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Anti-Violence Toolkit: Domestic Violence

Educational Video Library for Health Care Providers and Advocates - Futures Without Violence

These 28 educational videos are meant to be used by health care providers who are interested in incorporating evidence-based and trauma-informed practices for universal education as well as assessment and response to intimate partner violence and reproductive coercion as well as advocates and other providers who are hoping to integrate health services into their settings.

Domestic Violence from a Son's Perspective | Adam Herbst | TEDxYouth@ParkCity

10 Signs of an Unhealthy Relationship - One Love Foundation

While everyone does unhealthy things sometimes, we can all learn to love better by recognizing unhealthy signs and shifting to healthy behaviors. If you are seeing unhealthy signs in your relationship, it's important to not ignore them and understand they can escalate to abuse.


The purpose of this training is to help the learner understand how integrating health services into domestic violence (DV) programs and addressing reproductive health as part of DV advocacy services can make a difference in the lives of clients. This training makes the case for advocates – showing how discussions of health are critical components of safety planning.

For more information, resources, and support:


Encourage participants to do what they need to feel safe and comfortable throughout the training, such as leaving the room and taking unscheduled breaks. They may also approach one of the trainers at breaks or lunch to talk about issues. As a trainer, you should anticipate that survivors will come forward and want to talk to you, or an advocate for support.

Remain aware of anyone who may be reacting to or be affected by the content of the training. Consider giving extra breaks after particularly sensitive material, or when you observe that someone is having a difficult time. Connect with that person during the break to check-in and ask if he or she would like to talk with someone and determine how a follow-up can occur.

The section makes the connection between IPV and health outcomes– showing how focusing on health and wellness is connected to many DV advocacy goals of survivor empowerment and safety.

General Health Impact

Traumatic Brain Injury

Reproductive Coercion

Mental Health

Substance Use Coercion


Black MC, Basile KC, Breiding MJ, Smith SG, Walters ML, Merrick MT, Chen J, Stevens R. (2011). The National Intimate Partner and Sexual Violence Survey (NISVS): 2010 Summary Report. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.

Silverman JG, Raj A, Mucci LA, Hathaway JE. (2001). Dating violence against adolescent girls and associated substance use, unhealthy weight control, sexual risk behavior, pregnancy, and suicidality. Journal of the American Medical Association, 286(5)572-579.

These statistics reinforce how important it is to address health needs when women enter domestic violence programs 

In this study by McCloskey et al. (2007), 2027 women outpatients across five different medical departments housed in 8 hospital and clinic sites completed a written survey. 59% of participants were white, 38% were married, and 22.6% were born outside of the U.S. Nearly 14% of the women disclosed recent IPV and 37% confirmed ever being in a violent relationship. 

17% of women who had been physically abused by an intimate partner in the past year reported that their partner did not allow them to access health care or interfered with their health care compared to 2% of non-abused women.

Women with interfering partners were significantly more likely to report having poorer health (OR=1.8).    


McCloskey LA, Williams CM, Lichter E, Gerber M, Ganz ML, Sege R. (2007). Abused women disclose partner interference with health care: an unrecognized form of battering. Journal of General Internal Medicine, 22(8):1067-1072.

Comorbidity means more than one disease or condition is present in the same person at the same time. Conditions described as comorbidities are often chronic or long-term conditions.  Experiencing IPV has serious impacts on long term health and chronic health conditions. While many advocates will likely have some knowledge about acute injuries, some may not realize the extent to which IPV contributes to overall health status.


Black MC, Breiding MJ, National Center for Injury Prevention and Control, CDC.  Adverse Health Conditions and Health Risk Behaviors Associated with Intimate Partner Violence---United States, 2005. MMWR. 2008;57(05):113-117.

Campbell J, Jones AS, Dienemann J, Kub J, Schollenberger J, O’Campo P, Gielen A, Wynne C.  Intimate Partner Violence and Physical Health Consequences.  Archives of Internal Medicine. 2002;162(10):1157-1163.

Coker AL, Smith PH, Bethea L, King MR, McKeown RE. Physical Health Consequences of Physical and Psychological Intimate Partner Violence. Archives of Family Medicine. 2000;9:451-457.

Constantino RE, Sekula LK, Rabin B, Stone C.  Negative Life Experiences, Depression, and Immune Function in Abused and Nonabused Women.  Biological Research for Nursing. 2000;1(3):190-198.

Follingstad DR, Brennan AF, Hause ES, Polek DS, Rutledge LL. Factors Moderating Physical and Psychological Symptoms of Battered Women. Journal of Family Violence. 1991;6:81-95.

Kendall-Tackett K, Marshall R, Ness K.  Chronic Pain Syndromes and Violence. Against Women.  Women and Therapy. 2003;1/2:45-56.

Letourneau EJ, Holmes J, Chasedunn-Roark J. Gynecologic Health Consequences to Victims of Interpersonal Violence.  Women’s Health Issues. 1999;9(2):115-120.

Wagner PJ, Mongan P, Hamrick D, Hendrick LK. Experience of Abuse in Primary Care Patients. Archives of Family Medicine. 1995;4:956-962.

Coker AL, Davis KE, Arias I, Desai S, Sanderson M, Brandt HM, et al. Physical and mental health effects of intimate partner violence for men and women. Am J Prev Med. 2002;23(4):260–268. =

Drossman DA, Talley NJ, Leserman J, Olden KW, Barreiro MA. Sexual and Physical Abuse and Gastrointestinal Illness. Annals of Internal Medicine. 1995;123(10)782-794.

Lesserman J, Drossman DA.  Relationship of Abuse History to Functional Gastrointestinal Disorders and Symptoms.  Trauma, Violence, Abuse. 2007;8:331-343.

Talley NJ, Fett SL, Zinsmeister AR, Melton LJ. Gastrointestinal Tract Symptoms and Self-Reported Abuse: A Population-based Study. Gastroenterology. 1994;107:1040-1049.