NCJ Number
213280
Journal
Violence and Victims Volume: 21 Issue: 1 Dated: February 2006 Pages: 101-115
Date Published
February 2006
Length
15 pages
Annotation
This article proposes that Wagner’s Chronic Care Model (CCM) may serve as an effective guide for the health care system response to intimate partner violence (IPV).
Abstract
While some researchers and practitioners advocate for routine IPV screening as the basis for the health care system response to IPV, the authors argue that since exposure to violence is a chronic condition in most patients, Wagner’s CCM would serve as a better framework for improving the health care system’s response to IPV. The CCM offers an interdisciplinary coordinated response to chronic conditions that are designed to ensure patients receive appropriate treatments and have the skills necessary to manage their condition. The CCM also builds in a mutually understood care plan and continuous follow-up. The authors argue that by examining IPV from a CCM perspective, a research agenda can be set for future studies exploring the effectiveness of IPV screenings, chronic care management can be instituted for women exposed to IPV, and current chronic care programs can be modified to better serve chronically ill patients with histories of IPV. The authors illustrate how the six main components of the CCM--health care organization, community resources, self-management support, delivery system design, decision support, and clinical information systems can be applied to caring for patients exposed to IPV. Future studies should investigate gender differences in IPV-related health care needs as well as the influence of IPV on the management of other chronic illnesses. References