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» OCW Home » Human Growth and Development » Lectures 
Domestic Violence
Author: Elaine Alpert, M.D.
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Domestic Violence: A New Agenda in Health Care Domestic Violence: A New Agenda in Health Care
Two Roles Two Roles
Individual Role Individual Role
Public / Advocacy Role Public / Advocacy Role
Three Concepts Three Concepts
Four Principles of Care Four Principles of Care
Domestic Violence - Definition Domestic Violence - Definition
Types of Abuse Types of Abuse
Each is unique, all are similar Each is unique, all are similar
Domestic Violence: Slide 10 Domestic Violence: Slide 10
Domestic Violence: Slide 11 Domestic Violence: Slide 11
U.S. Statistics – Physical and Sexual Assault by Intimates U.S. Statistics – Physical and Sexual Assault by Intimates
U.S. Statistics (cont.) U.S. Statistics (cont.)
Domestic Violence: Slide 14 Domestic Violence: Slide 14
Domestic Violence: Slide 15 Domestic Violence: Slide 15
Obstacles to Leaving Obstacles to Leaving
Additional Obstacles Additional Obstacles
Barriers to Disclosure – Patient / Client Barriers to Disclosure – Patient / Client
Barriers to Care – Provider Barriers to Care – Provider
Barriers to Care - Provider Barriers to Care - Provider
Barriers to Care – Provider (cont.) Barriers to Care – Provider (cont.)
Health Impact Health Impact
Health Impact Health Impact
Effects on Children Effects on Children
The Adverse Childhood Experiences (ACE) Study The Adverse Childhood Experiences (ACE) Study
ACE Study Background ACE Study Background
ACE – Exposures Studied ACE – Exposures Studied
ACE - Findings ACE - Findings
Domestic Violence: Slide 29 Domestic Violence: Slide 29
ACE – Conclusions ACE – Conclusions
The Batterer Profile The Batterer Profile
Perpetrator Characteristics Perpetrator Characteristics
Dynamics of DV Dynamics of DV
Clinical Evaluation Clinical Evaluation
RADAR RADAR
Venues of Care: Opportunities for Intervention Venues of Care: Opportunities for Intervention
Ways to Inquire Ways to Inquire
Creating a Climate for Inquiry Creating a Climate for Inquiry
Observation Observation
Time Management in Office Practice Time Management in Office Practice
Time Management in Office Practice Time Management in Office Practice
Oral Inquiry for DV Oral Inquiry for DV
Oral Inquiry (cont.) Oral Inquiry (cont.)
Domestic Violence: Slide 44 Domestic Violence: Slide 44
Routine Inquiry (cont.) Routine Inquiry (cont.)
If Abuse is Suspected If Abuse is Suspected
Follow-up Questions Follow-up Questions
Follow-Up Questions (cont) Follow-Up Questions (cont)
Follow-up Questions (cont) Follow-up Questions (cont)
Follow-Up Questions (cont) Follow-Up Questions (cont)
Questions NOT to Ask Questions NOT to Ask
Special Considerations Special Considerations
Physical Examination: Suspicious Findings Physical Examination: Suspicious Findings
Suspicious Findings (cont) Suspicious Findings (cont)
Documentation Documentation
Documentation (cont) Documentation (cont)
Domestic Violence: Slide 57 Domestic Violence: Slide 57
Domestic Violence: Slide 58 Domestic Violence: Slide 58
Risk Assessment Risk Assessment
Physician’s Role Physician’s Role
Communicate Concern Communicate Concern
Communicate Concern Communicate Concern
Provide Information Provide Information
Resources and Options Resources and Options
Resources and Options (cont.) Resources and Options (cont.)
Medical Treatment Medical Treatment
Safety Plan Safety Plan
Safety Plan Components Safety Plan Components
Value of Assuring Follow-up Value of Assuring Follow-up
DV Team - Health Care DV Team - Health Care
DV Team - Health Care DV Team - Health Care
DV Team - Others DV Team - Others
DV Team - Others (cont.) DV Team - Others (cont.)
Who is the DV Team Leader? Who is the DV Team Leader?
Domestic Violence: Slide 75 Domestic Violence: Slide 75
Domestic Violence: Slide 76 Domestic Violence: Slide 76
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