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Safe Discharge Needs Following Emergency Care for Intimate Partner Violence, Sexual Assault, and Sex Trafficking
INTRODUCTION: For survivors of gender-based violence (GBV) seeking care in hospital emergency departments (ED) the need for medical care and safe discharge is acute. METHODS: In this study we evaluated safe discharge needs of GBV survivors following hospital-based care at a public hospital in Atlant...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Department of Emergency Medicine, University of California, Irvine School of Medicine
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10284501/ https://www.ncbi.nlm.nih.gov/pubmed/37278786 http://dx.doi.org/10.5811/westjem.59072 |
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author | Clery, Michael J. Olsen, Eudora Marcovitch, Hannah Goodall, Harrison Gentry, Jasmine Wheatley, Matthew A. Jackson, Nichelle Evans, Dabney P. |
author_facet | Clery, Michael J. Olsen, Eudora Marcovitch, Hannah Goodall, Harrison Gentry, Jasmine Wheatley, Matthew A. Jackson, Nichelle Evans, Dabney P. |
author_sort | Clery, Michael J. |
collection | PubMed |
description | INTRODUCTION: For survivors of gender-based violence (GBV) seeking care in hospital emergency departments (ED) the need for medical care and safe discharge is acute. METHODS: In this study we evaluated safe discharge needs of GBV survivors following hospital-based care at a public hospital in Atlanta, GA, in 2019 and between April 1, 2020–September 30, 2021, using both retrospective chart review and evaluation of a novel clinical observation protocol for safe discharge planning. RESULTS: Of 245 unique encounters, only 60% of patients experiencing intimate partner violence (IPV) were discharged with a safe plan and only 6% were discharged to shelters. This hospital instituted an ED observation unit (EDOU) to support GBV survivors with safe disposition. Then, through the EDOU protocol, 70.7% were able to achieve safe disposition, with 33% discharged to a family/friend and 31% discharged to a shelter. CONCLUSION: Safe disposition following experience or disclosure of IPV and GBV in the ED is difficult, and social work staff have limited bandwidth to assist with navigation of accessing community-based resources. Through an average 24.3 hours of an extended ED observation protocol, 70% of patients were able to achieve a safe disposition. The EDOU supportive protocol substantially increased the proportion of the GBV survivors who experienced a safe discharge. |
format | Online Article Text |
id | pubmed-10284501 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Department of Emergency Medicine, University of California, Irvine School of Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-102845012023-06-22 Safe Discharge Needs Following Emergency Care for Intimate Partner Violence, Sexual Assault, and Sex Trafficking Clery, Michael J. Olsen, Eudora Marcovitch, Hannah Goodall, Harrison Gentry, Jasmine Wheatley, Matthew A. Jackson, Nichelle Evans, Dabney P. West J Emerg Med Original Research INTRODUCTION: For survivors of gender-based violence (GBV) seeking care in hospital emergency departments (ED) the need for medical care and safe discharge is acute. METHODS: In this study we evaluated safe discharge needs of GBV survivors following hospital-based care at a public hospital in Atlanta, GA, in 2019 and between April 1, 2020–September 30, 2021, using both retrospective chart review and evaluation of a novel clinical observation protocol for safe discharge planning. RESULTS: Of 245 unique encounters, only 60% of patients experiencing intimate partner violence (IPV) were discharged with a safe plan and only 6% were discharged to shelters. This hospital instituted an ED observation unit (EDOU) to support GBV survivors with safe disposition. Then, through the EDOU protocol, 70.7% were able to achieve safe disposition, with 33% discharged to a family/friend and 31% discharged to a shelter. CONCLUSION: Safe disposition following experience or disclosure of IPV and GBV in the ED is difficult, and social work staff have limited bandwidth to assist with navigation of accessing community-based resources. Through an average 24.3 hours of an extended ED observation protocol, 70% of patients were able to achieve a safe disposition. The EDOU supportive protocol substantially increased the proportion of the GBV survivors who experienced a safe discharge. Department of Emergency Medicine, University of California, Irvine School of Medicine 2023-05 2023-05-02 /pmc/articles/PMC10284501/ /pubmed/37278786 http://dx.doi.org/10.5811/westjem.59072 Text en © 2023 Clery et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | Original Research Clery, Michael J. Olsen, Eudora Marcovitch, Hannah Goodall, Harrison Gentry, Jasmine Wheatley, Matthew A. Jackson, Nichelle Evans, Dabney P. Safe Discharge Needs Following Emergency Care for Intimate Partner Violence, Sexual Assault, and Sex Trafficking |
title | Safe Discharge Needs Following Emergency Care for Intimate Partner Violence, Sexual Assault, and Sex Trafficking |
title_full | Safe Discharge Needs Following Emergency Care for Intimate Partner Violence, Sexual Assault, and Sex Trafficking |
title_fullStr | Safe Discharge Needs Following Emergency Care for Intimate Partner Violence, Sexual Assault, and Sex Trafficking |
title_full_unstemmed | Safe Discharge Needs Following Emergency Care for Intimate Partner Violence, Sexual Assault, and Sex Trafficking |
title_short | Safe Discharge Needs Following Emergency Care for Intimate Partner Violence, Sexual Assault, and Sex Trafficking |
title_sort | safe discharge needs following emergency care for intimate partner violence, sexual assault, and sex trafficking |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10284501/ https://www.ncbi.nlm.nih.gov/pubmed/37278786 http://dx.doi.org/10.5811/westjem.59072 |
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