violence against women and their children violence against
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Violence Against WomenViolence against women and their children
2016
Media
report s
2 women
a week
National and State Plans
System responses
Family Safety Framework,
MAPS
SA Health Responses to Aboriginal Family,
Domestic and Sexual Violence
Women’s Safety Strategy Multi-
Agency Protection Service (MAPS) &
Family Safety Framework
Yarrow Place Rape & Sexual Assault
Service
Metropolitan Youth Health (MY Health)
Women’s Health Service
Cervix Screening Program
Responding to acute health
needs:
> Supportive care for women
> Capacity building through training
> Working collaboratively
> Supportive working environment actively
encouraging kindness, resilience and self-
compassion for staff – supervision
Frameworks / Principles
> Family violence violation of human rights
> Feminist (power relationships)
> Victims Rights
> Social View of Health
> Trauma Informed Care
> Culturally respectful and aware of diversity
System responses
Family Safety Framework,
MAPS
Family Safety Framework
response patients/clients/consumers
> SA Health Policy Directive – applies
> to all SA Health Portfolio
POINT 5.2.3
> [staff have responsibility]… to identify and
refer any person or child experiencing
domestic or family violence at high risk of
serious injury or death.
> Assessment of risk via Domestic Violence
Risk Assessment Tool (available via
Office for Women)
How to identify ADULT (clients) risk? Check local ward/dept/service response…
(WCHN Procedure in development)
> OPTIONS… Screening Questions
Has a partner or significant other person ever done any of the following:
> Made you feel afraid?
> Hurt you physically or thrown objects?
> Constantly humiliated or put you down?
If the answer is YES to anyone of above -
> A - Ask Alone
> B - Be Supportive
> C- Call on Resources
> D - Document
> E - Ensure Safety
> What resource and information packs are on hand in
your area?
System Response – Whole of
Government approach
Multi-Agency Protection Service
(MAPS)
> Partner Agencies:
SA Police - Lead Agency
Department for Education and Child
> Development (Families SA and
Education)
Department of Communities and Social
Inclusion (Housing)
SA Health
Department of Correctional Services
MAPS Processes
A SA Health Perspective
REFERRAL
via
SA Police ONLYRisk assessed
INFORMATION gathered
Agencies assess relevant
information
Case Discussion with partner
agencies
Record of information
produced
ACTION
SA Health representative shares Record with the local
service Healthcare
provider
Quality check
Internal Health process
REFERRAL
On Monday morning MAPS staff
reviewed an incident that had
occurred over a weekend (Saturday
night).
Police Information:
The victim was physically assaulted by the accused
and during the incident the victim was strangled. This
information was reported to police by the victims’
sister.
Additional Information:
One previous report of domestic violence where a
neighbour had reported yelling at the property but nil
disclosures were made by the victim or accused at
that time.
Note: This case has been de-identified.
Health begin researching and
establish:> that she is current inpatient due to
overdose (one day post assault)
> there is no information on data system
indicating domestic violence has been
disclosed by the victim (current incident
or historical incidents)
> in the last six months the victim has presented
with stomach pain, headaches and lethargy
> the victim has had no previous mental health
presentations
In response: > The researcher made contact with the Social
Work Team at the Hospital to advise of the
current context, domestic violence risk factors
and to advise further information would be
available post mapping meeting that afternoon.
INFORMATION gathered/assessed
by all agencies
Quality Check
>Safety and quality measure
>Ensure accurate, relevant,
Appropriate information prior to case discussion stage.
Quality check
Internal Health process
Other Agencies’ Information
Families SA:
> new relationship (last six months only)
> accused had extensive history of
violence with previous partner, including
disclosure of homicidal and suicidal
ideation when previously detained
(relating to previous partner).
> long history of injuries relating to his
violence, alcohol intoxication, drug use
and suicide attempts
Housing SA
> accused had been evicted from a
Housing SA property due to damage
incurred through violent episodes
Case discussion
Review and Case Discussion
Corrections:
> accused has a history of non compliance
with Intervention Order / Community Orders long
and a history of violence towards previous
partners
SAPOL:
> current IO in place from previous partner due to
violence.
> previous incarceration for violence
Education:
> The accused’s children are accessing support
services due to violent behaviours displayed at
school.
Information from other agencies provided a
more thorough picture regarding risk.
Case Discussion
Review and Case Discussion
Health’s Action:
> Health staff re-contacted hospital post
Case Discussion and advised hospital of
additional risk factors identified in case
discussion and sent through the MAPS
Case Record.
> The hospital was able to safety plan with
the victim and shared information was
utilised in discharge planning.
ACTION
SA Health representative
shares case record with the
local service provider
* Please note not official incident rates
17299
4581
1980
*Reports received by MAPS June 2015 - July 2016
Standard
Medium
High
Key points
> National and State Plans driving SA Health
Policy and service responses
> MAPS share information to better inform
the local service response.
> YWSWS referral pathway – offer services,
delivered in a timely way that meet complex
and diverse needs of vulnerable
people.
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