After the Webinar: IPV and Resultant Concussions in Rural Locations. Q&A with the Presenters

Webinar Presenters Dr. Hirsch Handmaker and Elizabeth Hall-Lipsy answered a number of your questions after their presentation, Intimate Partner Violence and Resultant Concussions in Rural Locations Including Indigenous Populations. Here are just a few of their responses.


Audience Question: What is a shoe card, and where might we find them? 

Elizabeth Hall-Lipsy:  I am so glad you asked about them. And I’m so sorry, that I glossed over that so quickly. Shoe cards are small business card-sized pamphlets that can be surreptitiously given to an individual who may identify as experiencing or at risk of experiencing intimate partner violence. And it’s just a small, little card that can be hidden in a shoe or inside of a bra that has resources and information. So, many folks can’t get information on their phone, because their partner uses their phone. But this is something that can be hidden on a person so that they can take that information to be used when they’re in a place of safety, where they can make a call, visit a website, and seek that information. We were thinking, in terms of this project, we’ve seen these kinds of cards distributed or made available in safe places like salons and places of worship. We thought if we could work with pharmacies to even just have that available. And beginning to see, I work on a college campus, we keep in the restrooms, on the back of stalls, there’s a handout with resources if you feel like you can’t keep safe. But if we have those same kinds of things in pharmacies, how great that would be? Since so many people have such a rational and very clear explanation for why they need to visit a pharmacy. If those cards were available, folks can take them, or providers at the pharmacy can distribute them, even within, you know, medication, to hand out to potential people who need that information.

Dr. Hirsch Handmaker: Kerri Walker does have a library and that information that came from Doreen at the Coalition, and it really was based on a program that was started by Beauticians called Cut It Out, and it’s really a remarkable program for people who are interested. So, I think Kerri can provide that information to anybody who’s interested.


Audience Question: Chandra says; I’m part of a collaboration in Ohio that is creating resources for this intersection. Are there any screenings or medical algorithms that you’d recommend using in TB and concussions? 

Dr. Hirsch Handmaker: Actually, ODVN ——, one of the members that we’ve talked about from the needed collaborations, Rachel Ramirez and Juliana Nemeth at Ohio State University, they have a wealth of information and one of our collaborators and have been very progressive. And they have a lot of that information. I’d encourage you actually, serendipitously, this is the group of NEAT participants. You will see that that Juliana and Rachel are listed there, and I think they would be a great resource if you’re in the state of Ohio.

Host:  Chandra actually just sent a message saying that’s actually the collaboration that she’s part of.

Dr. Hirsch Handmaker: Great. Well, it’s a remarkable collaboration, and if there are specific questions on the medical or diagnostic side, I’ll be happy to communicate directly.


Audience Question: Would CACTIS want to work with resource facilitators outside of Arizona? 

Dr. Hirsch Handmaker: Absolutely, in fact, we now have a what we call MC3DV 2.0 in Long Island with Kathy Monahan and are replicating some of the programs that we’ve done in Arizona with her. We’ve also had inquiries from elsewhere and the answer is absolutely. We view ourselves as a multi-disciplinary and international collaborator, so the more the better. And if there’s interest, again, we’d be delighted. What state is that individual from?

Host: Ohio, I believe. Oh, I’m sorry. No, let me see if I can figure that out. Let me do a little bit of research. I was able to do some research, the person asking about willingness to work with facilitators outside of Arizona. She’s actually in Nebraska.

Dr. Hirsch Handmaker: No problems there we’d be delighted to work with ——–.


Audience Question: What does MC3DV stand for? 

Dr. Hirsch Handmaker: Oh, that’s the million dollar question. Maricopa County Collaboration on Concussions and Domestic Violence. It’s on one of the slides. We can go back to it if you’d like it.


Audience Question: Mallory was wondering if pharmacies could place the cards near prenatal vitamins or baby items even? And I wasn’t sure if you’ve heard of that practice, or if that’s a good idea or not? 

Elizabeth Hall-Lipsy:  I definitely see the utility. I think that there’s an advantage to making them available near to a person who has some training, maybe has participated in at least that one hour CE experience just in case. But the more information you can provide to people, and the more empowerment and the more acknowledgment that this circumstance is happening, I think, can only be a benefit. But it does also help to make sure that that, there is the ability or there is a person nearby, that can often also be really helpful.

Dr. Hirsch Handmaker: I think one of the one of the things that Elizabeth has taught us is that because pharmacies have a policy that, at least in Arizona and probably elsewhere, where the pharmacist is dispensing medications or are having a consultation with the patient, it’s a private little area that no one else can be at, including if the abusers, even in the same drugstore, for example. And that’s a place where this little poster can be put on the table in the consultation area, or the card can be available little rack there, where it’s very private between the pharmacist and the patient.


Audience Question: How many states are working with programs like yours to learn more and expand? 

Elizabeth Hall-Lipsy:  I wish that I had a better answer. I don’t necessarily know of many others. We’ve been trying to find locations that are using a pharmacy or pharmacist-centered approach, and there’s a handful of sites that are. But, to our understanding, and I apologize if I haven’t found it, I don’t know that there are many that had an emphasis on rural. If you are collaborating, or you want to work in that pharmacy space, please, please, reach out. I’d be more than happy if there is a group that’s already doing this through pharmacy, I don’t need to re-invent your fabulous wheel.


Click Here to Watch a Recording of Intimate Partner Violence and Resultant Concussions in Rural Locations Including Indigenous Populations.  

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