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.