The Many Faces of Family Violence - Course Outline

Instructions/Introduction

  • The Help Page
  • The Menu Page
  • Introduction
  • What's In This Program
  • Program Organization
Overview: A Family Violence Mini-Course
  • Family Violence Definitions
  • Incidence Statistics
  • Economic Costs
  • Who are the Victims of Family Violence?
  • Behavioral Characteristics of Battered Mates
  • Effects of Family Violence on Children
  • High Risk Periods of the Family Generational Cycle
  • Who Are the Abusers?
  • Why Does Battering Occur?
  • Myths About Family Violence
  • Dynamics of Domestic Violence
  • Principal Effects of Family Violence
  • Leaving Abusive Relationships
  • The Role of the Health Care Professional
  • Safety Issues
  • Documentation
  • Solutions
  • Legal Aspects of Family Violence
A Survivor's Journey
  • From Darkness to Light. A Visual Chronicle of One Survivor's Healing Journey. Accompanied by an original background music score.

Domestic Violence:

Dynamics of Domestic Violence

  • Dynamics Introduction
  • Dynamics of Domestic Violence
  • Defining Domestic Violence
  • What Are Abusive Behaviors?
  • Combination of Behaviors Controls the Victim
  • DV: Is Fear the Key Element?
  • The Bridge to Battering
  • DV: Who are the Perpetrators?
  • The Three-Phase Cycle of Violence
  • Phase 1: Tension-building
  • Phase 2: Battering Phase
  • 3: Apology
  • Dangers After Separation
  • Three Principle Effects of DV
  • Psychological Consequences of DV
  • Psychophysiological Consequences of DV
  • Psychosocial Outcomes of DV

Domestic Violence:

Myths

  • Myths About Domestic Violence
  • Myth 1: DV is Rare
  • Myth 2: DV Does Not Occur in Normal Relationships
  • Myth 3: DV is Marital Conflict
  • Myth 4: DV Only Affects Married Women
  • Myth 5: DV Only Affects Poor Women
  • Myth 6: DV Only Affects Minority Women
  • Myth 7: DV is Caused by Stress
  • Myth 8: DV is Caused by Alcohol or Drugs
  • Myth 9: DV is Caused by Anger
  • Myth 10: DV is Caused by the Victim
  • Myth 11: Battered Women Enjoy Abuse
  • Myth 12: It Should Be Easy for Battered Women To Leave
  • Myth 13: Battered Women Are Willing Accomplices
  • Myth 14: Battered Women Seek Out Battering Partners
  • Myth 15: DV Can Be Resolved With Counseling
  • Myth 16: The Victim is Safe While the Batterer Remains in Treatment
  • Myth 17: DV Only Presents in Other Health Care Settings
  • Myth 18: Clinicians Usually Recognize Abused Patients
  • Myth 19: Clinicians Can Easily Recognize Batterers
  • Myth 20: Victims Can Be Counted Upon to Reveal Abuse
Domestic Violence and the Health Care System
  • DV and the Health Care System
  • Barriers to Discussion of DV
  • Primary Care Page
  • Obstetrics
  • Abuse During Pregnancy
  • Abuse of Pregnant Adolescents
  • Patterns of Abuse During Pregnancy
  • Adverse Effects of Battering During Pregnancy
  • Solutions: Post-Partum Visits
  • ED Visits for Domestic Violence
  • ED Evaluation of the DV Survivor
  • The ED Response to Domestic Violence
  • Mental Health: DV Incidence Mental Health
  • Depression
  • Suicide
  • Post Traumatic Stress Disorder
  • Somatization
  • Dentistry and DV
  • Medical Specialty Clinics
  • Headache Clinics and DV
  • GI Clinics and DV
  • Other Specialties and Subspecialties

Domestic Violence:

Recognizing and Interviewing Victims

  • Recognizing and Interviewing Victims
  • How to Recognize the Victims
  • Questions From a Concerned Provider
  • Predictive Risk Factors for Current Abuse
  • Missing the Diagnosis: The Importance of Detection Strategies for Detection of Domestic Violence
  • The Special Case of Mandatory Reporting
  • The Patient Must Be Assessed Alone
  • Interviewing Strategies
  • Indirect Questions
  • Direct Questions
  • Response to Disclosure
  • Framing the Inquiry
  • Affirmation
  • Safety Planning
  • Connection
  • Statements to Avoid
  • When Time is Limited
  • When the Patient Denies Abuse
  • Inquire About Violence Against Others
  • Liability for Non-Intervention
  • Effects of Disclosures on Health Care Providers
  • Summary
Documentation
  • Documentation
  • Introduction
  • Essential Chart Components
  • DV History
  • DV Physical Examination
  • Injuries That Suggest Abuse As the Cause
  • Description of Injuries
  • Using Imaging to Document DV
  • Rape & Intimate Partner Abuse
  • Medical Rape Management
  • Preservation of Physical Evidence
  • The Medical Record: Diagnosis and Discharge
Advocacy, Therapy, and Community Action
  • Advocacy for Victims of Family Violence
  • Community Services
  • Safety Assessment and Planning
  • Lethality Assessment
  • Using an Order of Protection
  • Assessment for Imminent Risk
  • Health Care Facility Preparedness
  • Short-Term and Group Therapies
  • Psychotherapy for Survivors of Family Violence
  • The Process of Survivor Therapy
  • The Consequences of Family Violence
  • Trauma Theory: Stages of Recovery
  • Outcomes of Therapy
  • Early Warning Signs of an Abusive Relationship
  • Conclusion & Suggestions for Citizen Action
Same-Sex Adult Intimate Partner Abuse
  • Introduction
  • Dynamics
  • Batterer Psychology
  • Distinguishing the Batterer and Victim
  • Why Do Victims Stay?
  • Barriers to Leaving
  • Making the Decision to Leave
  • Abuse Victims and the Healthcare System
  • Therapy for Victims
  • Therapy for Perpetrators
  • Lessons for the Future
Understanding the Batterer
  • Understanding the Batterer
  • Batterer Characteristics
  • What Do We Know About Battering?
  • Psychological Profiles of Batterers
  • Medical Complaints of the Batterer
  • Detecting Battering Behavior in the Interview
  • Discussing Abuse With the Abuser
  • Avoiding Implicating the Victim
  • Avoiding Accountability
  • Responding to the Batterer's Disclosure
  • Legal Obligations
  • Follow-up Visits
  • Treatment Considerations for Batterers
  • Batterer Treatment Programs
  • Anger Control Therapy
  • Cognitive Therapies
  • Duluth Domestic Abuse Intervention Project Program
  • The EMERGE Program
  • The MOVE Program
  • AVA: Brief Solution Focused Education
  • Family Systems Therapy
  • Outcomes of Batterer Treatment
  • What is Success in Batterer Treatment?
  • Community Response to Battering
  • Effects of Batterer Treatment on Victims
  • The Role of Law Enforcement
  • The Health Care Provider's Role
Elder Abuse
  • Elder Abuse Introduction
  • What is Elder Abuse?
  • Types of Abuse Explained
  • What is Elder Neglect?
  • What is Financial Abuse?
  • Classic Domestic Violence
  • What is Typical Elder Abuse?
  • Who are the Abusers?
  • Who are the Victims?
  • Theories of Causation
  • Caregiver Stress or Family Violence?
  • Why Don't Abused Elders Leave?
  • Elder Abuse and the Healthcare System
  • Recognition and Interviewing
  • Signs of Elder Abuse
  • Examination of Elderly Patients
  • Health Care Role in Aiding Battered Elders
  • Opportunities for Intervention
  • Caregiver Stress Interventions
  • Legal and Governmental Aspects
  • Risk Management Considerations
  • Barriers to Reporting
  • What Do APS Agencies Do?
  • Summary
Child Abuse
  • Introduction
  • Child Abuse Statistics
  • Who Are the Victims?
  • Special Problems of Adolescents
  • Risk Factors for Child Abuse
  • Who Are the Perpetrators?
  • Consequences of Child Abuse
  • Child Abuse and Domestic Violence
  • Screening and Interviewing
  • Indicators of Child Abuse
  • Medical Syndromes of Child Abuse and Neglect
  • Specific Clinical Settings
  • Pediatrics
  • Emergency Departments
  • Dentistry
  • False Accusations of Abuse
  • Interviewing the Child and Parents
  • Physical Examination
  • Signs of Abuse
  • Radiographs
  • Documentation
  • Referrals and Prevention
  • Child Sexual Abuse
  • Child Emotional Abuse
  • Reporting of Child Abuse
  • Child Abuse: The Legal Process
  • Medical Professionals as Expert Witnesses
Legal and Reporting Issues
  • Legal Aspects of Family Violence
  • Mandatory Reporting of Domestic Violence
  • Mandated Reporting States
  • State Legislation Protections and Consequences
  • Response of the Legal System
  • Orders of Protection
  • Variations in Police Response
  • Battering as a Provocation for Murder
  • Child Custody Remains a Challenge
  • Insurance Issues
  • Federal Law and DV
  • Victim Advocacy
  • Medical Professionals as Witnesses
Health Care Provider Resource Kit
  • The Health Care Provider's Response to Family Violence
  • Health Care Facility Resource Kit
  • Screening Form
  • Direct Screening Questions
  • Indirect Screening Questions
  • Intervention Guide
  • Adult Interviewing and History Taking
  • Interviewing the Family/Caretaker
  • Child Interviewing and History Taking
  • Lethality Assessment Tools
  • Documentation Guidelines
  • Photography Guidelines
  • Response to Disclosure / Discharge Planning
  • Medical Management of Rape
  • Safety Plan Checklist
  • Action Plan Checklist
  • Orders of Protection
  • Safety on the Job and in Public
Resources
  • State Domestic Violence Coalitions
  • Domestic Violence Resource Network
  • National Domestic Violence Organizations
  • Other Regional Domestic Violence Organizations
  • Same-Sex Domestic Violence Organizations
  • State Child Abuse Agencies
  • State Elder Abuse Agencies
  • National Elder Abuse Organizations
  • Suggested Reading
  • Child Abuse Information
  • Family Violence Information
  • Victim Information
  • Same-Sex Domestic Violence Information
  • Batterer Treatment Information
References