Domestic Violence Study
Evaluating 'Pahal': a new clinical intervention for domestic violence survivors in Goa, part of a multi-country study.
Duration
2019 - 2022
Location
Goa, India
Investigators
Dr. Delan Devakumar, Prof. Abhijit Nadkarni, Prof. David Osrin, Dr. Nayreen Daruwalla, Prof. Glyn Lewis, Dr. Jenevieve Mannell, Prof. Cathy Zimmerman, Dr. Ligia Kiss, Dr. Laura Asher, Prof. Louise Howard, Dr. Sian Oram, Dr. Melanie Abas, Prof. Varuni de Silva, and Dr. Lida Ahmad
Contact
Overview
The Domestic Violence project was a mixed methods study that developed and evaluated a counselling intervention to improve the mental health effects associated with experiencing domestic violence among women in India.
Rationale
Intimate Partner Violence (IPV) is a term used to describe behaviour within an intimate relationship that causes physical, sexual, or psychological harm, including acts of physical aggression, sexual coercion, psychological abuse, and controlling behaviours. Domestic violence is a form of IPV that affects 1 in 3 women in India and has been found to have associations with short- and long-term mental health disorders, particularly depression, anxiety, post-traumatic stress disorder, and suicidal ideation
Progress till date
The study has concluded. The research conducted included:
Phase 1: Formative Research
In-depth interviews with survivors (n=35) and service providers (n=15) to understand survivor needs and expectations
Distillation of components from interventions studies and global training manuals
Consultative workshops with mental health and violence experts and lived-experience groups to capture needs, expectations and perspectives on responding to survivors of domestic violence.
Phase 2: Intervention Development
Triangulation of formative data to identify potential intervention components
Online Delphi study with international experts to ascertain acceptability, feasibility and potential effectiveness of chosen components
Online consultations with national experts and service providers to develop operational definitions of chosen components.
Phase 3: Intervention Evaluation
Uncontrolled before-after cohort study to evaluate acceptability and feasibility using mixed methods
In-depth Interviews with clients in Goa (n=26) and Mehsana (n=11) at 8 weeks after their 1st session
Focus Group Discussions with non-specialists in Goa (n=3) and Mehsana (n=10) post training, at 3 weeks after their 1st session, and End of Treatment.
Output
‘Pahal’ is a manualized counselling intervention for women survivors of domestic violence, tested for acceptability and feasibility.
Partner/s
SNEHA, Mumbai, India
Centre for Mental Health Law and Policy,
Indian Law Society, Pune, India
University of Colombo, Sri Lanka
College of Psychiatrists, Sri Lanka
College of Child and Adolescent Psychiatrists, The University of Afghanistan
Humanitarian Assistance for the Women and Children of Afghanistan (HAWCA)
University College of London, UK
King's College London, UK
London School of Hygiene and Tropical Medicine, UK
St. George's University London, UK