Improving access to primary care services for those on low income: voluntary advocacy.

Nurses in primary care are often the first point of access for those seeking health care, and it is well known that accessing health services can be difficult for some, especially those on a low income. A charity initiative has been developed in a low-income area in England to help such individuals, wherein volunteers help local residents to access local services and support. This study explores the experiences of service users in order to understand their perceptions and feelings about the service, using an instrumental case study method with semi-structured interviews. Qualitative data were collected from six service users and transcribed by the researcher for subsequent thematic analysis. The participants' experiences were characterised by reduced social isolation, reduced emotional distress, improved mobility and transport options, improved confidence and control over life, and effective management of memory issues. Various aspects of advocacy and empowerment were also observed. Further, the coping strategies used by the participants while facing the challenges of social isolation and ageing were highlighted. The findings provide important insight into the support needs of populations on low income, the ways in which they access healthcare and how the volunteer service can best support them.

Participants' Views About the Survivor Contact Element of IPV Perpetrator Programs: A Preliminary Study.

Advocacy services, for victims and survivors, are at the core of our response to Intimate Partner Violence (IPV). The survivor contact element of IPV perpetrator programs is recognized as a necessary safety measure for their operation. Within the context of equivocal evaluations of these programs, and the impetus to find opportunities to enhance their effectiveness, this study report explores the service user perspective on survivor contact work. In-depth semi-structured interviews were completed with 18 perpetrators and 18 survivors involved in three Irish-based programs, and findings were analyzed using grounded theory principles. Almost without exception, survivors were positive about their engagement with an outreach service. There was evidence to suggest that perpetrator program outreach services do reach survivors who may not ordinarily make contact with an advocacy service. In general terms, survivors felt validated as survivors, they felt supported, they learned about abusive behaviors and some saw the service as a monitor of what their partner was saying during group work. However, some survivors described their fear that any reports of ongoing abuse, which they offered, would attract reprisals from their partner or the attentions of child protection services. More determined application of criminal justice measures, and enhanced resourcing of the survivor contact element of these programs, should be considered.

Advocacy services for survivors of intimate partner violence: Pivots and lessons learned during the COVID-19 quarantine in Tacoma, Washington.

The Crystal Judson Family Justice Center (CJFJC), like many advocacy programs for survivors of intimate partner violence, transformed its structure and operating procedures amid the COVID-19 pandemic. The first confirmed case of COVID-19 in the United States was in Washington State, where CJFJC is located, and Governor Jay Inslee acted quickly with a strict stay-at-home order. This paper describes the pre-pandemic, in-person service model used at CJFJC and then the transition to a fully online service model utilizing phone, email and online procedures and platforms. The rapid transition posed many opportunities to learn how to provide services during public pandemics, and how to provide services virtually. We conclude with detailed lessons learned from the experiences of filing domestic violence protection orders online, Zoom court hearings, innovation surrounding community partnerships, and information technology development.

Mandating Inclusion: Critical Trans Perspectives on Domestic and Sexual Violence Advocacy.

In 2013, the Violence Against Women Act became one of the first federal laws to explicitly prohibit discrimination against transgender people, yet little is known about its impact in practice. This qualitative study draws on in-depth interviews with transgender people working in domestic and sexual violence advocacy organizations. Building on critical and intersectional perspectives, the findings suggest that the persistence of inequities for trans survivors are tied to the reliance on criminal legal responses, contingent access to gender-specific services, compliance-focused approaches to inclusion, operating theories of gender-based violence, and the diversion of responsibility to LGBTQ (lesbian, gay, bisexual, transgender and queer) programs. This study highlights the participants' recommendations for change.