Presentation on theme: "THE REAL IMPACT OF DOMESTIC VIOLENCE ON HEALTH MAY 1, 2013 KRISTIN CARMICHAEL LISW, MBA AUTHOR: X THAT EX: MAKING A CLEAN BREAK WHEN THE RELATIONSHIP IS."— Presentation transcript:
THE REAL IMPACT OF DOMESTIC VIOLENCE ON HEALTH MAY 1, 2013 KRISTIN CARMICHAEL LISW, MBA AUTHOR: X THAT EX: MAKING A CLEAN BREAK WHEN THE RELATIONSHIP IS OVER DOMESTIC VIOLENCE SPECIALIST CHRISTUS ST. VINCENT REGIONAL MEDICAL CENTER Beyond Broken Bones
Objectives 1. Explore the links between abuse and a variety of possible negative health outcomes 2. Realize the benefits of addressing abuse in the medical setting 3. Learn several abuse-response models which can engage your local medical providers in partnership
1. In what ways do offenders target survivors health? 2. Why do offenders target survivor health? 3. What does it tell us that offenders place emphasis here? Nicolas Raymond 3 Important Questions To Ask About DV and Health?
Health Impacts of Abuse What health impacts from domestic violence are we seeing most often from survivors seeking services?
Long Term Consequences of Abuse
Why Do We See These Specific Impacts? Difference between discrete incident of battering vs. repeated exposure to abuse.
Why Address DV In Medical System? Top 8 Reasons: Gateway for diverse peoples Survivors trust and have relationships established Short window of increased sensitivity and clarity People are used to being given recommendations Pre-knowledge that medical providers are interested in health and wellbeing People know that doctors have strict confidentiality Only place where offender will not be with survivor If you don’t work with this system it can harm survivors
What Happens If The Medical System Is Not Engaged?
How Can Medical Providers Get Involved? Pillars of CHRISTUS ST. Vincent Model: Working from the premise that patient health outcomes are dramatically impacted by abuse All planning and actions based on Results Based Accountability framework Multi-disciplinary approach Implemented hospital-wide and in affiliated clinics Relies on community experts and referrals for on-going service Full partnership in community effort to improve and increase service delivery to survivors
Most At-risk Patient’s Utilization Of The Emergency Department
New Strategies Identified/Investment TOP 10: 1. Intensive case management and navigation 2. Asking survivor what their needs are 3. Counseling, psychiatric and spiritual needs addressed 4. Increased length of stay at Sobering Center 5. Recovery programs accessed out of Santa Fe 6. Cell phones, gas cards etc… 7. Stakeholder meetings, working with law enforcement 8. Unconditional positive regard 9. Coordination across many departments 10. Addressing the DV, subs. abuse, behavioral health simultaneously
Community Collaboration Possibilities The Safety Net abuse response program for clinics Developed by the Santa Fe Medical Action Team 1. Warm Environment For Disclosure 2. Screening 3. Intervention Model 4. Doctor, Document, Data Participating clinics include: CSV Women’s Services Dr. VanEeckhout’s OBGYN La Familia Southside La Familia Healthcare for the Homeless *Preliminary results are excellent Christine Zenino
Final Questions To Consider 1. How are survivors lives changed by health impacts? 2. How can we talk more with survivors about their health? 2. How can we talk more with survivors about their health? 3. How can our services be more responsive to survivor health? 3. How can our services be more responsive to survivor health? Thank You For All You Do To End Abuse!
For More Information Excellent National Organization: Futures Without Violence: To Download this PPT go to: Kristincarmichael.com Kristin Carmichael is the author of the new book: X That Ex: Making a Clean Break When the Relationship is Over Xthatex.com