2024
Acceptability and feasibility of trauma- and violence-informed care for intimate partner violence
Tiyyagura G, Leventhal J, Schaeffer P, Gawel M, Crawley D, Frechette A, Reames S, Carlson C, Sullivan T, Asnes A. Acceptability and feasibility of trauma- and violence-informed care for intimate partner violence. Child Abuse & Neglect 2024, 157: 107068. PMID: 39332141, PMCID: PMC11512670, DOI: 10.1016/j.chiabu.2024.107068.Peer-Reviewed Original ResearchIntimate partner violence advocatesIntimate partner violenceIPV-exposed childrenChild protective servicesIntimate partner violence servicesPartner violenceImpact of intimate partner violenceExposure to intimate partner violenceIntimate partner violence survivorsChild physical abuseViolence-informed careAdvocacy servicesProtective servicesPhysical abuseQualitative interviewsPromote well-beingCaregiver engagementSeeking careAdvocatesPediatric visitsAssess acceptabilityImmediate linkageChild visitsViolenceWell-beingDevelopment and Evaluation of a Community Advisory Board for Family Violence.
Tiyyagura G, Leventhal J, Schaeffer P, Frechette A, Crawley D, Sommer E, Lopes C, Serrechia P, Asnes A. Development and Evaluation of a Community Advisory Board for Family Violence. Violence And Victims 2024, 39: 189-203. PMID: 38955471, DOI: 10.1891/vv-2023-0002.Peer-Reviewed Original ResearchConceptsIntimate partner violenceCommunity advisory boardIPV-exposed childrenCommunity advisory board membersChild abuseVictims of intimate partner violenceIntimate partner violence victimizationBenefits of participationIntimate partner violence survivorsChild physical abusePerceived benefits of participationFacilitators of sustainabilityVictim advocacyAbusive injuryPartner violenceFamily violenceFamily-centered interventionsDevelopment of collaborative relationshipsAdvocacy activitiesPhysical abuseCommunity leadersLocal stakeholdersEmergency careVictimsClinical care
2023
Natural Language Processing — A Surveillance Stepping Stone to Identify Child Abuse
Shum M, Hsiao A, Teng W, Asnes A, Amrhein J, Tiyyagura G. Natural Language Processing — A Surveillance Stepping Stone to Identify Child Abuse. Academic Pediatrics 2023, 24: 92-96. PMID: 37652162, PMCID: PMC10840716, DOI: 10.1016/j.acap.2023.08.015.Peer-Reviewed Original ResearchConceptsClinical guidelinesClinical decision support toolSignificant demographic differencesED providersProvider notesInsurance statusGeneral EDsClinical careAbuse evaluationsED typeChild protective servicesChild abuseInjuryAppropriate evaluationChild physical abuseNLP algorithmDemographic differencesPhysical abuseAdherenceDemographic variablesProtective servicesNatural language processing algorithmAbuseFrequency of injuries in a voluntary program evaluating young children exposed to intimate partner violence
Tiyyagura G, Leventhal J, Crawley D, Asnes A. Frequency of injuries in a voluntary program evaluating young children exposed to intimate partner violence. Child Abuse & Neglect 2023, 144: 106385. PMID: 37541095, PMCID: PMC10529266, DOI: 10.1016/j.chiabu.2023.106385.Peer-Reviewed Original ResearchConceptsIPV-exposed childrenFrequency of injuriesIntimate partner violenceIPV exposureProspective observational studyMulti-center studyDetectable injuryAbusive injuriesClinical guidelinesObservational studyIntracranial findingsPartner violenceHigh riskStudy of childrenCutaneous injuryInjuryRoutine evaluationAmerican womenYoung childrenChildrenTrue frequencyPhysical child abusePhysical abuseCPS investigatorsIPV eventsEvaluation of Children after Caregiver Intimate Partner Violence: A Qualitative Study of Barriers, Facilitators, and Trauma- and Violence-Informed Care
Tiyyagura G, Clayton N, Schaeffer P, Gawel M, Leventhal J, Hammel K, Jubanyik K, Crawley D, Frechette A, Lindberg D, Sullivan T, Asnes A. Evaluation of Children after Caregiver Intimate Partner Violence: A Qualitative Study of Barriers, Facilitators, and Trauma- and Violence-Informed Care. The Journal Of Pediatrics 2023, 260: 113519. PMID: 37244576, PMCID: PMC10527175, DOI: 10.1016/j.jpeds.2023.113519.Peer-Reviewed Original ResearchConceptsIntimate partner violenceCommunity advisory boardEmergency department cliniciansViolence-informed carePhysical abuseEvaluation of childrenIPV-exposed childrenPartner violenceChild abuse pediatriciansContext of IPVCaregiver needsRoutine evaluationLimited evidenceRisk of abuseChild physical abuseCaregiversIPV advocatesConstant comparative methodChildrenQualitative interviewsTraumaBenefits of evaluationCareAbuseQualitative study
2022
Child safety assessments during a caregiver's evaluation in emergency departments after intimate partner violence
Butala N, Asnes A, Gaither J, Leventhal JM, O'Malley S, Jubanyik K, Aydin A, Tiyyagura G. Child safety assessments during a caregiver's evaluation in emergency departments after intimate partner violence. Academic Emergency Medicine 2022, 30: 23-31. PMID: 36300559, DOI: 10.1111/acem.14614.Peer-Reviewed Original ResearchConceptsIntimate partner violenceChild protective servicesPartner violenceSocial work involvementSafety of childrenEmergency departmentPresence of childrenIPV episodesProtective servicesChild safetyAdult victimsWork involvementViolencePhysical abuseDirect witnessCPS reportsCritical opportunityICD-10-CM codesChildren's exposureEncountersChart reviewED encountersNature of exposureHomeHigh prevalence
2019
Early Involvement of the Child Protection Team in the Care of Injured Infants in a Pediatric Emergency Department
Powers E, Tiyyagura G, Asnes AG, Leventhal JM, Moles R, Christison-Lagay E, Groisberg S, Auerbach M. Early Involvement of the Child Protection Team in the Care of Injured Infants in a Pediatric Emergency Department. Journal Of Emergency Medicine 2019, 56: 592-600. PMID: 30879856, DOI: 10.1016/j.jemermed.2019.01.030.Peer-Reviewed Original ResearchConceptsChild protection teamPediatric emergency departmentEmergency departmentClinical pathwayProtection teamEvaluation of infantsEarly involvementMonths of ageInfant morbidityAbusive injuriesSignificant causeDiagnostic testingInjuryInfantsPrivate insuranceSocioeconomic disparitiesChild protective servicesEarly detectionDiagnostic studiesConsultationPhysical abuseMonthsAbuseProtective servicesInvolvement
2018
Occult abusive injuries in children brought for care after intimate partner violence: An exploratory study
Tiyyagura G, Christian C, Berger R, Lindberg D. Occult abusive injuries in children brought for care after intimate partner violence: An exploratory study. Child Abuse & Neglect 2018, 79: 136-143. PMID: 29452932, PMCID: PMC5879001, DOI: 10.1016/j.chiabu.2018.02.003.Peer-Reviewed Original ResearchConceptsIPV exposureInternal injuriesIntimate partner violenceIntra-abdominal injuriesPhysical examination findingsCohort of childrenReports of traumaExamination of siblingsChild abuse consultationsPhysical abuseChild abuse pediatriciansOccult injuriesExamination findingsProspective studyAbusive injuriesEmergency departmentInjury patternsPhysical examinationDirect injuryInadvertent traumaPartner violenceCutaneous injuryPatientsInjuryChildren
2017
Nonaccidental Injury in Pediatric Patients: Detection, Evaluation, and Treatment
Tiyyagura G, Beucher M, Bechtel K. Nonaccidental Injury in Pediatric Patients: Detection, Evaluation, and Treatment. Pediatric Emergency Medicine Practice 2017, 14: 1-32. PMID: 28665574.Peer-Reviewed Original ResearchMeSH KeywordsBurnsChildChild AbuseChild, PreschoolContusionsCraniocerebral TraumaDiagnosis, DifferentialEmergency Medical ServicesEvidence-Based MedicineFemaleFractures, BoneGuidelines as TopicHumansInfantIntensive Care Units, PediatricMaleMandatory ReportingPhysical ExaminationPhysician's RolePractice Patterns, Physicians'Retinal HemorrhageUnited StatesWounds and Injuries