Provider Perceptions and Domestic Violence (DV) Survivor Experiences of Traumatic and Anoxic-Hypoxic Brain Injury: Implications for DV Advocacy Service Provision

Julianna M. Nemeth · Cecilia W. Mengo · Emily Kulow · Alexandra Brown · Rachel Ramirez

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Intimate Partner and Family Violence Traumatic Brain Injury Research Elder Abuse and Neglect

Abstract

Domestic violence (DV) survivors are susceptible to traumatic and anoxic-hypoxic brain injury, collectively referred to as brain injury (BI). This study characterized: 1) provider perception of the impact of BI on DV survivors’ experiences with advocacy services and 2) survivors’ reported exposures that can lead to BI. Data were collected at five advocacy organizations in 2017: 11 focus groups were conducted with service providers (n = 45 staff & 17 administrators) and interview administered surveys were completed with survivors (n = 49). Our findings indicate a discrepancy between providers’ perception of the potential impact of BI on survivors’ presentation and ability to access services, and survivors’ pervasive exposure to incidents that can cause BI. Over 81% of survivors reported having been hit in the head or been made to have their head hit another object at least once, and over 83% of survivors reported ever having been strangled. Raising organizational capacity to serve DV survivors with BI is necessary. Intervention suggestions are provided.

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1989Focus Groups: A Practical Guide for Applied Research 2008Qualitative Methods in Social Work Research 2009Prevalence and Correlates of Emotional, Physical, Sexual, and Financial Abuse and Potential Neglect in the United States: The National Elder Mistreatment Study 2003Brain injury in battered women.2015Nonfatal Strangulation as Part of Domestic Violence: A Review of Research 2016Prevalence of strangulation in survivors of sexual assault and domestic violence 2016The Intersection of Intimate Partner Violence and Traumatic Brain Injury: A Call for Interdisciplinary Research

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2019Intimate Partner Violence (IPV) and Neurological Outcomes: A Review for Practitioners 2020Intimate Partner Violence and Brain Injury Screening 2020Visualising violence? Capturing and critiquing body-worn video camera evidence of domestic and family violence 2020Perceived Executive Functioning among Female Survivors of Intimate Partner Violence 2021Using Behavior Change Theory to Understand How to Support Screening for Traumatic Brain Injuries Among Women Who Have Experienced Intimate Partner Violence

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