Phoenix Australia-Centre for Post-traumatic Mental Health, Department of Psychiatry, The University of Melbourne, Level 3, Alan Gilbert Building, 161 Barry Street, Carlton, VIC 3053, Australia.
Centre of Excellence on Post-Traumatic Stress Disorder and Related Mental Health Conditions, 1145 Carling Avenue, Ottawa, ON K1Z 7K4, Canada.
Int J Environ Res Public Health. 2022 Mar 17;19(6):3551. doi: 10.3390/ijerph19063551.
IPV is a significant concern among active duty (AD) military personnel or veterans, and there is a need for initiatives to address violence perpetrated by such personnel, and IPV victimisation in military and veteran-specific contexts. The aim of this paper was to provide an overview of major IPV intervention approaches and evidence in military and veteran-specific health services. A scoping review was conducted involving a systematic search of all available published studies describing IPV interventions in military and veteran-specific health services. Findings were synthesised narratively, and in relation to a conceptual framework that distinguishes across prevention, response, and recovery-oriented strategies. The search identified 19 studies, all from the U.S., and only three comprised randomised trials. Initiatives addressed both IPV perpetration and victimisation, with varied interventions targeting the latter, including training programs, case identification and risk assessment strategies, and psychosocial interventions. Most initiatives were classified as responses to IPV, with one example of indicated prevention. The findings highlight an important role for specific health services in addressing IPV among AD personnel and veterans, and signal intervention components that should be considered. The limited amount of empirical evidence indicates that benefits of interventions remain unclear, and highlights the need for targeted research.
IPV 是现役（AD）军人或退伍军人的一个重要问题，需要采取措施来解决此类人员实施的暴力行为以及军事和退伍军人特定环境中的 IPV 受害问题。本文的目的是概述军事和退伍军人特定卫生服务中主要的 IPV 干预方法和证据。进行了范围审查，系统地搜索了所有可用的描述军事和退伍军人特定卫生服务中 IPV 干预措施的已发表研究。结果以叙述的方式进行了综合，并与区分预防、应对和恢复导向策略的概念框架有关。搜索确定了 19 项研究，全部来自美国，只有 3 项是随机试验。这些倡议既涉及 IPV 的实施，也涉及 IPV 的受害，后者的干预措施多种多样，包括培训计划、案例识别和风险评估策略以及心理社会干预。大多数倡议被归类为对 IPV 的应对，其中一个例子是有针对性的预防。研究结果突出表明，特定卫生服务在解决现役人员和退伍军人中的 IPV 问题方面发挥着重要作用，并表明应考虑干预措施的组成部分。有限的实证证据表明，干预措施的益处仍不清楚，这突显了有针对性研究的必要性。
