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Health professionals responding to men for safety (HERMES): feasibility of a general practice training intervention to improve the response to male patients who have experienced or perpetrated domestic violence and abuse.

Abstract

AIM

To evaluate a training intervention for general practice-based doctors and nurses in terms of the identification, documentation, and referral of male patients experiencing or perpetrating domestic violence and abuse (DVA) in four general practices in the south west of England.

BACKGROUND

Research suggests that male victims and perpetrators of DVA present to primary care clinicians to seek support for their experiences. We know that the response of primary care clinicians to women patients experiencing DVA improves from training and the establishment of referral pathways to specialist DVA services.

METHOD

The intervention consisted of a 2-h practice-based training. Outcome measures included: a pre-post, self-reported survey of staff practice; disclosures of DVA as documented in medical records pre-post (six months) intervention; semi-structured interviews with clinicians; and practice-level contact data collected by DVA specialist agencies.

RESULTS

Results show a significant increase in clinicians' self-reported preparedness to meet the needs of male patients experiencing or perpetrating DVA. There was a small increase in male patients identified within the medical records (6 pre- to 17 post-intervention) but only five of those patients made contact with a specialist DVA agency identified within the referral pathway. The training increased clinicians' confidence in responding to male patients affected by DVA. The increase in recorded identification of DVA male patients experiencing or perpetrating DVA was small and contact of those patients with a specialist DVA support service was negligible. We need to better understand male help seeking in relation to DVA, further develop interventions to increase identification of male patients experiencing or perpetrating DVA behaviours, and facilitate access to support services.

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  • Authors+Show Affiliations

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    1Centre for Gender and Violence Research,University of Bristol,Bristol,UK.

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    2NIHR School for Primary Care Research,Academic Unit of Primary Care,School of Social and Community Medicine,University of Bristol,Bristol,UK.

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    2NIHR School for Primary Care Research,Academic Unit of Primary Care,School of Social and Community Medicine,University of Bristol,Bristol,UK.

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    3RESPECT,London,UK.

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    2NIHR School for Primary Care Research,Academic Unit of Primary Care,School of Social and Community Medicine,University of Bristol,Bristol,UK.

    1Centre for Gender and Violence Research,University of Bristol,Bristol,UK.

    Source

    MeSH

    Adult
    Crime Victims
    Criminal Behavior
    Domestic Violence
    Education, Medical, Continuing
    Education, Nursing, Continuing
    England
    Female
    General Practice
    Help-Seeking Behavior
    Humans
    Interviews as Topic
    Male
    Middle Aged
    Pilot Projects
    Program Evaluation
    Referral and Consultation
    Social Support

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    25248144