools tested for acceptability and feasibility, and understanding of mechanisms and factors contributing to successful introduction. Settlement Services International, the lead partner, will advance knowledge from the study including dissemination of practice tools. This should provide key benefits to reduce the extent and impacts of domestic violence among newly arrived women and their children.

Aims: This research aims to:
1) adapt and test evidence-based screening and response strategies to reduce the incidence and impact of intimate partner violence (IPV), including culturally sensitive risk assessment and safety planning, within a major settlement program with newly arrived refugee women 2) compare perceptions and outcomes after six months between a group of women who experienced screening and intervention and those who did not 3) assess any changes in delivery, disclosures and outcomes over time as settlement program staff adapt to providing screening and intervention 4) describe the prevalence of IPV in a refugee population with associated correlates 5) explore practice learning from bilingual and bicultural guides, case managers and other settlement staff in relation to introduction of IPV screening and intervention 6) understand the mechanisms and contextual factors contributing to i) successful introduction of screening and intervention, and ii) positive outcomes for women 7) achieve comprehensive knowledge translation through development and dissemination of practice tools for scale up across targeted settlement services for recently arrived refugee and migrant women.

Methods: This mixed methods study uses an interrupted time series (ITS) approach. ITS uses repeated measurements taken at different time points before and after the implementation of an intervention. Results gathered before the intervention establish a baseline for the project in the absence of the intervention. When the results gathered after the intervention deviate from the baseline projections, intervention effects are demonstrated. In this project a cohort of women will be surveyed in relation to recent IPV, depression, safety actions and other outcomes associated with IPV. A different group will be surveyed six months following the introduction of screening for IPV and brief intervention/referral when IPV is disclosed. Focus groups with practitioners and a group of service users will, along with survey results, be synthesised using realist analysis.

Significance: Significance, including intended impact, implications for policy and practice: Our partner, Settlement Services International (SSI), is one of the largest providers of the Humanitarian Settlement Program in Australia, with a track record of responsiveness to IPV among refugee women. This study uses existing evidence adapted for cultural sensitivity with a hard-to-reach group, who do not access mainstream services for their protection. This project provides an opportunity to identify and respond to IPV among refugee and vulnerable migrant women within targeted services, which they already access and where they have established trust. Our design takes account of difficulties encountered by previous IPV studies to recruit women safely and capture the intervention impact. SSI's standing among refugee service providers and our strong partnerships, including with the Settlement Council of Australia, will expedite dissemination of our findings across the sector.
URI: https://anrows.intersearch.com.au/anrowsjspui/handle/1/22936
Appears in Collections:ANROWS Completed Register of Active Research projects
Journal Articles

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