Mental Health Outcomes in Abused Women

家庭暴力是一个普遍存在的问题，在我们的社会，影响妇女和她们的家庭，以及多个社会机构和机构，必须努力与其影响：儿童福利，心理健康，执法，和家庭暴力。受到虐待的妇女很可能会再次受害，不仅危及她们自己，也危及她们的子女。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人合作，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。它将使机构间治疗小组成员（从医生到法律的倡导者，再到儿童福利和家庭暴力个案工作者）能够获得有用的个案信息，以监测从共病精神健康问题和虐待中恢复的情况。妇女将使用符合《健康保险和责任法案》的软件在互联网上完成评估;一旦完成，将自动生成临床报告，供治疗过程中立即使用。北极星DV-MH报告用于改善对先前虐待、共病心理健康问题以及妇女的补偿优势的检测，这些优势使她和她的家人朝着提高复原力的方向发展。它将提高所有机构检测与再次受害相关的因素以及关系模式中微妙变化的能力，这将帮助女性避免在未来的关系中再次受害。Polaris DV-MH将通过评估心理健康共病以及与未来再次受害相关的关系模式，为妇女及其子女的安全和福祉做出贡献。第二阶段的具体目标是：（1）改进《家庭暴力-精神卫生问题最新报告》，纳入与再次受害有关的指标;（2）修改软件，以英文和西班牙文进行最新评估;（3）建立一种算法来检测受虐待妇女的不真实反应，（4）开发再次受害的预测模型，（5）开发自动化的汇总数据访问和报告，（6）编写实施和系统文档，以及（7）生成可通过网络访问的供应商培训材料。公共卫生相关性：Polaris DV-MH将通过评估心理健康共病以及与未来再次受害相关的关系模式，为妇女及其子女的安全和福祉做出贡献。Polaris DV-MH将为多机构家庭暴力专业人员提供报告，记录在改变高危态度、行为以及使妇女及其子女面临进一步暴力风险的自我和他人关系模式方面取得的进展。它还将向治疗小组提供与影响妇女从虐待中恢复的速度的共病心理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。它将改善服务提供者提供的服务的质量和协调，以支持妇女从虐待中长期康复，开发补偿资源，有效地照顾自己和任何同样受到虐待影响的儿童。Polaris DV-MH的关键组成部分包括：（1）侧重于防止再次受害的共同跨机构目标;（2）简化机构间沟通;（3）强调增强妇女权能和妇女抵御虐待的能力。Polaris DV-MH旨在为家庭暴力专业人员提供支持，因为他们：（1）决定是否需要进行心理健康干预;（2）决定妇女是否处于施虐者的直接危险中;（3）评估妇女可能有助于治疗计划的优势;（4）评估与受害有关的因素，为妇女和家庭提供适当的保护;（5）与多个机构协调，确保有效沟通;（6）支持法律的程序，通过记录虐待的严重程度和影响，成功地追究施虐者的责任;（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.