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Intimate partner violence IPV is a pervasive, serious problem detrimental to the health of untold numbers of women. In addition to physical injuries that may be sustained, IPV has been significantly associated with mental health challenges including substance use problems. The problems are complex, highly correlated with each other, and bidirectional in nature. After applying inclusion and exclusion criteria, 35 articles were reviewed. Although education and training frequently figured among the recommendations in the reviewed articles, specific content for proposed education or training was lacking.
The most frequently occurring recommendations focused on the need to develop better collaboration, coordination, and integration across IPV, mental health and addiction treatment services. Keywords: intimate partner violence, mental health, substance use, education, scoping review. Intimate partner violence IPV is a common, serious problem with deleterious impacts on the health of women.
In , the World Health Organization deemed it a public health epidemic 1 and, recently, under the Affordable Care Act 2 , the United States introduced insurance to cover screening and brief counseling costs for IPV in routine healthcare practices. Although IPV may be perpetrated by either men or women, the majority of victims are women 3 and women report experiencing more serious forms of violence and more serious consequences of violence than do men 4 , 5 , including an increased risk of developing mental health and substance use problems 6.
IPV occurs at alarming rates worldwide. For example, in the United States, an estimated The relationship between IPV and mental health problems has been well-documented with depression, dysthymia, suicidality, generalized anxiety disorder, phobias, and posttraumatic stress disorder PTSD all associated with the experience of IPV 10 β Some studies reported worse outcomes associated with greater frequency and severity of IPV 16 , whereas others reported that even so-called low levels of violence such as pushing or shoving are associated with depression 17 , Psychological or emotional abuse has been associated with depression, low self-esteem, and PTSD 19 , The relationships among IPV and substance use are complex with some studies reporting increased substance use following IPV 29 β 31 , whereas others report that substance use may lead to higher rates of IPV 29 , Recent studies suggest that both propositions are true: IPV is associated with increased substance use and substance use is associated with an increased risk of IPV.
