Domestic Violence AssessmentIntimate Partner Violence DefinedChild Abuse and Neglect DefinedChild Abuse and Neglect Defined (cont.)Health Effects of Violence (cont.)Slide 6Elder Abuse and Neglect DefinedElder Abuse and Neglect Defined (cont.)Health Effects of ViolenceSlide 10Assessing for Intimate Partner Violence (IPV)Assessing for Intimate Partner Violence (cont.)Slide 13Screening Frequency Protocol: All women Over 14 Years of AgeAbuse Assessment ScreenAssessing for Elder and Vulnerable Person Abuse and NeglectElder Abuse ScreenScreening for Child Abuse and NeglectScreening for Child Abuse and Neglect (cont.)Slide 20Physical Examination (cont.)DocumentationPhotographic DocumentationPhotographic Documentation (cont.)Documentation (cont.)Assessing for Risk of HomicideWhen There are Other IPV IndicatorsCultural CompetenceCultural Competence (cont.)Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Domestic Violence AssessmentDomestic Violence AssessmentChapter 7Chapter 7Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 7: Domestic Violence AssessmentChapter 7: Domestic Violence AssessmentIntimate Partner Violence DefinedIntimate Partner Violence DefinedIntimate partner violence defined by the Intimate partner violence defined by the Centers for Disease Control and Prevention Centers for Disease Control and Prevention (CDC)(CDC)Physical and/or sexual violence, use of physical Physical and/or sexual violence, use of physical force, or threat of such violenceforce, or threat of such violencePsychological or emotional abuse and/or coercive Psychological or emotional abuse and/or coercive tactics after prior physical violence between tactics after prior physical violence between persons who are spouses or nonmarital partners, persons who are spouses or nonmarital partners, or former spouses or nonmarital partnersor former spouses or nonmarital partnersSlide 7-2Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 7: Domestic Violence AssessmentChapter 7: Domestic Violence AssessmentChild Abuse and NeglectChild Abuse and NeglectDefinedDefinedChild abuse and neglect defined at both Child abuse and neglect defined at both Federal and State levelFederal and State levelThe Child Abuse and Prevention Treatment The Child Abuse and Prevention Treatment Act, CAPTA, dictates minimum standards that Act, CAPTA, dictates minimum standards that must be incorporated into state statutesmust be incorporated into state statutesSlide 7-3Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 7: Domestic Violence AssessmentChapter 7: Domestic Violence AssessmentChild Abuse and NeglectChild Abuse and NeglectDefined (cont.)Defined (cont.)Most state statutes incorporate the following Most state statutes incorporate the following definitionsdefinitionsNeglectNeglectPhysical abusePhysical abuseSexual abuseSexual abuseEmotional abuseEmotional abuseSlide 7-4Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 7: Domestic Violence AssessmentChapter 7: Domestic Violence AssessmentHealth Effects of Violence (cont.)Health Effects of Violence (cont.)Risk factors that may contribute to child Risk factors that may contribute to child maltreatmentmaltreatmentDisabilities or mental retardation in children that Disabilities or mental retardation in children that may increase caregiver burdenmay increase caregiver burdenSocial isolation of familiesSocial isolation of familiesParents’ lack of understanding of children’s needs Parents’ lack of understanding of children’s needs and child developmentand child developmentParents’ history of domestic abuseParents’ history of domestic abusePoverty and other socioeconomic disadvantages, Poverty and other socioeconomic disadvantages, such as unemploymentsuch as unemploymentSlide 7-5Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 7: Domestic Violence AssessmentChapter 7: Domestic Violence AssessmentHealth Effects of Violence (cont.)Health Effects of Violence (cont.)Risk factors that may contribute to child Risk factors that may contribute to child maltreatment (cont.)maltreatment (cont.)Family disorganization, dissolution, and violence, Family disorganization, dissolution, and violence, Substance abuse in familySubstance abuse in familyYoung, single, nonbiological parentsYoung, single, nonbiological parentsParental thoughts and emotions supporting Parental thoughts and emotions supporting maltreatment behaviorsmaltreatment behaviorsParental stress and distress, including depression Parental stress and distress, including depression or other mental health conditionsor other mental health conditionsCommunity violenceCommunity violenceSlide 7-6Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 7: Domestic Violence AssessmentChapter 7: Domestic Violence AssessmentElder Abuse and NeglectElder Abuse and NeglectDefinedDefinedAlmost every state has some form of Almost every state has some form of mandatory reporting of abused elderly and mandatory reporting of abused elderly and other vulnerable patientsother vulnerable patientsAs mandatory reporters of abuse, you need only As mandatory reporters of abuse, you need only have suspicion that elder abuse and/or neglect have suspicion that elder abuse and/or neglect may have occurred in order to call authoritiesmay have occurred in order to call authoritiesMany nurses, physicians, and social workers are Many nurses, physicians, and social workers are erroneously under the assumption that they must erroneously under the assumption that they must have proof of abuse before calling authoritieshave proof of abuse before calling authoritiesSlide 7-7Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 7: Domestic Violence AssessmentChapter 7: Domestic Violence AssessmentElder Abuse and NeglectElder Abuse and NeglectDefined (cont.)Defined (cont.)AMA definitions of elder abuse and neglect:AMA definitions of elder abuse and