Dr. Karin Rhodes, an Emergency Medicine physician, seeks a Mentored Clinical Scientist Development Award from NIMH to create a systematic investigation of emergency department response to men involved in intimate partner violence. Most interventions in a health care setting address the victim's (generally women) behavior. This does not take into account the behavior of the perpetrators (generally men). Current assumptions and hypotheses about men involved in violent relationships are based on data from court-mandated batterers' treatment programs, not community health care settings where a broader range of violent behaviors might present and where perpetrators might be more amenable to interventions. Dr. Rhodes proposes to extend the computer screening and data collection methodologies she is currently using to identify at-risk women to assess if it is possible to identify the male perpetrators and/or male victims. (Dr. Rhodes' preliminary data suggests that screening men for victimization may also identify perpetrators). The proposed research plan includes a randomized controlled trial to assess the effect of a self-administered computer program that includes a screen for partner violence on emergency department communication outcomes. Secondary projects seek to validate the screen and conduct structured psychiatric interviews for DSM Axis I and II diagnoses, comparing men who screen positive to men who screen negative for personality traits, psychiatric co-morbidities, and abuse histories. The goal of the exploratory work is to evaluate whether any of the frameworks classifying perpetrators of partner violence apply to men screened in two socio-economically diverse ED settings. This information is crucial if effective interventions are to be designed and tested in this difficult to study population. As a former RWJ Clinical Scholar, Dr. Rhodes is in the position to bring to bear rigorous health services research skills on an extraordinarily complex problem. In so doing, she will gain the skills to commence a career as a clinical scientist whose clinical and research interests mutually inform one another.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23MH064572-02
Application #
6620571
Study Section
Special Emphasis Panel (ZRG1-RPHB-1 (01))
Program Officer
Juliano-Bult, Denise M
Project Start
2002-07-01
Project End
2007-06-30
Budget Start
2003-07-01
Budget End
2004-06-30
Support Year
2
Fiscal Year
2003
Total Cost
$171,960
Indirect Cost
Name
University of Chicago
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
005421136
City
Chicago
State
IL
Country
United States
Zip Code
60637
Nichols-Hadeed, Corey; Cerulli, Catherine; Kaukeinen, Kimberly et al. (2012) Assessing Danger: What Judges Need To Know. Fam Court Rev 50:150-158
Kothari, Catherine L; Rhodes, Karin V; Wiley, James A et al. (2012) Protection orders protect against assault and injury: a longitudinal study of police-involved women victims of intimate partner violence. J Interpers Violence 27:2845-68
Rhodes, Karin V; Kothari, Catherine L; Dichter, Melissa et al. (2011) Intimate partner violence identification and response: time for a change in strategy. J Gen Intern Med 26:894-9
Vashi, Anita; Rhodes, Karin V (2011) ""Sign right here and you're good to go"": a content analysis of audiotaped emergency department discharge instructions. Ann Emerg Med 57:315-322.e1
Kothari, Catherine L; Cerulli, Catherine; Marcus, Steven et al. (2009) Perinatal status and help-seeking for intimate partner violence. J Womens Health (Larchmt) 18:1639-46
Hessol, Nancy A; Weber, Kathleen M; Holman, Susan et al. (2009) Retention and attendance of women enrolled in a large prospective study of HIV-1 in the United States. J Womens Health (Larchmt) 18:1627-37
Rhodes, Karin V; Vieth, Teri L; Kushner, Hallie et al. (2009) Referral without access: for psychiatric services, wait for the beep. Ann Emerg Med 54:272-8
McKay, Mary Pat; Vaca, Federico E; Field, Craig et al. (2009) Public health in the emergency department: overcoming barriers to implementation and dissemination. Acad Emerg Med 16:1132-7
Broderick, Kerry B; Ranney, Megan L; Vaca, Federico E et al. (2009) Study designs and evaluation models for emergency department public health research. Acad Emerg Med 16:1124-31
Rhodes, Karin V; Houry, Debra; Cerulli, Catherine et al. (2009) Intimate partner violence and comorbid mental health conditions among urban male patients. Ann Fam Med 7:47-55

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