Everyday AdvocacyEveryday Advocacy©©©©©©©©

Domestic Violence Is a Community Responsibility

Families & Communities Empowered for Safety

and Business and Professional Women of Oklahoma

May 16, 2009

It all begins at home…

Lifespan

Presenter: Tim Gray, Attorney and longtime domestic violence victim advocate

Physical abuse

Sexual abuse

Emotional &verbal abuse

Social & physicalisolation

Economic abuse

POWER AND CONTROLPOWER AND CONTROLPOWER AND CONTROLPOWER AND CONTROL

Domestic violence is about…

Year Total

Investigations

& Assessments

Total

Confirmed

Confirmed

Abuse

Confirmed

Neglect

Both

Abuse &

Neglect

Deaths

1994 34,846 10,891 3,913 5,815 1,163 31

1995 39,831 11,700 4,198 6,221 1,281 34

1996 40,916 11,646 3,816 6,797 1,033 29

1997 48,399 13,627 3,748 8,351 1,528 42

1998 61,709 16,710 4,157 10,235 2,318 45

1999 57,026 16,217 3,745 10,054 2,418 47

2000 62,023 14,273 3,063 8,575 2,635 48

2001 50,683 13,394 2,696 8,154 2,544 38

2002 50,728 13,903 1,899 9,816 2,188 35

2003 57,383 12,971 1,572 9,390 2,009 27

2004 60,770 12,347 1,414 8,953 1,980 51

2005 61,926 13,328 1,360 10,094 1,874 40

2006 36,529 13,827 1,219 10,588 2,020 *

2007 36,090 13,191 1,235 10,025 1,931 *

Oklahoma Child Abuse & Neglect Oklahoma Child Abuse & Neglect

Sources: Compiled by The Parent Child Center of Tulsa based on (1) Annual Report of Child

Abuse & Neglect Statistics published by the Oklahoma Department of Human Services, Children and Family Services Division, Child Protective Services Programs Office; and (2) Annual Report of the Oklahoma Child Death Review Board.

2008 Homicide Data 2008 Homicide Data 2008 Homicide Data 2008 Homicide Data 2008 Homicide Data 2008 Homicide Data 2008 Homicide Data

• Oklahoma ranks fourthhighest in the nation in homicides of women per 100,000 population

• 92% of the victims knew their killer and of these 60% were wives or intimate partners of the perpetrator

Violence Policy Center report, Washington D.C. Sept. 2008

Elder Abuse and NeglectElder Abuse and NeglectElder Abuse and NeglectElder Abuse and NeglectElder Abuse and NeglectElder Abuse and NeglectElder Abuse and Neglect

Tulsa Lifespan Abuse Information• FY 04--1,453 DHS Adult Protective Services confirmed cases in Tulsa• Tulsa -- 8.6% of all state referrals (16,804)

5.6% annual increase fr/ FY 03 116% increase over past 10 years

(Source: Adult Protective Services (APS) w/ the Oklahoma Department of Human Services, 2005)

To To To To CompareCompareCompareCompare• In FY 04, Tulsa’s child abuse case investigations--1,228 confirmed cases of

16,000 state calls (Source: S. Arnold de Berges. Prioritization of System Issues, Child Protection System of Tulsa County Report, 2005 )

�� � �� � �� � � � � � � � � �� � �Domestic Violence and Abuse

Approximately 1.5 million women are physically assaulted by an intimate partner annually in the United States.

National Institute of Justice & Centers For Disease Control, National Violence Against Women Survey, 1998

Approximately 90%-95% of domestic violence victims are women.

Bureau of Justice Statistics Selected Findings, 1994

A woman is more likely to be assaulted, injured, raped or killed by a male partner than by any other type of assailant.

Bureau of Justice Statistics, National Crime Victimization Study, 1995

Women are more often victims of domestic violence than victims of burglary, mugging, or other physical crimes combined.

"First Comprehensive National Health Survey of American Women," Commonwealth Fund, July 1993

Among victims of violence committed by an intimate, the victimization rate of women separated from their husbands was

about 3 times higher than that of divorced women and about 25 times higher than that of married women.

Bureau of Justice Statistics, National Crime Victimization Study, 1995

It is often more dangerous for battered women after they leave a violent relationship. Although divorced and separated women

compose only 10% of all women in this country, they account for 75% of all battered women. Divorced and separated women report

being physically abused fourteen times as often as women still living with their partners.

Raphael, Jody, Saving Bernice: Battered Women, Welfare, and Poverty, 2000, p. 61

Divorced or separated persons had the highest rate of violent crimes committed by relatives.

Bureau of Justice Statistics, "Criminal Victimization in the United States, 1990", Washington D.C.: U.S. Department of Justice,

February 1992

One-third to one-half of homeless women are on the street because they are fleeing domestic violence

U.S. Senate Committee on the Judiciary, 1990

3 million children in the United States are exposed to domestic violence in their homes each year.

American Psychology Association, Violence in the Family: Report of the American Psychological Association Presidential Task

Force on Violence in the Family, 1996

Everyday Advocacy• Tell a victim you are wor-

ried about her and her

children’s safety.

• Tell her you believe her, she is not to blame, and she deserves a peaceful life free of violence and abuse.

• Inform her that information

and services she may want

or need to get safe are

available in Oklahoma.*

• Help her make a safety plan.• Give her a copy of the 20-risk factors in Jacqueline Campbell Danger

Assessment – it will raise her awareness of possible danger.

• Advise her to remove guns from the house.

* http://www.ocadvsa.org/member_programs.htm

Healthcare and Screening for Domestic Violence

Families and Communities Empowered for Safety (918) 519-3698 :: faces.sherry@gmail.com :: www.faces.tulsa.org

Raising Awareness; Inspiring Action

“…time does not heal some of the adverse experiences we found so common in the childhoods of a large population of middle-aged, middle-class Americans. One doesn't "just get over” some things.” –06/2006

The Relation Between Adverse Childhood Experience and Adult Health: Turning Gold into Lead http://xnet.kp.org/permanentejournal/witer02/goldtolead.html

Presenter: Chandina Sharma MD, Gerontologist, University of Oklahoma Community Health

This is often what we see…

• Sleep and appetite disturbances

• Fatigue

• Sexual dysfunction

• Headaches

• Chronic pelvic pain

• Atypical chest pain

• Somatization

• Abdominal and GI complaints

– Irritable bowel

syndrome

– Dyspepsia

• Depression

• Anxiety disorders

• Suicide attempts

Stress--related Chronic Illnessrelated Chronic Illness

• Stress of living in abusive situation may cause or worsen physical symptoms

• “Thick chart syndrome” — frequent visits, comprehensive exams with extensive testing, no known physical cause for complaints

• “Medically Unexplained Symptoms” –MUS common in victims of violence

Effects of Abuse on Children

• Of the 2-4 million women battered each year , one half live with

children under 12

• 62% of children living in a home with

domestic violence are also abused

• Boys who witness violence against

their mothers are ten times more

likely to abuse their female partners

as adults

• 63% of boys aged 11-20 arrested

for murder were arrested for

murdering the man assaulting

their mother

Health Care Utilization Health Care Utilization

in IPV Victimsin IPV Victims• History of DV predictor of

hospitalizations, general clinic use, mental health services and out-of-plans referrals

• Net costs $1775 more

annually*• Being an IPV victim associated with

1.6 to 2.3-fold increase in total health care utilization and costs**

*Wisner et al J Fam Pract 1999

**Ulrich et al Am J Prev Med 2003

Recommendation from American Medical Association

• Physicians should routinely screen all women patientsalone, withoutpartner.

How Can You Advocate for

Family Safety?Family Safety?

• Write to your personal physician to encourage him/him to learn how to screen patients for domestic violence.

• Take posters and safety plans for your physician to

place in private patient areas.

• Call your local domestic violence victim advocacy agency and ask them to co-sponsor a “Screen to Save” seminar for area healthcare practitioners – and volunteer to help.

Domestic ViolenceDomestic ViolenceDomestic ViolenceDomestic ViolenceDomestic ViolenceDomestic ViolenceDomestic Violence

in the Workplacein the Workplacein the Workplacein the Workplacein the Workplacein the Workplacein the Workplacein the WorkplaceDomestic violence doesn’t stay at home.

Families and Communities Empowered for Safety (918) 519-3698 :: faces.sherry@gmail.com :: www.faces.tulsa.org

7 Reasons Companies Should

Develop a Workplace PolicyDevelop a Workplace Policy1. Domestic violence affects many employees.

2. Domestic violence is a security and liability concern.

3. Domestic violence is a performance & productivity concern.

4. Domestic violence is a health care concern.

5. Domestic violence is a management issue.

6. Taking action in response to domestic violence works.

7. Employers can make a difference.

http://endabuse.org/content/features/detail/1013/

Presenter: Jim Holland, Risk Assessment Director, St. John Healthcare Systems, retired

Costs of IPV Costs of IPV

in United Statesin United States

• Exceeds $5.8 billion per year

– $4.1 billion in direct medi-cal and mental health care costs

• $900 million from lost productivity from paid

work and household chores• $900 million from lifetime earnings lost by victims of IPV homicide

• After participating in domestic violence training at a factory, the rate of employees asking for workplace counseling services for domestic abuse problems was 14 times what it had been prior to the training.

• When a sample group of 40 abused employees at the factory began using the domestic abuse counseling services, their average absence rate was higher than the factory’s average absence rate. After using counseling services, the abused employees reduced their absenteeism rates to normal.

Urban, B.Y. (2000). Anonymous Foundation Domestic Abuse Prevention Program Evaluation: Final Client Survey Report. Chicago, IL: The University of Illinois at Chicago. Contact .

Education is PreventionEducation is Prevention

• Ask your employer to adopt a policy that will include teaching staff and employees basic protective steps that can be taken at work, including:– Educate– Refer– Support– Secure

• Support your co-worker and let her know she is valuedby her colleagues.

What Can You Do?What Can You Do?

Domestic Violence

and and the Lawthe Law

1. Should every victim of IPV apply for a protective order?

2. Is there a right time to apply?

3. Is there ever a circumstance when a victim should not file for a PO?

Presenter: Judge Deborah Shallcross, Senior Tulsa County District Court Judge

Depend On Advocates to Help

Victims Get to SafetyVictims Get to Safety

1. There is not a one-size-fits-all solution to getting safe.

2. A trained victim advocate is the best resource a

victim of domestic violence can have.

3. Contact your local domestic violence victim advocacy agency and ask for help. http://www.ocadvsa.org/member_programs.htm

Domestic Violence is a

Community ResponsibilityCommunity Responsibility• Arrange a local domestic violence and family safety

training and invite your judges, local law enforcement, and prosecutors to attend.

• Begin a f.a.c.e.s. Sheila’s Shawls and

Hope Blossoms domestic violence

awareness campaign in your community.

• Start a local domestic violence court watch project.

• Call your local domestic violence victim advocacy agency

to ask how you can help.

� � � � � � � � � � � � � � � � � � � � � � � � � � �She didn’t know what she didn’t know…

This presentation is dedicated to the

memory of Carrie Tutor who was murdered by her ex-husband in her Tulsa workplace on February 10, 2005.

We will always remember Carrie.

Domestic violence Domestic violence

is is a community responsibility.a community responsibility.

ResourcesResourcesThe Relation Between Adverse Childhood Experience and

Adult Health: Turning Gold into Lead

http://xnet.kp.org/permanentejournal/witer02/goldtolead.html

A Community Checklist: Important Steps to Ending Violence

Against Women

http://www.met.police.uk/dv/files/com_checklist.pdf

Multidisciplinary Responses to Domestic Violence

http://www.abanet.org/domviol/mrdv/home.html

“…time does not heal some of

the adverse experiences we found so common in the childhoods of a large population of middle-aged, middle-class Americans. One doesn't "just get over" some things.” –06/2006

REFERENCES:

DVIS/Call Rape, Inc. Tulsa - www.dvis.org - safety planning information

Family Safety Center, Tulsa - emergency protective order application and advocacy www.cityoftulsa.org/PublicSafety/FSC/

Parent Child Center, Tulsa - www.parentchildcenter.org

Oklahoma Coalition Against Domestic Violence and Sexual Assault OCADVSA, Oklahoma City -http://www.ocadvsa.org/member_programs.htm

Hope Blossoms – www.facestulsa.org or contact Sherry Clark at faces.sherry@gmail.com

Mailing address:

Sherry Clark, Founding President6533 E. 89th PlaceTulsa, OK 74133

faces.sherry@gmail.com

www.facestulsa.org