Study protocol for an evaluability assessment of an anti-human trafficking program.

BACKGROUND: Human trafficking is a serious global challenge associated with a complex array of health inequities for individuals, families, and communities. Consequently, in addition to a conventional criminal justice approach, anti-trafficking scholars have increasingly called for a public health approach to address this global challenge. Such calls have emphasized that a comprehensive, robust, and social justice-informed public health strategy for anti-trafficking must include services to facilitate survivors' HT exit and recovery, and to prevent their re-victimization. Fortunately, many community-based organizations and non-governmental organizations worldwide have heeded these calls and developed anti-trafficking programs for survivors. Unfortunately, despite the growing numbers of organizations providing anti-trafficking services, research concerning these programs' effectiveness remains nascent overall, and even more scant when filtered through an equity focus. METHODS: To advance the field by developing guidance concerning how best to evaluate anti-human trafficking programs, an ongoing research project aims to conduct a mixed methods evaluability assessment of a prominent anti-trafficking program using a social justice framework. Guided by well-established evaluability assessment frameworks, the study activities include four sequential steps: (a) focusing the assessment, (b) developing the program theory and logic, (c) gathering feedback, and (d) applying the assessment findings. Activities will include qualitative interviews and focus groups, observations, and quantitative analysis of program data among others. Human subjects and ethical review for the evaluability assessment has been granted by the Office of Human Subjects Research at The University of North Carolina at Chapel Hill. DISCUSSION: Once completed, evaluability assessment results will provide evidence and products that have the potential to guide both evaluation research and service provision not only for the specific organization under study, but also for other anti-human trafficking programs worldwide. Findings will be developed into a variety of dissemination products tailored for both practice professionals and researchers. In the interim, this protocol manuscript offers research strategies and recommendations that can help inform the development of other studies in the developing field of anti-trafficking program evaluation research.

Economic Abuse Within Intimate Partner Violence: A Review of the Literature.

This article reviews the literature on the measurement of, impact of, and interventions for economic abuse within intimate partner relationships. Current assessment measures for economic abuse, along with estimates of the prevalence of economic abuse, are reviewed and critiqued. Research exploring the impact of economic abuse on the victim's mental health and psychological well-being, family formations and parenting practices, and children's behaviors and youth outcomes are presented. Recently developed interventions, including financial literacy program models, are discussed and emphasized as a critical service to increase victims' economic self-efficacy, financial literacy, and financial behaviors. Finally, the review provides detailed recommendations on incorporating economic abuse as a central component of domestic violence research, practice, and policies.

IPV Experiences and Financial Strain Over Time: Insights from the Blinder-Oaxaca Decomposition Analysis.

Financial strain is one hardship faced by female survivors of intimate partner violence (IPV) that is often overlooked. This paper examined the relationships between multiple forms of abuse-with a focus on economic abuse-and financial strain. Guided by stress process model, this study tested two hypotheses: (1) economic abuse is associated with financial strain more than other types of IPV; and (2) decreased economic abuse relates to financial strain over time. The study sample consists of 229 female IPV survivors who participated in a longitudinal, randomized controlled study evaluating an economic empowerment curriculum. Results from regression models suggest that physical abuse and economic abuse were significantly and positively associated with the magnitude of financial strain. Oaxaca-Blinder decomposition was used to partition the mean differences of financial strain over time that was mainly attributed to the decrease in economic and physical abuse (78%). Particularly, the decrease of economic abuse contributed to over half (58%) of the decrease in financial strain over time. Advocates should assess survivors' risk of economic abuse, evaluate financial strain, and utilize financial safety planning skills to help survivors build economic security and independence. In addition, policy makers should address issues concerning economic security among female IPV survivors.

Coordinated Community Responses to Domestic Violence: A Systematic Review of the Literature.

Coordinated community responses (CCRs) are a commonly used intervention in the field of domestic violence (DV), yet research findings on CCRs to DV have been inconsistent. The aim of this study was to examine the current state of CCRs to DV, with a specific focus on those responses that involve law enforcement officers as key players. A systematic review of 31 databases resulted in 18 peer-reviewed manuscripts for inclusion in this study. Manuscripts were included if they were written in English and published in 1999 or later; focused specifically on DV and criminal justice and/or community responses; research outcomes were specific to cases, victims, or offenders; the intervention was clearly described and evaluated using an experimental or quasi-experimental design; and was implemented in the United States. Findings suggest that there is a great deal of variability across CCR studies involving law enforcement officers with regard to (a) whether studies used the term "coordinated community response" to describe the intervention being evaluated, (b) the types of cases included, (c) the nature of the CCR being evaluated, (d) the outcomes that were examined, and (e) how these outcomes were operationalized. These variations make it difficult for scholars to draw broader conclusions about the effectiveness of CCR interventions. Future research should include the identification of core outcomes that can be used across studies to allow for comparison studies and meta-analyses. There is also a need for studies to focus on identifying which components of CCR interventions are most critical to producing positive outcomes.

Predictors of Family Engagement in Child Post-Traumatic Stress Disorder Screening Following Exposure to Intimate Partner Violence.

Children's exposure to intimate partner violence (IPV) has numerous negative short- and long-term impacts on children's development, mental health, physical health, and adult functioning. While community-based organizations have an array of interventions aimed to increase survivor safety and prevent the development of, or treat post-traumatic stress disorder (PTSD), many families experiencing IPV never enter the doors of community-based organizations. To address this gap, there is an increasing number of partnerships between community-based organizations and first responders to increase support to families experiencing IPV. The Child Trauma Response Team (CTRT) is an innovative model that provides a coordinated, immediate, trauma-informed, and interdisciplinary response to families exposed to IPV. Given the lack of research on coordinated community interventions, the research questions for this study were as follows: (a) What are the family sociodemographic factors, crime factors, and program services most associated with family engagement in child PTSD screening following exposure to IPV? (b) What are the family sociodemographic factors and crime factors most associated with children screening positive for PTSD following exposure to IPV? The data for this study consist of 244 families with 352 children identified by the pilot CTRT. The results of this study suggest that a collaborative intervention designed to address caregiver and children's safety and well-being after a police-reported IPV incident is a promising model. Overall, more than 70% of children identified by the CTRT team completed a child PTSD screen, and 74.3% of children who completed the screens were screened positive for PTSD. The safety assessment service provided by the CTRT team was a predictor of the families' engagement in child PTSD screens. This is a critical finding and suggests the importance of developing program models that comprehensively address the needs of caregivers and children exposed to IPV.

Providing Coordinated, Immediate, Trauma-Focused, and Interdisciplinary Responses to Children Exposed to Severe Intimate Partner Violence: Assessing Feasibility of a Collaborative Model.

Despite the known consequences associated with children's exposure to intimate partner violence (IPV), numerous children exposed to IPV never access victim services and/or mental health treatment. Informed by the Child Development-Community Policing Program (CD-CP), the Child Trauma Response Team (CTRT) is designed to provide a coordinated, immediate, trauma-informed, and interdisciplinary response to children, adolescents, and their impacted family members who are exposed to severe IPV. The aim of this study was to explore the feasibility of the CTRT from the perspective of the key stakeholders and to identify what facilitated and/or hindered the collaborative model. Interviews were conducted with all 12 CTRT stakeholders of whom three worked for law enforcement, four worked for the district attorney's office, four worked for the nonprofit victim service organization, and one worked for the city office funding the pilot. Results indicated that the CTRT program evolved through a cyclical process including (a) implementing and enhancing program services, (b) defining and nurturing partner relationships, and (c) shifting practices among partnering agencies. The results provide concrete tools and practices that were successful in the CTRT pilot implementation. Despite the potential barriers to successful multidisciplinary collaborations, it is critical that we invest in developing and implementing collaborative intervention models in the IPV field. The CTRT model is an innovative model that conducts multidisciplinary coordinated outreach to families experiencing severe IPV to enhance family engagement in services and, when appropriate, in the criminal justice process.

Beyond Domestic Violence Shelter: Factors Associated With Housing Placements for Survivors Exiting Emergency Shelters.

Domestic violence (DV) shelters are a critical resource for many survivors facing housing instability. Although DV shelter programs may address an array of survivor needs, DV survivors often identify the most pressing concerns as the need for safe housing and the financial resources to maintain housing. This study examines the factors associated with housing placements for DV survivors residing in emergency shelters. Data for this study came from program data collected by one organization operating six DV emergency shelters in an urban northeastern city. Among the sample of 347 DV survivors, findings revealed that there were significant associations between sociodemographic variables, services received, and post-discharge variables and post-shelter housing. Among this sample, three out of four residents (74.9%) left the DV shelter with housing in place. However, the findings suggest that there are areas for improved services and policy efforts to further support survivors in accessing safe and affordable housing. Our findings invite researchers and practitioners to consider further examination of best practices around program and policy options that support survivors in gaining economic independence and securing safe and affordable housing.

"My Sister Is the One That Made Me Stay Above Water": How Social Supports Are Maintained and Strained When Survivors of Intimate Partner Violence Reside in Emergency Shelter Programs.

While social support is critical in helping intimate partner violence (IPV) survivors heal and build hope, social isolation is a frequent experience for survivors. For survivors residing in domestic violence (DV) emergency shelters, the isolation from social supports is often exacerbated by shelter rules and policies. This study uses a 20th century feminist framework to understand the ways in which social support networks are maintained and/or strained when survivors reside in DV emergency shelters. Among this sample of 76 survivors, 40 participants identified family members as their support system, with siblings and mothers most frequently identified, and 14 participants identified friends as their social support. Prior to entering the DV shelter, survivors reported that their support networks provided encouragement and motivation along with emotional support, financial and material support, and support with children. Participants spoke about the process of informing their support systems of the transition into a DV shelter, the positive and negative impacts of the transition on their support system, and the roles that frequent telephone calls and texts played in maintaining their support networks. Participants reported positive impacts of residing in a DV shelter including improved emotional and physical health, strengthened emotional relationships, and improved physical and emotional resource provision. For those participants reporting negative experiences, they frequently identified logistical barriers, including the inability to receive visitors at the shelter, the distance between them and their friends and family, and strict rules around curfew and child care. Our findings invite researchers and practitioners to consider further examination of best practices around programming that supports survivors in maintaining social supports while residing in shelter programs.

Transitioning Out of an Urban Domestic Violence Emergency Shelter: Voices of Survivors.

Domestic violence (DV) shelters play a critical role for survivors and lead to a range of positive outcomes for families. However, transitioning in and out of temporary homelessness involves a range of stressors and research indicates that survivors transitioning out of DV shelters continue to have a multitude of needs. The focus of this study is to utilize an empowerment-based feminist lens to understand the process of transitioning out of a DV emergency shelter among 27 shelter residents in urban emergency shelters. Participants described the successes, challenges, and lessons learned while transitioning from the emergency shelter setting. The findings indicate that survivors transitioning out of DV shelters face a multitude of risks, challenges, and stressors. Our findings invite researchers and practitioners to further examine best practices that support families transitioning from shelter.

Survivor-Centered Practice and Survivor Empowerment: Evidence From A Research-Practitioner Partnership.

In the domestic violence field, a survivor-centered approach to services is a shared ideal, but there is little empirical work demonstrating its importance. This study filled that gap, focusing on a key outcome-safety-related empowerment. We gathered data from 177 intimate partner violence (IPV) survivors seeking community-based services, and after one session with an advocate, results revealed a significant change in two of three subscales of the Measure of Victim Empowerment Related to Safety (MOVERS) measure: Internal Tools and Expectations of Support. There was no change in Trade-Offs (pursuing safety causing new problems). More survivor-defined practice predicted greater changes in empowerment, over and above severity of violence, post-traumatic stress disorder (PTSD), and demographics.

Developing and Validating the Scale of Economic Self-Efficacy.

Experiencing intimate partner violence (IPV) and financial hardship are often intertwined. The dynamics of an abusive relationship may include economic abuse tactics that compromise a survivor's ability to work, pursue education, have access to financial resources, and establish financial skills, knowledge, and security. An increasingly common goal among programs serving IPV survivors is increasing financial empowerment through financial literacy. However, providing financial education alone may not be enough to improve financial behaviors. Psychological factors also play a role when individuals make financial choices. Economic self-efficacy focuses on the individual's perceived ability to perform economic or financial tasks, and may be considered a primary influence on one's ability to improve financial decisions and behaviors. The current study tests the reliability and validity of a Scale of Economic Self-Efficacy with a sample of female survivors of IPV. This study uses a calibration and validation analysis model including full and split-sample exploratory and confirmatory factor analyses, assesses for internal consistency, and examines correlation coefficients between economic self-efficacy, economic self-sufficiency, financial strain, and difficulty living with income. Findings indicate that the 10-item, unidimensional Scale of Economic Self-Efficacy demonstrates strong reliability and validity among this sample of IPV survivors. An ability to understand economic self-efficacy could facilitate individualized service approaches and allow practitioners to better support IPV survivors on their journey toward financial empowerment. Given the increase in programs focused on assets, financial empowerment, and economic well-being, the Scale of Economic Self-Efficacy has potential as a very timely and relevant tool in the design, implementation, and evaluation of such programs, and specifically for programs created for IPV survivors.

To Stay or to Leave: Factors Influencing Victims' Decisions to Stay or Leave a Domestic Violence Emergency Shelter.

Domestic violence (DV) emergency shelters play a vital role in supporting victims who seek to leave abusive partners and gain independence. Research indicates that numerous positive outcomes for victims and their children are associated with utilization of DV shelter programs. Yet, research also suggests that DV shelter programs may be unable to comprehensively meet the needs of all victims, and many choose to leave shelters soon after their arrival. To better understand the ways in which DV shelter programs support victims but also fail to meet their needs, this article explores the factors that influence victims' decisions to stay or leave a DV emergency shelter program through qualitative interviews with 33 DV shelter residents. Study participants indicate that three types of factors influence their decision to stay or leave the shelter program: (a) contextual factors, (b) partner or family relationship factors, and (c) shelter-specific factors. Shelter-specific factors cited as important contributors to satisfaction or dissatisfaction with shelter living include policies, staff and services, displacement from one's home community, and facilities. Findings provide information from the perspective of victims on the factors that influence one's decision to stay or leave a DV program and can be used to support service providers and advocates in building programs that are both supportive of victims' needs and conductive to longer shelter stays.

Developing a Financial Literacy Program with Survivors of Intimate Partner Violence: The Voices of Survivors.

As the social work field increasingly recognizes economic abuse within intimate partner relationships, the field has developed financial empowerment programs to empower survivors for their financial future. Although research has demonstrated the effectiveness of financial literacy programs, there are barriers to their implementation in the field. Studies have explored, from the perspective of advocates, best practices in incorporating financial literacy into services; however, no studies have explored implementation approaches from the perspective of survivors. This study explores, from the perspective of 34 survivors, approaches for implementing financial literacy programming. Participants described their understanding of financial empowerment as being in charge of finances, having financial power, and not having to endure the struggle. To counter financial disempowerment, participants identified the need for financial confidence, knowledge, and tools. Participants shared their strategies for saving money, though many participants reported barriers to using banks as savings tools. Almost all participants stressed the importance of financial literacy services for survivors, especially around banking, credit, and debt. Finally, participants shared recommendations for job readiness and training programming. Findings have implications for domestic violence and broader social work organizations implementing financial empowerment services. Social workers can support financial empowerment efforts through program development and research efforts.

Successful Rules Reduction Implementation Process in Domestic Violence Shelters: From Vision to Practice.

Domestic violence (DV) shelters provide safety for survivors to consider their options and heal from abuse. Unfortunately, survivors have reported negative experiences associated with shelter rule enforcement. Rules, such as curfew, decreased access to community social networks; and staff's rule enforcement may trigger survivors' past experiences with abusive control and structural racism. Rule enforcement may deter safe, trusting relationships between staff and residents. Statewide DV coalitions have been innovation leaders in shelter rules reduction efforts over the past decade. Seven DV shelter directors and coalition trainers with expertise implementing reduced-rule shelter models were interviewed for this study. Interview data were then analyzed using modified constructivist grounded theory methods. A three-stage implementation process emerged from the data. The initial stage highlighted efforts to create an organizational vision rooted in shared values. Shelters then intentionally focused on enhancing organizational capacity through staff development and team building. Third, rule-reduction practices were enacted through specific shelter policies and staff practices. Findings have broader implications for social work organizations also implementing anti-oppressive, survivor-centered, trauma-informed approaches, as this process involves considerable intention, training, and resources beyond services as usual. Social workers can support these efforts through student training, program development, and research efforts.

Providing services to trafficking survivors: Understanding practices across the globe.

PURPOSE: Human trafficking is a global issue, with survivors representing all genders, ages, races, ethnicities, religions, and countries. However, little research exists that identifies effective practices in supporting survivors of human trafficking. The research that does exist is Western-centric. To fill this gap in the literature, the goal of this research was to understand practices used throughout the globe with adult human trafficking survivors. METHODS: A qualitative approach was utilized. Providers from 26 countries, across six different continents, were interviewed to allow for a comprehensive and multi-faceted understanding of practices in working with survivors. RESULTS: Participants identified utilizing an empowerment-based, survivor, and human life-centered approach to working with survivors, emphasized the importance of engaging in community level interventions, and highlighted the importance of government recognition of human trafficking. DISCUSSION: Findings provide information from the perspective of advocates on best practices in the field that can be used by agencies to enhance human trafficking programming.

Measuring Economic Abuse in the Lives of Survivors: Revising the Scale of Economic Abuse.

Recent attention has been given by researchers to understanding how abusers use economic abuse strategies. Unfortunately, limited measures are available to accurately understand the prevalence of economic abuse in the lives of survivors. Recently, researchers created the 28-item Scale of Economic Abuse (SEA) but further validation is needed. This article describes the psychometric evaluation of the SEA through confirmatory and exploratory factor analyses using data collected with 120 survivors of abuse. The findings provide evidence for the reliability and validity of the SEA-12 as a shorter instrument to measure economic abuse as a distinct form of abuse.