DVHF Demonstration Evaluation
Principal Investigator(s): View help for Principal Investigator(s) Cris M. Sullivan, Michigan State University
Version: View help for Version V1
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Project Citation:
Sullivan, Cris M. DVHF Demonstration Evaluation. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2023-04-02. https://doi.org/10.3886/E187961V1
Project Description
Summary:
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This longitudinal, quasi-experimental study evaluated the impact of the Domestic Violence Housing First (DVHF) model on the safety, housing stability, and well-being of domestic violence survivors over the course of two years. DVHF includes providing survivors with housing-inclusive advocacy and/or flexible funding. Four hundred six homeless or unstably housed DV survivors were interviewed shortly after contacting services for help. They were then interviewed every six months over two years. Retention was 89% at 24-months. Evidence
indicates that the DVHF model is more effective than services as usual (SAU) in
helping survivors achieve housing stability, safety, and improved mental health
over twenty-four months. Survivors who received DVHF also reported higher
prosocial behaviors from their children compared to parents who received SAU.
Positive change in these domains happened
quickly (within the first 6 months after seeking services) and persisted across
12, 18, and 24 months. The model does not appear to be more effective than SAU
in increasing financial stability or reducing
substance misuse. It also showed no impact on children’s school attendance,
school performance, nor on their behavioral problems. The DVHF
model worked similarly across people from various race and ethnicity groups, as
well as both urban and rural geographic service areas. For
participants who had received DVHF, the extent to which they reported agencies
engaging in trauma-informed practices was positively related to their housing
stability, safety, and mental health over 24-months follow-up.
Funding Sources:
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This research was supported by a subcontract from the Washington State Coalition Against Domestic Violence, who received funding through a contract with the U.S. Department of Health and Human Services’ Office of the Assistant Secretary for Planning and E
Scope of Project
Subject Terms:
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intimate partner violence;
housing;
homelessness;
intervention
Geographic Coverage:
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Washington state
Time Period(s):
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2017 – 2022
Collection Date(s):
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2017 – 2022
Universe:
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Adult survivors of recent intimate partner violence who also self-identified as being homeless or unstably housed.
Data Type(s):
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administrative records data;
survey data
Collection Notes:
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Interviews with survivors were conducted in person or by phone.
Methodology
Response Rate:
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Retention at 6-months was 92% (n=375). At 12-months it was 91% (n=369), at 18-months it was 88% (n=359) and at 24-months it was 89% (n=363).
Sampling:
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Participants
were recruited from five DV organizations (two urban, three rural) in a state
in the Pacific Northwest. Each agency confirmed that they subscribe to the DVHF
model but that there are times they do not have the funding nor staffing to
provide housing-focused, mobile advocacy. During the time of study recruitment,
DV agency staff agreed to inform all new clients who were homeless or unstably
housed about the study. They referred 597 clients who were interested in
hearing more about the study. We successfully reached 514 of these clients (86%)
and told them more about the study. Fifteen percent were ineligible for the
study because they either had not experienced recent IPV or were not either
homeless or unstably housed. Seven percent declined to participate after
hearing more (eight participants specifically noting safety concerns). The
final sample consisted of 406 participants (93% of the 438 eligible clients). While
agency staff kept no written documentation to support this, they verbally
confirmed that few clients were ineligible to participate in the study and that
those who enrolled in the study were similar demographically to all their
clientele.
Data Source:
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In-person or phone interviews with survivors; agency records of services and funding provided; one web-based survey of advocates at 6-months
Collection Mode(s):
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computer-assisted personal interview (CAPI);
face-to-face interview;
record abstracts;
telephone interview;
web-based survey
Scales:
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Composite Abuse Scale
Scale of Economic Abuse Revised
Use of Children to Control
Housing Instability Scale
Financial Strain subscale of Scale of Economic Hardship
Inability to Make Ends Meet subscale of Scale of Economic Hardship
Herth Hope Index
Quality of Life Scale
Patient Health Questionnaire 9 (PHQ-9)
Generalized Anxiety Disorder 7 (GAD-7)
Trauma Screening Questionnaire
Medical Outcomes Study Social Support Survey (MOS-SSS-6)
CAGE-AID
Modified Differential Emotions Scale
Measure of Victim Empowerment Related to Safety (MOVERS)
Child Strengths and Difficulties Questionnaire
Scale of Economic Abuse Revised
Use of Children to Control
Housing Instability Scale
Financial Strain subscale of Scale of Economic Hardship
Inability to Make Ends Meet subscale of Scale of Economic Hardship
Herth Hope Index
Quality of Life Scale
Patient Health Questionnaire 9 (PHQ-9)
Generalized Anxiety Disorder 7 (GAD-7)
Trauma Screening Questionnaire
Medical Outcomes Study Social Support Survey (MOS-SSS-6)
CAGE-AID
Modified Differential Emotions Scale
Measure of Victim Empowerment Related to Safety (MOVERS)
Child Strengths and Difficulties Questionnaire
Weights:
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Inverse-probability-weighted (IPW) estimators were calculated and included in the longitudinal models as sampling
weights to account for any selection bias resulting from factors that increased
the probability that certain individuals received the intervention. To compute
the IPW estimators, we first used logistic regression models to examine whether
there were any meaningful baseline differences between those who received DVHF
versus those receiving SAU. Thirteen factors were identified and used to
calculate the IPW estimator: parenting children (y/n), living with the abuser
(y/n), racial/ethnic minority (y/n), having been in foster care as a child
(y/n), housing barriers, housing instability, staying with friends to avoid
homelessness (y/n), inability to make ends meet, overall abuse, alcohol misuse,
drug misuse, quality of life, and whether or not the DV agency was in a rural
area (y/n).
Unit(s) of Observation:
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Individuals
Geographic Unit:
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N/A
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