Preventing serious injury and death from intimate partner violence takes coordination, quick response, and sufficient services in place for survivors and perpetrators. Unfortunately, because of difficulties in researching this particular population/phenomenon, there are relatively few truly evidence-based interventions, but in Buncombe County, the following have been put in place:
Domestic Violence Shelter (and connected interventions): A systematic review of the literature (relying on 17 studies where outcomes were self-reports of shelter residents) notes that shelter stays are significantly related to moderately or severely battered women ending their relationships, and the more types of services residents engage in while in the shelter, the more likely they are to live independently after the stay. Women rate the most helpful aspects of shelter stay as 1) safety, 2) emotional support/counseling, and 3) housing assistance. Several studies concluded that residents' trauma-related mental health symptoms decreased from the time they entered the shelter to the time they left.
Family Justice Center: Buncombe's FJC is modeled after the San Diego Family Justice center and with consideration of FJC best practices outlined by the US Department of Justice. After a reduction of nearly 95% in domestic violence homicides over the last 15 years,
the San Diego Family Justice Center is hailed as a national and international model of a
comprehensive victim service and support center.
Healthcare IPV Screening & Referral:
Lethality Assessment Program: A quasi-experimental study concluded that victims who were involved with the Lethality Assessment Program were more satisfied with the police response than the comparison group, that they were more likely to engage in protective behaviors and seek community resources than members of the comparison group.
Other interventions that are promising or are based on reliable theories of change include:
- Promoting change in community cultural norms around acceptance of violence (bystander programs, addiction services, schools, faith communities, men's groups, etc.)
- Address ACE scores in adult DV perpetrators and survivors
- Increase access to mental/behavioral health providers
For information on more "upstream" primary prevention strategies, please click on the IPV Community Indicator titled "Community Attitudes Toward Violence."