Case Studies in Identifying and Addressing Intimate Partner Violence among People with HIV (Web)

  • Case Studies in Identifying and Addressing Intimate Partner Violence among People with HIV

    A STEP-HIV Initiative

  • Assessment

    Please answer the following questions based on what you learned in this activity.
  • 1. The Centers for Disease Control and Prevention (CDC) include all of the following behaviors in the definition of intimate partner violence EXCEPT:

  • Congratulations. The correct answer is E. The CDC defines intimate partner violence (IPV) as “physical violence, sexual violence, stalking and psychological aggression (including coercive tactics) by a current or former intimate partner (i.e., spouse, boyfriend/girlfriend, dating partner, or ongoing sexual partner).”

    Reference: Breiding MJ, Basile KC, Smith SG, Black MC, Mahendra RR. Intimate Partner Violence Surveillance: Uniform Definitions and Recommended Data Elements, Version 2.0. Atlanta (GA): National Center for Injury Prevention and Control, Centers for Disease Control and Prevention; 2015.

  • Sorry, the correct answer is E. The CDC defines intimate partner violence (IPV) as “physical violence, sexual violence, stalking and psychological aggression (including coercive tactics) by a current or former intimate partner (i.e., spouse, boyfriend/girlfriend, dating partner, or ongoing sexual partner).”

    Reference: Breiding MJ, Basile KC, Smith SG, Black MC, Mahendra RR. Intimate Partner Violence Surveillance: Uniform Definitions and Recommended Data Elements, Version 2.0. Atlanta (GA): National Center for Injury Prevention and Control, Centers for Disease Control and Prevention; 2015.

  • 2. According to a meta-analysis by Machtinger et al (2012) on psychological trauma among women living with HIV, which of the following statements is CORRECT?

  • Congratulations. The correct answer is B. Women living with HIV disproportionately experience psychological trauma, often multiple traumas, which places them are greater risk for PTSD. The estimated rate of recent PTSD among women living with HIV is 30% which translates to 5 times higher than the national rate among women, though significantly fewer women with HIV are diagnosed or treated for PTSD.

    Reference: Machtinger, E. L., Wilson, T. C., Haberer, J. E., & Weiss, D. S. (2012). Psychological trauma and PTSD in HIV-positive women: a meta-analysis. AIDS and Behavior, 16(8), 2091-2100.

  • Sorry, the correct answer is B. Women living with HIV disproportionately experience psychological trauma, often multiple traumas, which places them are greater risk for PTSD. The estimated rate of recent PTSD among women living with HIV is 30% which translates to 5 times higher than the national rate among women, though significantly fewer women with HIV are diagnosed or treated for PTSD.


    Reference: Machtinger, E. L., Wilson, T. C., Haberer, J. E., & Weiss, D. S. (2012). Psychological trauma and PTSD in HIV-positive women: a meta-analysis. AIDS and Behavior, 16(8), 2091-2100.

  • 3. The 2020 HIV Medicine Association of the Infectious Diseases Society of America Primary Care Guidance for Persons with HIV recommends that:

  • Congratulations. The correct answer is A. The 2020 HIVMA Primary Care Guidance for Persons with HIV recommends that providers assess for intimate partner violence by means of direct questions or validated screening tools as part of the initial evaluation and at periodic intervals thereafter. Answer B is incorrect as the guidance allows for use of direct questioning, allowing for questions to be tailored to the individual and clinic context. Answers C and D are incorrect because 1) not all patients interface with a social worker and/or mental health professional, 2) HIV care providers often have built strong rapport with their patients, and 3) HIV care provider assessment for intimate partner violence is a critical part of understanding and addressing potential barriers to HIV care.

    Reference: Thompson MA, Horberg MA, Agwu AL, Colasanti, JA, Jain MK, Short WR, Singh T, Aberg JA. Primary Care Guidance for Persons With Human Immunodeficiency Virus: 2020 Update by the HIV Medicine Association of the Infectious Diseases Society of America. Clinical Infectious Diseases 2021; 73 (11) e3572–e3605.

  • Sorry, the correct answer is A. The 2020 HIVMA Primary Care Guidance for Persons with HIV recommends that providers assess for intimate partner violence by means of direct questions or validated screening tools as part of the initial evaluation and at periodic intervals thereafter. Answer B is incorrect as the guidance allows for use of direct questioning, allowing for questions to be tailored to the individual and clinic context. Answers C and D are incorrect because 1) not all patients interface with a social worker and/or mental health professional, 2) HIV care providers often have built strong rapport with their patients, and 3) HIV care provider assessment for intimate partner violence is a critical part of understanding and addressing potential barriers to HIV care.

    Reference: Thompson MA, Horberg MA, Agwu AL, Colasanti, JA, Jain MK, Short WR, Singh T, Aberg JA. Primary Care Guidance for Persons With Human Immunodeficiency Virus: 2020 Update by the HIV Medicine Association of the Infectious Diseases Society of America. Clinical Infectious Diseases 2021; 73 (11) e3572–e3605.

  • 4. Management of the patient warrants a trauma-informed approach. Trauma informed care, often described as the 4 R’s, is a clinical-wide approach to care that emphasizes physical, emotional and psychological safety. The 4 R’s stand for (select the correct answer).

  • Congratulations. The correct answer is A. Trauma informed care is often described as the 4 R’s: realize, recognize, respond and resist re-traumatization. What this means is that trauma informed clinics ensure all individuals working in the clinic have a basic realization about trauma and its impact on individuals. They also can recognize the signs and symptoms of trauma. Trauma informed clinics also respond by fully integrating knowledge about trauma into their policies, procedures and practices. Also, because clinical practices and procedures, especially those in medical settings, may unintentionally re-traumatize patients, trauma informed clinics commit to and actively work to resist re-traumatization through building cultural competence and capacity among all providers and staff to respond sensitively to trauma.

    Reference: SAMHSA. SAMHSA's Concept of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) 14-4884. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014. 2014.

  • Sorry, the correct answer is A. Trauma informed care is often described as the 4 R’s: realize, recognize, respond and resist re-traumatization. What this means is that trauma informed clinics ensure all individuals working in the clinic have a basic realization about trauma and its impact on individuals. They also can recognize the signs and symptoms of trauma. Trauma informed clinics also respond by fully integrating knowledge about trauma into their policies, procedures and practices. Also, because clinical practices and procedures, especially those in medical settings, may unintentionally re-traumatize patients, trauma informed clinics commit to and actively work to resist re-traumatization through building cultural competence and capacity among all providers and staff to respond sensitively to trauma.

    Reference: SAMHSA. SAMHSA's Concept of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) 14-4884. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014. 2014.

  • Evaluation

    To receive your CME/CE credit for participating in this activity, please complete the following evaluation.
  • Having participated in the activity, please rate your current confidence in your ability to identify and address intimate partner violence among people with HIV*
  • Did your confidence improve?
  • Rows
  • Rows
  • What barrier(s) impact your ability to make the change(s) you indicated above in your practice or with your care team? (check all that apply)*
  • Rows
  • Rows

  • Please provide the following informaiton to receive your CME/CE Certificate.


  •

  • The certificate emails auto-generated by this form are blocked by comcast.net email addresses. Please use an alternate email address if possible, or contact CEServices@academycme.org after submitting your form. **

  • Profession*
  • Please indicate your practice setting:*
  • Please select your area of practice:*
  • Number of years caring for people living with HIV:*
  • On average, how many PLWH do you see/impact per week?*
  • Amount of Time Spent in Activity/Number of Credits Claimed*

  • This educational activity was certified for a maximum of 1.0 AMA PRA Category 1 Credits(TM), 1.0 ANCC Contact Hours, 1.0 AAPA Category 1 CME credits, and 1.0 ACPE Contact Hours.

  • 1.25

  • 1.0

  • 0.75

  • 0.5

  • 0.0

  • Should be Empty: