Presented byShannon Nix, B.A.
Kaiser Permanente
• What is Domestic Violence (DV)• Prevalence of DV• Who are the victims• Types of abuse• Effects of abuse on victims and children• How case managers can facilitate
communication with victims and assist victims through transitions
• Connection to resources
KP physician and employees who were victims of domestic homicide
“An Equal Opportunity Destroyer”
Lisa Munoz1976-1999Optical Services
Cassandra Floyd, MD1966-2001OB/GYN
Stephanie Zalot1966-2003Quality Outcomes
Because it’s not just a bruise….
Domestic violence is an important health care concern because…
DV is extremely common and pervasive The health effects are devastating The health care costs are substantial
DV has a considerable impact on workplace safety and productivity
Impacts future generations Exposure to DV as a child increases
health care utilization throughout life and is associated with poorer health outcomes as an adult
• This month we mourn the lives of those who died from domestic violence, celebrate the lives of those who have survived, and allow community workers to help end violence.
• Domestic Violence is one of the most critical public health issues facing women and children; every person in our society feels its impact
• Violence can be emotional, sexual, physical, verbal , or financial. • Violence is based on through generations, from one relationship to
the next. Children of abuse are more likely to become abusers themselves or end up in an abusive relationship.
• Many crimes committed are a direct result of intimate partner violence.
• We all must make a commitment to help prevent and bring hope and healing to those affected by violence.
“Bruises everywhere all the time. And he would tie my hands and make me stand with my hands hooked up above my head for 2 or 3 hours. And give a stick to my sons and say, “if she moves, beat her.”
3 out of 4 of us personally know someone who is or has been a victim of DV
KP physician and employees who were victims of domestic homicide
“An Equal Opportunity Destroyer”
Lisa Munoz1976-1999Optical Services
Cassandra Floyd, MD1966-2001OB/GYN
Stephanie Zalot1966-2003Quality Outcomes
More than 3 women are murdered by their husband or boyfriend each day?
One half of all women homicide victims in the world were killed by a former spouse or partner?
1 out of 3 women in the world have been beaten, abused, or coerced into having sex in within their lifetime
New cases of breast cancer: 211,000
Number of women dying from cardiovascular disease: 484,000
Number of women who are victimized by DV each year: 1,500,000
• 18-25% of high school girls report physical and/or sexual violence by a dating partner
• 25-36% of college students report dating violence
AND
• Adolescent girls who experienced physical or sexual dating violence were 6 times more likely to become pregnant than their non abused counterparts.
- The prevalence of IPV has been significantly under-estimated:
4-8% current IPV15% IPV in last 5yrs44% lifetime
- Highest prevalence occurs in working age and parenting women
7%-20% of pregnant women are victims of DV = 324,000 yearly
DV is a leading cause of pregnancy-associated mortality
DV is more common than many conditions for which most pregnant women are routinely screened
Associated with:― Delayed entry into prenatal care― Premature labor― Trauma to the abdomen― Low birth weight infant
Among homeless domestic violence victims, approx 34% women have experience major violence within the last 23 months
1 in 4 women, 1 in 14 men will be physically assaulted by an intimate partner during his or her lifetime.
6 % of California women age 18+-
669,755 California women in 1998
• Pakistan: Criminal Justice system does not believe that domestic violence is a crime and it is not recognized in the court system
• Jordan: “Honor Killings” are socially accepted, where family members can murder a woman if they feel her behavior is “improper.”
• Russia and Uzbekistan: Police will often harass victims to stop them from filing reports and will usually not respond to any filed reports
• Peru: No law implemented to protect victims against stalking and marital rape
• Over 71% of women in rural areas of Ethiopia, and over 50% of women in Peru, Tanzania, and Bangladesh have been victims of physical or sexual violence from their partners
• Less than 20% of women in Japan reported incidents of Domestic Violence (may not be accurate due to cultural role and shame)
• According to United Nations Development Fund for Women….– 1 out of 3 worldwide has been beaten,
abused, or coecered into having sex within her lifetime.
– Rape and domestic violence are of greater concern for women ages 15-44; even higher than malaria, cancer, and war
– In 2003, it was estimated that DV costs the US $5.8 Billion
“Liz Claiborne, Kaiser Permanente, State Farm Insurance and Verizon Wireless are among the companies that have instituted domestic violence policies. …[and] believe they have saved both lives and money.”
• It is estimated that domestic violence acts and intervention services cost over $5.8 billion each year in the U.S. alone. $4.1 billion of this is for direct medical and mental health care fees
• $1.8 billion per year In lost business productivity• 50-85% abused women will miss work to DV• 60% abused women are late to work due to DV• $990 annual loss per employee
Survivor
Domestic Violence does not discriminate against gender, age, religion, sexuality, ethnicity, educational level…..
It can happen to anyone!!
“ I was kept in one room for 6 years. 6 years of my life was in one room and kitchen. He kept me there. He wouldn’t let me go out except sometime with him…And if anything he didn't like about the cooking and the shopping, he’s start doing the beating. Just like I was his slave…”
Common Characteristics
Poor self-image Strict gender roles Childhood experiences
of :◦ Poverty◦ Isolation◦ Neglect or Abuse◦ ETOH/Substance Abuse
POVERTY: ◦ According to CDC,
Households earning less than $15,000 (36% women, 21% men) suffer from IPV
Physical, Financial, Sexual, Emotional
PHYSICAL• Sexual assault or rape• Intentionally trips or shoves,
punch, hit, choke, slap, threatens with violence or weapons
• Threatened to hurt or kill himself if you leave
• Destroys your personal things Hurts pets Stalking Shows up unexpectantly to your
work, school, or elsewhere to
checkup on you
FINANCIALControls family finances
Refuses victim to have access to financial accounts
Sabotage victim's work performance by forcing victim
to miss work or will call frequently at work
Emotional or Verbal• Isolation• Criticizes you on your
appearance and actions• Blames you for his actions,
calls you “crazy” • Restricts you on where you
can go, who you see, what you do
• Calls you names , humiliates or embarrasses you deliberately
• Controls finances• Condemns victim as being a bad parent
Sexual• Objectification & reinforces
rigid gender roles• Accuses victim of infidelity• Demeans and insults victim,
calls you hurtful sexual names• Forced or manipulated victim to
perform sexual acts• Physically held victim down
during sex• Inflicted pain, including using
weapons or objects during sex• Involved other people in sexual
activities with victim• Disregard or ignore victim’s
feelings about sexual behaviors and practices
• “Stand by your man. We can make it work. So a lot of those beliefs were there that you just felt,
well, if I just hang in there, everything will be okay. Everything will turn around, Things will
change…It’s just that the break never comes. It never comes and you have to make the break.
Something clicks inside that just says, you know, if I have to be evicted, I might as well do
it on my own. Why am I here doing bad with somebody, you know? I began to say, ok, if I’m gonna be homeless, ok, it’s gonna be a choice. I’m not gonna be homeless with a husband. So I
think when it came to homelessness, it was almost voluntary.”
• INTIMIDATION
• COERCION AND THREATS
• USES CHILDREN AS A BARGAINING TOOL– Threatens to report victim to CPS– Forces children to rely messages to
victim– Tells victim that if she does not
follow through with his request, then he will harm children
• Controlling and/or manipulative behavior
• Behaviors can occur abruptly or gradually evolve in frequency and severity
• Denies any wrong-doing or actions
• Reckless driving
• Looks at partner in a threatening or frightening manner
• Wants or demands victim to get permission from him/her
• Decides what abuser will wear, how she will spend her time
• Blames the victim for his violent behavior
After being hospitalized from being beaten, one victim stated, “No matter what goes on in life, that’s my baby. And nobody can have him. It’s as simple as that. I’ll die over him. There isn't no way.”
• Fall Hx• Recent hospitalizations or clinic visits with unexplained
injuries or bruising• Personality changes• Increased isolative behaviors• Not purchasing or taking medications• Missing clinical appointments • ETOH/substance abuse• Hx of battery or abuse, including childhood abuse• Complex behavioral management problems of children• Homeless• Arrests or imprisonment records• Psychiatric Hx/Dx
“He was the sweetest one. I think he did pull a gun and a knife on me, but he didn’t use it. But he was in my life and helped me a lot…He never hit me. He is a sweet guy but he really is not responsible.”
Center for Disease Control (CDC)Feb 2008
60% more likely to have asthma
70% more likely to have heart disease
80% more likely to have a stroke
Twice as likely to be a current smoker
• Most common cause of injury in women aged 18-44
• Associated with higher rates of: – Headaches– Chronic Pain Syndromes– Stress, insomnia– Chronic Gastrointestinal
Disorders– Palpitations, chest pain– Sexually transmitted
disease/HIV
• Associated with ongoing mental health problems:– Depression– Anxiety disorders– Post Traumatic Stress
Disorder– Substance abuse– Suicide attempts
• Associated with 4 times higher risk of severe depression
Fibromyalgia was 2nd most common reason for Rheumatology consults in KP Colorado
92% of patients were women 74% had history of emotional trauma 53% had history of abuse 34% had major depressive disorder
Did you know that many patients with chronic pain have a history of violence or abuse?
Be mindful of this when assessing a possible victim
Need to escape the violence within home and relationship
VICE VERSA: Homeless women are at a high risk for experiencing domestic violence, w/ common correlated risk factors of :
Childhood Abuse (physical, emotional, and sexual) ETOH or Substance abuse Illnesses Poverty Dislocation Mental Health problems
Leaving and/or losing home can leave a victim to have feelings of regret, anger, sadness, belief that situation is unfair or unjust
“I am the one who has suffered. Why do I have to leave?
• “I thought it was the way life was. Because in the neighborhood I grew up in, it was nothing to see a woman dragged, knocked down, stomped, or beat, And there was no safe house, there was no shelter that a wife or woman could run to and be protected. So many women, including my mother – they just stood there and took it. But I saw a lot of women die as a result of being abused. I would tell my mother, he’s killing her over there, Ma. And She’d say, leave it alone. So I took on that generational trait. You were just supposed to take it.” (Wesley 2005)
“ Homeless women unaccompanied by children, as when compared to homeless women with children, have higher rates of past psychiatric hospitalizations and past inpatient chemical dependency, and experience longer durations in their current spell of homelessness.”
– Journal of Family Issues, 1999
80% of homeless households w/ children are headed by a single mother
64% homeless women reported violence with adult partner (Metraux 375)
Difficult to have truly accurate statistics since many homeless individuals remain hidden or undocumented.
In 2007, Orange County had approx 35,065 homeless citizens
Orange County is equipped with approx 68 emergency and transitional shelters that have a combined total of 3400 beds available for homeless
Living with peers
Moving from hotel to hotel
Streets
Financial Dependence “Financially supporting a partner was not the immediate
cause of a woman’s homelessness but rather one important factor in the trajectory toward economic vulnerability and social exclusion (Wesely, p 7)
Even when remaining at home, DV Victims may struggle financially due to partner’s drug and alcohol expenses
In reality, victims may have financial independence and gain more financial stability if he/she chose to leave the relationship
Fear of becoming homeless
Power and control The abuser has shown so much control that the victim lives
in fear and begins to only focus on his or her ability to survive day to day.
Isolation Threats
Domestic violence happens at home.
Help happens here
- Victims of direct neglect or abuse– In 30-60% of families affected by
DV, the children are also abused
- Witnessing abuse of parent
- Risk for homicide
CDC suggests that adverse childhood experiences, including domestic violence, “ are major risk factors for the leading causes of illness and death as well as poor quality of life in the United States.”
of Household dysfunction Substance abuse
27% Parental sep/divorce 23% Mental illness 17% Battered mother
13% Criminal behavior 6%
Abuse: Psychological 11% Physical 28% Sexual 21%
Neglect: Emotional 15% Physical 10%
–Unintended pregnancy
– Sexually transmitted disease
– Smoking as an adolescent
– Poorer health outcomes as adults:»cardiovascular disease »emphysema»depression
Family Violence is transmitted from
generation to generation
Disclosing Domestic Violence
“Even thought I am a physician and frequently counsel patients in similar circumstances, I did not recognize that I was experiencing domestic violence.”
• Embarrassment/shame
• Fear of retaliation by partner
• Lack of trust
• Economic dependence
• Desire to keep family together
• Unaware of alternatives
• Lack of support system
• May not identify self as a victim of abuse
Sometimes you don’t know what
to do.
It’s ok to ask for help.
How do I ask?
• What do I do if the answer is yes?
• Can I provide an initial intervention that is caring, effective, and efficient?
• Are there support services and resources to offer my patients?
Not sure? Ask
Victims may not be sure, professionals may not be sure either!!!
Saying silent = abuse is okay
Your involvement may be life-changing and life-saving!
• Please know that if you or a friend are being hurt or threatened by a partner, you can come here for help.”
• “Because this is such a common problem, I am offering this information (brochure) to my patients.”
• “Based on what you’ve been telling me, I am concerned that you are in situation that may be affecting your health”
• Be prepared to ask more than once!
Reassure children that they are loved and protected Tell them the violence is not their fault Teach them that all people and animals deserve love and
respect Teach them healthy ways to express emotions Let them know you are getting help Encourage children to talk to trustworthy adults Establish routines Try to always have the children with a trusted adult at all
times Do not criticize or yell in front of or at children Encourage children to participate in extra-curricular activities Teach children to dial 9-1-1 when violence occurs and when
they feel un danger or unsafe
“I never told anyone. It was too embarrassing. I had too
much shame.”
The majority of women eventually end their relationships with violent partners
Most do not have recurrent abusive relationships
“Violence is a learned response , and like any learned response, it can be changed.” - Dr. Brigid McCaw, Kaiser Permanente, Family Violence Prevention Program
Resources, economics
Alternatives are available
Fear for safety of someone they care about
Fear of safety for self
Fear of effect on children
“I’ll never forget the office visit when my physician said, ‘I am concerned about you – I’m afraid that if your husband doesn’t kill you, the stress will.’ The physician’s words were part of what it took for me to finally leave.”
42 yr. old psychologist (Silent Witness pg 2)
• You do not deserve to be hurt. • You are not alone. • Reach out and Tell someone about the
abuse.• Staying silent is the same as saying the
abuse is ok• Trust your instincts
Importance of routine screening Critical role of clinician demeanor and
attitude Recovery is a process Focus on increasing safety rather than
leaving
Collaborative Efforts
The 4 Focuses Work in from a multi-disciplinary approach by involving social workers, physician, police, community agencies/resources, and advocates
Triaging for co-morbidity (CD, depression)
Assessing level of danger Developing a safety plan Developing a follow-up plan Providing information about
community resources
Creating supportive and trusting environment
Screening and referrals Resources for Immediate
environment Connection to
educational and community based resources
Percentage of Victims connected with…
43.3% hospital services
50.7% social worker 61.4% with police 31.4% volunteer
agencies 14.3% education
welfare officer
61.4% victims had seen their general practitioner within last 4 months
Vostanis et al.,
Creating a safe, trusting, and supportive environment for victims
Screenings and referrals◦ Ask what is priority for victim and
what would be most helpful at this time
◦ Assess readiness of change◦ Assess danger◦ Connect to physician◦ Emergency Crisis Team
Resources or immediate environment◦ Creation of safety plan◦ Provide DV hotline◦ support group and counseling◦ Shelter◦ Legal (protective orders, custody)
Connection to educational and community resources◦ Parenting, stress management,
anger control classes◦ Financial management classes◦ Transportation◦ Day care
JOB RETENTION….. Money management Parenting Home Management Stress Management Anger Management Medical Care Counseling
(motivation and self-esteem)
Employment Placement
Interpersonal skills
Access to day care
Fearful for their own safety
Concern about children
Clinician said that home situation could be affecting their health
Support groups Therapy (CBT, Hypnotherapy, psychotherapy) Healing stories Expressive of autobiographical writing
Victims who talk to primary physicians are 4x more likely to use a recommended intervention
A 2 year study found that women who were screened for abuse and given a wallet size referral card were found to have reported fewer threats of violence, assaults, and harassment at work
Leaving is the most dangerous time for a victim, but the most necessary for survival. Therefore, it is crucial for a victim to begin planning an escape plan (aka safety plan)
What are some reasons why victims will receive assistance from mental health services?◦ Fearful of safety◦ Concern for the safety and well-being of their
children◦ Clinicians said that their home situation could be
affecting their home
IF YOU ARE IN THE RELATIONSHIP:• Arrange a safety signal with a neighbor that will alert for calling the police– Special code word or signal to communicate with family, co-workers,
teachers to contact help
• Memorize all important phone numbers
• Develop scripts that can help you diffuse any anger or potential violence when abuser becomes violent
• Keep a record of all incidents of abuse, telephone calls, and messages (any attempted or direct contact) from the abuser. Have photos taken of any sustained injuries.
• Think of safer locations that you can go into if an argument occurs: easy to exit, no weapons
• Keep spare change OR a calling card with you
• IF YOU HAVE LEFT THE RELATIONSHIP:
• Change your phone number and screen calls. Try to get an unlisted phone number. If at work, ask other employee to screen calls.
• Do NOT tell the abuser your location, NO MATTER WHAT
• Keep a record of all incidents of abuse, telephone calls, and messages (any attempted or direct contact) from the abuser
• Change locks, put locks on all doors and windows. Notify Landlord and neighbors that abuser is not allowed near home and ask them to call police
• Always try to escape from an attack. • If you feel that you are in danger, leave! No
matter what time or day, leave your home and take your children to a shelter or secure location.
• Try to stay near a door or window, or in a public place
• Signal to neighbors to contact police.• Take photos of any sustained injuries after an
attack. Document anything about the attack that you can. Attempt to see or call a confidant after an attack (additional witness)
TELEPHONE◦ Make any long distance or
sensitive calls outside the home (neighbors, family)
◦ Be aware of cell phone usage. Abuser may be able to intercept calls through using a scanner. Use a cordless phone for any sensitive calls
COMPUTER◦ Use a computer at a library or
family’s house, if possible
◦ Get a private email through a website, like YAHOO or Hotmail
◦ Change passwords often and choose passwords that are over 6 letter/numbers & not easy to guess
◦ Store files on internet (companies such as HyperOffice and Ibackup)
◦ Erase web-browser history
ATTEMPT TO GET THE FOLLOWING:• P.O. box
• Savings Account in own name• Safety Deposit Box
Have any private documents, financial statements, etc., mailed to PO Box, work address, or confidant’s home
• Extra set of keys and copies of abuser’s drivers license, social security card, and passport
• Legal documents (proactive order, medical records, marriage/divorce certificates, Birth Certificates, car registration and title, insurance papers – auto, life, medical, rental agreements or house deed
• Records and photos of abuse incidents, both personal and by police
Drivers License • Social Security Card• Welfare ID• Passport or green card• Copy of protective orders
or court documents• Money• Checkbook• Credit and ATM cards
• Bank Account Numbers• Address Book• Keys: car, home• Medications• Children’s clothing and toy• Extra glasses or contacts• Family photos
What is most important is you
and your children's life!
IMMEDIATE DANGER NOT IN DANGER
PROVIDE POLICE INFO LOCAL SHELTER
(hotline) f/u evaluation by
mental health services f/u appt with primary
physician
Provide police information
LOCAL SHELTER AND HOTLINE
Consider f/u appt with mental health services
Encourage victim to talk to primary physician
RESTRAINING ORDERS
3 types of restraining orders• Emergency Protective Order (EPO)
» Can be issued at any hour of day or night when an officer, who has responded to a domestic violence call, can demonstrate to a judge (by phone) that there “is an immediate and present danger of domestic violence, based on the person’s allegation of a recent incident of abuse or threat of abuse.”
» Expires 5 court days or 7 calendar days after issued (whichever is shorter)» Not enforced until an officer notifies the abuser
• Temporary» Issued to protect an individual who ‘submits an affidavit demonstrating
reasonable proof of a past act or acts of domestic violence.’ Courts do not allow an abuser to any opportunity to contest against this order
» Expires within 20 days from being served. Therefore, a Court hearing must occur within this 20 day duration.
• Permanent » Granted after an Order of Hearing» 3 years and may be renewed
• Restraining orders are one initiative a victim can take to receive protection and support from the law enforcement and legal community.
• Restraining orders are a way the can help to prevent an abuser from committing further acts of violence against victim and children
• In California, any person over age 12 can petition for a restraining order WITHOUT parental consent or the presence of an adult/guardian
• Contact police immediately ever time abuser violates order
• Keep record and copies of any letters, messages, contacts, or threats from the abuser. Save any text or telephone messages.
• Develop a plan in case you are confronted by abuser before the police arrive
• Provide copies of the protective order to family, schools, daycare, work, neighbors
It is imperative for us to help victims know what their legal rights are and to connect them to the appropriate resources
• California Labor Code Section 230 allows all employees, even domestic violence victims, to take time off in order to testify against their abuser or to get a restraining order to protect themselves and children
• It is important to note that no employer can fire, retaliate, or discriminate against you for taking the time off. One should always attempt to give advanced notice for absence as much as possible. Always provide written documentation of court attendance and that you are a victim of domestic violence. This proof must be kept confidential by employer.
• A victim may received written documentation that considers her a ‘victim of domestic violence’ from a police report, court order, or from a health care provider or counselor (including domestic violence advocate) that the victim sought out for treatment of any injuries from violence
• 3. If you have a physical or mental health disability that was caused by or worsened from domestic violence, you may be entitled to have accommodations for these disabilities. Accommodations included: reduced work schedule, leave of absence, and transferring to a vacant position. These are regulations under the California Fair Employment and Housing Act, which entitle you to a work environment free of disability discrimination and harassment
• Note: if you are terminated, demoted, suspended, or discriminate against, you have the right to file a complaint against your employer to the Labor Commissioner at the Division of Labor Standards Enforcement. www.dir.ca.gov/dlse
• 1. You are entitled to a job-protected time off from work to go to court
– Your job remains protected, but you will not be paid if you go to court due to a subpoena, are to testify in court, to obtain a restraining order, or to seek any other judicial relief to protect yourself and family from domestic violence
– You may use paid vacation, personal leave, or compensatory time
• 2. You may be entitled to have your job protected when obtaining domestic violence services, including counseling, safety planning, working with crisis shelters, or moving into a shelter.
• 4. Family Medical Leave laws allow victims to have 12 weeks of unpaid time off of work while protecting their job. Absence would be considered as “a serious health condition.” to qualify for this, the following must be met:• Employer must have 50 employees within a 75 mile radius of your
worksite• You must have worked at least 1 year • You must have worked at least 1250 hours during the last 12 months
• 5. You may be eligible for unemployment insurance• If you quit your job in order to protect yourself against domestic violence,
you may have what is called “good cause” and therefore be entitled to benefits
• Benefits are only available to employees who quit with “good cause.”• Always attempt to make arrangements with boss prior quitting, and
explore possible options of relocation or a leave of absence
• Additional information about victim rights, call the Domestic Violence and Employment Project of the Legal Aid Society at 888-864-8335
Police will generally not turn in a woman reporting domestic violence to CIS (Citizenship and Immigration Services)
Can obtain legal protection REGARDLESS of citizen states
If choose to take legal action against abuser, it is extremely unlikely that the Abuser will be deported.
In order to get legal permanent residency w/o assistance of spouse, first consult with a shelter worker, immigration attorney, or DV or immigration agency for assistance. DO NOT GO TO CIS first
If spouse is threatening to take children 1. Get a custody order immediate, which will prohibit
spouse from removing children from this country 2. If children are US citizens, send copy of custody
order to the embassy of your partner’s home country and to the US Dept of State to prevent the issuance of passports and visas for children
3. Give copy of custody order to schools and tell schools who is only allowed to pick up children
4. Keep all recent photos, birth certificate, and passports of children.
5. Keep all contact information of spouse’s family and friends in his home country
Refugees can receive food stamps, MediCaid, TANF, and other public service program ONLY WITHIN THE FIRST 5 YEARS of arriving to US
If ineligible to apply for legal permanent residency, you will not qualify for most welfare programs. Still eligible for emergency MediCaid
Contact DV or immigration advocated for ‘safe hospitals’ that will not report your citizen status
Contact immigration lawyer if unclear about immigration status or if victim is undocumented
CalWorks Homeless Assistance Program
California Victim Compensation and Government Claims Board
Provides financial assistance for victims of violent crime to help cope with the emotional, physical, and financial affects of crime.
• Provides financial assistance for the following:– Moving/relocation– Medical/dental– funeral/burial– Lost income– Home or vehicle modifications– Home Security – Job training compensation
• Assistance is Accessible is through local Victim Witness Assistance Center (within country district attorney offices)
◦One-time housing voucher available to DV victims
◦Financial assistance for monthly rent, security deposit, utilities, purchase of stove or refrigerator, move-in-fees, etc.
◦Apply at nearest county social services office. Application only available though County Social Worker
• Lack of privacy• Cramped environment• Victims may need to apply for and receive
approvals for grants to have furnishings and amenities at shelter residence
• WHAT VICTIMS WANT IN HOME:• Safety (#1)• Space and bedrooms• Garden and play areas for children • Location in Safe neighborhoods (Malos 1997)
Provide crisis intervention
Connect victim to shelters
Financial and legal resources
Education
National DV Hotline 800-799-SAFE
Availability of Tangible resources (such as transportation, day care, and financial) to victim predicts the cooperation a battered woman will have with criminal prosecution (Baker 2003)
RideInfo 800-431-7882
1. Shelter-Help www.shelterhelp.org
• Cash grants, cell phones, airtime minutes
2. The Call To Protect www.wirelessfoundation.org/CallToProtect/index.cfm• Collects cell phones for DV survivors
3. HopeLine• Initiated by Verizon Wireless, Collects cell phones to for
local shelters
4. Amy’s Fund • Provides up to $2000 for moving/relocation,
transportation, rent, security deposits, medical expenses, legal fees (for R.O., divorce, custody agreements), care repairs, household goods (clothes, appliance, furniture)
Messages of SurvivorsAdvocacy
“I have a sense of pride that I survived and stated over. I had to give up the outward appearances and realize that this can happen to anyone, no matter who you are.”
“I can only hope that by telling my story, someone will realize that they are not alone and support is available.”
• Serve as a lobbyist or work with legal professionals on passing stricter laws and punishment for abusers
• Talk to your local congressional leaders to increase state funding for the Statewide Domestic Violence Assistance Program, who provides funding for shelters and DV resources
• Internationally advocating for the legal criminalization of marital rape
Joyce Shaw, RN The SheepFold Dr. Brigid McCaw, Kaiser Permanente
Domestic Violence Program Sharon Araki, RNP Joan Cosner, BS Christine Burke, LCSW
Shannon Nix, B.A.562-622-3822
Baker, Charlene K., Cook, S. & Norris, F. (2003). Domestic violence and housing problems: A contextual analysis of women’s help seeking, received informal support, and formal system response. Violence Against Women, 9(7), 754-783.
California State Domestic Violence Interagency Collaboration. Key Message and Talking Points. 2006. Center for Disease Control. (2008). Understanding teen dating violence. Retrieved October 1, 2008 from
www.cdc.gov/ncipc/pubers/datingabusefactsheet Charles, N. (1994). The housing needs of women and children escaping domestic violence. Journal of Social
Policy, 23(4), 465-487 Danis, Fran. “Domestic violence and social work education: What do we know, what do we need to know?”
Journal of Social Work Education, 39(2). Malos, Ellen, & Hague, G. (1997). “Women, Housing, Homelessness and Domestic Violence.” Women’s
Studies International Forum, 20 (3), 397-409. Metraux, Stephen & Culhane, D. (1999). Family dynamics, housing, and recurring homelessness among
women in New York City homeless shelters. Journal of Family Issues, 20 (3), 371-396. Mccaw, Brigid & Elkins, J. (2008). Domestic Violence Prevention: Addressing a silent epidemic. Kaiser
Permanente Northern California Family Violence Prevention Program. McCaw, Brigid & Elkins, J. (2008). Intimate Partner Violence. Kaiser Permanente Northern California Family
Violence Prevention Program. National Teen Dating Abuse Helpline. (2008). Dating abuse fast facts. Retrieved September 29, 2008 from
www.loveisrespect.org Orange County Partnership. (2007). Orange County Homeless. Vostanis, P., Tischler, V., Cumella, S. & Bellerby, T. (2001). Mental health problems among homeless
mothers and children victims of domestic and community violence. International Journal of Social Psychiatry, 47(4), 30-40.
Vermont Network Against Domestic and Sexual Violence. (2007). Power and control wheel. Retrieved October 2, 2008 from www.vtnetwork.org
WEAVE Inc. (2007). Safety Planning. Retrieved October 14, 2008 from www.WEAVEinc.org Wesely, Jennifer K. and Wright, J. “The Pertinence of Partners: Examining Intersections Between Women’s
Homelessness and Their Adult Relationships.” The American Behavioral Scientist. April 2005. Vol 48, Issu 8, pg 1082, 20 pgs
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