Table 1 Intervention components

Integrated IPV and health screening

Women will be screened for IPV including emotional, physical, and sexual violence, as part of a general health assesment.

Supportive care

Nurses will be trained to provide non-judgmental and empathetic counseling, .

Safety planning and harm reduction counseling

Nurses will discuss safety planning measures with women, including escape routes or places of refuge, packing and storing a bag with important belongings, memorizing phone numbers, talking to children about what to do in cases of violence, and staying away from rooms with weapons. Harm reduction counseling will include the partners’ use of alcohol and illicit drugs, how to remove weapons, options for protecting reproductive health, such as protecting against unplanned pregnancy, sexually transmitted infections, and other individual-specific health risks.

Supportive referrals

Women will be counseled about local IPV and sexual assault resources according to their specific needs. Access and utilization will be facilitated by contacting programs together or by offering the woman step-by-step directions. Business-sized referral cards which contain contact information for local resources, will be given to all women.

Booster counseling sessions at 3 months

Components of above screening, referral, safety planning and harm reduction will be reviewed and redelivered to program participants. Sessions will occur in clinic and information will be recorded in patient charts.