1. Domestic/Intimate Partner Violence Treatment
The ASi Way
Domestic/Intimate Partner Violence Treatment
Anita Jackson, BISW, MSW
Herbert A. Cruz, M.D.

2. Objectives Review the Demographics of Domestic Violence
Review existing treatment paradigms
Introduce the ASi Way as a culturally sensitive model based on culturally-sterile evidence-based models

3. US statistics National Coalition Against Domestic Violence
1 in 3 women and 1 in 4 men is a victim of some form of domestic violence during their lifetime
DV accounts for 15% of all violent crime
1 in 5 women and 1 in 59 men is raped
1 in 3 female and 1 in 20 male homicide victims is killed by an intimate partner
DV costs the US economy $12 Billion/year (after legislation reduced the figure by 14B)

4. Canadian statistics Statistics Canada Study
Half of all Canadian women have experienced physical or sexual violence
Sexual assault and partner violence costs Canada $9 Billion per year
More than 3,000 women/night stay in shelters to escape abuse
2-3 Aboriginal women per month are reported murdered or missing
Women are 11 times more likely to be victims of sexual offenses
Aboriginal women are 6 times more likely to be murdered and 2.5 times more likely to be victims of violence

5. Existing intervention
Post-hoc model (Prosecutorial)
Victim-report (must be reported)
Witness exposure (CPS)
Prevention models
Primary – before it happens
Secondary – after it happens
Tertiary – while it is happening
Sequential intercept model

6. Existing models of treatment
Duluth blueprint for safety (feminist re-education model)

7. Existing models of treatment
Cognitive Behavioral Therapy
CBT programmes are believed to work by identifying thoughts and beliefs that precede violent behaviour and challenging the ways that perpetrators justify their violence after the event
On average, those offenders receiving CBT had a 14% lower chance of reoffending than those in the control group. This effect was not statistically significant and was based upon evidence from 4 primary studies
CBT promotes awareness of alternatives to violence by increasing communication skills, social skills training and teaching participants anger management techniques

8. Existing models of treatment
Relapse Prevention and Relationship Safety
Recidivism can be influenced not only by policing, sentencing practices and parole monitoring, but also by the quality of interactions and integration between offenders and the community
The most obvious pre-condition for effectiveness is a systemic, integrated response. Mulroney (2003) defines integrated responses as ‘coordinated, appropriate, consistent responses aimed at enhancing victim safety, reducing secondary victimisation and holding abusers accountable for their violence’
Australian study demonstrated the need for cross cultural competency and ability to work with interpreters.

9. Existing models of treatment
Attachment Model
Dutton’s Developmental Model

10. Existing models of treatment
Psychodynamic Model
Parent-Child Interactive Therapy is a Primary Prevention approach.
Confronting transferential situations can be dangerous to the therapist.
Time-intensive

11. Existing theories of treatment
Maslow’s Hierarchy
Karpman’s Drama Triangle
The JOHARI Window
Sherry Moyer’s Eclipse Model

12. The ASi Way Every previously presented model is culturally-sterile
The ASi Way combines elements from all those models to create an insight-driven transit through both culturally-held belief systems and culturally-sterile interventions.

14. Medicine Wheel

15. P: (306) 425-9942 F: (306) 425-2513 info@asiway.ca www.asiway.ca
Contact
P: (306) F: (306)