Domestic Violence and Human Trafficking Awareness
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Questions and Answers

What is essential to create a safe environment for assessing clients who have experienced domestic violence?

Preparing a physically and emotionally safe environment is essential for conducting assessments.

Which screening tools should be used to identify victims of violence across the lifespan?

Domestic violence screening tools should be used for this identification.

What should clients at risk for violence be taught to improve their safety?

Clients should be taught to develop a safety plan.

How are physical findings documented in clients suspected of suffering from violence?

<p>Physical findings are documented using injury maps.</p> Signup and view all the answers

What is the prevalence of intimate partner violence in the United States?

<p>Approximately 10 million people are physically abused by intimate partners annually.</p> Signup and view all the answers

Describe the emotional component of intimate partner violence.

<p>Psychological aggression or emotional abuse involves using nonverbal or verbal cues to harm.</p> Signup and view all the answers

How many children are reported victims of abuse or neglect each year?

<p>Each year, 656,000 children are victims of child abuse and/or neglect.</p> Signup and view all the answers

What area of the population does elder abuse affect?

<p>Elder abuse impacts 1 in 10 people older than 60 years of age.</p> Signup and view all the answers

What constitutes elder abuse according to the mandated reporter guidelines?

<p>Suspicion of elder abuse or neglect is enough to report it.</p> Signup and view all the answers

What is the definition of human trafficking?

<p>Human trafficking involves compelling or coercing a person to provide labor or services, or to engage in commercial sex acts.</p> Signup and view all the answers

Which demographic makes up 71% of human trafficking victims?

<p>Women and girls make up 71% of human trafficking victims.</p> Signup and view all the answers

Name two signs of potential human trafficking.

<p>Delayed medical care and inconsistent stories are two signs.</p> Signup and view all the answers

How does the rate of abuse, exploitation, and neglect in people with intellectual and developmental disabilities (IDD) compare to the general population?

<p>They experience abuse, exploitation, and neglect more often than the general population.</p> Signup and view all the answers

What challenges might arise when trying to report abuse in individuals with limited communication?

<p>It can be difficult to obtain a history of what may be causing injuries.</p> Signup and view all the answers

What does tattoo branding potentially signify in the context of human trafficking?

<p>Tattoo branding may indicate ownership or control by a trafficker.</p> Signup and view all the answers

List two potential indicators of neglect in a person.

<p>Malnourishment and poor hygiene are two potential indicators of neglect.</p> Signup and view all the answers

What is the most common form of maltreatment experienced by children?

<p>Neglect is the most common form of maltreatment experienced by children.</p> Signup and view all the answers

According to the federal definition, what new issues were added to the Child Abuse and Prevention Treatment Act?

<p>The Act was amended to include sex and human trafficking, and to enhance protections for infants affected by withdrawal symptoms and Fetal Alcohol Spectrum Disorder.</p> Signup and view all the answers

List the four main categories of child abuse and neglect.

<p>The four main categories are neglect, physical abuse, sexual abuse, and emotional abuse.</p> Signup and view all the answers

What responsibility do mandated reporters have regarding child abuse?

<p>Mandated reporters are required by law to report any known or suspected child abuse or neglect.</p> Signup and view all the answers

What is a common misconception about the reporting of elder abuse?

<p>Elder abuse is often underreported, with estimates suggesting that only 1 in 24 cases are actually reported.</p> Signup and view all the answers

Identify the five main categories of elder abuse and neglect.

<p>The five main categories are physical abuse, sexual abuse, psychological or emotional abuse, neglect, and financial abuse or exploitation.</p> Signup and view all the answers

Who are the most common perpetrators of elder abuse?

<p>In nearly 60% of cases, the perpetrator is a family member, most commonly an adult child or spouse.</p> Signup and view all the answers

Why is it important for all states to have a definition of child abuse and neglect?

<p>Having a definition ensures consistency in protection efforts and legal obligations for reporting across states.</p> Signup and view all the answers

What are some signs of neglect in an individual with intellectual and developmental disabilities (IDD)?

<p>Signs of neglect can include missed appointments, nonengagement, and lack of adherence to necessary care.</p> Signup and view all the answers

Identify behavioral indicators that may suggest abuse in IDD clients who have limited communication.

<p>Behavioral indicators may include new onset of urinary or fecal incontinence, withdrawal, and excessive masturbation.</p> Signup and view all the answers

What is a key principle to apply when assessing a patient for potential abuse or neglect?

<p>A key principle to apply is trauma-informed care during the assessment process.</p> Signup and view all the answers

What behaviors might suggest a caregiver is potentially abusive towards an IDD individual?

<p>Suspicious behaviors can include refusal to follow directions, displaying controlling attitudes, and using intimidation.</p> Signup and view all the answers

List some self-restraining behaviors a person with IDD might exhibit indicating potential abuse.

<p>Self-restraining behaviors may include wrapping oneself tightly in clothing or bedding.</p> Signup and view all the answers

How might the social environment of an IDD individual affect their risk of abuse or neglect?

<p>Social isolation or frequent changes in healthcare providers can increase their risk of abuse and exploitation.</p> Signup and view all the answers

What role does communication play in recognizing potential abuse in IDD patients?

<p>Limited communication can hinder the identification of abuse, making behavioral changes critical indicators to assess.</p> Signup and view all the answers

What are some behaviors that may indicate a caregiver's intent to exploit an IDD patient?

<p>Behaviors indicating exploitation might include taking resources without consent and isolating the individual socially.</p> Signup and view all the answers

Why is early detection of Intimate Partner Violence (IPV) important?

<p>Early detection is crucial to prevent long-term negative health outcomes associated with IPV.</p> Signup and view all the answers

What is a recommended approach when interviewing a victim of abuse?

<p>Victims should be interviewed separately from potential perpetrators when possible.</p> Signup and view all the answers

What screening question might hospitals use to assess for IPV?

<p>Some hospitals may ask, 'Do you feel safe at home?'</p> Signup and view all the answers

What tool is suggested for screening elder abuse in primary care settings?

<p>The Elder Abuse Suspicion Index is recommended for use with cognitively intact patients.</p> Signup and view all the answers

How should questions be framed when interviewing children about potential abuse?

<p>Questions should be short, age-appropriate, and use familiar words.</p> Signup and view all the answers

What is one key technique for collecting subjective data during interviews?

<p>Creating a safe and confidential environment is vital for collecting accurate information.</p> Signup and view all the answers

For which population does the USPSTF specifically recommend IPV screening?

<p>All women of child-bearing age, specifically ages 14-46.</p> Signup and view all the answers

Why might monitoring for signs of abuse and neglect during clinic visits be important?

<p>It allows for early identification and intervention for those who may be victims.</p> Signup and view all the answers

What is the significance of using a calendar in the danger assessment process?

<p>The calendar helps individuals visualize the frequency and severity of violence over the past year.</p> Signup and view all the answers

Why is it important to discuss legal and mandatory reporting requirements before screening a client?

<p>Discussing these requirements establishes transparency and builds trust regarding the limits of confidentiality.</p> Signup and view all the answers

What elements should be gathered in a safety plan for a client at risk of abuse?

<p>Essential items include a packed bag, important documents, and a plan for where to go if they need to leave.</p> Signup and view all the answers

What role does a nonjudgmental attitude play during client interactions in cases of domestic violence?

<p>A nonjudgmental attitude fosters an environment of trust and encourages the client to share openly.</p> Signup and view all the answers

What type of documentation is crucial for recording incidents of abuse?

<p>Detailed, nonbiased progress notes and photographic documentation are crucial for accurately recording incidents.</p> Signup and view all the answers

Why is consent necessary before taking digital photographic documentation of injuries?

<p>Consent is necessary to ensure ethical standards are maintained and respect the patient's autonomy.</p> Signup and view all the answers

What is the purpose of using injury maps in the documentation of abuse?

<p>Injury maps help to visually represent the location and extent of injuries on the body.</p> Signup and view all the answers

What specific elements should be included in verbatim documentation of reported perpetrator threats?

<p>Exact terms used by the client to describe threats must be documented verbatim.</p> Signup and view all the answers

What is the average number of people physically abused by intimate partners annually in the U.S.?

<p>10 million</p> Signup and view all the answers

Which of the following is NOT considered a category of intimate partner violence?

<p>Emotional manipulation</p> Signup and view all the answers

What portion of the population older than 60 years is affected by elder abuse?

<p>1 in 10</p> Signup and view all the answers

What is a key guideline when using injury maps to document physical findings?

<p>They should only document visible injuries.</p> Signup and view all the answers

How many children are reported as victims of abuse or neglect annually in the U.S.?

<p>656,000</p> Signup and view all the answers

Which statement is true regarding intimate partner violence?

<p>Victims rarely report incidents of violence.</p> Signup and view all the answers

What action should be taken by healthcare settings regarding family violence according to the Joint Commission standards?

<p>Implement policies for assessment, documentation, and referrals.</p> Signup and view all the answers

Which of the following is an example of psychological aggression?

<p>Making threats of physical harm</p> Signup and view all the answers

What is the most common category of maltreatment experienced by children?

<p>Neglect</p> Signup and view all the answers

Which type of abuse could involve inappropriate touching or the use of pornographic images?

<p>Sexual abuse</p> Signup and view all the answers

What does neglect specifically refer to in child abuse cases?

<p>Failure to provide basic needs</p> Signup and view all the answers

What is a common misconception about elder abuse reporting?

<p>It is largely underreported in society</p> Signup and view all the answers

Which of the following is NOT one of the main categories of elder abuse?

<p>Emotional resilience</p> Signup and view all the answers

What should be the focus when interviewing a victim of abuse to ensure accurate information is gathered?

<p>Creating a safe and confidential environment</p> Signup and view all the answers

Which statement is true regarding screening for Intimate Partner Violence (IPV) among women?

<p>All women of child-bearing age should be screened for IPV</p> Signup and view all the answers

Who is most likely to perpetrate elder abuse?

<p>Adult children or spouses</p> Signup and view all the answers

What is a requirement for mandated reporters concerning child abuse and neglect?

<p>They are obligated to report suspected abuse</p> Signup and view all the answers

What is a crucial factor in assessing suspected child abuse during clinical visits?

<p>Asking open-ended questions while ensuring privacy</p> Signup and view all the answers

Which of the following is an established screening tool for elder abuse?

<p>Elder Abuse Suspicion Index</p> Signup and view all the answers

What recent amendments were included in the Child Abuse and Prevention Treatment Act?

<p>Enhancements for children affected by fetal alcohol spectrum disorder</p> Signup and view all the answers

What is the role of the calendar in the Danger Assessment process?

<p>To illustrate the frequency and severity of violence over time</p> Signup and view all the answers

Why is it important to normalize questions about IPV in patient assessments?

<p>To reduce the stigma associated with discussing IPV</p> Signup and view all the answers

Which of the following should be avoided when asking questions during a screening?

<p>Interrupting the client while they speak</p> Signup and view all the answers

How should healthcare professionals listen for potential signs of abuse?

<p>By listening for inconsistencies in the patient’s narrative</p> Signup and view all the answers

What is an important consideration when documenting abuse?

<p>Using detailed, nonbiased progress notes</p> Signup and view all the answers

Which of the following is NOT a sign of human trafficking?

<p>Excessive appetite control</p> Signup and view all the answers

What percentage of human trafficking victims are children?

<p>25%</p> Signup and view all the answers

What approach should be avoided when interviewing children about potential abuse?

<p>Offering rewards for providing information</p> Signup and view all the answers

Which element is NOT recommended to gather for a safety plan?

<p>A list of the client's friends</p> Signup and view all the answers

Which group is considered at higher risk for abuse, exploitation, and neglect?

<p>People with intellectual and developmental disabilities</p> Signup and view all the answers

What key action should be taken regarding digital photographic documentation in cases of abuse?

<p>Consent must be obtained before taking any photos</p> Signup and view all the answers

What is the recommended technique for screening victims of abuse with communication challenges?

<p>Implementing specialized visual aids and gestures</p> Signup and view all the answers

Which indicator can signify that a victim might be experiencing human trafficking?

<p>Frequent changes in social groups</p> Signup and view all the answers

Why is it important to discuss legal and mandatory reporting requirements prior to screening a client?

<p>To ensure clients are aware of potential limits to confidentiality</p> Signup and view all the answers

What is an example of a behavior that may suggest a caregiver's intent to exploit an individual with IDD?

<p>Refusing to allow the individual to have hobbies</p> Signup and view all the answers

What can be inferred about empathy and compassion in client interactions during screening?

<p>They are essential to convey during interactions with clients</p> Signup and view all the answers

What is typically marked as a serious risk factor during the Danger Assessment?

<p>A high number of 'yes' responses to the assessment items</p> Signup and view all the answers

Which of the following demonstrates a common misconception about elder abuse reporting?

<p>Reporting elder abuse is optional.</p> Signup and view all the answers

What could be indicated by a victim's resistance or hostility to accepting help?

<p>Fear of further victimization</p> Signup and view all the answers

Which group of individuals is disproportionately affected by human trafficking?

<p>Unhoused persons and runaway youth</p> Signup and view all the answers

Which behavior may indicate potential abuse in an IDD individual?

<p>New onset of urinary or fecal incontinence</p> Signup and view all the answers

What is a possible sign of neglect in individuals with IDD?

<p>Missed appointments and nonadherence</p> Signup and view all the answers

Which of the following behaviors is a suspicious indicator of a potentially abusive caregiver?

<p>Showing up late or not at all for appointments</p> Signup and view all the answers

Which action might suggest that a caregiver is exploiting an IDD individual?

<p>Using money or resources without consent</p> Signup and view all the answers

What behavior might hint at an IDD individual's response to potential abuse?

<p>Self-restraint, such as wrapping themselves in clothing</p> Signup and view all the answers

What could be a behavioral indicator of abuse in an IDD patient with limited communication?

<p>Showing signs of aggression when approached by caregivers</p> Signup and view all the answers

Which of the following should be assessed to evaluate the risk of abuse or neglect in an IDD individual?

<p>Residential living environment and its dynamics</p> Signup and view all the answers

Which sign might not specifically guarantee that abuse or neglect is occurring, but warrants further suspicion?

<p>Frequent change of healthcare providers</p> Signup and view all the answers

Which of the following best describes the primary definition of child neglect?

<p>Failure to provide a child's four basic needs.</p> Signup and view all the answers

What legislation was recently amended to enhance the protection of infants affected by withdrawal symptoms?

<p>Child Abuse Prevention Treatment Act</p> Signup and view all the answers

Which category of elder abuse involves the exploitation of financial resources?

<p>Financial abuse or exploitation</p> Signup and view all the answers

In the context of child abuse, which type does NOT fall under emotional abuse?

<p>Physical harm caused by shaking.</p> Signup and view all the answers

Mandated reporters are required to report known or suspected cases of which form of abuse?

<p>Child abuse and neglect</p> Signup and view all the answers

What percentage of elder abuse cases are typically reported?

<p>1 in 24 cases</p> Signup and view all the answers

Which of the following is NOT a common perpetrator of elder abuse?

<p>Neighbor</p> Signup and view all the answers

Which type of violence is least likely to be categorized under the federal child abuse definition?

<p>Parental substance use</p> Signup and view all the answers

Which category of intimate partner violence involves unwanted attention and fear?

<p>Stalking</p> Signup and view all the answers

What percentage of older adults are estimated to experience elder abuse?

<p>1 in 10</p> Signup and view all the answers

What is a primary responsibility of healthcare settings regarding family violence?

<p>Assessing and documenting occurrences</p> Signup and view all the answers

Which of the following is not a main category of child abuse and neglect?

<p>Invasive neglect</p> Signup and view all the answers

What is one significant statistic regarding children and abuse in the U.S.?

<p>656,000 children are victims of child abuse each year</p> Signup and view all the answers

Which of the following statements about intimate partner violence is true?

<p>It can occur in any intimate relationship.</p> Signup and view all the answers

Which method is advised for documenting physical findings in clients suspected of experiencing violence?

<p>Employing injury maps</p> Signup and view all the answers

What is one of the goals when assessing a client at risk for domestic violence?

<p>To formulate valid clinical judgments</p> Signup and view all the answers

Which of the following behaviors may indicate abuse in individuals with limited communication?

<p>New onset of enuresis</p> Signup and view all the answers

What is a potential indicator of neglect in individuals receiving care?

<p>Missed appointments</p> Signup and view all the answers

Which sign might suggest a caregiver is potentially abusive towards an IDD patient?

<p>Frequent switching of healthcare providers</p> Signup and view all the answers

Which behavior is a suspicious sign when assessing a caregiver of an IDD individual?

<p>Displaying controlling attitudes</p> Signup and view all the answers

What is one potential behavior indicating exploitation of an IDD patient?

<p>Using the patient's resources without consent</p> Signup and view all the answers

Which group is considered at a higher risk for human trafficking?

<p>Vulnerable populations, such as unhoused persons</p> Signup and view all the answers

Which finding may suggest a lack of adequate care in an individual with IDD?

<p>Refusal to allow bathing</p> Signup and view all the answers

What is one common sign that may indicate a victim of human trafficking?

<p>Hesitant to answer questions or seems rehearsed</p> Signup and view all the answers

What could be a behavioral indicator that a person with IDD is experiencing abuse?

<p>New onset of night terrors</p> Signup and view all the answers

How does the rate of abuse in individuals with intellectual and developmental disabilities compare to the general population?

<p>It is significantly higher</p> Signup and view all the answers

Which caregiver behavior might raise suspicion of abuse towards an IDD individual?

<p>Using intimidation or threats</p> Signup and view all the answers

Which of the following could be a sign of neglect?

<p>Unexplained absences from work or school</p> Signup and view all the answers

What might tattoo branding indicate in the context of human trafficking?

<p>Ownership or control by traffickers</p> Signup and view all the answers

What is a characteristic behavior of someone who has been subjected to abuse?

<p>Self-mutilation</p> Signup and view all the answers

Which of the following best describes the population most frequently victimized by elder abuse?

<p>Elders with cognitive impairments or isolation</p> Signup and view all the answers

What kind of changes in physical health might indicate abuse in individuals with limited communication?

<p>Unexplained changes in physical health</p> Signup and view all the answers

What is the primary purpose of screening all women of child-bearing age for intimate partner violence (IPV)?

<p>To prevent long-term negative health outcomes</p> Signup and view all the answers

Why is it recommended to interview victims of abuse separately from potential perpetrators?

<p>To ensure the victim feels safe and comfortable</p> Signup and view all the answers

What is a common screening approach used in some hospitals to assess for IPV?

<p>A single question, 'Do you feel safe at home?'</p> Signup and view all the answers

What is recommended when interviewing children who may be victims of abuse?

<p>Keep questions short and age-appropriate</p> Signup and view all the answers

Which tool is suggested for routine screening of elder abuse in primary care?

<p>Elder Abuse Suspicion Index</p> Signup and view all the answers

What is a key element of creating a trusting rapport during an interview on potential abuse?

<p>Actively listening and providing a safe environment</p> Signup and view all the answers

What does the USPSTF say about screening for elder abuse?

<p>It does not recommend a specific screening tool for elder abuse</p> Signup and view all the answers

Why is monitoring for signs of abuse during clinic visits especially important?

<p>It allows for early detection and intervention</p> Signup and view all the answers

What is the primary purpose of the Danger Assessment calendar?

<p>To visualize the frequency and severity of violence</p> Signup and view all the answers

Which of the following is NOT recommended to include in a safety plan for a client at risk of abuse?

<p>A detailed financial plan for future expenses</p> Signup and view all the answers

When documenting incidents of abuse, which type of documentation is most appropriate for injury details?

<p>Nonbiased progress notes and injury maps</p> Signup and view all the answers

What is essential to obtain before taking digital photographic documentation of injuries?

<p>Written consent from the client</p> Signup and view all the answers

What should be done if a patient is unconscious or cognitively impaired when considering photographic documentation?

<p>Taking photos without consent is often ethically acceptable</p> Signup and view all the answers

Which element is NOT a consideration when discussing limits to confidentiality with clients?

<p>Sharing information with other healthcare providers</p> Signup and view all the answers

What is one of the 20 yes/no items used in the Danger Assessment to evaluate risk?

<p>Are there children living with you?</p> Signup and view all the answers

Which attitude should be maintained while interacting with clients experiencing domestic violence?

<p>Concerned and nonjudgmental</p> Signup and view all the answers

Study Notes

Chapter 10: Assessing for Violence

  • Violence encompasses intimate partner violence, child abuse, elder abuse, and human trafficking.
  • These are serious health concerns needing recognition and assessment in all patients.
  • In the US, 1 in 4 women and 1 in 10 men experience intimate partner violence.
  • On average, 19,000 calls are made daily in the US to domestic violence hotlines.
  • Approximately 1 in 7 children experience abuse or neglect, with 5 dying daily as a result.
  • Elder abuse affects 1 in 10 people aged 60 years or older.
  • Healthcare settings must have policies and procedures to assess, document, and refer family violence cases.

Learning Objectives

  • Prepare a safe environment for interviewing and assessing clients with a history of domestic violence.
  • Use domestic violence screening tools for victims across all ages.
  • Teach clients at risk of violence to create a safety plan.
  • Correctly use injury maps to document physical findings in clients.
  • Analyze client interview data and physical assessments to form valid clinical judgments for clients at risk for domestic violence.

Types of Violence: Intimate Partner Violence

  • Annually, approximately 10 million people in the US are physically abused by an intimate partner (averaging 20 people per minute).
  • Intimate partner violence includes any partner (boyfriend, girlfriend, spouse, dating partner, sexual partner) with emotional and/or physical/sexual contact.
  • IPV includes those currently or formerly partnered.

Types of Violence: Categories

  • Physical violence: causing injury, disability, or death.
  • Sexual violence: sexual act without consent.
  • Stalking: repeated/unwanted attention leading to fear.
  • Psychological/emotional abuse: verbal or nonverbal harm.

Types of Violence: Child Abuse and Neglect

  • 656,000 children are victims of abuse or neglect annually.
  • Neglect (failure to provide basic needs) is the most common form of maltreatment.
  • Followed by physical abuse.
  • Child abuse and neglect is defined federally and by each state. The federal definition has been amended to include sex trafficking, human trafficking and Fetal Alcohol Spectrum Disorder.

Types of Violence: Child Abuse and Neglect - Categories

  • Neglect: Failure to provide a child's four basic needs.
  • Physical abuse: harming the child.
  • Sexual abuse: inappropriate touching or pornographic images.
  • Emotional abuse: causing developmental/self-esteem harm/inappropriate behaviors that affect the child's growth.

Types of Violence: Child Abuse and Neglect - Reporting

  • Each state has its own definition of child abuse and neglect, which may expand on federal definitions.
  • Some states include parental substance use in their definitions.
  • Mandatory reporters must be aware of specific state definitions concerning child abuse and neglect.

Types of Violence: Elder Abuse and Neglect

  • Elder abuse and neglect is often underreported, with estimates only 1 in 24 cases reported.
  • Perpetrators are often family members (e.g., adult children, spouses).
  • Includes both intentional acts and inaction by caregivers.

Types of Violence: Elder Abuse and Neglect- Categories

  • Physical abuse: intentionally hurting an elder.
  • Sexual abuse: abusive sexual contact with an elder.
  • Psychological/emotional abuse: verbal and nonverbal behaviors.
  • Neglect: caregiver failure to prevent harm.
  • Financial abuse/exploitation: lack of financial resources/needs.

Types of Violence: Elder Abuse and Neglect - Reporting

  • Almost every state has a form of mandatory reporting for elder abuse.
  • As a mandated reporter, you only need suspicion of elder abuse or neglect.

Types of Violence: Human Trafficking

  • 40 million worldwide are victims.
  • Disproportionately affects women and girls (71%).
  • 25% of victims are children.
  • Vulnerable groups are unhoused, runaways, sexual/gender minorities, undocumented immigrants, and victims of previous violence.

Signs of Human Trafficking

  • Delayed medical care.
  • Inconsistent stories.
  • Bruises or signs of physical abuse.
  • Withdrawal or anxiety.
  • Resistance to help.
  • Self-mutilation.
  • Hesitant to answer questions, or repetitive answers.
  • Companion/escort who won't leave.
  • Unaware of location/time/date.
  • Malnutrition, poor hygiene, or inappropriate attire.
  • Unexplained absences from school or work.
  • Tattooing/branding.
  • Elevated number of sexual partners.
  • Increased doctor visits

Abuse, Exploitation, and Neglect in Patients with IDD

  • Abuse, exploitation and neglect occur more in people with Intellectual and Developmental Disabilities (IDD) than in the general population.
  • Perpetrators of abuse may be known to the victim.
  • Problems communicating or documenting a history can increase difficulty in cases of abuse.
  • In people with limited communication, a history of abuse is difficult to obtain.
  • Unexplained changes in physical and mental health, behavior (withdrawal), inappropriate attachments, and sexualized behavior can indicate abuse.
  • Neglect can be identified by a recurring pattern of insufficient care (missed appointments/poor engagement).

Behaviors that may indicate abuse in clients with IDD

  • New onset of urinary or fecal incontinence.
  • Withdrawal behaviors.
  • Excessive self-stimulatory behaviors (e.g. masturbation).
  • Refusal to allow bathing.
  • Aggression during bathing.
  • Self-restraint behaviors (wrapping themselves in clothes).
  • Sexual aggression towards others.
  • Verbal or physical aggression in response to caregivers.
  • Suicidal behaviors/attempts.
  • Night terrors.

Assessing for Abuse, Exploitation, and Neglect in Patients with IDD

  • Assess for risk factors (residential living, indicators of abuse).
  • Report suspected abuse/neglect to appropriate authorities.
  • Refer victims to resources for support, especially those with experience within the IDD population.

Nursing Assessment of Family Violence: Screening

  • All women of child-bearing age (14-46) should be screened for domestic violence (regardless of abuse signs).
  • Early detection is crucial for preventing long-term health issues.
  • Separate victim and potential perpetrator for interviews.
  • Listen for inconsistencies with injury explanations.
  • Look for frequent seeking of care for suspicious injuries.

Nursing Assessment of Family Violence: Intimate Partner Violence Screening

  • Normalize questions by asking every patient about IPV.
  • Understand the IPV screening tool used in your facility (e.g, HITS, E-HITS, HARK, PVS, WAST).
  • Some facilities ask a simple question about safety at home.

Nursing Assessment of Family Violence: Elder Abuse and Neglect Screening

  • The USPSTF does not specify a screening tool for elder abuse.
  • Several other resources/agencies suggest routine screening using a tool like EASI (Elder Abuse Suspicion Index).
  • The EASI is validated for use with cognitively intact patients.

Nursing Assessment of Family Violence: Child Abuse and Neglect Screening

  • Monitor for signs and symptoms during clinic visits.
  • If the child is verbal, obtain a history away from the caregivers using open-ended questions.
  • Use age-appropriate language and familiar words.
  • Older children (11+) can provide a history similar to adults.
  • Review medical history for hospitalization/injuries; and delays in seeking care.
  • Avoid rewarding children for responses.

Nursing Assessment of Family Violence: Danger Assessment

  • Begins with a calendar review of how frequent and severe violence has been over the past year.
  • Followed by a series of yes/no questions to gauge the severity of risk.
  • More "yes" answers indicate increased risk.

Assessing Safety Plans

  • Have the client gather these items:
  • Packing bag.
  • Alerting neighbors/friends/family of safety concerns.
  • Code word for emergencies.
  • Place of safety in mind.
  • Weapons/harmful items removed from the home/environment.
  • Gather needed financial documents:
  • Cash.
  • Social Security cards/numbers for you and your children.
  • Birth certificates for you and your children.
  • Driver's license.
  • Rent and utility receipts.
  • Bank account numbers.
  • Insurance policies/numbers.
  • Marriage license.
  • Jewelry.
  • Important phone numbers, protection order copies, etc.

Documentation

  • Nonbiased progress notes are detailed.
  • Injury maps are used accurately.
  • Photographs are taken with written consent for cases where the client is conscious; in other cases where the client cannot give consent to photography the photos are still considered ethical.
  • Explicit terms pertaining to any sexual behavior are recorded verbatim.

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Assessing For Violence PDF

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This quiz explores essential knowledge in creating safe environments for assessing clients impacted by domestic violence and human trafficking. It covers screening tools, safety education, prevalence rates, and the emotional components of intimate partner violence. Additionally, it addresses the signs of human trafficking and the effects of abuse on vulnerable populations.

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