Cris M. Sullivan

Reducing violence using community-based advocacy for women with abusive partners

An intensive community-based advocacy intervention was designed and evaluated by randomly assigning 278 battered women to an experimental or control condition. Participants were interviewed 6 times over a period of 2 years. Retention rate averaged 95% over the 2 years. The 10-week postshelter intervention involved providing trained advocates to work 1-on-1 with women, helping generate and access the community resources they needed to reduce their risk of future violence from their abusive partners. Women who worked with advocates experienced less violence over time, reported higher quality of life and social support, and had less difficulty obtaining community resources. More than twice as many women receiving advocacy services experienced no violence across the 2 years postintervention compared with women who did not receive such services.

WOMEN WHO USE DOMESTIC VIOLENCE SHELTERS : CHANGES IN DEPRESSION OVER TIME

This study examined the levels of depression reported by women who had used a domestic violence shelter. Depressive symptoms were assessed three times: immediately after shelter exit, 10 weeks thereafter, and 6 months later. Whereas 83% of the women reported at least mild depression on the Center for Epidemiological Studies Depression (CES-D) scale upon shelter exit, only 58% were depressed 10 weeks later. This did not change at the 6-month follow-up. An ecological, longitudinal model was evaluated to predict battered womens depression 8 1/2 months postshelter exit. Results of hierarchical regression analyses suggested that, after controlling for previous levels of depression, the womens feelings of powerlessness, experience of abuse, and decreased social support contributed to their depression symptoms. The womens scores on these three variables (feelings of powerlessness, abuse, and social support) at 10 weeks postshelter exit and at 6-month follow-up predicted depression at 6 months. Thus, there were both predictive and concurrent effects for these constructs. Implications for clinical and community interventions are discussed.

When Ending the Relationship Does Not End the Violence Women's Experiences of Violence by Former Partners

Much of the existing research on intimate male violence against women has focused on the prevalence of and response to abuse that occurs within an ongoing intimate relationship. Little attention has been paid to the abuse that occurs after women have ended abusive relationships. In the current study, women leaving a shelter for women with abusive partners were interviewed across 2 years. More than one third of the women were assaulted by a former partner during the time of the study. Several factors under the control of the batterer were found to be related to ex-partner assaults, including his prior violence, threats, and sexual suspicion. Several factors under partial control of the survivor were also explored and were found to be less strongly related to violence by an ex-partner. Implications for improving the community response to women with abusive partners and ex-partners are discussed.

Health effects of experiences of sexual violence for women with abusive partners

We assessed the incidence of sexual violence, physical violence, physical health symptoms, gynecological symptoms, and risk behaviors for contracting an STD or HIV infection in women who had used a shelter for women with abusive partners. In addition, we investigated the relationships between sexual violence and the frequency of physical health symptoms, including specific gynecological symptoms. Results indicated that one fourth of the women interviewed had experienced sexual violence and nearly two thirds of the women had experienced physical violence in the past 6 months. The incidence of physical health symptoms, gynecological symptoms, and risk behaviors for exposure to STDs and HIV infection are presented. The correlations among sexual violence, physical violence, and experiences of physical health symptoms are also reported. This study is particularly valuable because previous research has not documented the relationship between sexual violence and physical health symptoms.

The process through which an advocacy intervention resulted in positive change for battered women over time.

A prior experimental evaluation of a community-based advocacy program for women with abusive partners demonstrated positive change in the lives of women even 2 years postintervention (C. M. Sullivan & D. I. Bybee, 1999). The current study explored the complex mediational process through which this change occurred, using longitudinal structural equation modeling and formal tests of mediation. As hypothesized, the advocacy intervention first resulted in women successfully obtaining desired community resources and increasing their social support, which enhanced their overall quality of life. This improvement in well-being appeared to serve as a protective factor from subsequent abuse, as women who received the intervention were significantly less likely to be abused at 2-year follow-up compared with women in the control condition. Increased quality of life completely mediated the impact of the advocacy intervention on later reabuse. Discussion places advocacy for women in the context of other efforts that are needed to build an effective community response to preventing intimate violence against women.

An advocacy intervention program for women with abusive partners: Initial evaluation

Experimentally tested the hypotheses that (1) battered women are in need of numerous community resources upon exit from a domestic violence shelter, (2) working with advocates increases womens effectiveness in obtaining needed resources and social support, and (3) success in obtaining resources and social support increases womens levels of life satisfaction and decreases their risk of further abuse. The initial findings of a short-term intervention project designed to provide postshelter advocacy services to women with abusive partners are presented. One-hundred forty-one battered women were interviewed immediately upon their exit from a domestic violence shelter as well as 10 weeks thereafter. Half the sample was randomly assigned to receive the services of trained advocates who assisted them in accessing needed community resources. Women who worked with advocates reported being more effective in accessing resources and had higher levels of social support and overall quality of life postintervention. Although all women reported some decrease in postshelter abuse, there were no differences between those with and those without advocates, and abuse continued to be a problem for many women.

The Role of Social Support in the Lives of Women Exiting Domestic Violence Shelters An Experimental Study

The present study investigated an intervention designed to increase battered womens social support and make their existing supports more responsive to their dire needs. It is part of a larger project that utilizes a longitudinal, experimental design to examine the effects, over a 2-year period, of an advocacy intervention on battered womens overall psychological well-being and ability to remain free of abuse. Study results (a) describe the social support of 141 women who have used a domestic violence shelter, (b) relate social support variables to psychological well-being and experience of further abuse, and (c) investigate the immediate effects of the intervention, as well as a 6-month follow-up. Key findings substantiate the strong relationship between social support and psychological well-being of battered women.

Development of the Scale of Economic Abuse

Economic abuse is part of the pattern of behaviors used by batterers to maintain power and control over their partners. However, no measure of economic abuse exists. This study describes the development of the Scale of Economic Abuse, which was designed to fill this gap. Interviews were conducted with 103 survivors of domestic abuse, each of whom responded to measures of economic, physical, and psychological abuse as well as economic hardship. Results provide evidence for the reliability and validity of the scale. This study is an important first step toward understanding the extent and impact of economic abuse experienced by survivors.

The Impact of Family and Friends’ Reactions on the Well-Being of Women With Abusive Partners

This study examined the degree to which battered women talked with family and friends about abuse they were experiencing and how family and friends responded. Participants were 137 women who had recently experienced domestic violence and were exiting a shelter. Most women confided in family and friends about the abuse. Family and friends’ reactions depended on contextual factors, including the woman’s relationship with her assailant, number of separations, number of children, and whether family and friends were threatened. Family and friends’ negative reactions and offers of tangible support were significantly related to women’s well-being, although positive emotional support was not.

An advocacy intervention program for women with abusive partners: Six-month follow-up

Presented the 6-month follow-up findings of an experimental intervention designed to provide postshelter advocacy services to women with abusive partners. The intervention involved randomly assigning half the research participants to receive the free services of an advocate, 4 to 6 hours per week, for the first 10 weeks postshelter. One hundred forty-one battered women were interviewed about their experiences immediately upon their exit from a domestic violence shelter: 95% of the sample were interviewed 10 weeks thereafter (postintervention), and 93% were successfully tracked and interviewed 6 months later. At the 6-month follow-up, participants in both groups reported increased social support, increased quality of life, less depression, less emotional attachment to their assailants, and an increased sense of personal power. Although women in both groups reported some decrease in physical abuse over time, there were no statistically significant differences between those with and those without advocates, and abuse continued to be a problem for many women. Those who were still involved with their assailants continued to experience higher levels of abuse and had been more economically dependent upon the men prior to entering the shelter. Women who had worked with advocates continued to report being more satisfied with their overall quality of life than did the women in the control group.