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Improving Health Outcomes for Immigrant Families Through IPV Screening: Resources and Recommendations for Pediatric
Nirmala Prakash1, Jennifer Prevot2, Bhargavi Kola3
1Assistant Professor & Director, Office for Diversity and Inclusion Schmidt College of Medicine, Florida Atlantic University, United States.
Insights
Intimate partner violence (IPV) screening is crucial for child health. Pediatric providers need culturally appropriate tools to identify and support families affected by IPV, especially vulnerable populations.
Area of Science:
- Public Health
- Pediatrics
- Sociology
Background:
- Intimate partner violence (IPV) affects 1 in 15 children annually, posing significant public health risks.
- Exposure to IPV leads to lifelong social, emotional, psychological, and behavioral issues in children.
- Current IPV screening lacks culturally appropriate tools for vulnerable populations like immigrants and refugees.
Purpose of the Study:
- To highlight the need for improved IPV screening and surveillance in pediatric care.
- To emphasize the importance of culturally sensitive approaches for vulnerable populations.
- To advocate for training pediatric providers in IPV identification and intervention.
Main Methods:
- Literature review on existing IPV screening and surveillance methods.
- Analysis of recommendations from the U.S. Department of Health and Human Services.
- Examination of the role of pediatric healthcare providers in IPV intervention.
Main Results:
- Limited research exists on IPV screening gaps for immigrant, refugee, and non-English speaking families.
- Pediatric well-child visits offer unique opportunities for IPV identification and support.
- Current recommendations lack culturally appropriate tools for diverse patient groups.
Conclusions:
- Routine, culturally appropriate IPV screening is essential in pediatric settings.
- All caregivers should be screened, and providers require training for vulnerable populations.
- Addressing IPV requires tailored strategies for immigrant and refugee families.
Abstract:
Intimate partner violence (IPV) is a significant yet preventable public health problem affecting 1 in 15 children annually. Children exposed to IPV exhibit lifelong consequences including increased risks of social, emotional, psychological and behavioral problems (mood and anxiety disorders, post-traumatic stress disorders, substance abuse, and school-related problems). Limited research exists in identifying and assessing gaps in IPV screening and surveillance techniques for vulnerable populations such as immigrants, refugees, or in families where English is not spoken in the home. The U.S. Department of Health and Human Services recommends IPV screening and counseling as part of pediatric office visits, without providing culturally appropriate tools for use. The nature of the patient-physician relationship and opportunities for intervention occurring during well child visits uniquely positions pediatric health care providers to identify and provide support for IPV victims and children. IPV screening should be routine, culturally appropriate, administered to all caregivers and all providers should be trained in surveilling and screening for IPV in immigrant and vulnerable populations.
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