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Presented by Shannon Nix, B.A. Kaiser Permanente

Connecting Domestic Violence Victims with Housing and Community Resources

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Connecting Domestic Violence Victims with Housing and Community Resources. Presented by Shannon Nix, B.A. Kaiser Permanente. OUTLINE. What is Domestic Violence (DV) Prevalence of DV Who are the victims Types of abuse Effects of abuse on victims and children - PowerPoint PPT Presentation

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Page 1: Connecting Domestic Violence Victims with Housing and Community Resources

Presented byShannon Nix, B.A.

Kaiser Permanente

Page 2: Connecting Domestic Violence Victims with Housing and Community Resources

• What is Domestic Violence (DV)• Prevalence of DV• Who are the victims• Types of abuse• Effects of abuse on victims and children• How case managers can facilitate

communication with victims and assist victims through transitions

• Connection to resources

Page 3: Connecting Domestic Violence Victims with Housing and Community Resources

KP physician and employees who were victims of domestic homicide

“An Equal Opportunity Destroyer”

Lisa Munoz1976-1999Optical Services

Cassandra Floyd, MD1966-2001OB/GYN

Stephanie Zalot1966-2003Quality Outcomes

Page 4: Connecting Domestic Violence Victims with Housing and Community Resources

Because it’s not just a bruise….

Domestic violence is an important health care concern because…

DV is extremely common and pervasive The health effects are devastating The health care costs are substantial

DV has a considerable impact on workplace safety and productivity

Impacts future generations Exposure to DV as a child increases

health care utilization throughout life and is associated with poorer health outcomes as an adult

Page 5: Connecting Domestic Violence Victims with Housing and Community Resources
Page 6: Connecting Domestic Violence Victims with Housing and Community Resources

• This month we mourn the lives of those who died from domestic violence, celebrate the lives of those who have survived, and allow community workers to help end violence.

• Domestic Violence is one of the most critical public health issues facing women and children; every person in our society feels its impact

• Violence can be emotional, sexual, physical, verbal , or financial. • Violence is based on through generations, from one relationship to

the next. Children of abuse are more likely to become abusers themselves or end up in an abusive relationship.

• Many crimes committed are a direct result of intimate partner violence.

• We all must make a commitment to help prevent and bring hope and healing to those affected by violence.

Page 7: Connecting Domestic Violence Victims with Housing and Community Resources

“Bruises everywhere all the time. And he would tie my hands and make me stand with my hands hooked up above my head for 2 or 3 hours. And give a stick to my sons and say, “if she moves, beat her.”

Page 8: Connecting Domestic Violence Victims with Housing and Community Resources
Page 9: Connecting Domestic Violence Victims with Housing and Community Resources

3 out of 4 of us personally know someone who is or has been a victim of DV

Page 10: Connecting Domestic Violence Victims with Housing and Community Resources

KP physician and employees who were victims of domestic homicide

“An Equal Opportunity Destroyer”

Lisa Munoz1976-1999Optical Services

Cassandra Floyd, MD1966-2001OB/GYN

Stephanie Zalot1966-2003Quality Outcomes

Page 11: Connecting Domestic Violence Victims with Housing and Community Resources

More than 3 women are murdered by their husband or boyfriend each day?

One half of all women homicide victims in the world were killed by a former spouse or partner?

1 out of 3 women in the world have been beaten, abused, or coerced into having sex in within their lifetime

Page 12: Connecting Domestic Violence Victims with Housing and Community Resources

New cases of breast cancer: 211,000

Number of women dying from cardiovascular disease: 484,000

Number of women who are victimized by DV each year: 1,500,000

Page 13: Connecting Domestic Violence Victims with Housing and Community Resources

• 18-25% of high school girls report physical and/or sexual violence by a dating partner

• 25-36% of college students report dating violence

AND

• Adolescent girls who experienced physical or sexual dating violence were 6 times more likely to become pregnant than their non abused counterparts.

Page 14: Connecting Domestic Violence Victims with Housing and Community Resources

- The prevalence of IPV has been significantly under-estimated:

4-8% current IPV15% IPV in last 5yrs44% lifetime

- Highest prevalence occurs in working age and parenting women

Page 15: Connecting Domestic Violence Victims with Housing and Community Resources

7%-20% of pregnant women are victims of DV = 324,000 yearly

DV is a leading cause of pregnancy-associated mortality

DV is more common than many conditions for which most pregnant women are routinely screened

Associated with:― Delayed entry into prenatal care― Premature labor― Trauma to the abdomen― Low birth weight infant

Page 16: Connecting Domestic Violence Victims with Housing and Community Resources

Among homeless domestic violence victims, approx 34% women have experience major violence within the last 23 months

1 in 4 women, 1 in 14 men will be physically assaulted by an intimate partner during his or her lifetime.

Page 17: Connecting Domestic Violence Victims with Housing and Community Resources

6 % of California women age 18+-

669,755 California women in 1998

Page 18: Connecting Domestic Violence Victims with Housing and Community Resources

• Pakistan: Criminal Justice system does not believe that domestic violence is a crime and it is not recognized in the court system

• Jordan: “Honor Killings” are socially accepted, where family members can murder a woman if they feel her behavior is “improper.”

• Russia and Uzbekistan: Police will often harass victims to stop them from filing reports and will usually not respond to any filed reports

• Peru: No law implemented to protect victims against stalking and marital rape

• Over 71% of women in rural areas of Ethiopia, and over 50% of women in Peru, Tanzania, and Bangladesh have been victims of physical or sexual violence from their partners

• Less than 20% of women in Japan reported incidents of Domestic Violence (may not be accurate due to cultural role and shame)

• According to United Nations Development Fund for Women….– 1 out of 3 worldwide has been beaten,

abused, or coecered into having sex within her lifetime.

– Rape and domestic violence are of greater concern for women ages 15-44; even higher than malaria, cancer, and war

– In 2003, it was estimated that DV costs the US $5.8 Billion

Page 19: Connecting Domestic Violence Victims with Housing and Community Resources

“Liz Claiborne, Kaiser Permanente, State Farm Insurance and Verizon Wireless are among the companies that have instituted domestic violence policies. …[and] believe they have saved both lives and money.”

Page 20: Connecting Domestic Violence Victims with Housing and Community Resources

• It is estimated that domestic violence acts and intervention services cost over $5.8 billion each year in the U.S. alone. $4.1 billion of this is for direct medical and mental health care fees

• $1.8 billion per year In lost business productivity• 50-85% abused women will miss work to DV• 60% abused women are late to work due to DV• $990 annual loss per employee

Page 21: Connecting Domestic Violence Victims with Housing and Community Resources
Page 22: Connecting Domestic Violence Victims with Housing and Community Resources

Survivor

Page 23: Connecting Domestic Violence Victims with Housing and Community Resources

Domestic Violence does not discriminate against gender, age, religion, sexuality, ethnicity, educational level…..

It can happen to anyone!!

Page 24: Connecting Domestic Violence Victims with Housing and Community Resources

“ I was kept in one room for 6 years. 6 years of my life was in one room and kitchen. He kept me there. He wouldn’t let me go out except sometime with him…And if anything he didn't like about the cooking and the shopping, he’s start doing the beating. Just like I was his slave…”

Page 25: Connecting Domestic Violence Victims with Housing and Community Resources

Common Characteristics

Poor self-image Strict gender roles Childhood experiences

of :◦ Poverty◦ Isolation◦ Neglect or Abuse◦ ETOH/Substance Abuse

POVERTY: ◦ According to CDC,

Households earning less than $15,000 (36% women, 21% men) suffer from IPV

Page 26: Connecting Domestic Violence Victims with Housing and Community Resources
Page 27: Connecting Domestic Violence Victims with Housing and Community Resources

Physical, Financial, Sexual, Emotional

Page 28: Connecting Domestic Violence Victims with Housing and Community Resources

PHYSICAL• Sexual assault or rape• Intentionally trips or shoves,

punch, hit, choke, slap, threatens with violence or weapons

• Threatened to hurt or kill himself if you leave

• Destroys your personal things Hurts pets Stalking Shows up unexpectantly to your

work, school, or elsewhere to

checkup on you

FINANCIALControls family finances

Refuses victim to have access to financial accounts

Sabotage victim's work performance by forcing victim

to miss work or will call frequently at work

Page 29: Connecting Domestic Violence Victims with Housing and Community Resources

Emotional or Verbal• Isolation• Criticizes you on your

appearance and actions• Blames you for his actions,

calls you “crazy” • Restricts you on where you

can go, who you see, what you do

• Calls you names , humiliates or embarrasses you deliberately

• Controls finances• Condemns victim as being a bad parent

Sexual• Objectification & reinforces

rigid gender roles• Accuses victim of infidelity• Demeans and insults victim,

calls you hurtful sexual names• Forced or manipulated victim to

perform sexual acts• Physically held victim down

during sex• Inflicted pain, including using

weapons or objects during sex• Involved other people in sexual

activities with victim• Disregard or ignore victim’s

feelings about sexual behaviors and practices

Page 30: Connecting Domestic Violence Victims with Housing and Community Resources
Page 31: Connecting Domestic Violence Victims with Housing and Community Resources

• “Stand by your man. We can make it work. So a lot of those beliefs were there that you just felt,

well, if I just hang in there, everything will be okay. Everything will turn around, Things will

change…It’s just that the break never comes. It never comes and you have to make the break.

Something clicks inside that just says, you know, if I have to be evicted, I might as well do

it on my own. Why am I here doing bad with somebody, you know? I began to say, ok, if I’m gonna be homeless, ok, it’s gonna be a choice. I’m not gonna be homeless with a husband. So I

think when it came to homelessness, it was almost voluntary.”

Page 32: Connecting Domestic Violence Victims with Housing and Community Resources

• INTIMIDATION

• COERCION AND THREATS

• USES CHILDREN AS A BARGAINING TOOL– Threatens to report victim to CPS– Forces children to rely messages to

victim– Tells victim that if she does not

follow through with his request, then he will harm children

• Controlling and/or manipulative behavior

• Behaviors can occur abruptly or gradually evolve in frequency and severity

• Denies any wrong-doing or actions

• Reckless driving

• Looks at partner in a threatening or frightening manner

• Wants or demands victim to get permission from him/her

• Decides what abuser will wear, how she will spend her time

• Blames the victim for his violent behavior

Page 33: Connecting Domestic Violence Victims with Housing and Community Resources

After being hospitalized from being beaten, one victim stated, “No matter what goes on in life, that’s my baby. And nobody can have him. It’s as simple as that. I’ll die over him. There isn't no way.”

Page 34: Connecting Domestic Violence Victims with Housing and Community Resources

• Fall Hx• Recent hospitalizations or clinic visits with unexplained

injuries or bruising• Personality changes• Increased isolative behaviors• Not purchasing or taking medications• Missing clinical appointments • ETOH/substance abuse• Hx of battery or abuse, including childhood abuse• Complex behavioral management problems of children• Homeless• Arrests or imprisonment records• Psychiatric Hx/Dx

Page 35: Connecting Domestic Violence Victims with Housing and Community Resources

“He was the sweetest one. I think he did pull a gun and a knife on me, but he didn’t use it. But he was in my life and helped me a lot…He never hit me. He is a sweet guy but he really is not responsible.”

Page 36: Connecting Domestic Violence Victims with Housing and Community Resources
Page 37: Connecting Domestic Violence Victims with Housing and Community Resources

Center for Disease Control (CDC)Feb 2008

60% more likely to have asthma

70% more likely to have heart disease

80% more likely to have a stroke

Twice as likely to be a current smoker

Page 38: Connecting Domestic Violence Victims with Housing and Community Resources

• Most common cause of injury in women aged 18-44

• Associated with higher rates of: – Headaches– Chronic Pain Syndromes– Stress, insomnia– Chronic Gastrointestinal

Disorders– Palpitations, chest pain– Sexually transmitted

disease/HIV

• Associated with ongoing mental health problems:– Depression– Anxiety disorders– Post Traumatic Stress

Disorder– Substance abuse– Suicide attempts

• Associated with 4 times higher risk of severe depression

Page 39: Connecting Domestic Violence Victims with Housing and Community Resources

Fibromyalgia was 2nd most common reason for Rheumatology consults in KP Colorado

92% of patients were women 74% had history of emotional trauma 53% had history of abuse 34% had major depressive disorder

Page 40: Connecting Domestic Violence Victims with Housing and Community Resources

Did you know that many patients with chronic pain have a history of violence or abuse?

Be mindful of this when assessing a possible victim

Page 41: Connecting Domestic Violence Victims with Housing and Community Resources
Page 42: Connecting Domestic Violence Victims with Housing and Community Resources

Need to escape the violence within home and relationship

VICE VERSA: Homeless women are at a high risk for experiencing domestic violence, w/ common correlated risk factors of :

Childhood Abuse (physical, emotional, and sexual) ETOH or Substance abuse Illnesses Poverty Dislocation Mental Health problems

Page 43: Connecting Domestic Violence Victims with Housing and Community Resources

Leaving and/or losing home can leave a victim to have feelings of regret, anger, sadness, belief that situation is unfair or unjust

“I am the one who has suffered. Why do I have to leave?

Page 44: Connecting Domestic Violence Victims with Housing and Community Resources

• “I thought it was the way life was. Because in the neighborhood I grew up in, it was nothing to see a woman dragged, knocked down, stomped, or beat, And there was no safe house, there was no shelter that a wife or woman could run to and be protected. So many women, including my mother – they just stood there and took it. But I saw a lot of women die as a result of being abused. I would tell my mother, he’s killing her over there, Ma. And She’d say, leave it alone. So I took on that generational trait. You were just supposed to take it.” (Wesley 2005)

Page 45: Connecting Domestic Violence Victims with Housing and Community Resources

“ Homeless women unaccompanied by children, as when compared to homeless women with children, have higher rates of past psychiatric hospitalizations and past inpatient chemical dependency, and experience longer durations in their current spell of homelessness.”

– Journal of Family Issues, 1999

Page 46: Connecting Domestic Violence Victims with Housing and Community Resources

80% of homeless households w/ children are headed by a single mother

64% homeless women reported violence with adult partner (Metraux 375)

Difficult to have truly accurate statistics since many homeless individuals remain hidden or undocumented.

In 2007, Orange County had approx 35,065 homeless citizens

Orange County is equipped with approx 68 emergency and transitional shelters that have a combined total of 3400 beds available for homeless

Page 47: Connecting Domestic Violence Victims with Housing and Community Resources

Living with peers

Moving from hotel to hotel

Streets

Page 48: Connecting Domestic Violence Victims with Housing and Community Resources

Financial Dependence “Financially supporting a partner was not the immediate

cause of a woman’s homelessness but rather one important factor in the trajectory toward economic vulnerability and social exclusion (Wesely, p 7)

Even when remaining at home, DV Victims may struggle financially due to partner’s drug and alcohol expenses

In reality, victims may have financial independence and gain more financial stability if he/she chose to leave the relationship

Fear of becoming homeless

Power and control The abuser has shown so much control that the victim lives

in fear and begins to only focus on his or her ability to survive day to day.

Isolation Threats

Page 49: Connecting Domestic Violence Victims with Housing and Community Resources
Page 50: Connecting Domestic Violence Victims with Housing and Community Resources

Domestic violence happens at home.

Help happens here

Page 51: Connecting Domestic Violence Victims with Housing and Community Resources

- Victims of direct neglect or abuse– In 30-60% of families affected by

DV, the children are also abused

- Witnessing abuse of parent

- Risk for homicide

Page 52: Connecting Domestic Violence Victims with Housing and Community Resources

CDC suggests that adverse childhood experiences, including domestic violence, “ are major risk factors for the leading causes of illness and death as well as poor quality of life in the United States.”

Page 53: Connecting Domestic Violence Victims with Housing and Community Resources

of Household dysfunction Substance abuse

27% Parental sep/divorce 23% Mental illness 17% Battered mother

13% Criminal behavior 6%

Abuse: Psychological 11% Physical 28% Sexual 21%

Neglect: Emotional 15% Physical 10%

Page 54: Connecting Domestic Violence Victims with Housing and Community Resources

–Unintended pregnancy

– Sexually transmitted disease

– Smoking as an adolescent

– Poorer health outcomes as adults:»cardiovascular disease »emphysema»depression

Page 55: Connecting Domestic Violence Victims with Housing and Community Resources

Family Violence is transmitted from

generation to generation

Page 56: Connecting Domestic Violence Victims with Housing and Community Resources

Disclosing Domestic Violence

Page 57: Connecting Domestic Violence Victims with Housing and Community Resources

“Even thought I am a physician and frequently counsel patients in similar circumstances, I did not recognize that I was experiencing domestic violence.”

Page 58: Connecting Domestic Violence Victims with Housing and Community Resources

• Embarrassment/shame

• Fear of retaliation by partner

• Lack of trust

• Economic dependence

• Desire to keep family together

• Unaware of alternatives

• Lack of support system

• May not identify self as a victim of abuse

Page 59: Connecting Domestic Violence Victims with Housing and Community Resources

Sometimes you don’t know what

to do.

It’s ok to ask for help.

Page 60: Connecting Domestic Violence Victims with Housing and Community Resources

How do I ask?

• What do I do if the answer is yes?

• Can I provide an initial intervention that is caring, effective, and efficient?

• Are there support services and resources to offer my patients?

Page 61: Connecting Domestic Violence Victims with Housing and Community Resources

Not sure? Ask

Victims may not be sure, professionals may not be sure either!!!

Saying silent = abuse is okay

Your involvement may be life-changing and life-saving!

Page 62: Connecting Domestic Violence Victims with Housing and Community Resources
Page 63: Connecting Domestic Violence Victims with Housing and Community Resources

• Please know that if you or a friend are being hurt or threatened by a partner, you can come here for help.”

• “Because this is such a common problem, I am offering this information (brochure) to my patients.”

• “Based on what you’ve been telling me, I am concerned that you are in situation that may be affecting your health”

• Be prepared to ask more than once!

Page 64: Connecting Domestic Violence Victims with Housing and Community Resources

Reassure children that they are loved and protected Tell them the violence is not their fault Teach them that all people and animals deserve love and

respect Teach them healthy ways to express emotions Let them know you are getting help Encourage children to talk to trustworthy adults Establish routines Try to always have the children with a trusted adult at all

times Do not criticize or yell in front of or at children Encourage children to participate in extra-curricular activities Teach children to dial 9-1-1 when violence occurs and when

they feel un danger or unsafe

Page 65: Connecting Domestic Violence Victims with Housing and Community Resources

“I never told anyone. It was too embarrassing. I had too

much shame.”

Page 66: Connecting Domestic Violence Victims with Housing and Community Resources
Page 67: Connecting Domestic Violence Victims with Housing and Community Resources

The majority of women eventually end their relationships with violent partners

Most do not have recurrent abusive relationships

“Violence is a learned response , and like any learned response, it can be changed.” - Dr. Brigid McCaw, Kaiser Permanente, Family Violence Prevention Program

Page 68: Connecting Domestic Violence Victims with Housing and Community Resources

Resources, economics

Alternatives are available

Fear for safety of someone they care about

Fear of safety for self

Fear of effect on children

Page 69: Connecting Domestic Violence Victims with Housing and Community Resources

“I’ll never forget the office visit when my physician said, ‘I am concerned about you – I’m afraid that if your husband doesn’t kill you, the stress will.’ The physician’s words were part of what it took for me to finally leave.”

42 yr. old psychologist (Silent Witness pg 2)

Page 70: Connecting Domestic Violence Victims with Housing and Community Resources

• You do not deserve to be hurt. • You are not alone. • Reach out and Tell someone about the

abuse.• Staying silent is the same as saying the

abuse is ok• Trust your instincts

Page 71: Connecting Domestic Violence Victims with Housing and Community Resources

Importance of routine screening Critical role of clinician demeanor and

attitude Recovery is a process Focus on increasing safety rather than

leaving

Page 72: Connecting Domestic Violence Victims with Housing and Community Resources

Collaborative Efforts

The 4 Focuses Work in from a multi-disciplinary approach by involving social workers, physician, police, community agencies/resources, and advocates

Triaging for co-morbidity (CD, depression)

Assessing level of danger Developing a safety plan Developing a follow-up plan Providing information about

community resources

Creating supportive and trusting environment

Screening and referrals Resources for Immediate

environment Connection to

educational and community based resources

Page 73: Connecting Domestic Violence Victims with Housing and Community Resources

Percentage of Victims connected with…

43.3% hospital services

50.7% social worker 61.4% with police 31.4% volunteer

agencies 14.3% education

welfare officer

61.4% victims had seen their general practitioner within last 4 months

Vostanis et al.,

Page 74: Connecting Domestic Violence Victims with Housing and Community Resources

Creating a safe, trusting, and supportive environment for victims

Screenings and referrals◦ Ask what is priority for victim and

what would be most helpful at this time

◦ Assess readiness of change◦ Assess danger◦ Connect to physician◦ Emergency Crisis Team

Resources or immediate environment◦ Creation of safety plan◦ Provide DV hotline◦ support group and counseling◦ Shelter◦ Legal (protective orders, custody)

Connection to educational and community resources◦ Parenting, stress management,

anger control classes◦ Financial management classes◦ Transportation◦ Day care

Page 75: Connecting Domestic Violence Victims with Housing and Community Resources

JOB RETENTION….. Money management Parenting Home Management Stress Management Anger Management Medical Care Counseling

(motivation and self-esteem)

Employment Placement

Interpersonal skills

Access to day care

Page 76: Connecting Domestic Violence Victims with Housing and Community Resources

Fearful for their own safety

Concern about children

Clinician said that home situation could be affecting their health

Page 77: Connecting Domestic Violence Victims with Housing and Community Resources

Support groups Therapy (CBT, Hypnotherapy, psychotherapy) Healing stories Expressive of autobiographical writing

Page 78: Connecting Domestic Violence Victims with Housing and Community Resources

Victims who talk to primary physicians are 4x more likely to use a recommended intervention

Page 79: Connecting Domestic Violence Victims with Housing and Community Resources

A 2 year study found that women who were screened for abuse and given a wallet size referral card were found to have reported fewer threats of violence, assaults, and harassment at work

Page 80: Connecting Domestic Violence Victims with Housing and Community Resources
Page 81: Connecting Domestic Violence Victims with Housing and Community Resources

Leaving is the most dangerous time for a victim, but the most necessary for survival. Therefore, it is crucial for a victim to begin planning an escape plan (aka safety plan)

Page 82: Connecting Domestic Violence Victims with Housing and Community Resources

What are some reasons why victims will receive assistance from mental health services?◦ Fearful of safety◦ Concern for the safety and well-being of their

children◦ Clinicians said that their home situation could be

affecting their home

Page 83: Connecting Domestic Violence Victims with Housing and Community Resources
Page 84: Connecting Domestic Violence Victims with Housing and Community Resources

IF YOU ARE IN THE RELATIONSHIP:• Arrange a safety signal with a neighbor that will alert for calling the police– Special code word or signal to communicate with family, co-workers,

teachers to contact help

• Memorize all important phone numbers

• Develop scripts that can help you diffuse any anger or potential violence when abuser becomes violent

• Keep a record of all incidents of abuse, telephone calls, and messages (any attempted or direct contact) from the abuser. Have photos taken of any sustained injuries.

• Think of safer locations that you can go into if an argument occurs: easy to exit, no weapons

• Keep spare change OR a calling card with you

Page 85: Connecting Domestic Violence Victims with Housing and Community Resources

• IF YOU HAVE LEFT THE RELATIONSHIP:

• Change your phone number and screen calls. Try to get an unlisted phone number. If at work, ask other employee to screen calls.

• Do NOT tell the abuser your location, NO MATTER WHAT

• Keep a record of all incidents of abuse, telephone calls, and messages (any attempted or direct contact) from the abuser

• Change locks, put locks on all doors and windows. Notify Landlord and neighbors that abuser is not allowed near home and ask them to call police

Page 86: Connecting Domestic Violence Victims with Housing and Community Resources

• Always try to escape from an attack. • If you feel that you are in danger, leave! No

matter what time or day, leave your home and take your children to a shelter or secure location.

• Try to stay near a door or window, or in a public place

• Signal to neighbors to contact police.• Take photos of any sustained injuries after an

attack. Document anything about the attack that you can. Attempt to see or call a confidant after an attack (additional witness)

Page 87: Connecting Domestic Violence Victims with Housing and Community Resources

TELEPHONE◦ Make any long distance or

sensitive calls outside the home (neighbors, family)

◦ Be aware of cell phone usage. Abuser may be able to intercept calls through using a scanner. Use a cordless phone for any sensitive calls

COMPUTER◦ Use a computer at a library or

family’s house, if possible

◦ Get a private email through a website, like YAHOO or Hotmail

◦ Change passwords often and choose passwords that are over 6 letter/numbers & not easy to guess

◦ Store files on internet (companies such as HyperOffice and Ibackup)

◦ Erase web-browser history

Page 88: Connecting Domestic Violence Victims with Housing and Community Resources

ATTEMPT TO GET THE FOLLOWING:• P.O. box

• Savings Account in own name• Safety Deposit Box

Have any private documents, financial statements, etc., mailed to PO Box, work address, or confidant’s home

Page 89: Connecting Domestic Violence Victims with Housing and Community Resources

• Extra set of keys and copies of abuser’s drivers license, social security card, and passport

• Legal documents (proactive order, medical records, marriage/divorce certificates, Birth Certificates, car registration and title, insurance papers – auto, life, medical, rental agreements or house deed

• Records and photos of abuse incidents, both personal and by police

Page 90: Connecting Domestic Violence Victims with Housing and Community Resources

Drivers License • Social Security Card• Welfare ID• Passport or green card• Copy of protective orders

or court documents• Money• Checkbook• Credit and ATM cards

• Bank Account Numbers• Address Book• Keys: car, home• Medications• Children’s clothing and toy• Extra glasses or contacts• Family photos

What is most important is you

and your children's life!

Page 91: Connecting Domestic Violence Victims with Housing and Community Resources
Page 92: Connecting Domestic Violence Victims with Housing and Community Resources

IMMEDIATE DANGER NOT IN DANGER

PROVIDE POLICE INFO LOCAL SHELTER

(hotline) f/u evaluation by

mental health services f/u appt with primary

physician

Provide police information

LOCAL SHELTER AND HOTLINE

Consider f/u appt with mental health services

Encourage victim to talk to primary physician

Page 93: Connecting Domestic Violence Victims with Housing and Community Resources

RESTRAINING ORDERS

Page 94: Connecting Domestic Violence Victims with Housing and Community Resources

3 types of restraining orders• Emergency Protective Order (EPO)

» Can be issued at any hour of day or night when an officer, who has responded to a domestic violence call, can demonstrate to a judge (by phone) that there “is an immediate and present danger of domestic violence, based on the person’s allegation of a recent incident of abuse or threat of abuse.”

» Expires 5 court days or 7 calendar days after issued (whichever is shorter)» Not enforced until an officer notifies the abuser

• Temporary» Issued to protect an individual who ‘submits an affidavit demonstrating

reasonable proof of a past act or acts of domestic violence.’ Courts do not allow an abuser to any opportunity to contest against this order

» Expires within 20 days from being served. Therefore, a Court hearing must occur within this 20 day duration.

• Permanent » Granted after an Order of Hearing» 3 years and may be renewed

Page 95: Connecting Domestic Violence Victims with Housing and Community Resources

• Restraining orders are one initiative a victim can take to receive protection and support from the law enforcement and legal community.

• Restraining orders are a way the can help to prevent an abuser from committing further acts of violence against victim and children

• In California, any person over age 12 can petition for a restraining order WITHOUT parental consent or the presence of an adult/guardian

Page 96: Connecting Domestic Violence Victims with Housing and Community Resources

• Contact police immediately ever time abuser violates order

• Keep record and copies of any letters, messages, contacts, or threats from the abuser. Save any text or telephone messages.

• Develop a plan in case you are confronted by abuser before the police arrive

• Provide copies of the protective order to family, schools, daycare, work, neighbors

Page 97: Connecting Domestic Violence Victims with Housing and Community Resources
Page 98: Connecting Domestic Violence Victims with Housing and Community Resources

It is imperative for us to help victims know what their legal rights are and to connect them to the appropriate resources

Page 99: Connecting Domestic Violence Victims with Housing and Community Resources

• California Labor Code Section 230 allows all employees, even domestic violence victims, to take time off in order to testify against their abuser or to get a restraining order to protect themselves and children

• It is important to note that no employer can fire, retaliate, or discriminate against you for taking the time off. One should always attempt to give advanced notice for absence as much as possible. Always provide written documentation of court attendance and that you are a victim of domestic violence. This proof must be kept confidential by employer.

• A victim may received written documentation that considers her a ‘victim of domestic violence’ from a police report, court order, or from a health care provider or counselor (including domestic violence advocate) that the victim sought out for treatment of any injuries from violence

Page 100: Connecting Domestic Violence Victims with Housing and Community Resources

• 3. If you have a physical or mental health disability that was caused by or worsened from domestic violence, you may be entitled to have accommodations for these disabilities. Accommodations included: reduced work schedule, leave of absence, and transferring to a vacant position. These are regulations under the California Fair Employment and Housing Act, which entitle you to a work environment free of disability discrimination and harassment

• Note: if you are terminated, demoted, suspended, or discriminate against, you have the right to file a complaint against your employer to the Labor Commissioner at the Division of Labor Standards Enforcement. www.dir.ca.gov/dlse

Page 101: Connecting Domestic Violence Victims with Housing and Community Resources

• 1. You are entitled to a job-protected time off from work to go to court

– Your job remains protected, but you will not be paid if you go to court due to a subpoena, are to testify in court, to obtain a restraining order, or to seek any other judicial relief to protect yourself and family from domestic violence

– You may use paid vacation, personal leave, or compensatory time

• 2. You may be entitled to have your job protected when obtaining domestic violence services, including counseling, safety planning, working with crisis shelters, or moving into a shelter.

Page 102: Connecting Domestic Violence Victims with Housing and Community Resources

• 4. Family Medical Leave laws allow victims to have 12 weeks of unpaid time off of work while protecting their job. Absence would be considered as “a serious health condition.” to qualify for this, the following must be met:• Employer must have 50 employees within a 75 mile radius of your

worksite• You must have worked at least 1 year • You must have worked at least 1250 hours during the last 12 months

• 5. You may be eligible for unemployment insurance• If you quit your job in order to protect yourself against domestic violence,

you may have what is called “good cause” and therefore be entitled to benefits

• Benefits are only available to employees who quit with “good cause.”• Always attempt to make arrangements with boss prior quitting, and

explore possible options of relocation or a leave of absence

• Additional information about victim rights, call the Domestic Violence and Employment Project of the Legal Aid Society at 888-864-8335

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Police will generally not turn in a woman reporting domestic violence to CIS (Citizenship and Immigration Services)

Can obtain legal protection REGARDLESS of citizen states

If choose to take legal action against abuser, it is extremely unlikely that the Abuser will be deported.

In order to get legal permanent residency w/o assistance of spouse, first consult with a shelter worker, immigration attorney, or DV or immigration agency for assistance. DO NOT GO TO CIS first

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If spouse is threatening to take children 1. Get a custody order immediate, which will prohibit

spouse from removing children from this country 2. If children are US citizens, send copy of custody

order to the embassy of your partner’s home country and to the US Dept of State to prevent the issuance of passports and visas for children

3. Give copy of custody order to schools and tell schools who is only allowed to pick up children

4. Keep all recent photos, birth certificate, and passports of children.

5. Keep all contact information of spouse’s family and friends in his home country

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Refugees can receive food stamps, MediCaid, TANF, and other public service program ONLY WITHIN THE FIRST 5 YEARS of arriving to US

If ineligible to apply for legal permanent residency, you will not qualify for most welfare programs. Still eligible for emergency MediCaid

Contact DV or immigration advocated for ‘safe hospitals’ that will not report your citizen status

Contact immigration lawyer if unclear about immigration status or if victim is undocumented

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CalWorks Homeless Assistance Program

California Victim Compensation and Government Claims Board

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Provides financial assistance for victims of violent crime to help cope with the emotional, physical, and financial affects of crime.

• Provides financial assistance for the following:– Moving/relocation– Medical/dental– funeral/burial– Lost income– Home or vehicle modifications– Home Security – Job training compensation

• Assistance is Accessible is through local Victim Witness Assistance Center (within country district attorney offices)

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◦One-time housing voucher available to DV victims

◦Financial assistance for monthly rent, security deposit, utilities, purchase of stove or refrigerator, move-in-fees, etc.

◦Apply at nearest county social services office. Application only available though County Social Worker

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• Lack of privacy• Cramped environment• Victims may need to apply for and receive

approvals for grants to have furnishings and amenities at shelter residence

• WHAT VICTIMS WANT IN HOME:• Safety (#1)• Space and bedrooms• Garden and play areas for children • Location in Safe neighborhoods (Malos 1997)

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Provide crisis intervention

Connect victim to shelters

Financial and legal resources

Education

National DV Hotline 800-799-SAFE

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Availability of Tangible resources (such as transportation, day care, and financial) to victim predicts the cooperation a battered woman will have with criminal prosecution (Baker 2003)

RideInfo 800-431-7882

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1. Shelter-Help www.shelterhelp.org

• Cash grants, cell phones, airtime minutes

2. The Call To Protect www.wirelessfoundation.org/CallToProtect/index.cfm• Collects cell phones for DV survivors

3. HopeLine• Initiated by Verizon Wireless, Collects cell phones to for

local shelters

4. Amy’s Fund • Provides up to $2000 for moving/relocation,

transportation, rent, security deposits, medical expenses, legal fees (for R.O., divorce, custody agreements), care repairs, household goods (clothes, appliance, furniture)

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Messages of SurvivorsAdvocacy

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“I have a sense of pride that I survived and stated over. I had to give up the outward appearances and realize that this can happen to anyone, no matter who you are.”

“I can only hope that by telling my story, someone will realize that they are not alone and support is available.”

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• Serve as a lobbyist or work with legal professionals on passing stricter laws and punishment for abusers

• Talk to your local congressional leaders to increase state funding for the Statewide Domestic Violence Assistance Program, who provides funding for shelters and DV resources

• Internationally advocating for the legal criminalization of marital rape

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Joyce Shaw, RN The SheepFold Dr. Brigid McCaw, Kaiser Permanente

Domestic Violence Program Sharon Araki, RNP Joan Cosner, BS Christine Burke, LCSW

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Shannon Nix, B.A.562-622-3822

[email protected]

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Baker, Charlene K., Cook, S. & Norris, F. (2003). Domestic violence and housing problems: A contextual analysis of women’s help seeking, received informal support, and formal system response. Violence Against Women, 9(7), 754-783.

California State Domestic Violence Interagency Collaboration. Key Message and Talking Points. 2006. Center for Disease Control. (2008). Understanding teen dating violence. Retrieved October 1, 2008 from

www.cdc.gov/ncipc/pubers/datingabusefactsheet Charles, N. (1994). The housing needs of women and children escaping domestic violence. Journal of Social

Policy, 23(4), 465-487 Danis, Fran. “Domestic violence and social work education: What do we know, what do we need to know?”

Journal of Social Work Education, 39(2). Malos, Ellen, & Hague, G. (1997). “Women, Housing, Homelessness and Domestic Violence.” Women’s

Studies International Forum, 20 (3), 397-409. Metraux, Stephen & Culhane, D. (1999). Family dynamics, housing, and recurring homelessness among

women in New York City homeless shelters. Journal of Family Issues, 20 (3), 371-396. Mccaw, Brigid & Elkins, J. (2008). Domestic Violence Prevention: Addressing a silent epidemic. Kaiser

Permanente Northern California Family Violence Prevention Program. McCaw, Brigid & Elkins, J. (2008). Intimate Partner Violence. Kaiser Permanente Northern California Family

Violence Prevention Program. National Teen Dating Abuse Helpline. (2008). Dating abuse fast facts. Retrieved September 29, 2008 from

www.loveisrespect.org Orange County Partnership. (2007). Orange County Homeless. Vostanis, P., Tischler, V., Cumella, S. & Bellerby, T. (2001). Mental health problems among homeless

mothers and children victims of domestic and community violence. International Journal of Social Psychiatry, 47(4), 30-40.

Vermont Network Against Domestic and Sexual Violence. (2007). Power and control wheel. Retrieved October 2, 2008 from www.vtnetwork.org

WEAVE Inc. (2007). Safety Planning. Retrieved October 14, 2008 from www.WEAVEinc.org Wesely, Jennifer K. and Wright, J. “The Pertinence of Partners: Examining Intersections Between Women’s

Homelessness and Their Adult Relationships.” The American Behavioral Scientist. April 2005. Vol 48, Issu 8, pg 1082, 20 pgs