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Exploring primary care responses to domestic violence and abuse (DVA)

Operationalisation of a national initiative

Bibliographic Data

ID12678161
AuthorsJulie Mcgarry (0000-0002-7629-2447, University of Nottingham, corresponding author), Basharat Hussain (0000-0002-0443-2869, University of Nottingham), Kim Watts (0000-0002-6698-0692, King's College London)
Year2019
Volume21
Issue2
Pages144-154
Publication date2019-03-28
Open AccessYes
TypeARTICLE
VenueThe Journal of Adult Protection (JOURNAL)
Journal identifiersISSN: 1466-8203 • E-ISSN: 2042-8669
PublisherEmerald Publishing Limited (PUBLISHER • GB)
DOI10.1108/jap-10-2018-0025
OpenAlexW2926900630
LanguageEN
References cited11

Purpose In the UK, the Identification and Referral to Improve Safety (IRIS) initiative has been developed for use within primary care to support women survivors of domestic violence and abuse (DVA). However, while evaluated nationally, less is known regarding impact of implementation at a local level. The purpose of this paper is to explore the effectiveness of IRIS within one locality in the UK. Design/methodology/approach A qualitative study using interviews/focus groups with primary care teams and women who had experienced DVA in one primary care setting in the UK. Interviews with 18 participants from five professional categories including: general practitioners, practice nurses, practice managers, assistant practice managers and practice receptionists. Focus group discussion/interview with seven women who had accessed IRIS. Data were collected between November 2016 and March 2017. Findings Five main themes were identified for professionals: Team role approach to training, Professional confidence, Clear pathway for referral and support, Focussed support, Somewhere to meet that is a “safe haven”. For women the following themes were identified: Longevity of DVA; Lifeline; Face to face talking to someone; Support and understood where I was coming from; A place of safety. Practical implications IRIS played a significant role in helping primary care professionals to respond effectively. For women IRIS was more proactive and holistic than traditional approaches. Originality/value This study was designed to assess the impact that a local level implementation of the national IRIS initiative had on both providers and users of the service simultaneously. The study identifies that a “whole team approach” in the primary care setting is critical to the effectiveness of DVA initiatives

Focus group · Medical education · Originality · Qualitative research · Receptionists · Referral · Sociology · Child Abuse and Trauma · Homicide, Infanticide, and Child Abuse · Intimate Partner and Family Violence · Medicine · Nursing · Psychology

  • Qualitative Data Analysis for Applied Policy Research

    Jane Ritchie, Liz Spencer•The Qualitative Researcher's…•2002

  • Identification and Referral to Improve Safety (Iris) of women experiencing domestic violence with a primary care training and support programme

    Open Access•Gene Feder, Roxane Agnew Davies et al.•The Lancet•2011

  • The impact of domestic abuse for older women

    Open Access•Julie Mcgarry, Chris Simpson et al.•Health & Social Care in the…•2011

  • What Fresh Hell Is This?” Victims of Intimate Partner Violence Describe Their Experiences of Abuse, Pain, and Depression

    Open Access•Catherine Cerulli, Ellen Poleshuck et al.•Journal of Family Violence•2012

  • Why Extending Measurements of 'Success' in Domestic Violence Perpetrator Programmes Matters for Social Work

    Open Access•Nicole Westmarland, Laura Kelly•The British Journal of Social Work•2013

Highly citedNo

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