Category: Transdiagnostic

Symposium

Trauma-Informed Intervention to Prevent and End Intimate Partner Violence in the Department of Veterans Affairs

Saturday, November 18
12:00 PM - 1:30 PM
Location: Sapphire Ballroom B, Level 4, Sapphire Level

Keywords: Intimate Partner Aggression | Trauma | Implementation
Presentation Type: Symposium

In response to evidence that the experience of trauma and trauma-related consequences such as PTSD may elevate risk for use of intimate partner violence (IPV), the Department of Veterans Affairs (VA) is implementing a comprehensive national program to address IPV. One intervention that has been implemented as part of efforts to provide indicated prevention and treatment to veterans using or at risk for using IPV is Strength at Home (SAH). SAH is a 12-week cognitive-behavioral and trauma-informed group intervention to reduce IPV among military and veteran populations. SAH has previously been associated with reductions in the use of physical and psychological IPV in pilot, efficacy, and effectiveness trials. The present study describes initial findings from implementing SAH at 10 VA medical centers using clinician training and external facilitation implementation strategies. Results from 51 veterans who completed both pre- and post-intervention assessments indicate SAH resulted in a significant decrease in types of IPV used, t (50) = 3.39, p p < .01). Among those veterans at risk for IPV use but who started the program with no IPV behaviors in the past 3 months, 70% reported they remained free from IPV behaviors while only 27.8% converted to an IPV positive status.  Results also indicated a significant pre-post-intervention reductions in PTSD symptoms, t (49) = 3.29, p SD = 63.16, range 72-252). Combined with the reductions in IPV and PTSD symptoms observed in veterans, evidence suggests that the training program provided was largely successful in implementing a targeted program to address IPV among veterans. 

Suzannah K. Creech

Clinical Research Psychologist, Treatment Core
VHA VISN 17 Center of Excellence for Research on Returning War Veterans and the Central Texas Veterans Healthcare System; Dell Medical School of the University of Texas at Austin, Department of Psychiatry

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