Making the Business Case for Domestic Violence and Health Care Partnerships

Dates: 2015-2016

State: California

Client(s): Blue Shield of California Foundation

Services: Health Care & Public Health Planning, Applied Research & Evaluation, Health Systems Transformation

Technical Expertise: Health Care Reform, Population Health, Safety Net, State and Local Public Health

There is urgency to better understand and document evidence that supports the elevation of domestic violence and trauma as a consideration in health system transformation and triple-aim achievement efforts. With support from the Blue Shield of California Foundation (BSCF), JSI conducted research through a literature review and key informant interviews to support the development of the “business case” for health system investment in response to the needs of patient populations that have experienced domestic violence (DV) and trauma. More specifically, the inquiry focused on the following five questions:

  • What is the evidence that DV/trauma is a major driver of health care costs both directly and as precursor of chronic and behavioral health issues?
  • What are the best examples of interventions effectively integrating DV/trauma identification, screening, response systems, and connections to behavioral and community services within health care institutions?
  • How are innovative implementers paying for their DV/trauma related activities?
  • What policy levers exist to support this work? What policy changes would serve to facilitate expansion?
  • How can DV and trauma most effectively be described and framed in order to maximize stakeholder support?

Learn more about Phase II of this research, Domestic Violence/Trauma Integration Research, Phase II


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