1 / 14

Beyond Broken Bones

Beyond Broken Bones. 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. Objectives.

yoland
Télécharger la présentation

Beyond Broken Bones

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Beyond Broken Bones 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

  2. 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

  3. 3 Important Questions To Ask About DV and Health? 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

  4. Health Impacts of Abuse What health impacts from domestic violence are we seeing most often fromsurvivors seeking services?

  5. Long Term Consequences of Abuse

  6. Why Do We See These Specific Impacts? Difference between discrete incident of battering vs. repeated exposure to abuse.

  7. 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

  8. What Happens If The Medical System Is Not Engaged?

  9. How Can Medical Providers Get Involved? Pillars of CHRISTUS ST. VincentModel: • 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

  10. Most At-risk Patient’s Utilization Of The Emergency Department

  11. 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

  12. 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

  13. Final Questions To Consider 1. How are survivors lives changed by health impacts? 2. How can we talk more with survivors about their health? 3. How can our services be more responsive to survivor health? Thank You For All You Do To End Abuse!

  14. For More Information • Excellent National Organization: Futures Without Violence: http://www.futureswithoutviolence.org/ 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

More Related