The effectiveness of critical time intervention for abused women leaving women’s shelters: a randomized controlled trial

Danielle A. M. Lako, Mariëlle D. Beijersbergen, Irene E. Jonker, Renée Vet, Daniel B. Herman, Albert M. Hemert and Judith R. L. M. Wolf ()
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Danielle A. M. Lako: Radboud university medical center
Mariëlle D. Beijersbergen: Radboud university medical center
Irene E. Jonker: Radboud university medical center
Renée Vet: Radboud university medical center
Daniel B. Herman: Silberman School of Social Work at Hunter College, City University of New York
Albert M. Hemert: Leiden University Medical Center
Judith R. L. M. Wolf: Radboud university medical center

International Journal of Public Health, 2018, vol. 63, issue 4, No 10, 513-523

Abstract: Abstract Objectives To examine the effectiveness of critical time intervention (CTI)—an evidence-based intervention—for abused women transitioning from women’s shelters to community living. Methods A randomized controlled trial was conducted in nine women’s shelters across the Netherlands. 136 women were assigned to CTI (n = 70) or care-as-usual (n = 66). Data were analyzed using intention-to-treat three-level mixed-effects models. Results Women in the CTI group had significant fewer symptoms of post-traumatic stress (secondary outcome) (adjusted mean difference − 7.27, 95% CI − 14.31 to − 0.22) and a significant fourfold reduction in unmet care needs (intermediate outcome) (95% CI 0.06–0.94) compared to women in the care-as-usual group. No differences were found for quality of life (primary outcome), re-abuse, symptoms of depression, psychological distress, self-esteem (secondary outcomes), family support, and social support (intermediate outcomes). Conclusions This study shows that CTI is effective in a population of abused women in terms of a reduction of post-traumatic stress symptoms and unmet care needs. Because follow-up ended after the prescribed intervention period, further research is needed to determine the full long-term effects of CTI in this population.

Keywords: Intimate partner violence; Abused women; Women’s shelters; Intervention; RCT; Quality of life (search for similar items in EconPapers)
Date: 2018
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DOI: 10.1007/s00038-017-1067-1

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