Confronting Chronic Neglect The Education and Training of Health Professionals on Family Violence (2002) / Chapter Skim
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1 Introduction
1 Introduction
Pages 13-20
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From page 13... ...
, 1998~. The national data on health care service utilization by victims of child abuse and neglect, intimate partner violence, and elder maltreatment, though limited, indicate considerable contact between victims and health professionals.
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From page 14... ...
The nature of their work suggests that health care professionals play a particularly important role in addressing health conditions associated with family violence. Beyond their role in direct treatment of health problems, the longterm and privileged nature of the provider-patient relationship creates unique opportunities to identify family violence victims and respond to their needs.
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From page 15... ...
available curricula for screening, detecting, and referring family and intimate partner violence in health care delivery settings and the effectiveness of these curricula and training activities, as well as outcomes associated with these interventions; and 3. existing efforts, coalitions, and initiatives intended to foster the knowledge and skills base of health care providers.
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From page 16... ...
To accomplish these tasks, the committee surveyed the published literature; unpublished health professional curricula on family violence; and existing requirements, policy statements, and guidelines for family violence education. We also consulted with numerous health professional organizations; policy makers; family violence advocacy groups; and researchers and scholars on family violence, education, law, and related issues.
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From page 17... ...
Family Violence According to the committee's charge, family violence is defined to include "child physical and sexual abuse and neglect, intimate partner violence, and elder abuse and neglect." To inform this definition, the committee relied primarily on the description offered by the National Research Council/Institute of Medicine Committee on the Assessment of Family Violence Interventions. According to its report, the term family violence is applied to "a broad range of acts whose presence or absence results in harm to individuals who share parent-child or adult intimate relationships" (NRC and IOM, 1998, p.
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From page 18... ...
Among these are physicians of many specialties; physician assistants; nurses and advanced-practice nurses of many specialties; certified nursing assistants; social workers; psychologists and other mental health professionals; dentists; emergency medical service providers; public health professionals; alternative and complementary medicine providers; allied health professionals, such as physical therapists, occupational therapists, and others; home health care personnel of various types; pharmacists; dieticians and nutritionists; medical assistants; veterinarians; hospital chaplains; patient advocates; case workers; clinical office and hospital receptionists; health educators; clinical administrators; and human resources personnel. This list is not intended to be comprehensive but illustrative of the diversity of health professionals involved in addressing family violence and the variety of roles they play, including prevention, recognition, treatment, education, and referral.
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From page 19... ...
According to the charge, response includes "detecting," "screening," and "referring" victims of family violence. Reflecting on the use of these terms in health care practice, the committee understands them to mean the following: detection refers to identification of the victims of various forms of abuse and neglect; screening refers to the clinical strategies used to detect and learn about a patient's specific situation of abuse; and referral means developing an action plan that involves locating, contacting, and providing appropriate and necessary services, such as community shelters, social services, safety planning, and law enforcement.
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From page 20... ...
Among these are the causes of family violence, the actual impact of training on the problem of family violence, the relationship between education and practice, the roles of health professionals in prevention, and the relationship of health professionals to their colleagues in law enforcement, social services, and broader community services systems. The committee also considered issues relating to the identification and treatment of batterers or perpetrators, distinctions between intentional and unintentional injuries as they relate to educational content, the impact of fragmented care on victims, and the overall meaning of health, but we did not explicitly address these issues in the report.
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