Effectiveness

Mixed Evidence

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Mixed Evidence

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Description

Support programs for female victims of violence, especially those based on therapeutic approaches, offer a better understanding of sexism, the different forms of gender-based violence, the existing protective legislation, and the support services that are available to prevent and break away from abusive relationships.
Some programs also offer guidance on finances and employment, health, and temporary residence to promote women’s economic autonomy and empowerment. Another approach used is activism or awareness-raising to promote access to support services.

Country of application
  • Brazil
  • Canada
  • China
  • United States
  • Peru
Evidence

A systematic review by the Campbell published in 2009 identified 10 randomized impact evaluations involving a total of 1,527 women participating in support and empowerment programs [1]. The evaluations have shown that longer, more intensive programs lasting more than 12 hours work to reduce the incidence of violence against women. However, the authors point out that, in general, the evidence is inconclusive. Although most studies have shown improvements in one or more outcomes, the studies identified were too diverse for their results to be synthesized, and therefore it was not possible to detect a clear effect of those interventions.
An update to this systematic review published in 2016 revealed mixed evidence on the impact on domestic violence. Overall, there was no impact on physical violence (although some individual studies did identify impacts, particularly for pregnant women) nor on sexual violence. With respect to emotional abuse, one of the studies reported a positive effect (reduction in prevalence) [2].
On the Crime Solutions platform, four meta-analyses evaluated 47 studies on services for female victims of domestic violence. Psychotherapeutic programs for victims of sexual violence are effective to reduce the symptoms of Post-Traumatic Stress Disorder (PTSD) [3][4].

Bibliography

[1] Ramsay J., Carter Y., Davidson L., Dunne D., Eldridge A., Feder G., Hegarty K., Rivas C., Taft A., Warburton A. (2009). Advocacy Interventions to reduce or eliminate violence and promote the physical and psychosocial well-being of women. Campbell Systematic Reviews, 9(1) 1-121. https://onlinelibrary.wiley.com/doi/10.4073/csr.2009.5

[2] Rivas, C., Ramsay, J., Sadowski, L., Davidson, L. L., Dunnes, D., Eldridge, S., Hegarty, K., Taft, A. Feder, G. (2016). Advocacy Interventions to Reduce or Eliminate Violence and Promote the Physical and Psychosocial Well‐Being of Women who Experience Intimate Partner Abuse: A Systematic Review. Campbell Systematic Reviews, 12(1), 1–202. https://doi.org/10.4073/csr.2016.2

[3] Taylor, J. E. Harvey, S. T. (2009). Effects of psychotherapy with people who have been sexually assaulted: A meta-analysis. Aggression and Violent Behavior, 14(5), 273–285. https://doi.org/10.1016/j.avb.2009.03.006

[4] Regehr, C., Alaggia, R., Dennis, J., Pitts, A. Saini, M. (2013). Interventions to Reduce Distress in Adult Victims of Sexual Violence and Rape: A Systematic Review. Campbell Systematic Reviews, 9(1), 1–133. https://doi.org/10.4073/csr.2013.3

Evaluated cases

Community Advocacy Project

Sexual Assault Nurse Examiner (SANE) Program (Albuquerque, NM)

Sexual Assault Nurse Examiner (SANE) Program - Multisite

Maria da Penha Law (Brazil)

Telephone Support Services for Victims of Intimate Partner Violence Recruited from a Midwestern Pediatric Emergency Department

Lethality Assessment Program (Oklahoma)

Why might the cases evaluated have different levels of effectiveness in relation to their respective type of solution?
Click here to understand why.

Some cases were not included in the evidence bank due to deficiencies detected in the methodology of their impact evaluations.
Click here to see the list

 

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