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{
    "pk": 17546,
    "title": "Safe Discharge Needs Following Emergency Care for Intimate Partner Violence, Sexual Assault, and Sex Trafficking",
    "subtitle": null,
    "abstract": "Introduction:  For survivors of gender-based violence (GBV) seeking care in hospital emergency departments (ED) the need for medical care and safe discharge is acute.\nMethods: In this study we evaluated safe discharge needs of GBV survivors following hospital-based care at a public hospital in Atlanta, GA, in 2019 and between April 1, 2020–September 30, 2021, using both retrospective chart review and evaluation of a novel clinical observation protocol for safe discharge planning.\nResults: Of 245 unique encounters, only 60% of patients experiencing intimate partner violence (IPV) were discharged with a safe plan and only 6% were discharged to shelters. This hospital instituted an ED observation unit (EDOU) to support GBV survivors with safe disposition. Then, through the EDOU protocol, 70.7% were able to achieve safe disposition, with 33% discharged to a family/friend and 31% discharged to a shelter.\nConclusion: Safe disposition following experience or disclosure of IPV and GBV in the ED is difficult, and social work staff have limited bandwidth to assist with navigation of accessing community-based resources. Through an average 24.3 hours of an extended ED observation protocol, 70% of patients were able to achieve a safe disposition. The EDOU supportive protocol substantially increased the proportion of the GBV survivors who experienced a safe discharge.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Intimate partner violence, sex trafficking, sexual assault, gender-based violence, emergency medicine operations, domestic violence"
        }
    ],
    "section": "Injury Prevention and Population Health",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/27x658d3",
    "frozenauthors": [
        {
            "first_name": "Michael",
            "middle_name": "J",
            "last_name": "Clery",
            "name_suffix": "",
            "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia",
            "department": "None"
        },
        {
            "first_name": "Eudora",
            "middle_name": "",
            "last_name": "Olsen",
            "name_suffix": "",
            "institution": "Emory University School of Medicine, Atlanta, Georgia",
            "department": "None"
        },
        {
            "first_name": "Hannah",
            "middle_name": "",
            "last_name": "Marcovitch",
            "name_suffix": "",
            "institution": "Emory University School of Medicine, Atlanta, Georgia",
            "department": "None"
        },
        {
            "first_name": "Harrison",
            "middle_name": "",
            "last_name": "Goodall",
            "name_suffix": "",
            "institution": "Emory University School of Medicine, Atlanta, Georgia",
            "department": "None"
        },
        {
            "first_name": "Jasmine",
            "middle_name": "",
            "last_name": "Gentry",
            "name_suffix": "",
            "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia",
            "department": "None"
        },
        {
            "first_name": "Matthew",
            "middle_name": "A.",
            "last_name": "Wheatley",
            "name_suffix": "",
            "institution": "Emory University School of Medicine, Grady Health System, Emergency Care Center, Atlanta, Georgia",
            "department": "None"
        },
        {
            "first_name": "Nichelle",
            "middle_name": "",
            "last_name": "Jackson",
            "name_suffix": "",
            "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia",
            "department": "None"
        },
        {
            "first_name": "Dabney",
            "middle_name": "P.",
            "last_name": "Evans",
            "name_suffix": "",
            "institution": "Emory University Rollins School of Public Health, Atlanta, Georgia",
            "department": "None"
        }
    ],
    "date_submitted": "2022-09-30T22:38:45-04:00",
    "date_accepted": "2022-09-30T22:38:45-04:00",
    "date_published": "2023-05-02T13:47:38-04:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/17546/galley/8948/download/"
        }
    ]
}