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Moreen Libet , Ph.D. 1 Zipora Weinbaum , Ph.D. 2 Eugene Takahashi , Ph.D. 1

D omestic V iolence, F requent M ental D istress, and Desire for Help in California Women 12 th Annual MCH-Epi Conference December 7, 2006. Moreen Libet , Ph.D. 1 Zipora Weinbaum , Ph.D. 2 Eugene Takahashi , Ph.D. 1

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Moreen Libet , Ph.D. 1 Zipora Weinbaum , Ph.D. 2 Eugene Takahashi , Ph.D. 1

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  1. Domestic Violence,Frequent Mental Distress, and Desire for Help in California Women12th AnnualMCH-Epi Conference December 7, 2006 Moreen Libet, Ph.D.1 Zipora Weinbaum, Ph.D.2 Eugene Takahashi, Ph.D.1 1California Department of Health Services – MCAH/OFP Branch 2 California Department of Health Services - Office of Women’s Health http://www.dhs.ca.gov/director/owh/owh_main/cwhs/wmns_hlth_survey/03-04_data_points/060703 Data Points Press.pdf

  2. Relationship between Intimate Partner Violence (IPV) & Mental Health (MH) • IPV effects on MH • IPV & MH effects on woman and her children • MH • Physical health • Work • Finances • Children’s mental & physical health

  3. Are Women affected by Both IPV & MH Underserved? • Special needs beyond Domestic Violence (DV) or MH agency training/scope • Training and Technical Assistance contractor to work with CA DHS-funded DV agencies

  4. California Women’s Health Survey(CWHS) Data to Detect Unmet Need • Prevalence of IPV with mental distress • Interest in MH help among women with both IPV and mental distress • Frequency of obtaining MH help among those with interest in help • Unmet need for MH resources for women with IPV

  5. Study Methods: Data Source -- CWHS • Annual, population-based, random-digit- dialed telephone survey • English, Spanish • ~4000 California women 18 years and older

  6. Study Methods:Survey QuestionsIntimate Partner Violence (Physical) • Intimate Partner Current or former husband, partner, boyfriend or girlfriend • Physical IPV In the past 12 months, has a partner or former partner • Thrown something at you? • Pushed, grabbed, shoved or slapped you? • Kicked, bit or hit you with a fist? • Beaten you up or choked you? • Used a knife on you or fired a gun at you?

  7. Study Methods:Survey QuestionsIntimate Partner Violence (Psychological) • Psychological abuse In the past 12 months, • Have you been frightened for the safety of yourself, your family or friends because of the anger or threats of a partner or former partner? • Has a partner or former partner tried to control most or all of your daily activities? For example, controlling who you can talk to or where you can go. • Has a partner or former partner followed you or spied on you?

  8. Study Methods:Survey Questions Mental Health • Thinking about your mental health, which includes stress, depression, and problems with emotions, forhow many days during the past 30 days was your mental health not good? • Frequent Mental Distress (FMD) -- 14+ days during past 30 days that mental health was not good

  9. Study Methods:Survey QuestionsHelp for Mental Health • Now, thinking about the last 12 months, did you ever want or need help with personal or family problems from a mental health professional such as a social worker, psychiatrist, psychologist or counselor? • Did you get help? • Asked only of those who wanted/needed help

  10. Study Methods: Sample • CWHS 2003 and 2004 • 7,735 women answering IPV questions

  11. Overall Findings:Intimate Partner Violence 8.8 (in past year)

  12. Overall Findings:Frequent Mental Distress 13.6 (in past month)

  13. Overall Findings:Interest in Mental Heath Help 21.6 40% 60% (in past year)

  14. Frequent Mental Distressby Type of Intimate Partner Violence (IPV)California Women, 2003-2004

  15. Interest in vs. Obtained Mental Health Helpby Type of Intimate Partner Violence (IPV)California Women, 2003-2004 Note: “Obtained MH Help” results are proportions of women “Interested in MH Help.”

  16. Frequent Mental Distressby Type of IPV and Interest in vs. Obtained MH HelpCalifornia Women, 2003-2004 Note: “Obtained MH Help” results are proportions of women “Interested in MH Help.”

  17. Summary • 9% CA women reported any IPV in past year • 4% reported physical IPV in past year • 1/3 of CA women w/physical IPV had FMD • Nearly 3/4 of women w/physical IPV & FMD wanted mental health help • But less than 1/2 of them received it • IPV provider awareness, training, and attention for mental health could benefit the IPV population

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