Tuesday, April 1, 2025
4/1/2025
Ryan White Title III HIV Capacity Development and Planning Grants - Intimate Partner Violence (IPV) is a major public health problem in Oklahoma that affects people of all ages, race, gender, and socioeconomic groups. In Oklahoma, 40% of women and 38% of men experience IPV in the form of physical, sexual, or psychological violence in their lifetime. Victims of IPV have buried this secret deep within their soul and peeling those layers back to uncover the abuse will take time. Gaining the patient’s trust will help alleviate the feelings of shame, humiliation, and fear when the I.M. intern/resident initiates the IPV conversation. Oklahoma State University Center for Health Sciences – Internal Medicine Specialty Service (OSU-CHS-IMSS) clinic has selected HIV Care Innovation for the category and Intimate Partner Violence for the activity using the evidence-based intervention, CUES, to support survivors and prevent violence. The three steps include (1) C: Confidentiality, always see the patient alone for part of the medical visit and disclose the provider’s limits of confidentiality. (2) UE: Universal Education + Empowerment, using safety card resources during the patient/provider conversation about healthy and unhealthy relationship and the health effects of violence and (3) S: Support, the provider will discuss a patient-centered care plan to encourage harm reduction and make a warm referral to a local community agency. The OSU-CHS-IMSS clinic is the only HIV medical clinic in eastern Oklahoma that offers primary and HIV medical care for low-income, uninsured, insured, and underinsured patients. The objective for this project is to implement IPV screening into the primary and HIV medical visit and refer patients to local and rural community agencies. This objective will be achieved by (1) implementing an annual IPV training that will raise awareness, teach solid assessment skills and intervention techniques to all I.M. interns/residents/PA/physicians to appropriately screen patients for IPV during the primary and HIV medical visit and initiate referral to local community agency. (2) Annual staff training will ensure staff are informed and can be an active bystander to support victims within the OSU-CHS-IMSS clinic. (3) Using the IPV screening tool in the electronic medical record system. (4) Create an easily accessible support service list shared with all staff will make it easier to give to patients if they call seeking assistance. (5) Display educational material, such as posters and pamphlets will create patient awareness before the patient meets with the provider. (6) Incorporate discussions about healthy and unhealthy relationships in the monthly Patient’s Virtual Support Group will allow the team leader to expand the conversation about intimate partner violence and what steps to take to stay safe. All patients that attend this group are anonymous, which makes it easier for the patient to discuss unhealthy relationships. This project is a “WIN WIN” for both the I.M. interns/residents/PA/physicians/staff and patients. The forty interns/residents will gain the knowledge and skills to appropriately screen and refer patients who are victims of IPV. The I.M. residents can carry this knowledge forward to use in their new role as Internal Medicine provider, hospitalist, or specialist. The conversation between the intern/resident can initiate hope for the victim who is seeking safety, recovery, and positive health outcomes. Amount requested: OSU-CHS-IMSS clinic is requesting $150,000.00 to implement HIV Care Innovation and Intimate Partner Violence in a primary and HIV medical clinic.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).