Name
Universal Precautions for Violence Prevention in Integrated Care: A Team-Based Clinical Model
Description

Violence exposure is strongly associated with depression, PTSD, chronic disease, and increased mortality, yet it is rarely addressed systematically within primary care. This interactive session introduces a multi-level framework for integrating violence prevention into healthcare, including Universal Precautions for Violence Prevention at the policy level, the Four Ts (Training, Triage and Treatment, Tracking Outcomes, Team Care) for clinic implementation, and the AIMM model (Assess, Inoculate, Mitigate, Motivate) for brief clinical intervention. Participants will engage in short interactive exercises to explore how integrated care teams can identify risk, normalize prevention conversations, and respond to emerging safety concerns within routine visits. Attendees will leave with practical tools and implementation strategies for bringing violence prevention into integrated behavioral health and primary care settings.

Speakers
Michael Changaris, PsyD
Content Level
Intermediate
Tags
Population and public health, Social determinants of health or SDoH, Team-based care
Session Type
Concurrent
Objective 1
Describe the public health and mental health impacts of violence exposure and its relevance to integrated primary care.
Objective 2
Explain how Universal Precautions and the Four Ts framework can support team-based violence prevention within integrated behavioral health settings.
Objective 3
Apply the AIMM clinical model (Assess, Inoculate, Mitigate, Motivate) to address violence risk and promote safety during routine patient visits.
Content Reference 1

World Health Organization. (2023). Committing to implementation of the Global Strategy for Women’s, Children’s and Adolescents’ Health (2016–2030): technical report (No. WHO/UHL/MCA/GS/23.01). World Health Organization.

Content Reference 2

Armstead, T. L., Wilkins, N., & Nation, M. (2021). Structural and social determinants of inequities in violence risk: A review of indicators. Journal of Community Psychology, 49(4), 878–906. https://doi.org/10.1002/jcop.22232

Content Reference 3

Bair-Merritt, M. H., Lewis-O’Connor, A., Goel, S., Amato, P., Ismailji, T., Jelley, M., Lenahan, P., Cronholm, P., & Cronholm, P. F. (2014). Primary care-based interventions for intimate partner violence: A systematic review. American Journal of Preventive Medicine, 46(2), 188–194. https://doi.org/10.1016/j.amepre.2013.10.001

Content Reference 4

Substance Abuse and Mental Health Services Administration. (2024, November). Behavioral health best practice resources for addressing trauma and violence (Publication No. PEP24-01-032). https://library.samhsa.gov/product/behavioral-health-best-practice-resources-for-addressing-trauma-and-violence/pep24-01-032

Content Reference 5

World Health Organization. (2025). RESPECT women: Preventing violence against women (2nd ed.). https://www.who.int/publications/i/item/9789240117020