Trauma-Informed Care and Health Among LGBTQ Intimate Partner Violence Survivors
Open accessAbstract
Intimate partner violence (IPV) and its health consequences occur among lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals at rates equal to or higher than cisgender heterosexual individuals. Trauma-informed care (TIC) is one service approach with emerging empirical support for use with IPV survivors, but without attention to the LGBTQ population. Structural equation modeling was used to assess associations between TIC and mental and physical health through several mechanisms among 239 LGBTQ adults who had experienced IPV and sought healthcare services within the past year ( Mage = 27.66; 66.7% White; 43.9% cisgender women). Participants reported their perceptions of TIC in their services received; their sense of empowerment, emotion regulation, shame, and social withdrawal (all conceived as mobilizing mechanisms through which TIC could be associated with health); and their mental health (depression and posttraumatic stress disorder [PTSD]), and physical health (somatic symptoms and chronic health conditions). Those who perceived greater TIC in their services reported greater empowerment and emotion regulation, and lower social withdrawal. In turn, lower social withdrawal and shame were associated with better mental health, while lower shame also was associated with better physical health. Indirect associations between TIC and mental and physical health through the four mobilizing mechanisms were not significant, however, with the exception of a small indirect effect on mental health through lower social withdrawal. Results suggest that practitioners need to develop services to be used in conjunction with a general TIC approach to improve health and target shame among LGBTQ IPV survivors.
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There is growing evidence that TIP are related to survivors' well-being.
“there is grow -ing evidence that TIP are related to survivors' well-being (Scheer & Poteat, 2021 ; Serrata et al., 2020 ; Sullivan et al., 2018 ).”
From Separate and Cumulative Impacts of Trauma-Informed Practices and a Housing Intervention on the Safety, Housing Stability and Mental Health of Domestic Violence Survivors Over Two Years (2025) · cites this paper as Scheer & Poteat, 2021
The Results and Discussion (pages unavailable) link greater perceived trauma-informed care, measured with the TIP scales, to greater empowerment and emotion regulation and lower social withdrawal among LGBTQ intimate partner violence survivors. But they report no direct association with mental or physical health and only a small indirect association with mental health. The source therefore supports a relationship with some indicators of well-being, not an unqualified relationship with broader health. (LLM, conf=0.86)
Experimental — accuracy not yet measuredFindings from this study corroborate those of other studies linking TIP to survivors' subjective well-being.
“Findings from this study corroborate those of the other studies linking TIP to survivors' subjective well-being (Scheer & Poteat, 2021 ; Serrata et al., 2020 ; Sullivan et al., 2018 ).”
From Separate and Cumulative Impacts of Trauma-Informed Practices and a Housing Intervention on the Safety, Housing Stability and Mental Health of Domestic Violence Survivors Over Two Years (2025) · cites this paper as Scheer & Poteat, 2021
The Results and Discussion report a small indirect link between trauma-informed care and better mental health through lower social withdrawal among LGBTQ intimate partner violence survivors. They found no direct link to mental or physical health and did not measure subjective well-being as such, so the broader claim of a link to survivors’ subjective well-being overstates this study’s findings. (LLM, conf=0.86)
Experimental — accuracy not yet measuredTrauma-informed practices (TIP) with intimate partner violence (IPV) survivors contribute to short-term improvements in their mental health.
“Trauma-informed practices (TIP) with intimate partner violence (IPV) survivors contributes to short-term improve -ments in their mental health.”
From Separate and Cumulative Impacts of Trauma-Informed Practices and a Housing Intervention on the Safety, Housing Stability and Mental Health of Domestic Violence Survivors Over Two Years (2025) · cites this paper as Scheer & Poteat, 2021
The Results report a small indirect association between trauma-informed care and better mental health through lower social withdrawal among LGBTQ IPV survivors. The Discussion (Limitations and Strengths; Associations Between TIC and Health) says the data were nonexperimental and causality cannot be determined. The paper therefore does not establish that these practices cause short-term improvements. (LLM, conf=0.88)
Experimental — accuracy not yet measuredTIP in the current study related to decreased depression, in contrast to findings from Scheer and Poteat (2021) and Sullivan and colleagues (2018).
“TIP in the current study related to decreased depression, which is in contrast to findings from both Scheer and Poteat ( 2021 ) as well as Sullivan and col -leagues ( 2018 ).”
From Separate and Cumulative Impacts of Trauma-Informed Practices and a Housing Intervention on the Safety, Housing Stability and Mental Health of Domestic Violence Survivors Over Two Years (2025) · cites this paper as Scheer and Poteat (2021)
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- Authors
- Scheer, J. R., & Poteat, V. P.
- Affiliations
- Yale University (US)
- Boston College (US)
- Corresponding author
- Scheer, Jillian R.
- Venue
- Journal of Interpersonal Violence
- Publisher
- SAGE Publications
- Published
- 2018-12-29
- Volume
- 36
- Issue
- 13-14
- Pages
- 6670-6692
- ISSN
- 0886-2605 (ISSN-L)
- 1552-6518
- PMC
- PMC7023297
- OpenAlex
- W2908254236
- Cited by
- 88
- References
- 50
- Citations by year
- 2026: 14 · 2025: 17 · 2024: 20 · 2023: 13 · 2022: 7 · 2021: 8 · 2020: 7 · 2019: 2
- FWCI
- 4.55
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Interpersonal Violence (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (T32MH020031)
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Keywords
- trauma-informed care, intimate partner violence, mental health, physical health, shame, social withdrawal, emotion regulation, empowerment, depression, post-traumatic stress disorder, somatic symptoms, chronic disease, mediating mechanisms
- MeSH terms
- Intimate Partner Violence, Sexual and Gender Minorities, Adult, Bisexuality, Female, Humans, Survivors, Homosexuality, Female
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