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Teen dating violence AND THE MEDICAL HOME RESPONSE. Disclaimer.
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Disclaimer This material was developed by the American Academy of Pediatrics under award #2012-VF-GX-K011, awarded by the Office for Victims of Crime, Office of Justice Programs, US Department of Justice. The opinions, findings, and conclusions or recommendations expressed herein are those of the contributors and do not necessarily represent the official position or policies of the US Department of Justice.
What is Teen Dating Violence? • Form of Intimate Partner Violence • Not just Physical violence, can also be: • Emotional (threatening, or harming one’s self-worth) • Sexual (forcing a sex act without consent) • Stalking(harassing or threatening tactics that are both unwanted and cause fear) • Virtual (repeated texting or posting sexual pictures online)
Prevalence In a 2012 survey, 9% of high school students reported being physically hurt by a boyfriend or girlfriend in the previous 12 months.
What are the consequences? Just as in other forms of trauma, teen dating violence can have severe, lasting consequences including: • Depression • Poor school performance • Substance abuse • Eating disorders • Suicidal thoughts, attempts • Re-victimization
What can I do about it? • Ask!Preferably with the adolescent alone, reminding him/her of the “conditional confidentiality” with the pediatrician • HEADSSS examination • Home • Education • Activities • Drugs • Sex • Suicide • Safety
Role of the pediatrician in the Medical Home • Prevention – Building resilient children and families • Identify strengths and protective factors • Characterize healthy relationships • Identification – Ask adolescents about the health of their relationships • Maintain safety - Create a safety plan for the adolescent • Refer to community resources – Build your list in advance • Strengthen the patient relationship – Follow up with patient, especially when at risk
Does it have to be reported? • It has to be reported to the authorities if there is a crime which has occurred • injuries as a result of an assault • It can be reported if the circumstances are not as clear • Stalking, harassing
How do I work with the family? • Safety plan: • Similar to that implemented in intimate partner violence • Involves thinking ahead to possible scenarios and how to respond or prevent them from occurring in order to keep the adolescent safe • Some examples include: • www.wcadv.org/teen-dating-abuse-safety-plan • www.loveisrespect.org/pdf/Teen-Safety-Plan.pdf
What else can I do? • Information for the family: • Teen dating hotline: • www.loveisrespect.org • Text “loveis” to 77054 • 1-866-331-9474 • DV hotline: www.thehotline.org • 1-800-799-SAFE
What else is being done? The CDC has a prevention strategy called Dating Matters (www.cdc.gov/violenceprevention/datingmatters/) Currently this is being implemented in large urban centers throughout the country
Thank you! Thank you for utilizing this component of the online training toolkit, produced by the American Academy of Pediatrics Medical Home for Children Exposed to Violence project. Additional resources on intimate partner violence and other similar issues can be found on the project Web site: www.aap.org/medhomecev Many thanks to Suzanne Haney, MD, FAAP for developing the content for this presentation.