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Domestic Abuse. C/O http://www.ipswichgptraining.co.uk/. What Is Domestic Abuse?. A continuum of behaviour ranging from verbal abuse, through threats & intimidation, manipulative behaviour, physical & sexual assault, to rape and even homicide. (DOH). What Is Domestic Abuse?.
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Domestic Abuse C/O http://www.ipswichgptraining.co.uk/
What Is Domestic Abuse? • A continuum of behaviour ranging from verbal abuse, through threats & intimidation, manipulative behaviour, physical & sexual assault, to rape and even homicide. (DOH)
What Is Domestic Abuse? • Physical, emotional, sexual & other abuse by someone (usually, but not always a man) of a person (usually but not always a woman) with whom they have or had had some kind of intimate relationship such as marriage, in order to maintain power & control over the person. (Women’s aid)
Facts & Figures • At least 190,000 women affected each year. • 50% of homicides of women are by the women’s partner or ex-partner. • 20% of all murder victims are women killed by their partner or ex-partner. • On average women suffer DA for 7 years before ending the relationship.
Facts & Figures • Every 3 days a person is killed in the UK by their partner or ex partner • Alcohol involved in 60% of cases • 1:4 women will experience domestic violence at some time in their lives • Only 25% of cases are reported to the police
Facts & Figures • Children of women sufferers of DA are at much higher risk of child abuse. • Children who witness DA are significantly more likely to exhibit behavioural problems, both as children and in adult life.
Facts & Figures • Children witnessing DA exhibit the same emotional & behavioural problems as do children who are being abused.
DA in Pregnancy • High incidence of miscarriage / TOP. • Higher incidence of still birth. • Premature labour more likely. • Increased incidence of smoking / alcohol / drug misuse.
Domestic Abuse & Child Abuse • 33-70% of children from families where DA occurs experience child abuse, usually by the same violent man. • 40% of child abuse cases are associated with violence to the mother. • Children who witness domestic violence are at increased risk of maladaption.
Effects on children • Working in pairs try list the potential effects of domestic violence on children
School problems Truancy Poor performance Social problems Shame & embarrassment about family. Tendency to get into “serious” relationships early to escape from home. Depression. Suicide. Alcohol & drug problems. Confusion about gender roles. Physical injuries. Physically intervening to protect mother. Effects on Children
Advanced maturity & sense of responsibility. Feelings of guilt or shame. Aggression or anger to mother. Bed wetting. Nightmares. Sleep disturbance. Eating problems. Self-harm. Low self esteem. Effects on Children
If the Children Don’t See It? • DA can include actual or threats to harm the children as part of the man’s control strategy. • 90% of incidences children are in the same or adjacent room. • Living with DA & the impact on mothers causes distress, confusion & disruption to children. • There is an overlap between sexual abuse of children & DA of partner (control).
Related Issues • Stays in B&B / Refuges often mean risk to health & safety, disrupted education, & sometimes sharing bathrooms/kitchens with male offenders and drug users.
Related Issues • Where mother and child are being abused by the same man, child protection work is often ineffective for protecting both child & mother.
Related Issues • Men are almost routinely granted contact orders for their children, whether or not they are violent. The Children’s Act contact orders may undermine other child protection work as they create the circumstances for a violent man to continue to abuse his partner and child(ren).
Effects on the Foetus • Increased low birth weight, foetal injury and death. • Effects of attempted suicide, alcohol, smoking, drugs, infections & anaemia. • May suffer bruising, broken bones, stab wounds or death.
MARKERS FOR DOMESTIC VIOLENCE IN WOMEN • delay in presentation • pregnancy • history of loss of consciousness • multiple injuries • abdominal injuries • injuries to the face and hands • fractures
Raising the issue • see the woman on her own • ensure privacy • emphasise confidentiality • consider the welfare of any children • http://www.bmj.com/cgi/content/full/324/7332/274 • http://www.bmj.com/cgi/content/full/325/7359/314
Resources • www.breakthepattern.org.uk • www.thehideout.org.uk (children and young people) • www.womensaid.org.uk 01473 745111 • 0808 2000 247 (national 24 hr helpline)
SPECSS • Seperation • Pregnancy • Escalation • Cultural • Sexual (assault) • Stalking
Case discussion • Jean Jones 03/07/68 • Peter Jones 06/06/66 • Peter Jones (Jr) 05/07/93 • Gemma Jones 09/09/95 • Erin Jones 03/06/04
1st December 2009 • Police received a 999 call from Jean Jones, on arrival at the home address Peter had left the premises. Both Jean and the children were very distressed. • Jean stated that the family had been to a party at a neighbour's house, they both had plenty to drink and an argument occurred about Jean flirting with another neighbour. • Peter had become verbally abusive and demanded that the family return home. The verbal abuse continued and Peter smashed the kitchen window in temper and threatened to kill Jean (in front of the children) if he caught her flirting again. • Jean does not want to make a formal complaint, and will contact the housing department about the damage.
22nd December 2009 • Police are called to the home address as a result of a 999 call from Gemma Jones, • she stated 'Daddy is going mad'. • On arrival both parties are drunk. Jean stated that Peter accused her of having an affair with her boss, that he had watched her at lunchtime through the shop window talking to her boss. • Peter had become violent that night, and punched her in the mouth, shouting she was a s**t. • He then started to smash the TV and computer (which she had bought with her money from her job) with a cricket bat.
The two oldest children woke up and started to try to help Gemma cut her foot when she stepped on broken glass. • Jean is concerned that the violence is escalating and will attend the local A&E department for her injuries to be examined. Jean would not make a formal complaint as she is seeking legal advice on divorce proceedings. Jean had difficulty walking but denied consuming alcohol. • Peter was arrested for the assault but has been released on bail with conditions not to contact Jean directly or indirectly pending CPS advice.
9th January • Police attend the house in response to a call from a neighbour who hear screaming. On police arrival Jean says that a verbal argument had occurred over financial problems, but there was no problem and everything was OK. • However Peter was arrested for breaching his bail conditions. All of the children were present and were not in school. • Jean is now visibly pregnant but was reluctant to press charges, saying she had had enough - but just wanted it all to be over. • Officers offered to contact her friendslfamily but Jean said that her family lived away and she had no friends due to Peter's controlling behaviour.
Small group work • Working in three groups • How are you going to protect and help the children? • How are you going to help and protect the mother? • How are you going to help the father? • What learning needs have you identified
Plenary • Groups 1,2 & 3 to feed back to the main group
