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Gender Violence Prevention Programs for Spanish Health Care Professionals

Explore the comprehensive approach to tackling gender violence in Spain, including laws, protocols, and training programs for health care providers. Learn about the challenges and successes of this initiative.

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Gender Violence Prevention Programs for Spanish Health Care Professionals

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  1. GENDER VIOLENCE FOR HEALTH CARE PROFESSIONALS IN SPAIN. Gerencia Regional de Salud de Castila y León Carmen Fernández Alonso. PhD.Family Physician. Health Service Programs of Regional Health Services of Castilla y Leon (Spain) Coordinator Gender Violence Representative of Gender Violence in the International Group of SEMFYC Lydia Salvador Sánchez Family Physician. Regional Health Services of Castilla y Leon (Spain)

  2. 2004: Comprehensive law on Gender Violence (GV) 2006: Awareness Plan: includes the training of professionals 2006: Incorporation of the GV care in the NHS services portfolio 2007: Adoption of a Common Protocol for healthcare action against GV 2008:Progressive implementation of the detection and care service to GV in the regional health services. Assessment and annual reports:Epidemiological monitoring and training; data sent to the ministry. 2012 :Update of the Common Protocol 2012: Identification, accreditation and recognition of best practices in GV in NHS 2017: State Pact against women violence. Gerencia Regional de Salud de Castila y León. Spin Gender Violence. Experience in Spain Institutional Framework Ministry of Health Deployment of Implementation and Training Plan Women Health Observatory ç Evaluation Work Group Training Work Group Protocol elaboration Work Group Epidemiological surveillance Work Group Ethic and Legal aspects Work Group

  3. Gerencia Regional de Salud de Castila y León. Spin Gender Violence. How to translate a national strategy to a regional level ? • Regional laws. Laws and Plans about Violence and Equality • 2010: Law against gender violence in Castilla y león more comprehensive, it covers more types of violence and supplying all existing resources even if there is no complaint. • IPV management included in primare care portfolio • IPV indicator included in primare health care program contract • Local leadership • Intersectoral coordination committees • Development of the gender violence Plan in the Health Sector • Adaptation of protocols and guides to local contexts • Resources network of the region

  4. Gerencia Regional de Salud de Castila y León.Spain Barriers But… Development is not homogeneous in all regions Problems in coordination: some security gaps and not appropiate agility in the women attention. Technical difficulties, professional resistences, non-fluid information

  5. Gerencia Regional de Salud de Castila y León.Spain Integrated Model in attention to violence against women “Zero Violence Objective” Basic Principles: Integration in the public system Proactivity Comprehensive and person-centered care Interinstitutional collaboration Integrated resources management through networking

  6. C.E.A.S (Social Action Centre) Case Manager

  7. C.E.A.S • (Social Action Centre) • Benefits: • Proximity centers: Rural and urban • Better accessibility • It has the most information of the case • Direct communication with Health, Social S, Justice and Police Forces • Functions: Case manager: Management and coordination of resources • Detection • Assesment • Attention plan • Provision of benefits • Follow up the cas • Professional profile: • Social worker/ psychologist

  8. Social support model in gender violence

  9. HEALTH SERVICES SOCIAL SERVICES HIGH RISK OF NEW SERIOUS AGGRESSION FIRST LINE SUPPORT LISTEN VALIDATE RISK ASSESMENT SUPPORT EMERGENCY HOSTING CENTRE COORDINATION IN THE ATTENTION TO GENDER VIOLENCE JUDICIAL SYSTEM POLICE FORCES INFORMATION FEED-BACK NO VITAL RISK IS DETECTED CASE OF GENDER VIOLENCE • SOCIAL ACTION CENTER • CASE MANAGER • Psychological Support • Legal Support • Employment Support SECONDARY SUPPORT IN HEALTH SERVICE Doctor / Nurse / Social Worker / Matron Information Accompaniment Empowerment Escape plan CASE COORDINATION OR SOCIAL NEEDS

  10. To maintain and enhance the training of the professionals: Joint training between health and social services To promote detection and record in the clinical history and other records To include the IPV training in the curricula of undergraduate and postgraduate in health professions, social workers, judicial and law career…involved in the care of women and in education careers To improve coordination between Primary Care and Specialty Care, Move towards an approach integrated with the participants involved To give more participation to women and their associations both in the development of guidelines and protocols like to hear their voice. (Social and health Commissions) Systematic evaluation of the effects of interventions To promote applied research: results, effectiveness of interventions, analysis results, consequences, costs, protective factors, etc. Gerencia Regional de Salud de Castila y León.Spain Development of a Plan of awareness and training of Gender Violence in the Autonomus Communities CHALLENGES

  11. FUTURE: Integrated Care Systems Intensify the model that is being implemented Improve communication between professionals. Implement technological tools to integrate information

  12. SOCIAL-SANITARY PLATFORM ACTUAL MODEL: INTERDISCIPLINARY COORDINATION FUTURE MODEL: INTEGRATED ATTENTION Coordinated Social and Sanitary Attention INTEGRATED SOCIAL AND HEALTHCARE Collaboration through the platform EMERGENCY HOSTING CENTRE JUDICIALSYSTEM HOSPITAL CEAS (CASE MANAGER) PRIMARY CARE OTHER SOCIAL SERVICES POLICEFORCES

  13. Thank you very much Dra. Carmen Fernandez Alonso Dra. Lydia Salvador Sánchez Email: mcfernandeza@saludcastillayleon.es lsalvadorsa@saludcastillayleon,es Gerencia Regional de Salud de Castila y León

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