dales gpec domestic abuse by sydorenko oksana, md, phd
TRANSCRIPT
Dales GPEC
What Is Domestic Abuse?
• A continuum of behaviour ranging from verbal abuse, through threats & intimidation, manipulative behaviour, physical & sexual assault, to rape and even homicide. (DOH)
Dales GPEC
What Is Domestic Abuse?
• Physical, emotional, sexual & other abuse by someone (usually, but not always a man) of a person (usually but not always a woman) with whom they have or had had some kind of intimate relationship such as marriage, in order to maintain power & control over the person.(Women’s aid)
Dales GPEC Facts & Figures
• At least 190,000 women affected each year.
• 50% of homicides of women are by the women’s partner or ex-partner.
• 20% of all murder victims are women killed by their partner or ex-partner.
• On average women suffer DA for 7 years before ending the relationship.
Dales GPEC
Facts & Figures
• Children of women sufferers of DA are at much higher risk of child abuse.
• Children who witness DA are significantly more likely to exhibit behavioural problems, both as children and in adult life.
Dales GPEC
Facts & Figures
• Children witnessing DA exhibit the same emotional & behavioural problems as do children who are being abused.
Dales GPEC
DA in Pregnancy
• High incidence of miscarriage / TOP.
• Higher incidence of still birth.
• Premature labour more likely.
• Increased incidence of smoking / alcohol / drug misuse.
Dales GPEC
Domestic Abuse & Child Abuse
• 33-70% of children from families where DA occurs experience child abuse, usually by the same violent man.
• 40% of child abuse cases are associated with violence to the mother.
• Children who witness domestic violence are at increased risk of maladaption.
Dales GPEC Effects on Children
• School problems• Truancy• Poor performance• Social problems• Shame & embarrassment
about family.• Tendency to get into “serious”
relationships early to escape from home.
• Depression.• Suicide.• Alcohol & drug
problems.• Confusion about
gender roles.• Physical injuries.• Physically
intervening to protect mother.
Dales GPEC
Effects on Children
• Advanced maturity & sense of responsibility.
• Feelings of guilt or shame.
• Aggression or anger to mother.
• Bed wetting.
• Nightmares.
• Sleep disturbance.
• Eating problems.
• Self-harm.
• Low self esteem.
Dales GPECIf the Children Don’t See It?
• DA can include actual or threats to harm the children as part of the man’s control strategy.
• 90% of incidences children are in the same or adjacent room.
• Living with DA & the impact on mothers causes distress, confusion & disruption to children.
• There is an overlap between sexual abuse of children & DA of partner (control).
Dales GPEC
Related Issues
• Stays in B&B / Refuges often mean risk to health & safety, disrupted education, & sometimes sharing bathrooms/kitchens with male offenders and drug users.
Dales GPEC
Related Issues
• Where mother and child are being abused by the same man, child protection work is often ineffective for protecting both child & mother.
Dales GPEC
Related Issues
• Men are almost routinely granted contact orders for their children, whether or not they are violent. Thus Children Act contact orders undermine other child protection work as they create the circumstances for a violent man to continue to abuse his partner and child(ren).
Dales GPEC
DA & Child Death
• DA is prominent in many cases of child death since 1974,(Maria Colwell, Sukina Hammond, Toni Dales, Kimberley Carlisle, Victoria Climbie etc).
• Significance often not understood or acknowledged by professionals.
• Only since the 1990’s that debate has occurred on the relationship between DA and child abuse. ……Why?
Dales GPEC
Quotes Influencing Impact
Action Plan Asking the Question
Practicalities Communication
Further Help
Dales GPECEffects on the Foetus
• Increased low birth weight, foetal injury and death.
• Effects of attempted suicide, alcohol, smoking, drugs, infections & anaemia.
• May suffer bruising, broken bones, stab wounds or death.
Dales GPECDONT COMMAND YOUR TEENAGER, TEACH THEM
• WHEN YOU TELL YOUR TEENAGER NOT TO DO SOME CERTAIN THINGS , TRY TO REASON WITH THEM GIVE THEM REASONS FOR YOUR ACTIONS OR RULES YOU MAKE REGARDING CERTAIN ISSUES.
• THEY FEEL THEY ARE ADULTS, AND WANT TO FEEL RESPECTED AS WEEL.BEEN A TEENAGER IS ALREADY DIFFICULTY AS IT IS ALREADY. THEY IN BETWEEN BEEN CHILDREN AND BEEN ADULTS( BEEN RESPONSIBLE FOR THERE OWN SELVES.)
Dales GPEC
MAJOR PROBLEM OF TEEN PREGNANCY( THERE BODY IS
NOT READY.• Vesicovagin Fistula (VVF)
• VVF occurs when the blood supply to the tissues of the vagina and the bladder is restricted during prolonged obstructedlabour, the tissues die between these organs, forming holes through which urine can pass uncontrollably.