This study examined organizational factors influencing the availability and accessibility of IPV services for refugee and other vulnerable immigrant women in the U.S. from the perspectives of social service providers. This qualitative study used a purposive sampling approach to recruit 57 social service providers. Researchers analyzed data generated from individual interviews and focus group discussions using a thematic approach. The analysis generated four themes reflective of structural and systemic factors shaping the availability and accessibility of IPV services for immigrant and refugee women in the U.S.: (1) We weren’t ready, (2) No place to go, (3) Time is not on our side, and (4) Can’t do it alone. The analysis illuminated the extent to which service demands outweighed organizational capacities and the rigidity of service timelines that failed to meet needs. A pervasive thread of ethical dilemmas emerged, affecting the availability and accessibility of services. Overall, the findings form a compelling argument for structural shifts in policy and funding, and for fostering strong inter-sectoral coordination to combat barriers to services. The study reiterates the importance of addressing inter-agency collaboration in IPV research, policy, and practice.

本研究从社会服务提供者的角度研究了影响美国难民和其他弱势移民妇女 IPV 服务可用性和可及性的组织因素。这项定性研究使用有目的的抽样方法招募了 57 名社会服务提供者。研究人员使用主题方法分析了从个人访谈和焦点小组讨论中产生的数据。分析产生了四个主题，反映了影响美国移民和难民妇女 IPV 服务可用性和可及性的结构性和系统性因素：(1) 我们还没有准备好，(2) 无处可去，(3) 时间到了不站在我们这边，并且 (4) 不能单独完成。分析阐明了服务需求超过组织能力的程度以及未能满足需求的服务时间表的僵化。出现了普遍存​​在的道德困境，影响了服务的可用性和可及性。总体而言，调查结果为政策和资金的结构性转变以及促进强有力的跨部门协调以消除服务障碍提供了令人信服的论据。该研究重申了在 IPV 研究、政策和实践中解决机构间合作的重要性。以及促进强有力的跨部门协调以消除服务障碍。该研究重申了在 IPV 研究、政策和实践中解决机构间合作的重要性。以及促进强有力的跨部门协调以消除服务障碍。该研究重申了在 IPV 研究、政策和实践中解决机构间合作的重要性。