A few members of the STOP IPV Team: Ashlee Murray MD, Joel Fein, MD, and Rachel Benjamin
STOP IPV, formerly known as the Children’s and Mom’s Project, is a multi-component, collaborative program, jointly supported by CHOP and Lutheran Settlement House (LSH). STOP IPV is designed to address intimate partner violence and teen dating violence, while also considering the impact of child abuse and community violence on individuals and families.
More than 15.5 million children in the US are exposed to intimate partner violence annually, with established adverse effects related to poor health, substance abuse, anxiety, depression, and post-traumatic stress symptoms. Read more about intimate partner violence and domestic violence.
Because of this evidence, STOP IPV aims to support screening by pediatric healthcare providers in order to identify families experiencing intimate partner violence and minimize the adverse effects of childhood intimate partner violence exposure. Through training, education, and awareness raising, STOP IPV works to strengthen CHOP’s trauma-informed response to this important issue.
Table of ContentsThe program was developed by the Institute for Safe Families and the LSH’s Bilingual Domestic Violence Program and is currently maintained at CHOP, Einstein Medical Center and Jefferson Frankford Hospital through LSH.
The program works to create a culture within CHOP where inquiring about intimate partner violence exposure is routine and disclosure results in appropriate responses and referrals to services.
By providing families with access to an on-site intimate partner violence specialist, STOP IPV at CHOP enhances the potential likelihood and benefits of routinely inquiring about intimate partner violence, and provides children and families with further support as needed.
Laminated screening cards – currently available in English, Spanish, Arabic, Chinese, Vietnamese, French, Portuguese, Nepali, Cambodian, and Burmese – enable healthcare providers to conduct non-verbal screening with patients’ caregivers, enhancing safety for caregivers and ensuring that inquiry is conducted systematically and sensitively.
Through STOP IPV, CHOP patients and families have access to on-site IPV specialists who, while primarily based at the Karabots Pediatric Care Center and the Emergency Department, are available to CHOP patient families and clinicians hospital-wide.
In addition to providing direct support to families, the IPV specialists support CHOP clinicians through trainings and case consultations when patients are not yet ready to speak directly with the IPV specialist. The specialists are also available to hospital staff who self-identify as experiencing intimate partner violence.
An adolescent patient or patient’s caregiver discloses intimate partner violence and wants to talkSTOP IPV provides free and confidential counseling and support, which is maintained through LSH. CHOP clinical staff can contact a CHOP-based IPV specialist for help if:
- Staff have a question or suspicion about a patient or family member and would like case consultation
- Staff or someone they know is experiencing intimate partner violence or family violence
- Staff are interested in education, training, or materials for their own use or use by their department
Presently, we serve all CHOP patient families who are referred by a clinical staff member. We also serve CHOP staff through self-referrals.
Beginning in 2017, 131 families were identified and referred for intimate partner violence support, including safety planning, goal setting, relocation, and emergency sheltering, many of which were successfully connected to community resources. There were more than 30,000 families screened in the CHOP ED alone.
Additionally, IPV specialists conducted 193 case consultations with clinicians and staff from departments including social work, security, and Early Head Start.
Staff training is also a vital component of the program. IPV specialists train healthcare professionals across CHOP on topics such as the effects of intimate partner violence on children and ways to respond in the pediatric setting. Program staff routinely provide in-person training to CHOP employees in diverse roles including residents and trainees, security guards, and clinical teams across inpatient and outpatient units. Beginning in 2017, information regarding the resources related to IPV were included in the bi-annual mandatory education training required of all CHOP employees and a new hospital policy was created to guide hospital-wide efforts.
STOP IPV provides a comprehensive model for incorporating intimate partner violence prevention into routine pediatric practice through education and training of physicians, social workers, nurses, and other staff, along with expert clinical consultation and linkage to community-based parenting education programs for referrals.
STOP IPV is available at other Philadelphia area-based pediatric and adult healthcare institutions. CHOP is collaborating on a workgroup comprised of staff from LSH, Einstein Medical Center, and Jefferson Health to clarify and refine outcomes of the program and develop standardized evaluation activities across all clinical sites.
Of note, CHOP has developed and implemented a novel electronic health record-based referral system that streamlines the referral process to the IPV specialist and maintains the confidentiality and safety for those who disclose IPV. Currently, 40 percent of caregivers are routinely receiving IPV screening in the ED. Efforts are currently underway to develop screening practices that may be replicated outside of the Emergency Care setting, including inpatient units.
- Cruz M, Cruz PB, Weirich C, McGorty R, McColgan MD. Referral Patterns and Service Utilization in a Pediatric Hospital-wide Intimate Partner Violence Program. Child Abuse & Neglect, 2013. 37(8):511-519.
- Ellen S, Taylor DR, Cruz M. Pediatrics in the Community: Behind The Screen: Responding to Intimate Partner Violence. Pediatrics in Review, 2012. 33:374-375.
- McColgan MD, Cruz M, McKee J, Dempsey SH, Davis MB, Barry P, Yoder AL, Giardino AP. Results of a Multifaceted Intimate Partner Violence Training Program for Pediatric Residents. Child Abuse & Neglect, 2010. 34(4):275-283.
Thackeray JD, Hibbard R, Dowd MD, Committee on Child Abuse and Neglect, Committee on Injury, Violence, and Poison Prevention. Intimate Partner Violence: The role of the pediatrician. Pediatrics, 2010.125(5):1094–1100.