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Domestic Violence and Health Care: The Current Climate. Current Homicide Crisis: 22 incidents, 30 deaths (21 victims, 8 suicides), 5 serious injuries since 1/9/2010 Public Health Advisory – Governor Patrick 2008, result of increase in DV homicides in 2007
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Domestic Violence and Health Care:The Current Climate • Current Homicide Crisis: 22 incidents, 30 deaths (21 victims, 8 suicides), 5 serious injuries since 1/9/2010 • Public Health Advisory – Governor Patrick 2008, result of increase in DV homicides in 2007 • DPH recommendations for routine screening for DV in all health care settings • Increased severity/complexity of cases • More time with clients/providers safety planning and case assessment/intervention • 6 referrals from ED in 3 days (very serious/high risk cases) • Strangulation disclosures: 14 in FY 2009; 61 in FY2010
Health Care Response Rationale • Survivors are disproportionately represented in the health care setting. • DV underlies many health and mental health issues. • Health care is neutral setting; likely to see survivors in HC settings who may not seek services in community.
Health Care Responses • Trauma informed care/compassionate care-giving • Screening and Identification • Environment of care (i.e. posters, cards) • Validating/normalizing messages about abuse to all patients • Risk Assessment and Safety Planning • Referrals and Follow-up