Title: DOMESTIC VIOLENCE INTIMATE PARTNER VIOLENCE REPORTING
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2 INTIMATE PARTNER VIOLENCE
LCDR LEILA WILLIAMS
3Intimate Partner Violence
- IPV
- Domestic Violence
- Defined as a pattern or behavior resulting
physical, emotional/psychological abuse, economic
control, and/or interference with personal
liberty directed toward a person
4IPV Victim
- Current or former spouse
- Person with whom the abuser shares or has shared
a child in common. - Current or former intimate partner with whom the
abuser shares or has shared a common domicile
5Halpern, Hayes, et al. J. Trauma 2006
- It is estimated that between one to two million
women experience IPV annually - 2 important features of this estimate
- --The rate is high but it is also unclear how
high it is. - --The wide range for this estimate says a great
deal about the secrecy of IPV and difficulty
determining who has been subjected to IPV
6Macmillan, Jamieson, et al. Approaches to
screening for IPV in health care settings
- N2,602. Randomized trial
- Patients are often reluctant to disclose IPV to
their physicians - Self-completed screening, versus face-to-face
screening, for IPV appears to be preferred by
women
7Bureau of Justice Statistics
- IPV made up 20 of all nonfatal violent crime
experience by women in 2001 - 1,247 women and 440 men were killed by an
intimate partner in 2001
8Previous Reporting Policy
- Minimal confidentiality
- Chaplains Privilege All others must report
assault - Medical treatment initiated investigation
- Victim had no control over the release or
management of their personal information
9DOD RESTRICTED REPORTING POLICY
- An option for IPV Victims to receive medical
treatment and Victim Advocacy services without
requiring notification to law enforcement or the
victims or alleged offenders commander when
they report such abuse to one of the following
individuals Health Care Provider or Victim
Advocate /Supervisor
10Health Care Providers (HCP)
- Health care professionals who are credentialed to
provide health care services (Including Clinical
Social Workers)
11Victim Advocate (VA)
- A person who has been designated to respond,
offer advocacy and support and provide the victim
information and clarification on restricted and
unrestricted reporting options
12Purpose of Victims Reporting Options
- Ensure victims receive medical, counseling and
advocacy services - Build victims trust in system to increase
reporting - Remove barriers
13Barriers
- Perceived lack of privacy/confidentiality
- Embarrassment/stigma
- Fear of reprisal from offender
- Lack of confidence in chain of command
- Fear of repercussions regarding collateral
misconduct - Concern about how report will affect their
career, unit, and the mission
14Limitations of Restricted Reporting
- Alleged offender remains at large
- Victim cannot receive a Military Protective Order
(MPO)/No Contact Order - Victim may continue to have contact with alleged
offender. - Victim unable to discuss the assault with other
service members
15Exceptions to Confidentiality and Limitations on
Use
- The victim consents in writing
- Serious threat to health/safety of victim or
others - Child Abuse involvement
- Fitness for duty/Disability retirement
- To supervise direct victim services adequately
- When ordered by a court or required by law
16- The victim should acknowledge in writing his/her
election and understanding of the benefits and
limitations of the reporting options
17- Abuse and violence are at the heart of a plethora
of emotional and physical problems. We must be
accepting and willing to listen to our patients,
we must be ready with the resources when our
patients are ready to ask for help
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