about 1 in 4 women People in the United States have experienced intimate partner violence in their lifetimes. Although dramatic, the numbers do not tell the whole story of the far-reaching impact this kind of violence has on the health of women, their children, and communities.Intimate partner violence (IPV) Physical, mentalreproductive health, and it increases Finance When housing Anxiety, worse health, violence against intimate partners public health issues.
state Medicaid programs. 80 million people It is uniquely positioned to help prevent IPV in the same way that the Medicaid program has proactively addressed other societal factors that worsen health conditions.For example, in Washington state Medicaid Transformation ProjectThe Section 1115 Demonstration Waiver provides incentives for community-based organizations to work with healthcare partners to address issues such as transportation, housing, and childcare in efforts to improve healthcare for Medicaid participants. doing.North Carolina is Medicaid payment pilot Services related to food, housing and transportation. IPV occurs everywhere regardless of socioeconomic status or gender, but its impact is disproportionately reduced to womenMan Low-income individuals and people of certain racial and ethnic groups It also makes up a large portion of the Medicaid eligible population.
IPV is associated with other deep-seated social problems. In addition to housing financial anxietywhich leads to food insecurity, social isolation, lack of transportation and even other forms of violence. IPV is part of that because people who witnessed violence as children are more likely to experience it as adults. multigenerational cycle It is difficult to break and comes at a high cost to individuals, families and societies.
Nevertheless, few Medicaid programs have adopted evidence-based programs that specifically target IPV, and this issue rarely receives the time and attention it requires during medical visits. This lack of attention makes it even harder to recognize the extent of the problem and prevents people in need of help from getting helpful services. Examples from provide guidance to other states to study and address IPV as an integrated part of Medicaid services.
Tested Policy Fits Social Health Driver Approach
Blue Shield of California Foundation Research funded by Mathematica California’s Medicaid program medicine, can better prevent and deal with IPV. Other states readily adopt these holistic policy approaches, including training providers to discuss her IPV with every patient and providing comprehensive behavioral health and social support services. can do. These and other population-based strategies identified in the report are consistent with the efforts of Medicare and Medicaid Service Centers to transform healthcare by addressing social factors in health. Actions aimed at prevention can directly improve the health of those affected by IPV and reduce healthcare costs by reducing future injuries and chronic diseases. Successful efforts will reduce the number of children exposed to violence. break the cycle between generations of violent behavior. Preventing IPV will ultimately reduce costs in other sectors such as law enforcement, employment, child welfare and education.
Universal education is one of the most effective changes
One promising Medicaid-enabled approach is a concept known as “universal education.” This calls for training healthcare providers on the prevalence of this problem and encouraging them to discuss it with all patients, whether IPV is suspected or not. Among known survivors, 21.0% and 5.6% of women of men have disclosed IPV to their health care professionals and reported an increase evidence Routine conversations support the benefits of normalizing discussions within healthcare.Research shows that universal education is improve patient knowledge Using available resources, you can help survivors implement strategies to reduce damage and improve safety.Providers Taught to Use Universal Education Reported increased confidence When discussing a problem with a patient.
universal education is practiced head start program Recommended for families with small children. relationship therapyState Medicaid programs can promote health care practices by training providers and facilitating the distribution of resources such as safety cards.
Ann established model A program to implement universal education A future without violence called CUES— confidentiality, universal education and empowerment, and support. The CUES program provides ready-made information cards to guide discussions between providers and patients, with resources such as hotlines for additional assistance with safety plans, health promotion strategies, and counseling for adults and children. Support your patient. These resources can help ensure that survivors and those at risk receive support, even if they do not disclose violence. The Blue Shield of California Foundation funds organizations and programs aimed at preventing intimate partner violence, including Futures Without Violence.
Another model looks to community organization
another promising model This is North Carolina’s Section 1115 Medicaid Demonstration Waiver, and Medicaid pays community-based organizations to provide essential services such as case management services, violent intervention services, and child care programs. Community-based programs are well-positioned to understand how survivors’ needs can be met in a way that promotes safety and healing. and community-based organizations that provide intervention services for people who perpetrate violence. The state also provides technical assistance for community-based organizations to assist with the Medicaid claim process.
IPV affects the health of many of our family, friends and neighbors without us even realizing it. We cannot improve health and achieve health equity without taking greater steps to prevent and combat IPV. State Medicaid programs have the opportunity to provide high-impact services to millions of survivors, their families, and those at risk of IPV.
