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The intersection of intimate partner violence and traumatic brain injury : Danielle Toccalino, Halina (Lin) Haag, Maria J. Estrella, Stephanie Cowle, Pamela Fuselli, Michael J. Ellis, Judith Gargaro, Angela Colantonio and the COVID TBI-IPV Consortium findings from an Emergency Summit addressing system-level changes to better support women survivors

By: Toccalino, Danielle.
Contributor(s): Haag, Halina (Lin) | Estrella, Maria J | Cowle, Stephanie | Fuselli, Pamela | Ellis, Michael J | Gargaro, Judith | Colantonio, Angela | COVID TBI-IPV Consortium.
Material type: materialTypeLabelArticleSeries: Journal of Head Trauma Rehabilitation.Publisher: Lippincott, 2022Subject(s): ABUSIVE HEAD TRAUMA | DOMESTIC VIOLENCE | EMERGENCY MEDICAL SERVICES | INTIMATE PARTNER VIOLENCE | MEDICAL PROFESSION | PREVALENCE | RACISM | TRAUMATIC BRAIN INJURY | TREATMENT | VICTIMS OF DOMESTIC VIOLENCE | INTERNATIONAL | CANADAOnline resources: Read online | Table of contents In: Journal of Head Trauma Rehabilitation, 2022, 37(1): 20-29Summary: Background: Traumatic brain injury (TBI) occurring during intimate partner violence (IPV) is a largely unrecognized but significant public health crisis. One in 3 women will experience IPV in their lifetime, up to 75% of whom will sustain a TBI as a result. This article reports on the systems-level findings from a national summit to address barriers, needs, and priorities related to healthcare and support services for women survivors of IPV-TBI. Objectives: (1) To identify key needs, facilitators, and barriers to care for women survivors of IPV presenting with TBI; and (2) to cocreate ideas for resources and principles for identification, clinical care, and support for healthcare practitioners who treat women exposed to IPV and TBI. Methods: Using a community-based participatory research approach, we engaged 30 stakeholders—drawn from a national IPV-TBI Knowledge-to-Practice (K2P) Network including diverse women survivors, service providers, researchers, and decision makers—in 2 half-day virtual meetings. Data were gathered through small group breakout sessions using semistructured discussion guides. Sessions were recorded, transcribed verbatim, and analyzed using thematic analysis techniques. Stakeholders contributed to the analysis and knowledge translation through member-checking activities. Ethics approval was obtained through the University of Toronto. Findings: Three main systems-level themes arose during these discussions: (1) the need for trauma-informed, anti-racist, and equitable health and social care systems; (2) the need for cross-pollination of knowledge between disciplines; and (3) the need for systems-level support for integrated and coordinated care. This article explores these needs and provides recommendations and suggestions for paths forward. Conclusions: The findings of this project enhance understanding of system-level needs among women survivors and provide a template for a national agenda for IPV-TBI research and practice. . (Authors' abstract). This is one of the articles in this special issue of the Journal of Head Trauma Rehabilitation focused on TBI and intimate partner violence. Some of the articles are open access. Record #7564
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Journal of Head Trauma Rehabilitation, 2022, 37(1): 20-29

Background:

Traumatic brain injury (TBI) occurring during intimate partner violence (IPV) is a largely unrecognized but significant public health crisis. One in 3 women will experience IPV in their lifetime, up to 75% of whom will sustain a TBI as a result. This article reports on the systems-level findings from a national summit to address barriers, needs, and priorities related to healthcare and support services for women survivors of IPV-TBI.
Objectives:

(1) To identify key needs, facilitators, and barriers to care for women survivors of IPV presenting with TBI; and (2) to cocreate ideas for resources and principles for identification, clinical care, and support for healthcare practitioners who treat women exposed to IPV and TBI.
Methods:

Using a community-based participatory research approach, we engaged 30 stakeholders—drawn from a national IPV-TBI Knowledge-to-Practice (K2P) Network including diverse women survivors, service providers, researchers, and decision makers—in 2 half-day virtual meetings. Data were gathered through small group breakout sessions using semistructured discussion guides. Sessions were recorded, transcribed verbatim, and analyzed using thematic analysis techniques. Stakeholders contributed to the analysis and knowledge translation through member-checking activities. Ethics approval was obtained through the University of Toronto.
Findings:

Three main systems-level themes arose during these discussions: (1) the need for trauma-informed, anti-racist, and equitable health and social care systems; (2) the need for cross-pollination of knowledge between disciplines; and (3) the need for systems-level support for integrated and coordinated care. This article explores these needs and provides recommendations and suggestions for paths forward.
Conclusions:

The findings of this project enhance understanding of system-level needs among women survivors and provide a template for a national agenda for IPV-TBI research and practice.
. (Authors' abstract). This is one of the articles in this special issue of the Journal of Head Trauma Rehabilitation focused on TBI and intimate partner violence. Some of the articles are open access. Record #7564