Use of a Health Advocacy Model for Survivors of Interpersonal Violence

Jessica Grace, Scott T. Walters, Irene Gallegos, Erika L. Thompson and Emily E. Spence
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Jessica Grace: Department of Public Health Education, School of Public Health, University of North Texas Health Science Center, Fort Worth, TX 76107, USA
Scott T. Walters: Department of Health Behavior and Health Systems, School of Public Health, University of North Texas Health Science Center, Fort Worth, TX 76107, USA
Irene Gallegos: Department of Kinesiology, University of Texas Arlington, Arlington, TX 76109, USA
Erika L. Thompson: Department of Health Behavior and Health Systems, School of Public Health, University of North Texas Health Science Center, Fort Worth, TX 76107, USA
Emily E. Spence: Department of Public Health Education, School of Public Health, University of North Texas Health Science Center, Fort Worth, TX 76107, USA

IJERPH, 2020, vol. 17, issue 23, 1-13

Abstract: This article examines the implementation of a health advocacy model designed for survivors of interpersonal violence (IPV) in a metropolitan area of North Texas. Using a framework influenced by motivational interviewing, solution-focused therapy, and trauma-informed care, this program engaged IPV survivors in creating health and safety goals. Goal attainment scaling was used to track progress after each health advocacy encounter. Clients could set their own goals for healthcare, self-care, and safety. The program served 419 clients and 648 goals were set by clients at the first visit. Among all goals, 89% selected goals focused on healthcare, with 47% of those selecting obtaining health insurance or coverage as a need. These results demonstrate the need for an enhanced healthcare response for this population. The remaining goals selected were self-care (7%) and safety (3%). The design of the health advocacy intervention shows promise towards filling the gaps between IPV and healthcare service delivery systems.

Keywords: intimate partner violence; health advocacy; women’s health; motivational interviewing; solution-focused therapy; goal attainment scaling (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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