Cridge Centre for the Family CrossTraining Session January 29 2020 The Link Between IPV amp BI Between 3090 of women who have experienced physical abuse have a brain injury of some kind Harvard University study Valera 2003 ID: 933001
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Slide1
INTIMATE PARTNER VIOLENCE & BRAIN INJURY
Cridge Centre for the Family
Cross-Training Session
January 29, 2020
Slide2The Link Between IPV & BI
Between 30%-90% of women who have experienced physical abuse have a brain injury of some kind
Harvard University study (Valera, 2003):
75% of participants had at least one mild brain injury
50% had sustained repetitive brain injuries
Ohio State study (Nemeth, 2019):
81% reported being hit on the head
50% reported so many blows to the head they couldn’t keep track of the number
83% reported being choked or strangled
Research in Canada- University of Toronto, University of Victoria,
University of British Columbia Okanagan
Slide3Common Types Of Intimate Partner Violence Causing Brain Injury
Up to 92% of IPV incidents involve one or more of the following:
Hits or punches to the head or face
Banging victim’s head against a hard object like a wall, floor, or headboard
Strangulation
The obstruction of blood vessels and/or airflow in the neck, resulting in lack of oxygen to the brain (asphyxia)
Loss of consciousness occurs at 6-7 seconds
Often no visible signs of injury
Slide4Challenges Offering Support To IPV & BI Survivors
Lack Of A Formal Diagnosis
Insufficient funding for BI and IPV services
Fear Of Brain Injury Being Weaponized
Lack Of Knowledge and Collaboration
Slide5The Cridge IPV & BI Initiative
Slide6Intimate Partner Violence
Understanding and Supporting women survivors
Slide7Intimate Partner Violence in Canada
H
alf
of all women in Canada have experienced at least one incident of physical or sexual violence since the age of 16 (Canadian Women’s Foundation, 2019)74% of women killed in Canada in 2018 were killed by an intimate partner or family member (Canadian Femicide
Observatory, 2019)
83
% of intimate partner violence is perpetrated by men
(Statistics Canada, 2017
)
70 % of IPV is not reported to the police
(Statistics Canada, 2017).
Slide8Dynamics of Intimate Partner Violence
Slide9Dynamics of Intimate Partner Violence
Slide10Your client Mira has just moved in with her boyfriend. You have very little information about the relationship, but your gut tells you that her boyfriend may be abusive.
WHAT SIGNS OR PATTERNS MIGHT YOU BE LOOKING FOR TO HELP YOU ASSESS?
Slide11Intersecting Factors with IPV
BRAIN INJURY:
U
p to 80% of women experiencing physical violence have a brain injury (Source: abitoolkit.ca) ADDICTION: Drug and alcohol addiction has been found to co-occur with IPV in 60-80% of victims (Source: American Society of Addiction Medicine)MENTAL HEALTH: IPV can lead to, or co-occur with: depression, anxiety, post-traumatic stress disorder, personality disorders, dissociative identity disorder, psychosis, and eating disorders (Source: Canadian Women’s Foundation)
Slide12Intersecting Factors with IPV
INDIGENOUS
WOMEN: Indigenous women in Canada are 3 times more likely to experience intimate partner
violence, and are 6 times more likely to be killed. (Source: StatsCan, 2011)NEWCOMER WOMEN: Newcomer women may experience increased impact of IPV. Language barriers, immigration policies, and racism can serve to isolate newcomer women from IPV supports (Source: Migrant Mothers Project, 2010)
Slide13Framework for Supporting Women Experiencing IPV
Take an active role in ending IPV
Communicate and collaborate with other service providers
Have a working knowledge of IPV resources in your communitySupport women to access resources Focus on safetyRefrain from judgement
Slide14Framework for Supporting Women Experiencing IPV
In order to safely leave a violence relationship, most women need:
A SAFETY PLAN
TEMPORARY SHELTER (TRANSITION HOUSE)EMOTIONAL SUPPORTSAFE, AFFORDABLE HOUSINGADVOCACY
Slide15Safety Planning
Anything a
woman does to increase her safety or to prepare
for/prevent future abuseFocused on current circumstances. Answers the question: “How are you going to stay safe today?”An ongoing process, not a single conversation or worksheet Written or verbalPractical R
ooted in the woman’s lived experience and knowledge of the abuser
T
ools available online. Example safety plans can be found at
www.cridge.org/cthw
Slide16You meet Mira at Tim Horton’s for a coffee. She shares with you that her boyfriend assaulted her last night. She is not ready to leave the relationship and does not want to report it to police.
HOW WOULD YOU ENGAGE IN SAFETY PLANNING WITH MIRA?
Slide17Resources for women
experiencing IPV
TRANSITION HOUSES- 30 days of shelter & support for women and children fleeing violence
CRISIS LINE & OUTREACH SUPPORTS- through transition houses or other agencies WOMEN’S SHELTERS- Lower barrier shelters for women. Generally do not accept childrenHOUSING- supported, transitional housing funded through BC Housing for women experiencing IPVCOUNSELLINGLEGAL SERVICESPOLICE & VICTIMS SERVICES OTHER COMMUNITY SUPPORTS
Slide18Cridge Resources for women experiencing IPV
Cridge Transition House for Women
Crisis Line
ShelterOutreachChild and Youth SupportCridge Supportive Transitional HousingHayward HeightsMary Cridge ManorDovetail Program (support for residents)Child and Youth Support
Slide19Mira comes to your office a few weeks after your Tim Horton’s meeting. She tells you her boyfriend threatened to kill her if she ever left him. She is starting to think about ending things, but is scared.
WHAT RESOURCES MIGHT YOU REFER MIRA TO?
HOW WOULD YOU SUPPORT MIRA TO ACCESS THESE RESOURCES?
Slide20Why Women Stay
Increased risk of violence
Financial insecurity
Fear of homelessnessDesire to protect children from abuser/ fear that abuser will have unsupervised access to childrenFear of not being believed or blamed for the abuseAdditional challenges (ie, brain injury, mental health, addiction)The current systems (child protection, police, family court, criminal justice, etc) do not support women fleeing violence effectively. Systemic change must happen in order for women to truly be safe.
Slide21Now imagine that Mira has a brain injury.
WHAT WOULD BE SOME CLUES TO HELP YOU DETERMINE THIS?
HOW DO WE COLLABORATE TO PROVIDE MIRA SUPPORT WITH: SAFETY PLANNING, ACCESSING TRANSITION HOUSE SERVICES, AND MOVING TO STABILITY?
Slide22Cridge IPV Panel
Sheila
Sakiyama
(Cridge Transition House Outreach)Marlene Goley (Cridge Transition House for Women)Karen Abrahamson (Dovetail Program)Susie Scott (Dovetail Program- Child and Youth Care)SCENARIO:Mira is now ready to leave the relationship. In the time you have been working with her, she had a daughter who is now 3 years old.
Slide23QUESTIONS?