Linda Chamberlain, PhD MPH IPV and Sexually Transmitted Infections/HIV MENU Overview Regional and Local Data The Impact of IPV on Women’s Health IPV and Behavioral Health IPV and Perinatal Programs IPV, Breastfeeding, and Nutritional Supplement Programs IPV and Child and Adolescent Health ACE Study: Leading Determinants of Health IPV and Injury Prevention Medical Cost Burden and Health Care Utilization for IPV SELECT FROM THE TOPICS BELOW  IPV and Family Planning, Birth Control Sabotage Pregnancy Pressure, and Unintended Pregnancy

Regional and Local Data

PRAMS BRFSS YRBSS NVDRS Client surveys & needs assessments Child protective services Chart audits Fatality review teams 3

Police data Trauma registries Domestic violence programs 911 Dispatch logs Hotline statistics Restraining orders 4

– Surveillance methods linked multiple data sources – Homicide was the leading cause of maternal injury-related deaths – Majority (89%) of homicide deaths occurred in the late post-partum period – Two-thirds of homicide deaths were known or alleged cases of IPV 5 MA Maternal Mortality and Morbidity Review, 2002

Overview Regional and Local Data Medical Cost Burden and Health Care Utilization for IPV Impact of IPV on Women’s Health IPV and Behavioral Health IPV and Family Planning, Birth Control Sabotage, Pregnancy Pressure, & Unintended Pregnancy IPV and Sexually Transmitted Infections & HIV IPV and Perinatal Programs IPV and Breastfeeding and Nutritional Supplements IPV and Child and Adolescent Health IPV and Adverse Childhood Experiences IPV and Violence and Injury Prevention 6

Each topic is organized as follows: Learning Objectives Overview and Statistics Implications Strategies Promising Practices Defining Success 7 * Additional information for each slide is provided in the “notes” viewing option

RESPONSE Recognize the problem Educate the public Screen routinely Primary prevention focus Ongoing staff education New data sources Strategies for intervention Engage with community partners 8 R E S P O N S E