DOMESTIC ABUSE SCREENING AND PREVENTION Printer format
Executive Summary
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More
than 3-5 women and men are murdered/day:
Domestic
abuse is an under diagnosed social and psychological problem causing disabling
illnesses in the
On
average, more than three to five women and men are murdered by their spouse or
partner in this country every day. In 2000, 1,247 women were killed by an
intimate partner. The same year, 440 men were killed by an intimate partner.
Estimates range from 960,000 incidents of violence against a current or former
spouse, boyfriend, or girlfriend per year to three million women who are
physically abused by their husband or boyfriend per year.
As many as 324,000 women each year experience intimate partner violence
during their pregnancy.
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This
problem could be addressed and changed significantly by increasing awareness and
educating the medical profession to recognize the signs and symptoms, routinely
screening for this problem and by proper referral to trained professionals.
For every 1% of increase in detection by physicians in the
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The
overall plan is to:
1.
Provide education for physicians in recognizing signs of domestic abuse,
following the guidelines of existing programs.
2.
Develop an active program similar to the PVS program in
3.
Encourage medical societies and hospitals to offer courses in detection of
domestic abuse.
4.
Give presentation to associations in hope of increasing public awareness of the
legal implication due to lack of reports.
5. Work at policy level change to mandate training at State licensing level..
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Advocacy: |
"Ask
a Question, Save a Life" is a campaign designed to change the social norms
of the health care world including a comprehensive "tool kit" for
detecting and treating domestic violence in the clinical setting.
This will include posters, brochures and other tools that will help
educate patients and aid physicians in implementing the PVS Abuse Assessment
Response Course (See Page 2, #2) recommendations.
It will also include training a core group of physician advocates as
spokespersons for the campaign. The
campaign will be launched in partnership with Fenton Communications which has
acquired a thorough understanding of the issues and players in violence
prevention and health care through their work with the Harvard School of Public
Health and the
American
Medical Association. Funding will
support the launch of the "Ask a Question, Save a Life" campaign in a
targeted group of hospitals and
clinics.
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The
PVS Abuse Assessment Response Course: Systems Approach to Partner Violence
Across the Life Span is a new multidisciplinary, multi-specialty
course featuring valuable resources for physicians to identify, screen,
and document domestic violence in the clinical setting.
For permanent change to occur, medical institutions (including medical
schools) must be convinced to implement systematic assessment and treatment of
domestic violence. The
Business Case for Domestic Violence Programs in Health Care Settings, a crucial
part of the course, will help persuade executives in hospitals and clinics of
the financial benefits of supporting a domestic violence program.
Funding will support the distribution and technical support needed to
successfully implement and evaluate the PVS Abuse Assessment Response Course in
hospitals and clinics.
The
PVS Abuse Assessment Response Course offers the most comprehensive modules
specific to the medical school setting available to date. It has proven
effective and received respect by medical providers.
Our
goal would be to replicate this success with a team who has the experience and
know how to penetrate the medical institutions.
PVS
is the only organization of its kind. No
other organization engages physicians as successfully on the issue of domestic
violence and prevention. PVS was
established in 1993 by two emergency physicians, Drs. Patricia Salber and Ellen
Taliaferro.
The
goals for each of the above mentioned programs are directly in support of our
mission to promote leadership and advocacy in the health care community.
We do this:
1.by providing the training and tools necessary to improve the health
care response to domestic violence within the clinical setting and,
2.by supporting physician advocates in their violence prevention work
outside the clinical setting.
PVS
has an experienced, full-time staff of four and a dedicated Board of Directors.
The executive director has been with PVS for over 3 years and cofounder,
Dr. Patricia Salber has acted as Board President for several consecutive years.
The Board has
successfully
transitioned from a Founding Board to a Governing Board and 100% of
the
PVS Staff and Board donate to PVS annually.
This year also marks the 10-year anniversary.
Funding
Requirement
In
the initial phase of this project the plan will be to develop the basis for an
advocacy program. The second phase is to implement the tools previously
developed and the third phase will confirm the effectiveness of the proven
approach. The cost to train one
provider is $100.
Each
trained physician can save 18 patients life in the course of their practice.
Our
budget for the coming year is $161,000 for training.
Course content includes:
Track I:
Core Modules on:
1. Dynamics
2.
Screening
3.
Assessment
4.
Forensic
5.
Documentation
6.
Medical - Legal Aspects of Intimate Partner Violence.
Core modules are intended to be presented as
a 4 hour workshop or as one hour presentations integrated longitudinally in
schools of medicine, nursing and allied health or in a hospital or health care
organization IPV training program. Track I Supplemental Scripted Modules include
presentations on:
7.
Elder Abuse
8.
Teen Dating Violence
9.
Coding
10.
Documentation of Domestic Violence
11.
Family Violence and Firearms
12.
Making the Business Case for a Health Care Response to Domestic Violence.
In addition, one hour scripted specialty
specific presentations on intimate partner violence are provided.
Track II:
Integrating Family Violence Training into Academic and Private Settings. Components include tools which, when used in conjunction with the Track I presentations, will enable instructors to provide interactive, case based learning to students of family violence.
Track III:
Development and Implementation of Clinical
Protocols for Abuse Assessment provides strategies and tools for developing and
implementing clinical protocols for abuse assessment. This will allow the
training from Track I and II to become institutionalized as part of a
comprehensive health care response to intimate partner violence. Track III
features an abuse assessment development and implementation audit form and
checklist, strategies for developing hospital based advocacy programs and a
self-directed learning packet for nurses which will allow hospitals and clinics
to offer an independent learning experience to meet the needs of their staff.
Course Evaluation Data
Current Management of Domestic Violence has
been available on the VLH (Virtual Lecture Hall) since
Question 1: How well were the learning objectives of this program met?
Average Overall Rating: 4.64 / 5.00
Question 2: How relevant was the information
in this program to your clinical practice?
Question 3: How would you rate this program overall?
Average Overall Rating:
4.55 / 5.00
Created
by: PVS Physicians
for a Violence-free Society
