000			03805nab a22003857a 4500
999			_c7449 _d7449
005			20250625151604.0
008			220124s2022 ||||| |||| 00| 0 eng d
040			_aAFVC
100			_aToccalino, Danielle _910588
245			_aAddressing the shadow pandemic : _bCOVID-19 related impacts, barriers, needs, and priorities to healthcare and support for women survivors of intimate partner violence and brain injury _cDanielle Toccalino, Halina (Lin) Haag, Maria Jennifer Estrella, Stephanie Cowle, Pamela Fuselli, Michael J. Ellis, Judith Gargaro, Angela Colantonio and the COVID TBI-IPV Consortium
260			_bAmerican Congress of Rehabilitation Medicine
500			_aArchives of Physical Medicine and Rehabilitation, 2022, First published online, 7 January 2022
520			_aBackground: Intimate partner violence (IPV) affects one in three women and has intensified during the COVID-19 pandemic. Although most injuries are to the head, face, and neck, the intersection of IPV and traumatic brain injury (TBI) remains largely unrecognized. This paper reports on COVID-19-related impacts, barriers, needs, and priorities to healthcare and support services for women survivors of IPV-TBI. Methods: Using a participatory research model, we engaged 30 stakeholders in virtual meetings drawn from an IPV-TBI Knowledge to Practice (K2P) Network including women survivors, service providers, researchers, and decision makers. Data was gathered through small group breakout sessions facilitated by the research team using semi-structured discussion guides. Sessions were recorded, transcribed verbatim transcripts, and analysed using thematic analysis techniques. Stakeholders were given the opportunity to contribute to the analysis and knowledge transfer through member checking activities. Ethics approval was obtained through the University of Toronto. Results: COVID-19 has increased rates and severity of IPV and barriers to services and help-seeking. These effects are exacerbated by infrastructure difficulties in rural and remote areas, including limited access to services. Implications of virtual care such as safety, privacy, and usability require careful consideration. Requests from survivors for peer support have increased significantly, indicating more formalized and better-supported peer roles are needed. An overwhelming lack of awareness of the intersection of IPV-TBI continues. Increasing education and awareness among healthcare and IPV service providers, survivors, and the public remains a priority. Conclusions: The COVID-19 pandemic has intensified IPV-TBI, increased challenges for women survivors, and accentuated the continued lack of IPV-TBI awareness. Key recommendations for healthcare and rehabilitation to address this priority are discussed. (Authors' abstract). Record #7449
650			_aCOVID-19 _98949
650			_aDOMESTIC VIOLENCE _9203
650			_aINTIMATE PARTNER VIOLENCE _9431
650			_aPANDEMICS _98950
650		4	_aSUPPORT SERVICES _9591
650		0	_aTRAUMATIC BRAIN INJURY _93258
650			_aVICTIM/SURVIVORS' VOICES _99763
651			_aINTERNATIONAL _93624
651		4	_aCANADA _92602
700			_aHaag, Halina (Lin) _910796
700			_aEstrella, Maria J. _910590
700			_aCowle, Stephanie _910591
700			_aFuselli, Pamela _910592
700			_aEllis, Michael J. _910593
700			_aGargaro, Judith _910594
700			_aColantonio, Angela _910595
710			_aCOVID TBI-IPV Consortium _910596
773	0		_tArchives of Physical Medicine and Rehabilitation, 2022, First published online, 7 January 2022
830			_aArchives of Physical Medicine and Rehabilitation _910597
856			_uhttps://doi.org/10.1016/j.apmr.2021.12.012 _zDOI: 10.1016/j.apmr.2021.12.012 (Open access)
942			_2ddc _cARTICLE