Priya KalapurayilHPA 4303/13/12

Domestic Violence Screening

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INTRODUCTION

If the numbers we see in domestic violence were applied to terrorism or gang violence, the entire country would be up in arms, and it would be the lead story on the news every night.

– Rep. Mark Green, WI

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INTRODUCTION P W

DOMESTIC VIOLENCE-WHAT IS IT?

• A pattern of coercive control that one person exercises over another.

• Not limited to physical violence

• A power game to control the victim

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DOMESTIC VIOLENCE STATS

• 85% of DV victims are women

• 1 in 4 women will experience DV in her lifetime

• Domestic violence is one of the most chronically underreported crimes

• Cost of domestic violence exceeds $5.8 billion each year

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HEALTH EFFECTS • Physical injuries• Mental health issues• Pregnant women:

low weight gain, 1st and 2nd trimester bleeding

• Less likely to engage in important preventive health care behaviors

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SCREENING FOR DOMESTIC VIOLENCE• Models developed to identify

other chronic health problems can effectively be applied to DV

• Routine inquiry is a starting point for this approach

• Even if a patient chooses not to disclose being abused, the provider’s inquiry about this issue can communicate support and increase likelihood of future discussion about this problem

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PROPOSED POLICY• A licensed clinic or hospital board of

directors and its medical director shall establish and adopt written policies and procedures to screen all women above the age of 14 at every visit at all clinics and hospitals in Illinois for purposes of detecting spousal or partner abuse The policies shall include procedures to accomplish all of the following: • (a) Identifying and documenting, as

part of its medical screening, spousal or partner abuse among patients.

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WHAT HAPPENS NEXT?• Coding?• What happens after identifying these

victims?• Training healthcare professionals• Resources and referrals

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MESSAGING & MARKETING P W

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Saving through Screening

PROTECT OUR WOMEN

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POLICY ENTRYPOINT• Conference of Women Legislators

(COWL)• Executive Director: Deborah Murphy

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POLICY PARAMOURS• Rep. Constance

A Howard (D)

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Jakobsson (D)

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POLICY PARAMOURS• Senator Linda

Holmes (D)

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General, Lisa Madigan (D)

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STAKEHOLDERS• Governmental

• Centers for Disease Control and Prevention: National Center for Injury Prevention and Control, Division of Violence Prevention

• National Criminal Justice Reference Service (NCJRS)• National Institute on Alcohol Abuse and Alcoholism

(NIAAA)• National Institute on Drug Abuse (NIDA)• National Institute of Mental Health (NIMH)• National Youth Violence Prevention Resource Center

(NYVPRC)• U.S. Department of Health and Human Services (DHHS)• U.S. Department of Justice, Office of Violence Against

Women (OVW)• U.S. Department of State

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STAKEHOLDERS• Non-governmental

• Project Ezra• SHALVA (Shelter, Advice and Legal Aid for Victims of Abuse)• Life Span• Friends of Battered Women and Their Children• Illinois Coalition Against Domestic Violence• Academy on Violence and Abuse (AVA)• American Psychological Association (APA)• Asian and Pacific Islander Institute on Domestic Violence• Domestic Violence & Mental Health Policy Initiative (DVMHPI)• Family Violence Prevention Fund (FVPF)• National Center for Children Exposed to Violence (NCCEV)• National Health Collaborative on Violence and Abuse• National Health Resource Center on Domestic Violence• Preventing Violence through Education, Networking and Technical Assistance

(PREVENT)• Rape, Abuse and Incest National Network (RAINN)• Screen to End Abuse

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STAKEHOLDERS• Non-governmental

• American Medical Association• American College of Obstetricians and Gynecologists• American Academy of Family Physicians• American Psychological Association• American Nurses Association• American Academy of Pediatrics,• The Joint Commission on the Accreditation of Health Care

Organizations• Institute of Medicine

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REFERENCES• http://www.ncadv.org/files/

DomesticViolenceFactSheet(National).pdf• http://www.ama-assn.org/ama/pub/physician-

resources/public-health/promoting-healthy-lifestyles/violence-prevention/other-violence-abuse-resources.page

• http://www.futureswithoutviolence.org/userfiles/file/Consensus.pdf

• http://www.womansavers.com/abusive-men.asp• http://www.ilcadv.org/resources/

what_is_domestic_violence/dynamics.html• http://law.onecle.com/california/health/

1233.5.html• http://www.aaos.org/about/abuse/ststatut.asp• http://www.iom.edu/Reports/2011/Clinical-

Preventive-Services-for-Women-Closing-the-Gaps.aspx

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