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风险知情干预:在循证实践框架内使用亲密伴侣暴力风险评估。

Risk-Informed Intervention: Using Intimate Partner Violence Risk Assessment within an Evidence-Based Practice Framework.

机构信息

Jill Theresa Messing, PhD, MSW, is associate professor, School of Social Work, Arizona State University, 411 N Central Avenue, Suite 800, Phoenix, AZ 85004; e-mail:

出版信息

Soc Work. 2019 Apr 1;64(2):103-112. doi: 10.1093/sw/swz009.

Abstract

Intimate partner violence (IPV) is a pervasive problem in the United States. IPV is often repetitive and may escalate; in a small number of cases, IPV leads to homicide. This article presents an evidence-based practice (EBP) model for risk-informed social work intervention with survivors and perpetrators of IPV. The EBP model combines the best available research evidence, practitioner expertise, and client self-determination to guide the most appropriate intervention. IPV risk assessment instruments provide the best available evidence of future reassault, severe reassault, or homicide. Practitioners who implement IPV risk assessment can use their expertise to adjust risk scores and to suggest risk mitigation strategies for their clients. Examples of risk-informed social work practice include the safe removal of firearms, safety planning around separation, and mitigating the negative consequences of strangulation and sexual violence. Clients ultimately use their self-determination to decide which risk reduction strategies to implement. An EBP model can be used by social workers in all areas of practice to provide risk-informed social work interventions.

摘要

亲密伴侣暴力(IPV)是美国普遍存在的问题。IPV 通常是反复发生的,并且可能会升级;在少数情况下,IPV 会导致杀人。本文提出了一个基于证据的实践(EBP)模型,用于对 IPV 的幸存者和施暴者进行风险知情的社会工作干预。EBP 模型结合了最佳可用的研究证据、从业者专业知识和客户自决,以指导最合适的干预措施。IPV 风险评估工具提供了未来再次攻击、严重再次攻击或杀人的最佳可用证据。实施 IPV 风险评估的从业者可以利用他们的专业知识来调整风险评分,并为他们的客户提出风险缓解策略。风险知情的社会工作实践的例子包括安全移除枪支、在分居时制定安全计划,以及减轻勒死和性暴力的负面影响。客户最终使用他们的自决权来决定实施哪些减少风险的策略。EBP 模型可以被所有领域的社会工作者使用,以提供风险知情的社会工作干预。

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