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P096 Review of expanded sexual health domestic and sexual violence advocate (IDSVA) project
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P096 Review of expanded sexual health domestic and sexual violence advocate (IDSVA) project
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Journal Article
P096 Review of expanded sexual health domestic and sexual violence advocate (IDSVA) project
2023
Overview
IntroductionFollowing the success of a pilot IDSVA within sexual health, the project was expanded to provide funding for 4 IDVSA’s and one team leader. We undertook a review of the expanded IDSVA service.MethodsElectronic records of eligible patients who consented to referral to IDSVA project were included in the review. Health and demographic characteristics were analysed.ResultsIn 6 months from July 2022 to Jan 2023, 87 individuals were referred to the IDSVA project.Patient’s characteristics shown below:Abstract P096 Table 1GenderFemale:77 (89%) [n (%)] male:10 (11%) [n (%)] Sexuality Heterosexual: Bisexual Homosexual: 70 (91%)4 (5%)2 (3%) 1 (10%) 9 (90%) HIV 2 HIV+ (3%) 6 HIV+ (60%) Type(s) of abuseSexual Violence (SV)Domestic Abuse (DA)SV & DA 45 (59%)41 (53%)9 (12%) 9 (90%)3 (30%)2 (20%) Childhood sexual abuse 8 (10%) 1 (10%) STI < 1 year 15 (19%) 3 (30%) Emergency contraception < 1 year 12 (14%) Mental Health problems Anxiety Depression Other 61 (79%) 23 (30%) 27 (35%) 11 (14%) 4 (40%) 0 3 (30%) 1 (10%) Learning Disability 8 (10%) Chronic physical health condition 41 (53%) 9 (90%) DiscussionDA and SV are largely gendered offences, and this data shows the majority of clients referred were heterosexual women and homosexual men, indicating that the abuse was largely perpetrated by male partners. The very high rates of STI observed in this group, highlights the link between abuse and STI, and may be due to assault, and/or lack of health control. Very high rates of mental and physical health issues were reported and may be a result of abuse and/or represent vulnerabilities to DA and SV.The project confirms high volume, high needs of clients disclosing DA/SV in Sexual Health. We recommend that Sexual Health IDSVAs should be routinely commissioned within sexual health services.
Publisher
BMJ Publishing Group LTD
Subject
