Community Health Center Initiative

Improving Health through Violence Prevention: Fostering Sustainable State/Territory and Systems-Level Transformation for Community Health Centers and Domestic Violence Programs

Futures Without Violence (FUTURES) is reviewing applications for Phase III of a project focused on fostering intimate partner violence (IPV) and health leadership and collaboration at the state or territory level to improve the health and safety outcomes for survivors of IPV and to promote prevention. This project is supported through a collaboration of U.S. Department of Health and Human Services partners, including the Administration for Children and Families’ (ACF) Family and Youth Services Bureau, the Health Resources and Services Administration (HRSA) Bureau of Primary Health Care, and the HRSA Office of Women’s Health. Technical assistance and training will be provided by FUTURES.

Selected sites will be announced in December 2017. 

If you have questions about the initiative, contact:

Anna Marjavi, Program Director, Health, Futures Without Violence at

Note: Phase III is an expansion of the work (at the state/territory-level) that was first initiated with phases I and II of the project, described below.

Improving Health Outcomes Through Violence Prevention to Identify and Provide Brief Counseling on Intimate Partner Violence (IPV) in Health Centers

From April 2015 to September 2016, Futures Without Violence worked with ten Health Resources and Services Administration (HRSA) supported community health centers and Family Violence Prevention and Services Act (FVPSA) supported domestic violence programs to expand their capacity to support survivors of domestic and sexual violence. The first phase of this project funded three sites and the following phase expanded to engage another seven sites. The ten selected centers and partnering local domestic violence organizations collaborated to identify and respond to domestic violence—an issue that affects one in every four women in the U.S.

During a period of 10 months, the community health centers and domestic violence programs in each location received a total of $14,000 to work together to promote the safety and health of people seeking services in either the community health centers or domestic violence programs.  Futures Without Violence provided technical assistance, training, and resources to support the collaborations.

The ten participating sites included:

Phase I (April 2015-December 2015)

Phase II (November 2015-September 2016)

The selected health settings began by using comprehensive training curricula, health care provider resources, and patient education materials developed by Futures Without Violence.  In addition, quality improvement tools were used to guide the system changes necessary to institutionalize policies to assess for IPV, as well as resources to facilitate productive partnerships between the selected health centers and local domestic violence programs. A learning community comprised of dedicated project leaders allowed the participating sites to exchange strategies. Futures Without Violence convened regular meetings between participating sites via webinar and in-person.

Evaluation data from sites suggest that the trainings to provide brief counseling on IPV had a positive impact on the health care providers and their patients.  We learned that the integration of this specific intervention was achievable and the health care providers trained reported regularly offering universal education and response to IPV after receiving training.

An outcome of this initiative was the development of, an online toolkit by and for community health centers and domestic violence agencies looking to forge or expand partnerships. The lessons learned from the Improving Health Outcomes Initiative, along with the resources and expertise from the ten participating sites was crucial to developing this new online toolkit.

The pilot program was funded through a collaboration of U.S. Department of Health and Human Services including: the HRSA Bureau of Primary Health Care, the HRSA Office of Women’s Health, and the Administration for Children and Families’ Family and Youth Services Bureau, Family Violence Prevention and Services Program.

For more information email Anna Marjavi

*Funding for the Rinehart Clinic and Tillamook County Women’s Resource Center is supported by Grant #1SP1AH000019 from the HHS Office of Adolescent Heal



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