First Advisor

Ericka Kimball

Date of Award


Document Type


Degree Name

Bachelor of Science (B.S.) in Social Work and University Honors


Social Work


Family violence -- United States, Victims of family violence -- Services for -- United States, Intimate partner violence, Spousal abuse -- United States, Victims of family violence -- Medical care




Domestic violence services are typically short term and crisis-oriented, leaving survivors unsupported when outcomes of abuse are long term or chronic; In combination with the nature of disclosure laws, this short term approach to services reduces survivor autonomy and options. Research on alternatives to partitioned services such as integrated approaches or co-located advocates present in shelters and healthcare settings is limited. This study explores the survivor-perceived effects of working with such an advocate on physical, mental, and emotional health. Findings suggest integrated approaches are valuable across all health domains to survivors, including, importantly, those living with difficult to treat conditions such as chronic pain. Recommendations are made to consider survivor health as complex and interrelated, avoid siloed service provision, protect survivor choice by continuing to reduce the gap between services and survivor needs and increasing access to confidential support.


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