Co-Occurrence of Domestic Violence and Child Abuse - Presentation

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Co-Occurrence of Domestic Violence and Child Abuse

Jeanne Oberdan, MS, LMFT. April 3, 2013. ALIVE. Mission. ALIVE's mission is to provide counseling, emergency sanctuary and other critical. services to adults and children impacted by domestic abuse, as well as to increase.

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Co-Occurrence of Domestic Violence and Child Abuse






Presentation on theme: "Co-Occurrence of Domestic Violence and Child Abuse"— Presentation transcript:

Slide1

Co-Occurrence of Domestic Violence and Child Abuse

Jeanne Oberdan, MS, LMFT

April 3, 2013Slide2

ALIVE

Mission

ALIVE's mission is to provide counseling, emergency sanctuary and other critical

services to adults and children impacted by domestic abuse, as well as to increaseawareness in order to create a supportive community. VisionALIVE's vision is to end domestic abuse, restoring safety and peace one family at a time. Our Services24 Hour Crisis Line:     (314) 993-2777

Court Advocacy Emergency Transportation Education and Training Social and Special Services

Nights of SafetyIndividual Adult CounselingSupport GroupsChildren’s Treatment Program

www. alivestl.org

Jeanne Oberdan, MS, LMFT

Children’s Therapy CoordinatorSlide3

Through My Eyes

Office For Victims of CrimeSlide4

Regression-wetting the bed, thumb sucking, speech, refusing to feed and dress self

.

Dependency-

unable to fall asleep, makes decisions or complete a simple task alone.Fear of separation-have parent leave an important belonging with them until they return. Give permission to have sep anxiety/telephone contact/ice cream cone countdown/security items/photos/notes.Sleep DisturbancesSigns a Child May Have Been Exposed to ViolenceSlide5

Not wanting to talk

Missing dad/Asking about dad

Classic Kid in the middle

Common IssuesSlide6

Safety planning -Calling 9-1-1 or not, other actions kids can do to be safe

Issue of authority figure vs. authority figure

Guilt

Best to have a trusted adult to callDepends on ageCommon IssuesSlide7

Violence assessment – formal vs. informal

Adult and Children

Depends on who is assessing

Assessing trauma different than violence-TSI & TSCC Assessing ViolenceSlide8

INFORMAL

Something Is Wrong at My House by Diane Davis

Mommy and Daddy are Fighting by Susan Paris

FORMALUCLA and TSCCAssessing Violence - ChildrenSlide9

----My parents have terrible fights

 

____Yelling and shouting

 ____Pushing, hitting, kicking, and even throwing things ____It scares me when they fight ____I don’t know what to do when they fight----I am scared of not knowing what is going to happen next when they fight ____I’m afraid I will get hurt when they fight ____I feel all alone when they fight ____I am scared if I tell somebody I might get in troubleSomething Is Wrong at My HouseSlide10

____I am scared if I tell somebody no one will believe me

 

____I also feel mixed up when they fight

 ____I am worried that the fighting starts because of me ____I get so scared sometimes I have bad dreams ____Being afraid makes me want to run and hide ____Being afraid makes me want to grow up fast so I can protect my mom and sibling(s) ____Sometimes I feel mad when they fight ____When I’m mad I feel like hitting and being meanSomething Is Wrong at My HouseSlide11

____Sometimes I have trouble at school 

____Sometimes I feel like fighting with my friends

 

____Sometimes I talk back to my teacher ____I don’t feel like having fun like other kids ____I get quiet and stay away from people ____Sometimes I feel sad and cry a lotSomething Is Wrong at My HouseSlide12

www.cdc.gov/ncipc/pub-res/images/ipvandsv

screening

.pdf

ACOG-The American Congress of Obstetricians and GynecologistHITSTolman assessment used by M.A.R.C.H. MediationLethality Assessment by Jacqueline CampbellAssessing Violence - AdultsSlide13

Within the past year -- or since you have been pregnant -- have you been hit, slapped, kicked or otherwise physically hurt by someone?

Are you in a relationship with a person who threatens or physically hurts you?

Has anyone forced you to have sexual activities that made you feel uncomfortable?"

Assessing Violence - ACOGSlide14

How often does your partner?

1. Physically hurt you

2. Insult or talk down to you

3. Threaten you with harm4. Scream or curse at youAssessing Violence - HITSSlide15

Are you fearful of the other parent for any reason?

Has the other parent ever threatened to hurt you in any way?

Has the other parent ever hit you or used any other types of physical force towards you?

Have you ever called the police, requested an order of protection, or sought help for yourself because of abuse by the other parent?Tolman DV Screening ChecklistSlide16

5

.

Are you currently afraid that the other parent will physically harm you?Do you believe you would be able to communicate with the other parent on an equal basis in mediation?Has the other parent ever threatened to deny you access to your children?Do you have any concerns about the child(ren)’s emotional or physical safety with you or the other parent?Has the department of family services ever been involved with your family?Tolman DV Screening ChecklistSlide17

DANGER ASSESSMENT

Jacquelyn C. Campbell, Ph.D., R.N.

Copyright, 2003;

www.dangerassessment.com1. Slapping, pushing; no injuries and/or lasting pain 2. Punching, kicking; bruises, cuts, and/or continuing pain 3. "Beating up"; severe contusions, burns, broken bones 4. Threat to use weapon; head injury, internal injury, permanent injury 5. Use of weapon; wounds from weapon (If any of the descriptions for the higher number apply, use the higher number.) Screening Lethality - CampbellSlide18

1. Has the physical violence increased in severity or frequency over the past year?

____ 2. Does he own a gun?

____ 3. Have you left him after living together during the past year?

3a. (If have never lived with him, check here___) ____ 4. Is he unemployed? ____ 5. Has he ever used a weapon against you or threatened you with a lethal weapon? (If yes, was the weapon a gun?____) ____ 6. Does he threaten to kill you? ____ 7. Has he avoided being arrested for domestic violence? ____ 8. Do you have a child that is not his? ____ 9. Has he ever forced you to have sex when you did not wish to do so? ____ 10. Does he ever try to choke you? Screening Lethality - CampbellSlide19

11. Does he use illegal drugs? By drugs, I mean "uppers" or amphetamines, “meth”, speed,

angel dust, cocaine, "crack", street drugs or mixtures.

____ 12. Is he an alcoholic or problem drinker?

____ 13. Does he control most or all of your daily activities? For instance: does he tell you who you can be friends with, when you can see your family, how much money you can use, or when you can take the car? (If he tries, but you do not let him, check here: ____) ____ 14. Is he violently and constantly jealous of you? (For instance, does he say "If I can't have you, no one can.") ____ 15. Have you ever been beaten by him while you were pregnant? (If you have never been pregnant by him, check here: ____) ____ 16. Has he ever threatened or tried to commit suicide? ____ 17. Does he threaten to harm your children? ____ 18. Do you believe he is capable of killing you? ____ 19. Does he follow or spy on you, leave threatening notes or messages, destroy your property, or call you when you don’t want him to? _____ 20. Have you ever threatened or tried to commit suicide? _____ Total "Yes" Answers Screening Lethality - CampbellSlide20

Eddie DVDDV Specific Books

Generic Counseling Books

Divorce Books

Talking about Trauma to ChildrenSlide21

Inside Him

Stories for Children That Grownups can watch

Courtesy of Illinois Violence Prevention Authority, Illinois Safe From the StartSlide22

Mommy and Daddy are Fighting by Susan Paris

A Family That Fights

by Sharon Chesler Bernstein

Something Is Wrong at My House by Diane DavisA Safe Place to Live by Michelle A. HarrisonDon’t Be Menace on Sundays! by Adolph MoserDV Specific BooksSlide23

A Terrible Thing Happened by Margaret M. Holmes

Brave Bart by Caroline H. Sheppard, ACSW

Children’s Books Addressing All Types of Trauma of ExposureSlide24

Escape Route/Don’t fight in the kitchen/Fight in rooms with exitsHave a room in the house with a strong lock and a phone

Hide a bag with important papers , clothes, meds, spare keys, addresses, etc.

2

nd set of keysNeighbors /911Records of injuriesDo not tell the abuser of plan for leavingSafety Planning-SuggestionsSlide25

Staying at home/ telling the abuser to leaveStaying in home till woman is ready to leave

Leaving the home: own apt, family/friends, shelter

Getting an Order of Protection

Ind/Group CounselingCalling ALIVE Hotline 314.993.2777Calling 911 when in dangerSafety Planning-Common OptionsSlide26

71% of pet-owning women entering women’s shelters reported that their batterer had injured, maimed, killed or threatened family pets for revenge or to psychologically control victims; 32% reported their children had hurt or killed animals. 

68% of battered women reported violence towards their animals. 87% of these incidents occurred in the presence of the women, and 75% in the presence of the children, to psychologically control and coerce them. 

13% of intentional animal abuse cases involve domestic violence.

Between 25% and 40% of battered women are unable to escape abusive situations because they worry about what will happen to their pets or livestock should they leave.  National Coalition Against Domestic ViolenceAnimal Abuse & Domestic ViolenceSlide27

Pets may suffer unexplained injuries, health problems, permanent disabilities at the hands of abusers, or disappear from home. 

Abusers kill, harm, or threaten children’s pets to coerce them into sexual abuse or to force them to remain silent about abuse. Disturbed children kill or harm animals to emulate their parents’ conduct, to prevent the abuser from killing the pet, or to take out their aggressions on another victim. 

National Coalition Against Domestic ViolenceAnimal Abuse & Domestic ViolenceSlide28

In one study, 70% of animal abusers also had records for other crimes. Domestic violence victims whose animals were abused saw the animal cruelty as one more violent episode in a long history of indiscriminate violence aimed at them and their vulnerability. 

Investigation of animal abuse is often the first point of social services intervention for a family in trouble. 

For many battered women, pets are sources of comfort providing strong emotional support: 98% of Americans consider pets to be companions or members of the family. 

Animal cruelty problems are people problems. When animals are abused, people are at risk.  National Coalition Against Domestic ViolenceAnimal Abuse & Domestic ViolenceSlide29

Add questions about the presence of pets and their welfare to shelter intake questionnaires and risk assessments.

Work with animal shelters, veterinarians, and rescue groups to establish “safe haven” foster care programs for the animal victims of domestic violence; some women’s shelters are building kennels at their facilities.

Include provisions for pets in safety planning strategies.

Help your clients to prove ownership of their animals.National Coalition Against Domestic ViolenceWhat you can do…Slide30

Help victims to retrieve animals left behind.Include animals in abuse prevention orders.

Help victims find pet-friendly transitional and permanent housing.

When victims can no longer care for their pets, make referrals to animal adoption agencies.

National Coalition Against Domestic ViolenceWhat you can do…Slide31

While substance abuse does not cause domestic violence, there is a statistical correlation between the two issues.

Studies of domestic violence frequently indicate high rates of alcohol and other drug use by

perpetrators during abuse.

Not only do batterers tend to abuse drugs and alcohol, but domestic violence also increases the probability that victims will use alcohol and drugs to cope with abuse. NCADVSubstance Abuse & Domestic ViolenceSlide32

Children of substance abusing parents are more likely to experience physical, sexual, or

emotional abuse than children in nonsubstance abusing households.

A survey of public child welfare agencies

conducted by the National Committee to Prevent Child Abuse found that as many as 80% of child abuse cases are associated with the use of alcohol and other drugs. NCADVSubstance Abuse & Domestic ViolenceSlide33

The issues of domestic violence and substance abuse can interact with and exacerbate each other and should be treated simultaneously.

In 2002, the Department of Justice found

that 36% of victims in domestic violence

programs also had substance abuse problems. NCADVSubstance Abuse & Domestic ViolenceSlide34

Children who have experienced family

violence are at greater risk for alcohol and

other drug problems later in life than children

who do not experience family violence.Evidence suggests that children who run awayfrom violent homes are at risk of substanceabuse. NCADVSubstance Abuse & Domestic ViolenceSlide35

According to the Missouri Coalition Against

Domestic and Sexual Violence…

This is OUR community:

84,296 crisis calls were answered in 2011In Missouri, 43,370 adults, youth and children receiveddomestic violence services16,876 Interactions with Children in Groups8,529 Individual Interactions with Children19,000 individuals turned away because a shelter was full was 2011Nearly 16,747 Individuals assisted with Orders of Protection in Missouri in 2011.StatsSlide36

Nat’l Domestic Abuse Hotline

1-800-799-7233

Child Abuse Hotline 1-800-392-3738 A.L.I.V.E. 24/7 Crisis Hotline: (314) 993-2777Resources