Maternal Demographics Parenting Needs of Women Seeking Intimate Partner Violence Services Raquel Vargas-Whale MD1,2, Kristine A. Campbell MD, MSc1,2, & Lenora M. Olson PhD, MA1   University of Utah, 1Department of Pediatrics, 2Center for Safe and Healthy Families BACKGROUND RESULTS LIMITATIONS Survey Respondents The study reflects collaborative work with a longstanding community partner to identify needs of women and children seeking services to end intimate partner violence (IPV). Women and children living with IPV suffer impaired mental & physical health This may negatively impact parenting & parent/child wellbeing, placing children at risk for subsequent maltreatment Physical and behavioral healthcare needs of children identified by mothers trying to end IPV are not well understood To support efforts to meet the needs of children with exposure to IPV, we deployed a self administered survey. This survey described maternal perceptions of parenting stress & child physical & behavioral health at the time of seeking services for intimate partner violence Design: Cross-sectional study design using self administered survey Timeline: Fall 2013 Location: Urban community center working with women, men, and children who have experienced family violence Inclusion Criteria: English or Spanish speaking mothers presenting to IPV walk-in center (COMMUNITY) or living in an IPV shelter (SHELTER) with children between 3-11 years Survey: Validated instruments & researcher-developed questions Measures Parenting stress: Parenting Stress Index-Short Form Child behavioral health: Strength and Difficulties Questionnaire Child physical health: Children with Special Health Care Needs Screener Analysis Comparison between COMMUNITY and SHELTER sample Comparison between TOTAL SAMPLE and POPULATION norms Small, community-based cross-sectional survey - does not account for changes over time among children in shelter Current analysis does not account for maternal clusters -children within family may share health and behavior problems Maternal distress may be generate over-reporting of child problems - but maternal perceptions are critical to parent-child interactions Children of mothers actively seeking services to end IPV have significantly more behavior problems of clinical importance, as well as healthcare needs, than the population at large These children are being parented by mothers who reports clinically significant levels of parenting stress as compared to general population Community agencies providing IPV services to women should provide resources to address child health needs & parenting challenges at times of family crisis Analysis of covariates to identify contribution to outcome measures Work with IPV service organizations to identify & refer children for needed health services The investigators thank the YWCA Utah and the Family Justice Center and the women who participated in this this project for their time and willingness to share their experiences. The authors have documented that they have no financial relationships or conflicts of interest to disclose Funding source K23 HD059850 & Research resource support through 1ULTR001067 43 mothers, average age 33 years 92 children, average age 7 years Maternal Demographics All n=43 Shelter n=25 Community n-18 Minority race 19% 20% 17% Hispanic ethnicity 60% 61% Did not complete high school 50% 44% 35% Married or partnered 26% 24% 28% Living with IPV over 1 year 73% 64% 88% Depressive symptoms (PHQ-2) 55% 41% Low self-perception of social status (MacArthur Ladder) 67% 76% 53% CONCLUSIONS OBJECTIVES Child Experiences Child Health Care METHODS All n=92 Shelter n=57 Community n-35 Visits with mother’s abusive partner 28% 23% 36% Witnessed police response to IPV 54% 59% 47% Witnessed parent arrest related to IPV 32% 21% History of CPS involvement 34% 41% 26% History of out-of-home placement 3% 4% All n=92 Shelter n=57 Community n-35 Need for medical appointment 45% 49% 38% Need for behavioral health appointment 60% 58% 63% Usual source of pediatric care 87% 86% 88% Currently uninsured 19% 24% 13% IPV discussed with pediatric provider 28% 23% 36% NEXT STEPS ACKNOWLEDGEMENTS OUTCOMES Parenting Stress * Behavior Prob. * Special Healthcare Needs * DISCLOSURES * difference between normative population and study sample all p<0.05; difference between shelter and community samples all p>0.05