Domestic violence: Diurnal mismatch between need and availability of services

A. Birnbaum, Y. Calderon, P. Gennis, R. Rao, E. John Gallagher

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Objective: To determine whether a diurnal discordance exists between need and availability of services for victims of domestic violence. Methods: A consecutive sample of women presenting to a municipal hospital ED with physical injuries suspected to be related to domestic violence were entered into a registry. Date and time of presentation and perceived need for services information were collected from all patients who answered affirmatively a screening question for domestic violence and whose conditions did not preclude administration of the data collection instrument. The Social Service Departments of all of the 53 911-receiving hospitals in New York City were contacted to ascertain availability of social services for victims of domestic violence by time of day. Results: Twenty-eight of 32 (88%; 95% CI: 71%, 97%) victims of domestic violence presented to the ED during hours other than weekday 9 AM to 5 PM. Of these, 63% desired counseling, 32% lacked a safe place to go, and 82% had children. Of those who had children, 48% were concerned for the children's safety. In-hospital social services were universally available weekday daytime (9 AM to 5 PM) but were available in only 11% of hospitals (95% CI: 4%, 23%) at other times. Conclusion: Approximately nine of ten victims of domestic violence presented to the ED during hours when only about one hospital in ten can provide the special services these patients require. A marked diurnal mismatch appears to exist between availability of domestic violence services in New York City and the need for these services as measured by a representative sample drawn from an ED population.

Original languageEnglish (US)
Pages (from-to)246-251
Number of pages6
JournalAcademic Emergency Medicine
Volume3
Issue number3
StatePublished - 1996

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Domestic Violence
Social Work
Municipal Hospitals
Information Services
Registries
Counseling
Safety
Wounds and Injuries
Population

Keywords

  • battered women
  • crisis intervention
  • domestic violence
  • health services
  • social services
  • spouse abuse

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Domestic violence : Diurnal mismatch between need and availability of services. / Birnbaum, A.; Calderon, Y.; Gennis, P.; Rao, R.; Gallagher, E. John.

In: Academic Emergency Medicine, Vol. 3, No. 3, 1996, p. 246-251.

Research output: Contribution to journalArticle

Birnbaum, A, Calderon, Y, Gennis, P, Rao, R & Gallagher, EJ 1996, 'Domestic violence: Diurnal mismatch between need and availability of services', Academic Emergency Medicine, vol. 3, no. 3, pp. 246-251.
Birnbaum, A. ; Calderon, Y. ; Gennis, P. ; Rao, R. ; Gallagher, E. John. / Domestic violence : Diurnal mismatch between need and availability of services. In: Academic Emergency Medicine. 1996 ; Vol. 3, No. 3. pp. 246-251.
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abstract = "Objective: To determine whether a diurnal discordance exists between need and availability of services for victims of domestic violence. Methods: A consecutive sample of women presenting to a municipal hospital ED with physical injuries suspected to be related to domestic violence were entered into a registry. Date and time of presentation and perceived need for services information were collected from all patients who answered affirmatively a screening question for domestic violence and whose conditions did not preclude administration of the data collection instrument. The Social Service Departments of all of the 53 911-receiving hospitals in New York City were contacted to ascertain availability of social services for victims of domestic violence by time of day. Results: Twenty-eight of 32 (88{\%}; 95{\%} CI: 71{\%}, 97{\%}) victims of domestic violence presented to the ED during hours other than weekday 9 AM to 5 PM. Of these, 63{\%} desired counseling, 32{\%} lacked a safe place to go, and 82{\%} had children. Of those who had children, 48{\%} were concerned for the children's safety. In-hospital social services were universally available weekday daytime (9 AM to 5 PM) but were available in only 11{\%} of hospitals (95{\%} CI: 4{\%}, 23{\%}) at other times. Conclusion: Approximately nine of ten victims of domestic violence presented to the ED during hours when only about one hospital in ten can provide the special services these patients require. A marked diurnal mismatch appears to exist between availability of domestic violence services in New York City and the need for these services as measured by a representative sample drawn from an ED population.",
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