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DOMESTIC VIOLENCE INTIMATE PARTNER VIOLENCE REPORTING

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Bureau of Justice Statistics. IPV made up 20% of all nonfatal violent crime experience by women in 2001 ... release or management of their personal information ... – PowerPoint PPT presentation

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Title: DOMESTIC VIOLENCE INTIMATE PARTNER VIOLENCE REPORTING


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INTIMATE PARTNER VIOLENCE
LCDR LEILA WILLIAMS

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Intimate 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

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IPV 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

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Halpern, 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

6
Macmillan, 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

7
Bureau 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

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Previous 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

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DOD 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

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Health Care Providers (HCP)
  • Health care professionals who are credentialed to
    provide health care services (Including Clinical
    Social Workers)

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Victim 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

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Purpose of Victims Reporting Options
  • Ensure victims receive medical, counseling and
    advocacy services
  • Build victims trust in system to increase
    reporting
  • Remove barriers

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Barriers
  • 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

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Limitations 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

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Exceptions 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

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  • The victim should acknowledge in writing his/her
    election and understanding of the benefits and
    limitations of the reporting options

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  • 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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