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From page 337... ... , 10, 39, 40, 61, 110, 114-115, 156, 199 American Association of Orthopedic Nursing, 61 American Board of Examiners in Clinical Social Work, 64 American Board of Obstetrics and Gynecology, 55 American Board of Pediatrics, 37, 55, 56, 117118 American College of Emergency Physicians (ACEP) , 37, 200 American College of Nurse Midwives (ACNM) Read the entire page →
From page 338... ... , 39, 61 B Barriers to training barriers to practice and, 45 cognitive biases, 124- 132, 139, 149 competency requirements as, 8, 9, 54-56, 81, 84-85, 149, 150 curriculum priority conflicts, 48-50 institutional culture and norms, 8, 9, 50-54, 81 intrinsic, 46-54 leadership issues, 53-54 measuring and addressing, 128, 130 perceptions of need, 8, 9, 46-48, 81 personal issues, 9, 59-60, 149, 150 privacy issues, 51-53 professional factors, 8, 9, 56-59, 149, 150 research base on, 45 resource constraints, 74-81, 83, 127 INDEX response of health care system to victims, 66, 142 third-party reimbursement policies and, 6768 time constraints, 9, 57, 127 Battered child syndrome, 22, 24 Battered woman syndrome, 22 Battered women's shelters, 64 Behavioral change in health professionals case studies, 132- 134 concepts affecting, 108 in continuing medical education, 125-134, 148 systems approaches, 127-134, 139-140, 148-149 Benjamin Rose Institute, 247 Blue Shield of California, 67 Boston Medical Center, 258 Boston University, 76 Brown University, 236 Bureau of Health Professions, 40, 75 n.l l C California, 57, 70, 71, 73, 120, 206-207, 218219, 226-227, 230, 237, 253 California Medical Training Center, 253 Cancer, 14, 28, 78 Carnegie Mellon University, 76 Center for Child Protection, 237 Center on Child Abuse and Neglect, 77, 237 Centers for Disease Control and Prevention, 4, 6, 15, 19, 25, 34, 75, 77, 78-79, 85 n.l, 135, 154, 156, 251 Centre for Evidence-Based Medicine, 135 Certification, 8, 9, 55, 56, 61, 149, 150 Charge to Committee, 1-2, 15 Child abuse and neglect cases reported, 14 categories, 24-25 certification requirements, 55 definitional issues, 22, 24-25 common elements, 24 core competencies, 115, 117-118 costs of health care, 29 current educational initiatives, 36, 37, 38, 39, 40-42, 43, 60, 64, 81, 84, 234-246, 265 deaths, 28, 29 Read the entire page →
From page 339... ... McAfee, 51 Community health center staff, 102, 103, 254, 262, 288-289, 294-295, 312-313 Computer Retrieval of Information on Scientific Projects (CRISP) , 77 Connecticut, 70, 206-207, 218-219, 254 Connecticut Primary Care Association, 254 Continuing medical education behavioral change models, 125-134, 148 cognitive biases and, 125-127 current programs, 37, 40, 41, 42, 43, 49, 198, 234-235, 238, 239, 242-244, 252, 253, 256, 257, 259-263, 267 effective teaching strategies, 89, 148 evidence-based practice in, 135 formal, 126-127 impacts of, 74, 126-127 perceptions of adequacy of, 49-50 policy statements of professional organizations on, 198 and screening for abuse, 57-58 Cook County Hospital, 256 Core competencies. Read the entire page →
From page 340... ... See Evaluation of training efforts; Training and education Education and research centers, 5-6, 152- 156 Education Development Center, 142 Elder maltreatment categories, 26 common elements, 24 core competencies, 112, 115 INDEX current educational initiatives, 36, 37, 38, 39-40, 42, 43, 84, 104, 146, 247-249 definitional issues, 26-27 evaluation of training initiatives, 85-86, 87, 106 funding for training, 76, 77, 78, 79 health effects of, 32-33 health professionals' responsibilities, 27 incidence/prevalence of, 26-27, 34 institutional, 36 licensure requirements, 55 mandatory education laws, 73, 231 mandatory reporting laws, 27, 68, 70-71, 218-225 outcomes of training on, 104-105 professionals' perceptions of adequacy of training, 49-50 screening problems, 32 self-neglect, 23, 27 standardization of terminology, 34 survey of, 34 survival rates, 27, 32 utilization of health care services, 32 Emergency departments certification requirements, 56 outcomes of training, 100 n. lo, 101, 102, 103, 104-105, 278-287, 292-293, 296297 training programs, 64, 89, 234-235, 253, 263, 304-307 utilization of services, 13, 30, 31, 32 Emergency medical technicians, 86 n.4, 278279 Emergency Nurses Association (ENA) Read the entire page →
From page 341... ... See Intimate partner violence George Washington University, 268 Georgia, 206-207, 218-219 Geriatric Education Center Program, 40, 153 Geriatricians, 112 Gorman v. State, 51 Group Health Cooperative of Puget Sound, 67, 138, 148, 157, 255 H Harborview Injury Prevention and Research Center, 255 Harvard Youth Violence Prevention Center, 152-153 Hawaii, 120, 208-209, 218-219, 240, 247 Hawaii Dental Hygienists' Association, 240, 247 Health care providers, 67-68, 236, 248, 250, 252-254, 255, 258, 259, 260 Health Education Alliance (San Jose) Read the entire page →
From page 342... ... 342 groups most likely to encounter victims, 2, 18, 89 legal responsibilities, 27 licensure requirements, 55 marginalization of, 53 outcomes of training, 99, 288-291, 306-307, 318-321 perceptions of training adequacy, 6, 14, 44, 47, 49-50, 57, 61, 64, 81, 87 personal experience with violence, 59, 81, 150 reporting of abuse, 14, 82-83 responses to family violence, 19, 56-60, 142 role assignments for providing care, 111112, 139, 327-329 testimony in court, 118-119 time constraints, 57 vicarious traumatization, 59-60, 150 Health Professions Education Partnerships Act of 1998, 15 Health Research Services Administration, 61 Health Resources and Services Administration, 4, 74, 77, 115, 153, 156, 255 HealthPartners Family Violence Prevention Program, 260 Healthplan Employer Data and Information Set (HEDIS) , 8, 131, 132, 134, 137-138, 140, 148, 149 Healthy People 2000 objectives, 79, 80 Hemenway, David, 152-153 Home visitors, 104-105, 234-235 Hospital Crisis Intervention Project, 256 Hospitalizations of abuse victims, 30-32 Human resources, for education and training, 80-81 I Idaho, 71, 208-209, 220-221 Illinois, 208-209, 220-221, 239, 256 Indiana, 208-209, 220-221, 256 Indiana University School of Medicine, 256 Institute for Family Violence Studies, 255 Institute of Medicine, 3, 17, 105, 127, 143, 146, 151 Institutional culture and norms, 50-54, 81 Integrated Health Services, 248 Intimate partner violence categories, 25 certification requirements, 55 children's exposure to, 25, 28-29, 42 INDEX clinical outcomes, 103- 104 common elements, 24 core competencies, 110, 120 current educational initiatives, 36, 37, 38, 42, 43, 47, 84, 127, 250-268 deaths, 30 definitional issues, 25-26, 34 economic costs, 31-32 evaluation of training initiatives, 85, 86 n.2, 87, 88-90, 92, 93, 94-97, 98, 106-107 female victims, 25-26, 30 funding for training, 78, 79 guidelines of health professional organizations on, 60-61 health effects, 30-32 incidence/prevalence of, 25, 30-31 male victims, 25-26, 30 mandatory education laws, 73, 232 mandatory reporting laws, 68, 69-70, 71, 72, 226-227 outcomes of training on, 100-104 perceptions of health professionals about, 47, 51-53, 57, 66 referral of victims, 57 research base, 49 response of health care system to, 66, 68 screening for, 57-58, 59, 89, 101-103 special populations, 26, 30, 60 standardization of terminology, 34 and utilization of health care services, 30-31 victims of, 25, 67 Intimate partners, defined, 23 Iowa, 73, 208-209, 220-221, 230, 231 J John A Read the entire page →
From page 343... ... , 194 Licensure, 8, 9, 40, 55, 149, 150 Louisiana, 208-209, 220-221, 240 Louisiana State University, 240-241, 257 M Maine, 208-209, 220-221 Maltreatment, definitions of, 22 Mandatory education laws child abuse curriculum, 73, 198, 230 elder maltreatment, 73, 231 health professionals affected by, 73 impacts, 73-74, 83, 149, 150-151 intimate partner violence, 73, 232 requirements, 37, 73, 106 state standards, 229-232 Mandatory reporting laws child abuse and neglect, 27, 52, 68, 69, 71, 118, 150-151, 206-217 for data collection purposes, 70-71 elder maltreatment, 27, 68, 70-71, 118, 218225 exemptions from, 70, 71 health professionals responsible for, 27, 69, 70,71 impacts of, 71-72, 82-83 intimate partner violence, 68, 69-70, 71, 72, 118, 226-227 limits on, 69 requirements, 69-71, 106 research base on, 9, 72 standards, by state, 70, 205-227 343 and training of health professionals, 8, 9, 68-69, 72, 73, 82-83, 118, 149, 150-151 victims' concerns about, 9, 72, 82-83, 150 March of Dimes, 257 Maryland, 208-209, 220-221, 257 Maryland Alliance Against Family Violence, 257 Maryland State Medical Society, 257 Massachusetts, 38-39, 210-211, 220-221, 241, 258-259 Massachusetts Medical Society, 259 Massachusetts Society for the Prevention of Cruelty to Children, 241 Maternal and Child Health Bureau, 115, 117 Maternal and child health providers, 250, 310311 Mayerson Center for Safe and Healthy Children, 239 McMaster University, 126, 128 MEDCEU, 259 Medical Directions, Inc., 267 Medical Education Collaborative, 266 Medical Education Foundation, 252 Medical Legal Advisory Board on Child Abuse, 239 Medical schools accreditation requirements, 194 evidence-based practice in, 135 professionals' perceptions of adequacy of training, 49-50 Medical students outcomes of training, 99, 100, 101, 270275, 298-299, 318-319 training programs for, 35-36, 194, 234, 236, 237, 252, 259, 265, 268 Medical University of South Carolina, 76 MEDLINE, 85 Medulogic, 260 Mental health services referral of victims for, 57 training initiatives, 40-42, 49-50, 132, 195, 236, 237, 258, 262 utilization, 31 Michigan, 210-211, 220-221 Minnesota, 70, 210-211, 222-223, 260-261 Mississippi, 210-211, 222-223 Missouri, 70, 210-211, 222-223 Montana, 210-211, 222-223 Mortality rates, 28, 29, 30, 32 Read the entire page →
From page 344... ... See also professional organizations accreditation, 55 beliefs about family violence, 47-48, 59 core competencies, 111- 112, 114- 115, 117, 327-329 outcomes of training, 103, 278-279, 294295, 308-309, 320-321 public health, 103, 294-295, 312- 313, 320321 sexual assault examiners, 111- 112 training programs, 39-40, 49-50, 52-53, 64, 73, 76, 135, 136, 195, 199, 237, 253, 256, 257, 259, 260, 262, 267 victimization experiences, 59 Nursing Network on Violence Against Women International, 65 o Office of Assistant Secretary for Health, 77 Office of Community Services, 75 Office of Justice Programs, 4, 156 Office of Minority Health, 255 Office on Child Abuse and Neglect (OCAN) , 64,77 Office on Women's Health, 61 Ohio, 212-213, 222-223, 242, 247, 261 Ohio State Medical Association, 261 Ohio State University, 242 Oklahoma, 212-213, 222-223, 237 Oklahoma Principles, 110 Read the entire page →
From page 345... ... , 263 Patient outcomes. See also Health effects of family violence; Outcomes of training child abuse victims, 28 evidence-based practice and, 8, 136- 137, 140, 148 Pediatric intensive care, 29-30 Pennsylvania, 41, 70, 127, 212-213, 238, 239, 262 Pennsylvania Coalition Against Domestic Violence, 127 Perinatal hospital staff, 282-285, 296-297, 308309 Perpetrators, 23, 42, 71, 150 Phelps, Tony, 152 Philadelphia Child Fatality Review Team, 239 Philadelphia Family Violence Working Group, 262 Physical abuse, 22, 23, 24, 26, 27, 28, 245 345 Physician assistants accreditation requirements, 55, 196 policy statements of professional organizations, 198-199 training programs, 38, 89, 241, 248, 253, 261 Physicians. Read the entire page →
From page 346... ... , 268 Same-sex relationships, violence in, 26, 42 Screening for family violence assessment/diagnostic tools, 88, 89-90, 9495, 102, 103 defined, 19 disciplinary policies, 103 INDEX for elder maltreatment, 32 for intimate partner violence, 57-58, 59, 89, 101-103 as outcome measure of training, 92-93, 9495, 97, 98, 101-103, 298-315, 322-323, 324-325 personal experiences of professionals and, 59 professional organizations' recommendations, 60-61, 64 rates, 54, 103 reimbursement policies, 67-68 training and, 46 n.l, 57-58, 88 Select Media, 263 Self-neglect, 23, 27 Sexual abuse certification requirements, 56 of children, 24, 28, 29, 40, 42, 64, 237, 242, 245 costs of health care, 29 defined, 23 health effects of, 28, 30 of intimate partners, 26, 31, 36 licensure requirements, 55 training and education on, 36, 237, 242, 245 Sexual assault, 36, 53, 64, 67, 111-112 Shaken baby syndrome, 28 Social Security Act, 78, 79 Social workers accreditation, 55 beliefs about family violence, 47-48, 52-53 certification, 56 core competencies, 112, 117 outcomes of training, 320-325 referrals to, 57 training programs, 42-43, 49-50, 64, 73, 136, 196, 237, 244, 245, 253, 255, 257, 260, 262, 263, 264, 265, 266, 267-268 Society for Academic Emergency Medicine (SAEM) , 263 Society for Adolescent Medicine, 117 Society of Teachers of Family Medicine, 120 Sociological Abstracts, 85 South Carolina, 214-215, 224-225 South Dakota, 70, 214-215 Spousal abuse. Read the entire page →
From page 347... ... See also Barriers to training; Continuing medical education; Evaluation of training efforts; Knowledge acquisition; Medical schools; Residency training programs academic detailing, 128-129, 130 accreditation requirements and, 8, 9, 54-55, 81, 84-85, 131, 132, 149, 150, 194-196 adequacy of, 1, 14, 44, 47, 49-50, 87, 146 adult education principles, 8, 123-124, 139 advocacy groups and, 64, 66, 80, 82, 134, 149, 150 amount of, 35-36 assessment/diagnostic tools, 88 behavioral change models, 7-8, 107, 125126, 139-140, 148 booster sessions, 133 capacity building strategies, 141-145, 152156 case-based methods, 67 certification requirements and, 8, 9, 56, 61, 81, 149, 150 collaborative programs, 108, 110, 127, 129, 130, 144-144, 237 conclusions of Committee, 6, 43-44 content, see Core competencies current initiatives, 35-44, 233-268 definitional issues, 18-19 effectiveness of, 84 environmental enabling factors, 129-132, 133 evidence-based practice and, 8, 133- 134, 135-136, 137, 148, 149 formal, 86 347 funding issues, 4-5, 74-80, 81, 83, 151-152 health care providers/payers and, 67-68, 80, 82 HEDIS and, 8, 131, 132, 134, 137-138, 140, 148, 149 human resources, 66-67, 80-81 incentives for participation, 58-59, 129, 132 interactive meetings, 129, 130, 148 intervention planning models, 128-129 learning organizations and, 133 licensure requirements and, 8, 9, 55, 81, 149, 150 mandatory education laws and, 8, 9, 73-74, 83, 149, 150-151 mandatory reporting laws and, 8, 9, 68-72, 73, 82-83, 149, 150-151 materials, 41-42, 60, 81, 253, 254 organizational environment, 129, 131 - 132, 133 outcome measurement and reporting and, 8, 134, 140, 148 perceptions of adequacy, 87 political considerations, 79-80 practice environment, 129- 132 precede/proceed model, 128- 133 predisposing factors, 128, 130, 132, 133 professional organizations' influence on, 47, 60-64, 65, 82 recognition of need for, 46-48 recommendations, 10-11, 154-155, 157-158 reflective practice, 133 reinforcing factors, 131, 132- 133, 148 responsibility for developing, testing, and evaluating, 10-11, 157-158 scope of Committee assessment, 15-17, 19 teaching strategies, 6, 7-8, 19, 36, 37, 39 n.l, 44, 67, 88, 89, 126, 127-132, 139-140, 146, 148, 234-268 time allocated for, 6, 35-36, 37, 39, 40, 44, 49-50, 73, 88, 146 victim participation in, 66-67, 80, 82 U University of Arkansas for Medical Sciences, 252 California at Davis, 243 California at Los Angeles, 101 Chicago Pritzker School of Medicine, 256 Cincinnati, 239 Colorado Hospital, 244 Read the entire page →
From page 348... ... Public Health Service, 61 Utah, 214-215, 224-225 Utilization of health care services child abuse victims, 13, 29-30 data adequacy, 3, 33, 145 by elder abuse victims, 13, 32 for intimate partner violence, 13, 30-31 mandatory reporting laws and, 71 V Vanderbilt University, 246 Vantage Professional Education, 267 Vermont, 214-215, 224-225 Victim Assistance and Law Enforcement Fund, 77 Victims. See also Health effects of family violence; Patient outcomes advocacy by, 9, 66-67, 150 concerns about mandatory reporting laws, 9, 72, 82-83, 150 INDEX defined, 23 disclosure of abuse, 59 noncompliance with medical advice, 58, 59 research partnerships with, 66, 67 response of health care system to, 66, 142 training involvement, 66-67, 150 Victims of Crime Act, 79 Violence against women. Read the entire page →

From page 337...

... , 10, 39, 40, 61, 110, 114-115, 156, 199 American Association of Orthopedic Nursing, 61 American Board of Examiners in Clinical Social Work, 64 American Board of Obstetrics and Gynecology, 55 American Board of Pediatrics, 37, 55, 56, 117118 American College of Emergency Physicians (ACEP) , 37, 200 American College of Nurse Midwives (ACNM)

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From page 338...

... , 39, 61 B Barriers to training barriers to practice and, 45 cognitive biases, 124- 132, 139, 149 competency requirements as, 8, 9, 54-56, 81, 84-85, 149, 150 curriculum priority conflicts, 48-50 institutional culture and norms, 8, 9, 50-54, 81 intrinsic, 46-54 leadership issues, 53-54 measuring and addressing, 128, 130 perceptions of need, 8, 9, 46-48, 81 personal issues, 9, 59-60, 149, 150 privacy issues, 51-53 professional factors, 8, 9, 56-59, 149, 150 research base on, 45 resource constraints, 74-81, 83, 127 INDEX response of health care system to victims, 66, 142 third-party reimbursement policies and, 6768 time constraints, 9, 57, 127 Battered child syndrome, 22, 24 Battered woman syndrome, 22 Battered women's shelters, 64 Behavioral change in health professionals case studies, 132- 134 concepts affecting, 108 in continuing medical education, 125-134, 148 systems approaches, 127-134, 139-140, 148-149 Benjamin Rose Institute, 247 Blue Shield of California, 67 Boston Medical Center, 258 Boston University, 76 Brown University, 236 Bureau of Health Professions, 40, 75 n.l l C California, 57, 70, 71, 73, 120, 206-207, 218219, 226-227, 230, 237, 253 California Medical Training Center, 253 Cancer, 14, 28, 78 Carnegie Mellon University, 76 Center for Child Protection, 237 Center on Child Abuse and Neglect, 77, 237 Centers for Disease Control and Prevention, 4, 6, 15, 19, 25, 34, 75, 77, 78-79, 85 n.l, 135, 154, 156, 251 Centre for Evidence-Based Medicine, 135 Certification, 8, 9, 55, 56, 61, 149, 150 Charge to Committee, 1-2, 15 Child abuse and neglect cases reported, 14 categories, 24-25 certification requirements, 55 definitional issues, 22, 24-25 common elements, 24 core competencies, 115, 117-118 costs of health care, 29 current educational initiatives, 36, 37, 38, 39, 40-42, 43, 60, 64, 81, 84, 234-246, 265 deaths, 28, 29

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From page 339...

... McAfee, 51 Community health center staff, 102, 103, 254, 262, 288-289, 294-295, 312-313 Computer Retrieval of Information on Scientific Projects (CRISP) , 77 Connecticut, 70, 206-207, 218-219, 254 Connecticut Primary Care Association, 254 Continuing medical education behavioral change models, 125-134, 148 cognitive biases and, 125-127 current programs, 37, 40, 41, 42, 43, 49, 198, 234-235, 238, 239, 242-244, 252, 253, 256, 257, 259-263, 267 effective teaching strategies, 89, 148 evidence-based practice in, 135 formal, 126-127 impacts of, 74, 126-127 perceptions of adequacy of, 49-50 policy statements of professional organizations on, 198 and screening for abuse, 57-58 Cook County Hospital, 256 Core competencies.

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From page 340...

... See Evaluation of training efforts; Training and education Education and research centers, 5-6, 152- 156 Education Development Center, 142 Elder maltreatment categories, 26 common elements, 24 core competencies, 112, 115 INDEX current educational initiatives, 36, 37, 38, 39-40, 42, 43, 84, 104, 146, 247-249 definitional issues, 26-27 evaluation of training initiatives, 85-86, 87, 106 funding for training, 76, 77, 78, 79 health effects of, 32-33 health professionals' responsibilities, 27 incidence/prevalence of, 26-27, 34 institutional, 36 licensure requirements, 55 mandatory education laws, 73, 231 mandatory reporting laws, 27, 68, 70-71, 218-225 outcomes of training on, 104-105 professionals' perceptions of adequacy of training, 49-50 screening problems, 32 self-neglect, 23, 27 standardization of terminology, 34 survey of, 34 survival rates, 27, 32 utilization of health care services, 32 Emergency departments certification requirements, 56 outcomes of training, 100 n. lo, 101, 102, 103, 104-105, 278-287, 292-293, 296297 training programs, 64, 89, 234-235, 253, 263, 304-307 utilization of services, 13, 30, 31, 32 Emergency medical technicians, 86 n.4, 278279 Emergency Nurses Association (ENA)

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From page 341...

... See Intimate partner violence George Washington University, 268 Georgia, 206-207, 218-219 Geriatric Education Center Program, 40, 153 Geriatricians, 112 Gorman v. State, 51 Group Health Cooperative of Puget Sound, 67, 138, 148, 157, 255 H Harborview Injury Prevention and Research Center, 255 Harvard Youth Violence Prevention Center, 152-153 Hawaii, 120, 208-209, 218-219, 240, 247 Hawaii Dental Hygienists' Association, 240, 247 Health care providers, 67-68, 236, 248, 250, 252-254, 255, 258, 259, 260 Health Education Alliance (San Jose)

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From page 342...

... 342 groups most likely to encounter victims, 2, 18, 89 legal responsibilities, 27 licensure requirements, 55 marginalization of, 53 outcomes of training, 99, 288-291, 306-307, 318-321 perceptions of training adequacy, 6, 14, 44, 47, 49-50, 57, 61, 64, 81, 87 personal experience with violence, 59, 81, 150 reporting of abuse, 14, 82-83 responses to family violence, 19, 56-60, 142 role assignments for providing care, 111112, 139, 327-329 testimony in court, 118-119 time constraints, 57 vicarious traumatization, 59-60, 150 Health Professions Education Partnerships Act of 1998, 15 Health Research Services Administration, 61 Health Resources and Services Administration, 4, 74, 77, 115, 153, 156, 255 HealthPartners Family Violence Prevention Program, 260 Healthplan Employer Data and Information Set (HEDIS) , 8, 131, 132, 134, 137-138, 140, 148, 149 Healthy People 2000 objectives, 79, 80 Hemenway, David, 152-153 Home visitors, 104-105, 234-235 Hospital Crisis Intervention Project, 256 Hospitalizations of abuse victims, 30-32 Human resources, for education and training, 80-81 I Idaho, 71, 208-209, 220-221 Illinois, 208-209, 220-221, 239, 256 Indiana, 208-209, 220-221, 256 Indiana University School of Medicine, 256 Institute for Family Violence Studies, 255 Institute of Medicine, 3, 17, 105, 127, 143, 146, 151 Institutional culture and norms, 50-54, 81 Integrated Health Services, 248 Intimate partner violence categories, 25 certification requirements, 55 children's exposure to, 25, 28-29, 42 INDEX clinical outcomes, 103- 104 common elements, 24 core competencies, 110, 120 current educational initiatives, 36, 37, 38, 42, 43, 47, 84, 127, 250-268 deaths, 30 definitional issues, 25-26, 34 economic costs, 31-32 evaluation of training initiatives, 85, 86 n.2, 87, 88-90, 92, 93, 94-97, 98, 106-107 female victims, 25-26, 30 funding for training, 78, 79 guidelines of health professional organizations on, 60-61 health effects, 30-32 incidence/prevalence of, 25, 30-31 male victims, 25-26, 30 mandatory education laws, 73, 232 mandatory reporting laws, 68, 69-70, 71, 72, 226-227 outcomes of training on, 100-104 perceptions of health professionals about, 47, 51-53, 57, 66 referral of victims, 57 research base, 49 response of health care system to, 66, 68 screening for, 57-58, 59, 89, 101-103 special populations, 26, 30, 60 standardization of terminology, 34 and utilization of health care services, 30-31 victims of, 25, 67 Intimate partners, defined, 23 Iowa, 73, 208-209, 220-221, 230, 231 J John A

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From page 343...

... , 194 Licensure, 8, 9, 40, 55, 149, 150 Louisiana, 208-209, 220-221, 240 Louisiana State University, 240-241, 257 M Maine, 208-209, 220-221 Maltreatment, definitions of, 22 Mandatory education laws child abuse curriculum, 73, 198, 230 elder maltreatment, 73, 231 health professionals affected by, 73 impacts, 73-74, 83, 149, 150-151 intimate partner violence, 73, 232 requirements, 37, 73, 106 state standards, 229-232 Mandatory reporting laws child abuse and neglect, 27, 52, 68, 69, 71, 118, 150-151, 206-217 for data collection purposes, 70-71 elder maltreatment, 27, 68, 70-71, 118, 218225 exemptions from, 70, 71 health professionals responsible for, 27, 69, 70,71 impacts of, 71-72, 82-83 intimate partner violence, 68, 69-70, 71, 72, 118, 226-227 limits on, 69 requirements, 69-71, 106 research base on, 9, 72 standards, by state, 70, 205-227 343 and training of health professionals, 8, 9, 68-69, 72, 73, 82-83, 118, 149, 150-151 victims' concerns about, 9, 72, 82-83, 150 March of Dimes, 257 Maryland, 208-209, 220-221, 257 Maryland Alliance Against Family Violence, 257 Maryland State Medical Society, 257 Massachusetts, 38-39, 210-211, 220-221, 241, 258-259 Massachusetts Medical Society, 259 Massachusetts Society for the Prevention of Cruelty to Children, 241 Maternal and Child Health Bureau, 115, 117 Maternal and child health providers, 250, 310311 Mayerson Center for Safe and Healthy Children, 239 McMaster University, 126, 128 MEDCEU, 259 Medical Directions, Inc., 267 Medical Education Collaborative, 266 Medical Education Foundation, 252 Medical Legal Advisory Board on Child Abuse, 239 Medical schools accreditation requirements, 194 evidence-based practice in, 135 professionals' perceptions of adequacy of training, 49-50 Medical students outcomes of training, 99, 100, 101, 270275, 298-299, 318-319 training programs for, 35-36, 194, 234, 236, 237, 252, 259, 265, 268 Medical University of South Carolina, 76 MEDLINE, 85 Medulogic, 260 Mental health services referral of victims for, 57 training initiatives, 40-42, 49-50, 132, 195, 236, 237, 258, 262 utilization, 31 Michigan, 210-211, 220-221 Minnesota, 70, 210-211, 222-223, 260-261 Mississippi, 210-211, 222-223 Missouri, 70, 210-211, 222-223 Montana, 210-211, 222-223 Mortality rates, 28, 29, 30, 32

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From page 344...

... See also professional organizations accreditation, 55 beliefs about family violence, 47-48, 59 core competencies, 111- 112, 114- 115, 117, 327-329 outcomes of training, 103, 278-279, 294295, 308-309, 320-321 public health, 103, 294-295, 312- 313, 320321 sexual assault examiners, 111- 112 training programs, 39-40, 49-50, 52-53, 64, 73, 76, 135, 136, 195, 199, 237, 253, 256, 257, 259, 260, 262, 267 victimization experiences, 59 Nursing Network on Violence Against Women International, 65 o Office of Assistant Secretary for Health, 77 Office of Community Services, 75 Office of Justice Programs, 4, 156 Office of Minority Health, 255 Office on Child Abuse and Neglect (OCAN) , 64,77 Office on Women's Health, 61 Ohio, 212-213, 222-223, 242, 247, 261 Ohio State Medical Association, 261 Ohio State University, 242 Oklahoma, 212-213, 222-223, 237 Oklahoma Principles, 110

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From page 345...

... , 263 Patient outcomes. See also Health effects of family violence; Outcomes of training child abuse victims, 28 evidence-based practice and, 8, 136- 137, 140, 148 Pediatric intensive care, 29-30 Pennsylvania, 41, 70, 127, 212-213, 238, 239, 262 Pennsylvania Coalition Against Domestic Violence, 127 Perinatal hospital staff, 282-285, 296-297, 308309 Perpetrators, 23, 42, 71, 150 Phelps, Tony, 152 Philadelphia Child Fatality Review Team, 239 Philadelphia Family Violence Working Group, 262 Physical abuse, 22, 23, 24, 26, 27, 28, 245 345 Physician assistants accreditation requirements, 55, 196 policy statements of professional organizations, 198-199 training programs, 38, 89, 241, 248, 253, 261 Physicians.

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From page 346...

... , 268 Same-sex relationships, violence in, 26, 42 Screening for family violence assessment/diagnostic tools, 88, 89-90, 9495, 102, 103 defined, 19 disciplinary policies, 103 INDEX for elder maltreatment, 32 for intimate partner violence, 57-58, 59, 89, 101-103 as outcome measure of training, 92-93, 9495, 97, 98, 101-103, 298-315, 322-323, 324-325 personal experiences of professionals and, 59 professional organizations' recommendations, 60-61, 64 rates, 54, 103 reimbursement policies, 67-68 training and, 46 n.l, 57-58, 88 Select Media, 263 Self-neglect, 23, 27 Sexual abuse certification requirements, 56 of children, 24, 28, 29, 40, 42, 64, 237, 242, 245 costs of health care, 29 defined, 23 health effects of, 28, 30 of intimate partners, 26, 31, 36 licensure requirements, 55 training and education on, 36, 237, 242, 245 Sexual assault, 36, 53, 64, 67, 111-112 Shaken baby syndrome, 28 Social Security Act, 78, 79 Social workers accreditation, 55 beliefs about family violence, 47-48, 52-53 certification, 56 core competencies, 112, 117 outcomes of training, 320-325 referrals to, 57 training programs, 42-43, 49-50, 64, 73, 136, 196, 237, 244, 245, 253, 255, 257, 260, 262, 263, 264, 265, 266, 267-268 Society for Academic Emergency Medicine (SAEM) , 263 Society for Adolescent Medicine, 117 Society of Teachers of Family Medicine, 120 Sociological Abstracts, 85 South Carolina, 214-215, 224-225 South Dakota, 70, 214-215 Spousal abuse.

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From page 347...

... See also Barriers to training; Continuing medical education; Evaluation of training efforts; Knowledge acquisition; Medical schools; Residency training programs academic detailing, 128-129, 130 accreditation requirements and, 8, 9, 54-55, 81, 84-85, 131, 132, 149, 150, 194-196 adequacy of, 1, 14, 44, 47, 49-50, 87, 146 adult education principles, 8, 123-124, 139 advocacy groups and, 64, 66, 80, 82, 134, 149, 150 amount of, 35-36 assessment/diagnostic tools, 88 behavioral change models, 7-8, 107, 125126, 139-140, 148 booster sessions, 133 capacity building strategies, 141-145, 152156 case-based methods, 67 certification requirements and, 8, 9, 56, 61, 81, 149, 150 collaborative programs, 108, 110, 127, 129, 130, 144-144, 237 conclusions of Committee, 6, 43-44 content, see Core competencies current initiatives, 35-44, 233-268 definitional issues, 18-19 effectiveness of, 84 environmental enabling factors, 129-132, 133 evidence-based practice and, 8, 133- 134, 135-136, 137, 148, 149 formal, 86 347 funding issues, 4-5, 74-80, 81, 83, 151-152 health care providers/payers and, 67-68, 80, 82 HEDIS and, 8, 131, 132, 134, 137-138, 140, 148, 149 human resources, 66-67, 80-81 incentives for participation, 58-59, 129, 132 interactive meetings, 129, 130, 148 intervention planning models, 128-129 learning organizations and, 133 licensure requirements and, 8, 9, 55, 81, 149, 150 mandatory education laws and, 8, 9, 73-74, 83, 149, 150-151 mandatory reporting laws and, 8, 9, 68-72, 73, 82-83, 149, 150-151 materials, 41-42, 60, 81, 253, 254 organizational environment, 129, 131 - 132, 133 outcome measurement and reporting and, 8, 134, 140, 148 perceptions of adequacy, 87 political considerations, 79-80 practice environment, 129- 132 precede/proceed model, 128- 133 predisposing factors, 128, 130, 132, 133 professional organizations' influence on, 47, 60-64, 65, 82 recognition of need for, 46-48 recommendations, 10-11, 154-155, 157-158 reflective practice, 133 reinforcing factors, 131, 132- 133, 148 responsibility for developing, testing, and evaluating, 10-11, 157-158 scope of Committee assessment, 15-17, 19 teaching strategies, 6, 7-8, 19, 36, 37, 39 n.l, 44, 67, 88, 89, 126, 127-132, 139-140, 146, 148, 234-268 time allocated for, 6, 35-36, 37, 39, 40, 44, 49-50, 73, 88, 146 victim participation in, 66-67, 80, 82 U University of Arkansas for Medical Sciences, 252 California at Davis, 243 California at Los Angeles, 101 Chicago Pritzker School of Medicine, 256 Cincinnati, 239 Colorado Hospital, 244

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... Public Health Service, 61 Utah, 214-215, 224-225 Utilization of health care services child abuse victims, 13, 29-30 data adequacy, 3, 33, 145 by elder abuse victims, 13, 32 for intimate partner violence, 13, 30-31 mandatory reporting laws and, 71 V Vanderbilt University, 246 Vantage Professional Education, 267 Vermont, 214-215, 224-225 Victim Assistance and Law Enforcement Fund, 77 Victims. See also Health effects of family violence; Patient outcomes advocacy by, 9, 66-67, 150 concerns about mandatory reporting laws, 9, 72, 82-83, 150 INDEX defined, 23 disclosure of abuse, 59 noncompliance with medical advice, 58, 59 research partnerships with, 66, 67 response of health care system to, 66, 142 training involvement, 66-67, 150 Victims of Crime Act, 79 Violence against women.

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Index Pages 337-348

Index
Pages 337-348