Mental Health Outcomes in Abused Women

描述（由申请人提供）：家庭暴力在我们的社会中是一个普遍存在的问题，它影响着妇女和她们的家庭，也影响着必须应对其影响的多个社会机构和机构：儿童福利、心理健康、执法和家庭暴力。被虐待的妇女很可能发现自己处于一种再次受害的模式，不仅危及自己，也危及她们的孩子。Polaris DV-MH系统将帮助提供者更好地协调他们的治疗策略，因为他们与妇女及其家庭合作，建立一个安全的家，改善福祉，并减少再次受害的风险。Polaris DV-MH是一种计算机支持的评估系统，旨在解决因暴露于创伤而导致的长期心理健康和功能问题。该系统旨在供家庭暴力机构和其他治疗受虐待妇女的提供者使用。它将使跨机构治疗小组成员（从医生到法律倡导者，再到儿童福利和家庭暴力案件工作者）能够获得对监测从共存的精神健康问题和虐待中康复有用的案件信息。女性将使用符合HIPAA的软件在互联网上完成评估；一旦完成，就会自动生成临床报告，以便在治疗过程中立即使用。Polaris DV-MH报告用于改进对先前虐待、共病精神健康问题以及妇女补偿优势的发现，这些优势使她及其家人能够提高复原力。它将提高所有机构发现与再次受害有关的因素以及关系图式的微妙变化的能力，这些变化将有助于妇女在今后的关系中避免再次受害。Polaris DV-MH将通过评估精神健康共发病以及与未来再次受害相关的关系图式，促进妇女及其子女的安全和福祉。第二阶段的具体目标是：(1)加强DV-MH更新报告，纳入与再次受害相关的指标；2)修改软件以管理英语和西班牙语的更新评估；(3)建立一种算法来检测受虐妇女的不真实反应，(4)开发再次受害的预测模型，(5)开发自动汇总数据访问和报告，(6)编写实施和系统文档，(7)生成可在线访问的提供者培训材料。公共卫生相关性：Polaris DV-MH将通过评估精神健康共发病以及与未来再次受害相关的关系图式，促进妇女及其子女的安全和福祉。Polaris DV-MH将向多机构家庭暴力专业人员提供报告，记录在改变高风险态度、行为以及对自己和他人的关系模式方面取得的进展，这些态度、行为和模式使妇女及其子女面临进一步的暴力风险。它还将向治疗小组提供与影响妇女从虐待中恢复的比率的共病精神健康状况有关的信息，以及关于她是否愿意改变关系模式的信息。它将改善寻求支助妇女从虐待中长期恢复的提供者所提供服务的质量和协调，开发补偿性资源，以有效地照顾自己和同样受到虐待影响的任何儿童。Polaris DV-MH的主要组成部分包括：(1)侧重于防止再次受害的共同跨机构目标；(2)精简机构间沟通；(3)强调妇女赋权和抵御虐待的能力。Polaris DV-MH旨在帮助家庭暴力专业人员：(1)决定是否有必要进行心理健康干预；（二）判断施虐者是否对妇女有直接危险；(3)评估可能对治疗计划有用的妇女的长处；(4)评估与受害有关的因素，为妇女及其家庭提供适当程度的保护；(5)协调多个机构，确保有效沟通；(6)支持法律程序，通过记录虐待的严重程度和影响，成功地追究施暴者的责任；(7)监测和记录长期恢复的进展。

DESCRIPTION (provided by applicant): Domestic violence is a pervasive problem in our society that impacts women and their families as well as the multiple social institutions and agencies that must grapple with its effects: Child Welfare, Mental Health, Law Enforcement, and Domestic Violence. Women who are abused are likely to find themselves in a pattern of revictimization, endangering not just themselves but their children as well. The Polaris DV-MH system will help providers' better coordinate their treatment strategies as they work with women and their families to establish a safe home, improve well-being, and reduce the risk of revictimization. Polaris DV-MH is a computer-supported assessment system designed to address long-term mental health and functioning issues that are a result of exposure to trauma. The system is intended for use by domestic violence agencies and other providers who treat abused women. It will enable interagency treatment team members (from physicians to legal advocates to child welfare and domestic violence case workers) to access case information useful in monitoring recovery from co-morbid mental health problems and abuse. Women will complete assessments on the Internet using HIPAA compliant software; once finished, a clinical report is automatically generated for immediate use in the treatment process. Polaris DV-MH reports are used to improve the detection of prior abuse, co-morbid mental health problems, and a woman's compensating strengths that move her and her family towards improved resilience. It will improve the ability for all agencies to detect factors associated with revictimization as well as the subtle changes in relational schema that will help the woman avoid revictimization in future relationships. Polaris DV-MH will contribute to the safety and well-being of women and their children by the assessment of mental health co-morbidity as well as relational schema associated with future revictimization. The Phase II specific aims are to: (1) enhance the DV-MH Update Report to include indicators associated with revictimization; 2) modify software to administer update assessments in English and Spanish; (3) build an algorithm to detect inauthentic responses in abused women, (4) develop predictive models for revictimization, (5) develop automated aggregate data access and reports, (6) write implementation and system documentation and (7) generate web-accessible provider training materials. PUBLIC HEALTH RELEVANCE: Polaris DV-MH will contribute to the safety and well-being of women and their children by the assessment of mental health co-morbidity as well as relational schema associated with future revictimization. Polaris DV-MH will provide multi-agency domestic violence professionals with reports documenting progress in changing high- risk attitudes, behaviors, and the relational schema to self and others that put a woman and her children at further risk for violence. It will also provide treatment teams with information relating to co-morbid mental health conditions that impact the woman's rate of recovery from abuse as well as information about her readiness to change relational patterns. It will improve the quality and coordination of services provided by providers seeking to support women in their long-term recovery from abuse, to develop compensating resources to effectively care for themselves and any children who are also dealing with the impact of abuse. Key components of Polaris DV-MH include: (1) focusing on the common cross-agency goal of preventing revictimization; (2) streamlining interagency communication; and (3) emphasizing women's empowerment and resilience from abuse. Polaris DV-MH is designed to support domestic violence professionals as they: (1) decide if mental health intervention is warranted; (2) decide if the woman is in immediate danger from the abuser; (3) assess the woman's strengths that may be useful in treatment planning; (4) assess factors related to victimization to provide appropriate levels of protection to the woman and family; (5) coordinate with multiple agencies to ensure effective communication; (6) support legal procedures to successfully hold the batterer accountable by documenting severity and impact of abuse; and (7) monitor and document progress towards long-term recovery.