Emergency Department Computer Kiosk Intervention for Domestic Violence

Competition Finalist

This entry has been selected as a finalist in the
No Private Matter! Ending Abuse in Intimate & Family Relations competition.

This is an educational intervention targeted at screening and identifying male and female victims of domestic violence. We screen all waiting room patients during hours we have research assistants or student volunteers. We initially started off with full time paid research assistants and now operate the project using MPH practicum students and volunteers. All patients who present during the hours we have students and RAs are eligible to participate.

All identified victims are then given information on domestic violence as well as community resource referrals. We also have unique educational interventions and follow up meetings with women who disclose alcohol abuse, drug abuse, and cigarette smoking. The majority of our victims do not have access to care, are uninsured, are female, and are minority. Many victims also have mental health and substance use issues.

About You

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Location

Project Street Address

Project City

Project Province/State

Project Postal/Zip Code

Project Country

n/a

Your idea

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Focus of activity

Education

Year the initiative began

2003

Position your initiative on the mosaic of solutions

Which of these barriers is the primary focus of your work?

Insensitive & Unresponsive Systems

Which of the insights is the primary focus of your work?

Personalize Responsibility

If you believe some other barrier or insight should be included in the mosaic, please describe it and how it would affect the positioning of your initiative in the mosaic

Access to care

Name Your Project

Emergency Department Computer Kiosk Intervention for Domestic Violence

Describe Your Idea

This is an educational intervention targeted at screening and identifying male and female victims of domestic violence. We screen all waiting room patients during hours we have research assistants or student volunteers. We initially started off with full time paid research assistants and now operate the project using MPH practicum students and volunteers. All patients who present during the hours we have students and RAs are eligible to participate.
All identified victims are then given information on domestic violence as well as community resource referrals. We also have unique educational interventions and follow up meetings with women who disclose alcohol abuse, drug abuse, and cigarette smoking. The majority of our victims do not have access to care, are uninsured, are female, and are minority. Many victims also have mental health and substance use issues.

Innovation

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Description of Initiative

This is an educational intervention targeted at screening and identifying male and female victims of domestic violence. We screen all waiting room patients during hours we have research assistants or student volunteers. We initially started off with full time paid research assistants and now operate the project using MPH practicum students and volunteers. All patients who present during the hours we have students and RAs are eligible to participate.

All identified victims are then given information on domestic violence as well as community resource referrals. We also have unique educational interventions and follow up meetings with women who disclose alcohol abuse, drug abuse, and cigarette smoking. The majority of our victims do not have access to care, are uninsured, are female, and are minority. Many victims also have mental health and substance use issues.

Innovation

We approach both male and female emergency department waiting room patients regardless of why they are seeking medical care. We use an innovative touch screen computer kiosk based on initial work by Karin Rhodes, a coinvestigator on these federally funded research projects at our site. This delivers specific, targeted information, based on what health risk behaviors the patients disclose.

Delivery Model

Patients receive personalized, targeted information based on their responses to the computer kiosk. In addition, African American women with alcohol abuse, drug abuse, cigarette smoking, or partner violence receive a special 2 page educational handout geared towards these specific conditions in culturally sensitive and literacy appropriate language. Most of our domestic violence victims were not aware that they were victims until they participated in our program.

Key Operational Partnerships

The CDC and NIH funded the initial research endeavor. We have partnered with our emergency department nursing staff and social services for immediate support to our victims and we have contacted local community organizations to include them as a referral basis for our patients. In addition, we now have MPH students volunteering as research assistants as part of their practicum experience.

Impact

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Financial Model

This intervention is geared towards women in low-income and marginalized populations. This educational intervention is conducted in an inner-city, largely African American and indigent population. All waiting room patients are approached and asked to participate at no cost.

What percentage, if any, of the total operating costs does earned income (from products, services, or other fees) represent?

0%

How is the initiative financed? Is it financially self-sustainable or profitable? How much do beneficiaries contribute?

It has previously been financed through federal research grants and foundations; we are currently still funded for different aspects of the project through NIH and through seed grants. We are applying for additional funding through NIH, CDC, and foundations

Effectiveness

We have screened approximately 3,000 people for health risk behaviors. Approximately 25% were identified as domestic violence victims.

How many people have benefited from your program over the last year? Which element of the program proved itself most effective?

Of the domestic violence victims we have conducted follow up interviews with, 75% have read the information about domestic violence given to them, 40% developed safety plans, and about 1/3rd moved out. Identification and referral has been extremely effective in our patient population. We have not yet accessed the impact of our 2 page handouts to see if this is even more effective than just referral information for African American women with domestic violence, alcohol abuse, drug abuse, and cigarette smoking.

Scaling up Strategy

We would like to expand this kiosk intervention to other health clinics and community centers. We would also like to change the format to web-based and be able to translate it into different languages. This would allow us to identify and education a larger population, including those who have never accessed the health care system.

Stage of the Initiative

1

Origin of the Initiative

Many of our patients were surprised that they were victims of domestic violence. These victims disclosed being hit by their partner, forced to have sex, or threatened with a weapon but didn't realize this was considered abuse. Also, Dr. Rhodes found in an earlier study at a different site that patients were more likely to disclose sensitive information using a computer kiosk. We've had many women leave their partners and change their lives based on this project. One of our patients was even interviewed by a local news affiliate about the project.

This Entry is about (Issues)

Sustainability

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How did you hear about this contest and what is your main incentive to participate?

Through a grant notification service. I am hoping to obtain more funding to sustain and expand the project.

Main Obstacles to Scaling Up

The main obstacle is financial. Without additional resources we will not be able to expand our project.

Main Financial Challenges

We would be interested in a social investor, foundation, or government funding. We conduct research analyses of our project, yet provide a service to the community.

Main Partnership Challenges

There are not enough community resources available for disadvantaged women.

391 weeks ago Maria Glenn said: The Emergency Department Kiosk Model is an amazing study design that has already had a huge impact on domestic violence victims. I like ... about this Competition Entry. - read more >
392 weeks ago Emergency Department Computer Kiosk Intervention for Domestic Violence has been chosen as a finalist in No Private Matter! Ending Abuse in Intimate & Family Relations.