{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T23:12:27Z","timestamp":1763507547571,"version":"3.45.0"},"reference-count":41,"publisher":"CSIRO Publishing","issue":"5","license":[{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"vor","delay-in-days":61,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Hunter New England Central Coast Primary Health Network"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,17]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Women and children who experience domestic and family violence (DFV) have complex physical and mental health needs, may be at risk of homelessness, and face substantial barriers to accessing health care. The integration of outreach primary health care delivered by a multidisciplinary team (MDT) into shelters or mobile clinics may address these issues. This rapid review sought to identify and describe outreach programs for women and children affected by DFV and\/or homelessness in middle- and high-income countries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Seven bibliographic databases were searched in March 2024. Included studies described a primary care MDT outreach program that was delivered in a shelter, refuge, mobile clinic or drop-in centre; were written in English; and reported results separately for women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twelve publications reporting on 11 programs were included. These identified four staffing models: (1) nurse-led MDT; (2) nurse-led MDT with physician available remotely; (3) MDT with on-site physician; and (4) student-led. Model 3 offered the greatest range of services (11.5 on average), and Model 4 the least (5.5 on average). Three publications reported on two quasi-experimental studies, whereas the remainder of the studies lacked a control group. All studies reported benefits to outreach service clients for one or more of the following outcomes: service acceptability, healthcare use, health outcomes and economic outcomes. Only two studies examined the impact on health outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Few studies evaluate primary care MDT outreach programs; however, those identified in this review indicate benefits for women and children experiencing DFV and\/or homelessness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/py24200","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T09:47:02Z","timestamp":1758188822000},"source":"Crossref","is-referenced-by-count":0,"title":["Multidisciplinary primary care outreach for women experiencing domestic and family violence and\/or homelessness: a rapid evidence review"],"prefix":"10.1071","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5250-7415","authenticated-orcid":true,"given":"Suzanne","family":"Lewis","sequence":"first","affiliation":[{"name":"ACentral Coast Research Institute, Building A, Level 10, 77A Holden Street, Gosford, NSW 2250, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6187-4703","authenticated-orcid":true,"given":"Zoi","family":"Triandafilidis","sequence":"additional","affiliation":[{"name":"ACentral Coast Research Institute, Building A, Level 10, 77A Holden Street, Gosford, NSW 2250, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0549-1115","authenticated-orcid":true,"given":"Mariko","family":"Carey","sequence":"additional","affiliation":[{"name":"ACentral Coast Research Institute, Building A, Level 10, 77A Holden Street, Gosford, NSW 2250, Australia."},{"name":"BThe University of Newcastle, Newcastle, NSW, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8489-6152","authenticated-orcid":true,"given":"Breanne","family":"Hobden","sequence":"additional","affiliation":[{"name":"BThe University of Newcastle, Newcastle, NSW, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colette","family":"Hourigan","sequence":"additional","affiliation":[{"name":"CMariners Medical, Tuggerah, NSW, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shannon","family":"Richardson","sequence":"additional","affiliation":[{"name":"DHunter New England Central Coast Primary Health Network, Newcastle, NSW, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2025,9,18]]},"reference":[{"key":"2025111818081413200_R1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnsa.2022.100068","article-title":"A scoping review of the healthcare provided by nurses to people experiencing domestic violence in primary health care settings.","volume":"4","author":"Aljomaie","year":"2022","journal-title":"International Journal of Nursing Studies Advances"},{"issue":"5","key":"2025111818081413200_R2","doi-asserted-by":"publisher","first-page":"3715","DOI":"10.1177\/15248380221137664","article-title":"Seeking help from primary health-care providers in high-income countries: a scoping review of the experiences of migrant and refugee survivors of domestic violence.","volume":"24","author":"Allen-Leap","year":"2022","journal-title":"Trauma, Violence, & Abuse"},{"issue":"4","key":"2025111818081413200_R3","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1111\/j.1525-1446.1996.tb00250.x","article-title":"Clients\u2019 evaluation of health care services in a battered women\u2019s shelter.","volume":"13","author":"Attala","year":"1996","journal-title":"Public Health Nursing"},{"key":"2025111818081413200_R4","unstructured":"Australian Institute of Health and Welfare (2024a) Family, domestic and sexual violence: FDSV summary. Australian Institute of Health and Welfare, Canberra, ACT, Australia. Available at https:\/\/www.aihw.gov.au\/family-domestic-and-sexual-violence\/resources\/fdsv-summary [Verified 13 November 2024]"},{"key":"2025111818081413200_R5","unstructured":"Australian Institute of Health and Welfare (2024b) Family, domestic and sexual violence: economic and financial impacts. Australian Institute of Health and Welfare, Canberra, ACT, Australia. Available at https:\/\/www.aihw.gov.au\/family-domestic-and-sexual-violence\/responses-and-outcomes\/economic-financial-impacts [Verified 13 November 2024]"},{"key":"2025111818081413200_R6","unstructured":"Australian Institute of Health and Welfare (2025a) Specialist homelessness services annual report 2023-24. Australian Institute of Health and Welfare, Canberra, ACT, Australia. Available at https:\/\/www.aihw.gov.au\/reports\/homelessness-services\/specialist-homelessness-services-annual-report\/contents\/about [Verified 11 May 2025]"},{"key":"2025111818081413200_R7","unstructured":"Australian Institute of Health and Welfare (2025b) Health of people experiencing homelessness. Australian Institute of Health and Welfare, Canberra, ACT, Australia. Available at https:\/\/www.aihw.gov.au\/reports\/australias-health\/health-of-people-experiencing-homelessness [Verified 4 August 2025]"},{"issue":"1","key":"2025111818081413200_R8","doi-asserted-by":"publisher","first-page":"43","DOI":"10.3928\/0148-4834-19940101-12","article-title":"Learning experiences in a rural family homeless shelter.","volume":"33","author":"Burkeen","year":"1994","journal-title":"Journal of Nursing Education"},{"issue":"11","key":"2025111818081413200_R9","doi-asserted-by":"publisher","first-page":"567","DOI":"10.1111\/j.1745-7599.2008.00358.x","article-title":"Facilitating risk reduction among homeless and street-involved youth.","volume":"20","author":"Busen","year":"2008","journal-title":"Journal of the American Academy of Nurse Practitioners"},{"issue":"1","key":"2025111818081413200_R10","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0245507","article-title":"Associations of intimate partner violence and financial adversity with familial homelessness in pregnant and postpartum women: a 7-year prospective study of the ALSPAC cohort.","volume":"16","author":"Chan","year":"2021","journal-title":"PLoS ONE"},{"issue":"2","key":"2025111818081413200_R11","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1353\/hpu.2006.0056","article-title":"Providing health care services to the formerly homeless: a quasi-experimental evaluation.","volume":"17","author":"Ciaranello","year":"2006","journal-title":"Journal of Health Care for the Poor and Underserved"},{"issue":"1","key":"2025111818081413200_R12","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1097\/01.PCAMA.0000306021.64011.02","article-title":"Nursing care management at a shelter-based clinic.","volume":"13","author":"D\u2019Amico","year":"2008","journal-title":"Professional Case Management"},{"issue":"5","key":"2025111818081413200_R13","doi-asserted-by":"publisher","first-page":"230","DOI":"10.5694\/mja17.01264","article-title":"Homeless health care: meeting the challenges of providing primary care.","volume":"209","author":"Davies","year":"2018","journal-title":"Medical Journal of Australia"},{"issue":"1","key":"2025111818081413200_R14","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/313909","article-title":"Mental and physical health and intimate partner violence against women: a review of the literature.","volume":"2013","author":"Dillon","year":"2013","journal-title":"International Journal of Family Medicine"},{"issue":"2","key":"2025111818081413200_R15","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1097\/00004650-200001000-00007","article-title":"Faculty practice at a homeless shelter for women and children.","volume":"14","author":"DiMarco","year":"2000","journal-title":"Holistic Nursing Practice"},{"issue":"11","key":"2025111818081413200_R16","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2020-320321","article-title":"Intimate partner violence and child outcomes at age 10: a pregnancy cohort.","volume":"106","author":"Gartland","year":"2021","journal-title":"Archives of Disease in Childhood"},{"issue":"3","key":"2025111818081413200_R17","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1111\/j.1365-2524.2004.00491.x","article-title":"Tackling the needs of the homeless: a controlled trial of health advocacy.","volume":"12","author":"Graham-Jones","year":"2004","journal-title":"Health & Social Care in the Community"},{"key":"2025111818081413200_R18","doi-asserted-by":"crossref","unstructured":"Haslam D, Mathews B, Pacella R, Scott J, Finkelhor D, Higgins D, Meinck F, Erskine H, Thomas H, Lawrence D, Malacova E (2023) The prevalence and impact of child maltreatment in Australia: findings from the Australian Child Maltreatment Study. Brief report. Queensland University of Technology, Brisbane, Queensland, Australia. Available at https:\/\/www.acms.au\/resources\/the-prevalence-and-impact-of-child-maltreatment-in-australia-findings-from-the-australian-child-maltreatment-study-2023-brief-report\/ [Verified 13 November 2024]","DOI":"10.5204\/rep.eprints.239397"},{"issue":"4","key":"2025111818081413200_R19","doi-asserted-by":"publisher","first-page":"1353","DOI":"10.1111\/jan.15316","article-title":"Qualitative study of the perspectives of women with lived experience of domestic and family violence on accessing healthcare.","volume":"79","author":"Hollingdrake","year":"2023","journal-title":"Journal of Advanced Nursing"},{"issue":"4","key":"2025111818081413200_R20","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1002\/car.2408","article-title":"The effectiveness of targeted interventions for children exposed to domestic violence: measuring success in ways that matter to children, parents and professionals.","volume":"24","author":"Howarth","year":"2015","journal-title":"Child Abuse Review"},{"issue":"8","key":"2025111818081413200_R21","doi-asserted-by":"publisher","first-page":"e356","DOI":"10.1016\/S2468-2667(17)30118-4","article-title":"The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis.","volume":"2","author":"Hughes","year":"2017","journal-title":"The Lancet Public Health"},{"issue":"2","key":"2025111818081413200_R22","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-1839","article-title":"Adverse experiences in early childhood and kindergarten outcomes.","volume":"137","author":"Jimenez","year":"2016","journal-title":"Pediatrics"},{"issue":"1","key":"2025111818081413200_R23","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1093\/fampra\/cmac075","article-title":"A systematic scoping review of primary health care service outreach for homeless populations.","volume":"40","author":"Kopanitsa","year":"2023","journal-title":"Family Practice"},{"issue":"2","key":"2025111818081413200_R24","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1891\/1946-6560.9.2.118","article-title":"Evaluation of trauma-informed integrated health models of care for women: a qualitative case study approach.","volume":"9","author":"Mantler","year":"2018","journal-title":"Partner Abuse"},{"issue":"3","key":"2025111818081413200_R25","doi-asserted-by":"publisher","first-page":"610","DOI":"10.1177\/1524838018781105","article-title":"Integration of primary health-care services in women\u2019s shelters: a scoping review.","volume":"21","author":"Mantler","year":"2020","journal-title":"Trauma, Violence, & Abuse"},{"key":"2025111818081413200_R26"},{"issue":"S8","key":"2025111818081413200_R27","doi-asserted-by":"publisher","first-page":"S61","DOI":"10.5694\/j.1326-5377.2008.tb01747.x","article-title":"Multidisciplinary care planning and teamwork in primary care.","volume":"188","author":"Mitchell","year":"2008","journal-title":"Medical Journal of Australia"},{"key":"2025111818081413200_R28","unstructured":"NSW Ministry of Health (2019) The first 2000 days framework. NSW Ministry of Health: North Sydney, NSW, Australia. Available at https:\/\/www1.health.nsw.gov.au\/pds\/ActivePDSDocuments\/PD2019_008.pdf [Verified 13 November 2024]"},{"issue":"2","key":"2025111818081413200_R29","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1177\/17449871231159595","article-title":"The perspectives of homeless people using the services of a mobile health clinic in relation to their health needs: a qualitative study on community-based outreach nursing.","volume":"28","author":"Paradis-Gagn\u00e9","year":"2023","journal-title":"Journal of Research in Nursing"},{"issue":"2","key":"2025111818081413200_R30","doi-asserted-by":"publisher","first-page":"652","DOI":"10.1093\/ije\/dyaa220","article-title":"Categories and health impacts of intimate partner violence in the World Health Organization multi-country study on women\u2019s health and domestic violence.","volume":"50","author":"Potter","year":"2021","journal-title":"International Journal of Epidemiology"},{"issue":"1","key":"2025111818081413200_R31","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1111\/j.1365-2524.2004.00469.x","article-title":"Can a health advocate for homeless families reduce workload for the primary healthcare team? A controlled trial.","volume":"12","author":"Reilly","year":"2004","journal-title":"Health & Social Care in the Community"},{"issue":"1","key":"2025111818081413200_R32","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1177\/1524838008327261","article-title":"The elusive search for definitive evidence on routine screening for intimate partner violence.","volume":"10","author":"Spangaro","year":"2009","journal-title":"Trauma, Violence, & Abuse"},{"issue":"11","key":"2025111818081413200_R33","doi-asserted-by":"publisher","first-page":"504","DOI":"10.3928\/0148-4834-20021101-12","article-title":"Community-based child health clinical experience in a family homeless shelter.","volume":"41","author":"Stevens","year":"2002","journal-title":"Journal of Nursing Education"},{"issue":"4","key":"2025111818081413200_R34","doi-asserted-by":"publisher","first-page":"1157","DOI":"10.1177\/1524838020985541","article-title":"The effect of intimate partner violence on the physical health and health-related behaviors of women: a systematic review of the literature.","volume":"23","author":"Stubbs","year":"2022","journal-title":"Trauma, Violence, & Abuse"},{"key":"2025111818081413200_R35","unstructured":"The World Bank (2023) The world by income and region. (The World Bank: Washington, USA) Available at https:\/\/datatopics.worldbank.org\/world-development-indicators\/the-world-by-income-and-region.html [Verified 11 May 2025]"},{"key":"2025111818081413200_R36","unstructured":"Tricco AC, Langlois EV, Straus SE (2017) Rapid reviews to strengthen health policy and systems: a practical guide. (World Health Organization: Geneva, Switzerland) Available at https:\/\/iris.who.int\/bitstream\/handle\/10665\/258698\/9789241512763-eng.pdf [Verified 16 November 2024]"},{"issue":"7","key":"2025111818081413200_R37","doi-asserted-by":"publisher","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation.","volume":"169","author":"Tricco","year":"2018","journal-title":"Annals of Internal Medicine"},{"issue":"5","key":"2025111818081413200_R38","doi-asserted-by":"publisher","first-page":"20","DOI":"10.3928\/02793695-20060501-05","article-title":"Nursing in tele-mental health.","volume":"44","author":"Tschirch","year":"2006","journal-title":"Journal of Psychosocial Nursing and Mental Health Services"},{"key":"2025111818081413200_R39","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1016\/j.jpsychires.2022.07.012","article-title":"Early developmental vulnerabilities following exposure to domestic violence and abuse: findings from an Australian population cohort record linkage study.","volume":"153","author":"Whitten","year":"2022","journal-title":"Journal of Psychiatric Research"},{"issue":"2","key":"2025111818081413200_R40","doi-asserted-by":"publisher","first-page":"1411","DOI":"10.1177\/15248380231179133","article-title":"Global prevalence of childhood exposure to physical violence within domestic and family relationships in the general population: a systematic review and proportional meta-analysis.","volume":"25","author":"Whitten","year":"2024","journal-title":"Trauma, Violence, & Abuse"},{"key":"2025111818081413200_R41","unstructured":"World Health Organization (2024) Violence against women. (World Health Organization: Geneva, Switzerland) Available at https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/violence-against-women [Verified 16 November 2024]"}],"container-title":["Australian Journal of Primary Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/py\/article-pdf\/doi\/10.1071\/PY24200\/1638532\/py24200.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/py\/article-pdf\/doi\/10.1071\/PY24200\/1638532\/py24200.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T23:08:18Z","timestamp":1763507298000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/py\/article\/31\/5\/PY24200\/238215\/Multidisciplinary-primary-care-outreach-for-women"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,18]]},"references-count":41,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,10,17]]}},"URL":"https:\/\/doi.org\/10.1071\/py24200","relation":{},"ISSN":["1448-7527","1836-7399"],"issn-type":[{"type":"print","value":"1448-7527"},{"type":"electronic","value":"1836-7399"}],"subject":[],"published":{"date-parts":[[2025,9,18]]},"article-number":"PY24200"}}