Original Investigation

Trauma- and Violence-Informed Care Practices in the Emergency Department for Survivors of Intimate Partner Violence

JAMA Network Open 10.1001/jamanetworkopen.2026.0034

March 03, 2026 at 11:00 AM EST

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How does care for survivors of intimate partner violence (IPV) and their children align with principles of trauma- and violence-informed care (TVIC) in emergency departments?In this qualitative study of 29 observations between social workers and patients experiencing IPV and follow-up interviews, alignment with TVIC was facilitated by acknowledging survivors’ past experiences, prioritizing collaboration, and addressing comprehensive needs. Lack of privacy, language barriers, and directive communication styles hindered TVIC alignment.These findings suggest that enhancing privacy, communication, and collaborative approaches in emergency departments may strengthen trauma- and violence-informed responses to IPV.

Corresponding Author: Gunjan Tiyyagura, MD, MHS, Yale University School of Medicine, 100 York St, Ste 1D, New Haven, CT 06511 (gunjan.tiyyagura@yale.edu).

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