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THE REAL IMPACT OF DOMESTIC VIOLENCE ONHEALTH

MAY 1, 2013

KRIST IN CARMICHAEL L ISW, MBA

AUTHOR: X THAT EX: MAK ING A CLE AN BRE AK WHEN THEREL ATIONSHIP IS OVER

DO M E S T IC V IO L E NCE S P E CIAL IS T

CHRISTU S ST. V INCENT REGI ONAL MEDICAL CENTER

Beyond Broken Bones

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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

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1. In what ways do offenderstarget 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?

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Health Impacts of Abuse

What health impacts from domestic

violence are we seeing most often from

survivors seeking services?

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Long Term Consequences of Abuse

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Why Do We See These Specific Impacts?

Difference betweendiscrete incident of battering

vs.

repeated exposure to abuse.

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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 inhealth and wellbeing

People know that doctors have strict confidentiality Only place where offender will not be with survivor

If you dont work with this system it can harm survivors

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What Happens If The Medical System Is Not

Engaged?

H C M di l P id G t

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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 BasedAccountability framework

Multi-disciplinary approach

Implemented hospital-wide and in affiliated clinics

Relies on community experts and referrals for on-goingservice

Full partnership in community effort to improve and

increase service delivery to survivors

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Most At-risk Patients

Utilization Of The Emergency Department

Quality Oversight Committee

Domestic ViolenceGOAL:

Confidential pursuant to

NMSA 1978 41-9-1

0

5

10

15

20

25

30

35

FY0 9Q3 FY09 Q4 FY1 0Q1 FY10 Q4 FY11 Q1 FY11 Q2 FY1 1Q3 FY1 1Q4 FY1 2Q1 FY12 Q2 FY1 2Q3 FY12 Q4 FY13 Q1 FY13 Q2

Domestic Violence-3 Patients

January 2009 - December 2012Beginning of Interventions

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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

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Community Collaboration Possibilities

The Safety Net abuse response program for clinicsDeveloped 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 Womens Services

Dr. VanEeckhouts OBGYN

La Familia Southside

La FamiliaHealthcare for the Homeless

*Preliminary results are excellent

ChristineZenino

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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!

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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 theRelationship is OverXthatex.com

http://www.futureswithoutviolence.org/http://localhost/var/www/apps/conversion/tmp/scratch_4/kristincarmichael.comhttp://localhost/var/www/apps/conversion/tmp/scratch_4/xthatex.comhttp://localhost/var/www/apps/conversion/tmp/scratch_4/xthatex.comhttp://localhost/var/www/apps/conversion/tmp/scratch_4/kristincarmichael.comhttp://www.futureswithoutviolence.org/