Maintaining relationship safety while promoting relationship health: Family service referrals among veterans screened for intimate partner violence.
Year: 2025
Type: article
Study design: Observational Study
Abstract: = 256,894 patients screened for IPV in the first year of the Veterans Health Administration's adoption of a national IPV screen. Of those screened, 7.4% reported any IPV, 1.4% reported severe IPV, and only 0.1% received a referral for couple and family services within the next 90 days. Mental health conditions associated with greater likelihood of IPV (e.g., personality disorders, posttraumatic stress disorder, substance use disorders, and depression) were in turn associated with greater likelihood of referral. Despite the overlap between IPV and mental health conditions that benefit from couple-based interventions, referrals remained infrequent. Referrals were often placed by a different clinic than the service assessing the IPV. Risk behaviors for severe violence (e.g., choking) and suicide ideation were also associated with increased couple and family service referrals, underscoring the need for integrated assessment and risk management. These findings highlight important opportunities for health care systems to enhance the alignment of IPV screening and appropriate treatment recommendations by strengthening screening-to-referral pathways for family services and integrating systematic safety assessments. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
Source: Psychological Services
DOI: 10.1037/ser0000990
Institutions: United States Department of Veterans Affairs, Veterans Health Administration, Department of Veterans Affairs, San Francisco VA Medical Center, Quality Enhancement Research Initiative, Syracuse VA Medical Center, University of Rochester Medicine, University of Rochester, VA Boston Healthcare System, National Center for Post Traumatic Stress Disorder
Language: English
Subfield: Health
Field: Social Sciences
Domain: Social Sciences
Open Access status: hybrid
Award: G268719560
OpenAlex ID: W4413375269
