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27 Cards in this Set
- Front
- Back
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What is domestic violence? |
Violence against (a) person, by any other person, with whom that person is or has been in a domestic relationship |
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What are the different types of domestic violence? |
- physical - sexual - psychological/emotional - financial - neglect |
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What is family violence? |
Violence perpetrated by 1 family member against another family member (can be adult or child) |
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What is the term that family violence is also referred to as? |
"Battering" |
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What are the most common forms of family violence? |
- partner abuse - child abuse and neglect - elderly abuse and neglect |
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What are the effects of family violence? |
- physical injury to victims - victims engaging in risky behaviour as a 'coping mechanism' (e.g. Drug and alcohol abuse) - chronic stress leading to poor health - long-term psychological effect on children (e.g. behavioural problems, poor concentration and poor education) - unemployment and poverty |
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What is the Duluth model? |
- developed in 1984 and named after Duluth, Minnesota (the city where it was developed) - domestic abuse intervention project which was developed to reduce domestic violence against women - challenges male perpetrator ideas of power and control over women |
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What is the Duluth model also referred to as? |
The power and control wheel |
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What are the 8 'parts/sections' to the Duluth model? |
1) using coercion or threats 2) using intimidation 3) using emotional abuse 4) using isolation 5) minimising, denying and blaming 6) using children 7) using male privilege 8) using economic abuse |
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What are the different stages of the 'cycle of violence'? |
1) tension builds 2) violence 3) "sorrys"/remorse 4) hearts and flowers |
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What are some of the important feature of the cycle of violence? |
- motivation: driven by perpetrators choice of action - frequency: the more the cycle is completed, the more often all phases will occur - escalation of danger: the more often the cycle is completed, the worse the violence gets - intensity through contraction: the more often the cycle is completed, the less the remorse (eventually the sorry/remorse phase disappears) |
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What are the ministry of health family violence intervention guidelines? |
- identification - emotional support - risk assessment - safety intervention - documentation, documentation, documentation!! - referral |
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What are two examples of the counties Manukau guideline for family violence intervention? |
Routine screening for all females 16 years and over and women who are caregivers/parents of children who are present with children Indicator screening for: - males 16 years and older who present with signs and symptoms indicative of abuse - people aged 65+ who present with signs and symptoms indicative of abuse - other parent/caregiver groups who are considered at risk of abuse due nature of health issue or other psycho-social indicators - all children who present with signs and symptoms indicative of abuse should be questioned using HEADS assessment tool |
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What are some factors that influence males reporting domestic violence? |
- nothing has been done to encourage men to report abuse - men are conditioned not to ask for help - shame - disempowerment |
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What are some factors that influence female disclosure of domestic violence? |
- fear - shame and belief that violence is her fault - low self-esteem and powerlessness - belief that partner will change once baby is born (for violence that occurs during pregnancy) - lack of information about services |
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What are some behavioural signs of abuse? |
- lack of concern about injury or blaming herself (e.g. "I just fell over, I'm so clumsy) - explanation does match up to severity of injury - suicide ideation or attempts - alcohol or drug abuse - no money, isolation, no support - anxiety, depression, eating disorder - wearing clothing that 'hides' bruises e.g. Scarves and long sleeves - male partner does all the talking |
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How can you support someone who is experiencing domestic/family violence? |
Listen Acknowledge Validate Inform |
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What would you document in the clinical notes? |
- personal safety and violence was screened for - if disclosure took place use patient words as much as possible using quotation marks, state identified perpetrators name and relationship to patient, record opinion as to whether injury was consistent or inconsistent with patients explanation, note referral information offered to client |
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What is the purpose of the domestic violence act 1995? |
sets out how victims of violence can obtain protection orders |
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What is the vulnerable children's act? |
- passed in 2014 - aim: protect and improve well being of vulnerable children and encourage children agencies to work together to do this - holds six government departments accountable for protecting and improving the lives of vulnerable children |
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Who are the 6 government agencies? |
- NZ police - Ministry of Health - ministry of education - Ministry of justice - ministry of social development - oranga tamariki |
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What is required under the Vulnerable children's act 2014? |
- safety checking and vetting - all people working with children for government funded organisations must be safety checked before hand - done every 3 years |
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What is elder abuse? |
Occurs when a person aged 65 or over experiences harmful physical, psychological sexual material or social effects caused by the behaviours of another person with whom they have a relationship implying trust |
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What is the most common form of elderly abuse? |
Psychological (75%) |
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What is caregiver neglect? |
Conscious and intentional deprivation by a carer of basic necessities resulting in harmful physical, psychological, material and or social effects |
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What is passive neglect? |
Refusal by carer because of inadequate knowledge, infirmity, or disputing the value of the prescribed services to provide basic necessities |
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What are some history red flags for elderly abuse? |
- Injury inconsistent with explanation - history of similar suspicious episodes - history of "doctor hopping" or no doctor - delay in seeking medical care - improper administration of medication (over or under medicated) - frequent "falls" |
