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Healing through education, advocacy and law (HEAL) in response to violence
Investigator (PI): Cerulli, Catherine
Performing Organization (PO): (Current): University of Rochester Medical Center, Susan B. Anthony Center for Women's Leadership / (585) 275-8799
Supporting Agency (SA): Patient-Centered Outcomes Research Institute (PCORI)
Initial Year: 2016
Final Year: 2021
Record Source/Award ID: PCORI/IHS-1507-31543
Funding: Total Award Amount: $1,992,205
Award Type: Contract
Award Information: PCORI: More information and project results (when completed)
Abstract: Patients, an academic medical center, and community-based organizations partnered to address intimate partner violence (IPV) in a study evaluating a social work consult versus a community health worker (CHW) to help patients prioritize and navigate care. As a public health crisis, IPV affects patients who suffer from poor health, increased depression, and poor quality of life. They have complex needs and many of the social, emotional, and legal concerns that impede their health remain unaddressed when they seek medical care, resulting in emergency department visits and increased medical burden. Project Rose-SAFE (Stop Abuse in the Family Environment) is a comparative effectiveness trial for health care patients with depression and IPV experiences. The longitudinal study will compare safety, depression, health function, and quality of life for IPV patients referred to a social worker (CAU-SW) (n=100), versus those who receive an augmentation with our previously tested intervention, Personalized Support for Progress (PSP) (n=100). PSP uses a CHW who guides patients through a prioritization tool to identify resources they value as important, including social, emotional, and legal assistance, and provides them with support to connect with resources they choose. We chose these two evidence-based interventions after a multiyear process gaining patient, provider, and researcher insight. A community advisory board (CAB) selected the outcomes and will remain involved in every aspect of the project. University of Rochester Medical Center's emergency, obstetrics and gynecology, pediatric, and psychiatry departments and a primary care network (27 locations) will screen patients for IPV per routine policies. Should a patient seem at risk of violence, the health care provider will refer the patient to HEAL, a clinic where a social worker will offer safety planning and screening via Promote. This computer-assisted screening tool assesses for individual needs and provides a personalized referral printout. Following the routine care provided at HEAL, the social worker will invite patients to participate in Project Rose-SAFE if they screen positive for depression and have had an IPV event within three months. Those who agree to participate will sign an informed consent form, complete baseline measures, and be randomized to CAU-SW alone or CHW-PSP. For patients assigned to CHW-PSP, CHWs will work with patients to address not only the physical, but also the social, emotional, and legal needs impacting their health and well-being. A Patient Leadership Team, comprising IPV survivors and patient partners from the CAB, is involved in the design, conduct, analysis, and dissemination of the findings. These study findings will be important to close the gap on how to best treat patients with comorbid IPV and depression. We can deploy our model to busy medical centers via a toolkit to allow for easy dissemination and implementation.
MeSH Terms:
  • Community Health Workers
  • Comparative Effectiveness Research
  • Depression /complications
  • Emergency Service, Hospital
  • Evidence-Based Medicine
  • Health Status
  • Humans
  • Leadership
  • New York
  • Patient Navigation
  • Primary Health Care /organization & administration
  • * Public Policy
  • Quality of Life
  • Social Workers
  • Spouse Abuse /*prevention & control
  • Violence
Country: United States
State: New York
Zip Code: 14627
UI: 20163101
CTgovId: NCT03016481
Project Status: Completed
Record History: ('2017: Project extended to 2020',)