Podcast
Questions and Answers
What is essential to create a safe environment for assessing clients who have experienced domestic violence?
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?
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?
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?
How are physical findings documented in clients suspected of suffering from violence?
What is the prevalence of intimate partner violence in the United States?
What is the prevalence of intimate partner violence in the United States?
Describe the emotional component of intimate partner violence.
Describe the emotional component of intimate partner violence.
How many children are reported victims of abuse or neglect each year?
How many children are reported victims of abuse or neglect each year?
What area of the population does elder abuse affect?
What area of the population does elder abuse affect?
What constitutes elder abuse according to the mandated reporter guidelines?
What constitutes elder abuse according to the mandated reporter guidelines?
What is the definition of human trafficking?
What is the definition of human trafficking?
Which demographic makes up 71% of human trafficking victims?
Which demographic makes up 71% of human trafficking victims?
Name two signs of potential human trafficking.
Name two signs of potential human trafficking.
How does the rate of abuse, exploitation, and neglect in people with intellectual and developmental disabilities (IDD) compare to the general population?
How does the rate of abuse, exploitation, and neglect in people with intellectual and developmental disabilities (IDD) compare to the general population?
What challenges might arise when trying to report abuse in individuals with limited communication?
What challenges might arise when trying to report abuse in individuals with limited communication?
What does tattoo branding potentially signify in the context of human trafficking?
What does tattoo branding potentially signify in the context of human trafficking?
List two potential indicators of neglect in a person.
List two potential indicators of neglect in a person.
What is the most common form of maltreatment experienced by children?
What is the most common form of maltreatment experienced by children?
According to the federal definition, what new issues were added to the Child Abuse and Prevention Treatment Act?
According to the federal definition, what new issues were added to the Child Abuse and Prevention Treatment Act?
List the four main categories of child abuse and neglect.
List the four main categories of child abuse and neglect.
What responsibility do mandated reporters have regarding child abuse?
What responsibility do mandated reporters have regarding child abuse?
What is a common misconception about the reporting of elder abuse?
What is a common misconception about the reporting of elder abuse?
Identify the five main categories of elder abuse and neglect.
Identify the five main categories of elder abuse and neglect.
Who are the most common perpetrators of elder abuse?
Who are the most common perpetrators of elder abuse?
Why is it important for all states to have a definition of child abuse and neglect?
Why is it important for all states to have a definition of child abuse and neglect?
What are some signs of neglect in an individual with intellectual and developmental disabilities (IDD)?
What are some signs of neglect in an individual with intellectual and developmental disabilities (IDD)?
Identify behavioral indicators that may suggest abuse in IDD clients who have limited communication.
Identify behavioral indicators that may suggest abuse in IDD clients who have limited communication.
What is a key principle to apply when assessing a patient for potential abuse or neglect?
What is a key principle to apply when assessing a patient for potential abuse or neglect?
What behaviors might suggest a caregiver is potentially abusive towards an IDD individual?
What behaviors might suggest a caregiver is potentially abusive towards an IDD individual?
List some self-restraining behaviors a person with IDD might exhibit indicating potential abuse.
List some self-restraining behaviors a person with IDD might exhibit indicating potential abuse.
How might the social environment of an IDD individual affect their risk of abuse or neglect?
How might the social environment of an IDD individual affect their risk of abuse or neglect?
What role does communication play in recognizing potential abuse in IDD patients?
What role does communication play in recognizing potential abuse in IDD patients?
What are some behaviors that may indicate a caregiver's intent to exploit an IDD patient?
What are some behaviors that may indicate a caregiver's intent to exploit an IDD patient?
Why is early detection of Intimate Partner Violence (IPV) important?
Why is early detection of Intimate Partner Violence (IPV) important?
What is a recommended approach when interviewing a victim of abuse?
What is a recommended approach when interviewing a victim of abuse?
What screening question might hospitals use to assess for IPV?
What screening question might hospitals use to assess for IPV?
What tool is suggested for screening elder abuse in primary care settings?
What tool is suggested for screening elder abuse in primary care settings?
How should questions be framed when interviewing children about potential abuse?
How should questions be framed when interviewing children about potential abuse?
What is one key technique for collecting subjective data during interviews?
What is one key technique for collecting subjective data during interviews?
For which population does the USPSTF specifically recommend IPV screening?
For which population does the USPSTF specifically recommend IPV screening?
Why might monitoring for signs of abuse and neglect during clinic visits be important?
Why might monitoring for signs of abuse and neglect during clinic visits be important?
What is the significance of using a calendar in the danger assessment process?
What is the significance of using a calendar in the danger assessment process?
Why is it important to discuss legal and mandatory reporting requirements before screening a client?
Why is it important to discuss legal and mandatory reporting requirements before screening a client?
What elements should be gathered in a safety plan for a client at risk of abuse?
What elements should be gathered in a safety plan for a client at risk of abuse?
What role does a nonjudgmental attitude play during client interactions in cases of domestic violence?
What role does a nonjudgmental attitude play during client interactions in cases of domestic violence?
What type of documentation is crucial for recording incidents of abuse?
What type of documentation is crucial for recording incidents of abuse?
Why is consent necessary before taking digital photographic documentation of injuries?
Why is consent necessary before taking digital photographic documentation of injuries?
What is the purpose of using injury maps in the documentation of abuse?
What is the purpose of using injury maps in the documentation of abuse?
What specific elements should be included in verbatim documentation of reported perpetrator threats?
What specific elements should be included in verbatim documentation of reported perpetrator threats?
What is the average number of people physically abused by intimate partners annually in the U.S.?
What is the average number of people physically abused by intimate partners annually in the U.S.?
Which of the following is NOT considered a category of intimate partner violence?
Which of the following is NOT considered a category of intimate partner violence?
What portion of the population older than 60 years is affected by elder abuse?
What portion of the population older than 60 years is affected by elder abuse?
What is a key guideline when using injury maps to document physical findings?
What is a key guideline when using injury maps to document physical findings?
How many children are reported as victims of abuse or neglect annually in the U.S.?
How many children are reported as victims of abuse or neglect annually in the U.S.?
Which statement is true regarding intimate partner violence?
Which statement is true regarding intimate partner violence?
What action should be taken by healthcare settings regarding family violence according to the Joint Commission standards?
What action should be taken by healthcare settings regarding family violence according to the Joint Commission standards?
Which of the following is an example of psychological aggression?
Which of the following is an example of psychological aggression?
What is the most common category of maltreatment experienced by children?
What is the most common category of maltreatment experienced by children?
Which type of abuse could involve inappropriate touching or the use of pornographic images?
Which type of abuse could involve inappropriate touching or the use of pornographic images?
What does neglect specifically refer to in child abuse cases?
What does neglect specifically refer to in child abuse cases?
What is a common misconception about elder abuse reporting?
What is a common misconception about elder abuse reporting?
Which of the following is NOT one of the main categories of elder abuse?
Which of the following is NOT one of the main categories of elder abuse?
What should be the focus when interviewing a victim of abuse to ensure accurate information is gathered?
What should be the focus when interviewing a victim of abuse to ensure accurate information is gathered?
Which statement is true regarding screening for Intimate Partner Violence (IPV) among women?
Which statement is true regarding screening for Intimate Partner Violence (IPV) among women?
Who is most likely to perpetrate elder abuse?
Who is most likely to perpetrate elder abuse?
What is a requirement for mandated reporters concerning child abuse and neglect?
What is a requirement for mandated reporters concerning child abuse and neglect?
What is a crucial factor in assessing suspected child abuse during clinical visits?
What is a crucial factor in assessing suspected child abuse during clinical visits?
Which of the following is an established screening tool for elder abuse?
Which of the following is an established screening tool for elder abuse?
What recent amendments were included in the Child Abuse and Prevention Treatment Act?
What recent amendments were included in the Child Abuse and Prevention Treatment Act?
What is the role of the calendar in the Danger Assessment process?
What is the role of the calendar in the Danger Assessment process?
Why is it important to normalize questions about IPV in patient assessments?
Why is it important to normalize questions about IPV in patient assessments?
Which of the following should be avoided when asking questions during a screening?
Which of the following should be avoided when asking questions during a screening?
How should healthcare professionals listen for potential signs of abuse?
How should healthcare professionals listen for potential signs of abuse?
What is an important consideration when documenting abuse?
What is an important consideration when documenting abuse?
Which of the following is NOT a sign of human trafficking?
Which of the following is NOT a sign of human trafficking?
What percentage of human trafficking victims are children?
What percentage of human trafficking victims are children?
What approach should be avoided when interviewing children about potential abuse?
What approach should be avoided when interviewing children about potential abuse?
Which element is NOT recommended to gather for a safety plan?
Which element is NOT recommended to gather for a safety plan?
Which group is considered at higher risk for abuse, exploitation, and neglect?
Which group is considered at higher risk for abuse, exploitation, and neglect?
What key action should be taken regarding digital photographic documentation in cases of abuse?
What key action should be taken regarding digital photographic documentation in cases of abuse?
What is the recommended technique for screening victims of abuse with communication challenges?
What is the recommended technique for screening victims of abuse with communication challenges?
Which indicator can signify that a victim might be experiencing human trafficking?
Which indicator can signify that a victim might be experiencing human trafficking?
Why is it important to discuss legal and mandatory reporting requirements prior to screening a client?
Why is it important to discuss legal and mandatory reporting requirements prior to screening a client?
What is an example of a behavior that may suggest a caregiver's intent to exploit an individual with IDD?
What is an example of a behavior that may suggest a caregiver's intent to exploit an individual with IDD?
What can be inferred about empathy and compassion in client interactions during screening?
What can be inferred about empathy and compassion in client interactions during screening?
What is typically marked as a serious risk factor during the Danger Assessment?
What is typically marked as a serious risk factor during the Danger Assessment?
Which of the following demonstrates a common misconception about elder abuse reporting?
Which of the following demonstrates a common misconception about elder abuse reporting?
What could be indicated by a victim's resistance or hostility to accepting help?
What could be indicated by a victim's resistance or hostility to accepting help?
Which group of individuals is disproportionately affected by human trafficking?
Which group of individuals is disproportionately affected by human trafficking?
Which behavior may indicate potential abuse in an IDD individual?
Which behavior may indicate potential abuse in an IDD individual?
What is a possible sign of neglect in individuals with IDD?
What is a possible sign of neglect in individuals with IDD?
Which of the following behaviors is a suspicious indicator of a potentially abusive caregiver?
Which of the following behaviors is a suspicious indicator of a potentially abusive caregiver?
Which action might suggest that a caregiver is exploiting an IDD individual?
Which action might suggest that a caregiver is exploiting an IDD individual?
What behavior might hint at an IDD individual's response to potential abuse?
What behavior might hint at an IDD individual's response to potential abuse?
What could be a behavioral indicator of abuse in an IDD patient with limited communication?
What could be a behavioral indicator of abuse in an IDD patient with limited communication?
Which of the following should be assessed to evaluate the risk of abuse or neglect in an IDD individual?
Which of the following should be assessed to evaluate the risk of abuse or neglect in an IDD individual?
Which sign might not specifically guarantee that abuse or neglect is occurring, but warrants further suspicion?
Which sign might not specifically guarantee that abuse or neglect is occurring, but warrants further suspicion?
Which of the following best describes the primary definition of child neglect?
Which of the following best describes the primary definition of child neglect?
What legislation was recently amended to enhance the protection of infants affected by withdrawal symptoms?
What legislation was recently amended to enhance the protection of infants affected by withdrawal symptoms?
Which category of elder abuse involves the exploitation of financial resources?
Which category of elder abuse involves the exploitation of financial resources?
In the context of child abuse, which type does NOT fall under emotional abuse?
In the context of child abuse, which type does NOT fall under emotional abuse?
Mandated reporters are required to report known or suspected cases of which form of abuse?
Mandated reporters are required to report known or suspected cases of which form of abuse?
What percentage of elder abuse cases are typically reported?
What percentage of elder abuse cases are typically reported?
Which of the following is NOT a common perpetrator of elder abuse?
Which of the following is NOT a common perpetrator of elder abuse?
Which type of violence is least likely to be categorized under the federal child abuse definition?
Which type of violence is least likely to be categorized under the federal child abuse definition?
Which category of intimate partner violence involves unwanted attention and fear?
Which category of intimate partner violence involves unwanted attention and fear?
What percentage of older adults are estimated to experience elder abuse?
What percentage of older adults are estimated to experience elder abuse?
What is a primary responsibility of healthcare settings regarding family violence?
What is a primary responsibility of healthcare settings regarding family violence?
Which of the following is not a main category of child abuse and neglect?
Which of the following is not a main category of child abuse and neglect?
What is one significant statistic regarding children and abuse in the U.S.?
What is one significant statistic regarding children and abuse in the U.S.?
Which of the following statements about intimate partner violence is true?
Which of the following statements about intimate partner violence is true?
Which method is advised for documenting physical findings in clients suspected of experiencing violence?
Which method is advised for documenting physical findings in clients suspected of experiencing violence?
What is one of the goals when assessing a client at risk for domestic violence?
What is one of the goals when assessing a client at risk for domestic violence?
Which of the following behaviors may indicate abuse in individuals with limited communication?
Which of the following behaviors may indicate abuse in individuals with limited communication?
What is a potential indicator of neglect in individuals receiving care?
What is a potential indicator of neglect in individuals receiving care?
Which sign might suggest a caregiver is potentially abusive towards an IDD patient?
Which sign might suggest a caregiver is potentially abusive towards an IDD patient?
Which behavior is a suspicious sign when assessing a caregiver of an IDD individual?
Which behavior is a suspicious sign when assessing a caregiver of an IDD individual?
What is one potential behavior indicating exploitation of an IDD patient?
What is one potential behavior indicating exploitation of an IDD patient?
Which group is considered at a higher risk for human trafficking?
Which group is considered at a higher risk for human trafficking?
Which finding may suggest a lack of adequate care in an individual with IDD?
Which finding may suggest a lack of adequate care in an individual with IDD?
What is one common sign that may indicate a victim of human trafficking?
What is one common sign that may indicate a victim of human trafficking?
What could be a behavioral indicator that a person with IDD is experiencing abuse?
What could be a behavioral indicator that a person with IDD is experiencing abuse?
How does the rate of abuse in individuals with intellectual and developmental disabilities compare to the general population?
How does the rate of abuse in individuals with intellectual and developmental disabilities compare to the general population?
Which caregiver behavior might raise suspicion of abuse towards an IDD individual?
Which caregiver behavior might raise suspicion of abuse towards an IDD individual?
Which of the following could be a sign of neglect?
Which of the following could be a sign of neglect?
What might tattoo branding indicate in the context of human trafficking?
What might tattoo branding indicate in the context of human trafficking?
What is a characteristic behavior of someone who has been subjected to abuse?
What is a characteristic behavior of someone who has been subjected to abuse?
Which of the following best describes the population most frequently victimized by elder abuse?
Which of the following best describes the population most frequently victimized by elder abuse?
What kind of changes in physical health might indicate abuse in individuals with limited communication?
What kind of changes in physical health might indicate abuse in individuals with limited communication?
What is the primary purpose of screening all women of child-bearing age for intimate partner violence (IPV)?
What is the primary purpose of screening all women of child-bearing age for intimate partner violence (IPV)?
Why is it recommended to interview victims of abuse separately from potential perpetrators?
Why is it recommended to interview victims of abuse separately from potential perpetrators?
What is a common screening approach used in some hospitals to assess for IPV?
What is a common screening approach used in some hospitals to assess for IPV?
What is recommended when interviewing children who may be victims of abuse?
What is recommended when interviewing children who may be victims of abuse?
Which tool is suggested for routine screening of elder abuse in primary care?
Which tool is suggested for routine screening of elder abuse in primary care?
What is a key element of creating a trusting rapport during an interview on potential abuse?
What is a key element of creating a trusting rapport during an interview on potential abuse?
What does the USPSTF say about screening for elder abuse?
What does the USPSTF say about screening for elder abuse?
Why is monitoring for signs of abuse during clinic visits especially important?
Why is monitoring for signs of abuse during clinic visits especially important?
What is the primary purpose of the Danger Assessment calendar?
What is the primary purpose of the Danger Assessment calendar?
Which of the following is NOT recommended to include in a safety plan for a client at risk of abuse?
Which of the following is NOT recommended to include in a safety plan for a client at risk of abuse?
When documenting incidents of abuse, which type of documentation is most appropriate for injury details?
When documenting incidents of abuse, which type of documentation is most appropriate for injury details?
What is essential to obtain before taking digital photographic documentation of injuries?
What is essential to obtain before taking digital photographic documentation of injuries?
What should be done if a patient is unconscious or cognitively impaired when considering photographic documentation?
What should be done if a patient is unconscious or cognitively impaired when considering photographic documentation?
Which element is NOT a consideration when discussing limits to confidentiality with clients?
Which element is NOT a consideration when discussing limits to confidentiality with clients?
What is one of the 20 yes/no items used in the Danger Assessment to evaluate risk?
What is one of the 20 yes/no items used in the Danger Assessment to evaluate risk?
Which attitude should be maintained while interacting with clients experiencing domestic violence?
Which attitude should be maintained while interacting with clients experiencing domestic violence?
Flashcards
Intimate Partner Violence (IPV)
Intimate Partner Violence (IPV)
Physical, sexual, or emotional abuse by a current or former partner in a close relationship.
IPV Categories
IPV Categories
Physical, sexual, stalking, and psychological/emotional abuse.
Physical Violence
Physical Violence
Using physical force to harm or injure someone.
Sexual Violence
Sexual Violence
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Stalking
Stalking
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Emotional Abuse
Emotional Abuse
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Child Abuse/Neglect
Child Abuse/Neglect
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Domestic Violence Screening
Domestic Violence Screening
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Child Abuse and Neglect
Child Abuse and Neglect
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Child Neglect
Child Neglect
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Physical Abuse (Child)
Physical Abuse (Child)
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Sexual Abuse (Child)
Sexual Abuse (Child)
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Emotional Abuse (Child)
Emotional Abuse (Child)
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Elder Abuse and Neglect
Elder Abuse and Neglect
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Mandatory Reporting (Child Abuse)
Mandatory Reporting (Child Abuse)
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Mandatory Reporting (Elder Abuse)
Mandatory Reporting (Elder Abuse)
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Elder Abuse/Neglect Reporting
Elder Abuse/Neglect Reporting
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Human Trafficking Definition
Human Trafficking Definition
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Human Trafficking Victims
Human Trafficking Victims
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Human Trafficking Vulnerable Groups
Human Trafficking Vulnerable Groups
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Signs of Abuse/Neglect (IDD)
Signs of Abuse/Neglect (IDD)
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Signs of Human Trafficking
Signs of Human Trafficking
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Abuse Frequency (IDD)
Abuse Frequency (IDD)
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Perpetrator Link (IDD)
Perpetrator Link (IDD)
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Abuse, Exploitation, or Neglect Reporting
Abuse, Exploitation, or Neglect Reporting
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Support for Victims
Support for Victims
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IPV Screening for Women
IPV Screening for Women
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Interviewing Victims of Abuse
Interviewing Victims of Abuse
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Normalizing IPV Questions
Normalizing IPV Questions
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Elder Abuse Screening
Elder Abuse Screening
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Child Abuse Screening
Child Abuse Screening
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Safe and Confidential Interviewing
Safe and Confidential Interviewing
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Danger Assessment Tool
Danger Assessment Tool
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Safety Plan Components
Safety Plan Components
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Documentation Importance
Documentation Importance
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Use of Verbatim Documentation
Use of Verbatim Documentation
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Photographic Documentation
Photographic Documentation
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Consent for Photos
Consent for Photos
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Unsconscious or Impaired
Unsconscious or Impaired
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Ethical Considerations
Ethical Considerations
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Abuse, Exploitation, and Neglect in IDD
Abuse, Exploitation, and Neglect in IDD
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Behavioral Changes in IDD Abuse
Behavioral Changes in IDD Abuse
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Neglect in IDD
Neglect in IDD
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Abuse Indicators with Limited Communication
Abuse Indicators with Limited Communication
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Suspicious Caregiver Behaviors (IDD)
Suspicious Caregiver Behaviors (IDD)
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Assessing Risk Factors (IDD)
Assessing Risk Factors (IDD)
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Trauma-Informed Approach (IDD)
Trauma-Informed Approach (IDD)
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Reporting Suspicions (IDD)
Reporting Suspicions (IDD)
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Types of Violence
Types of Violence
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Elder Abuse
Elder Abuse
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Human Trafficking
Human Trafficking
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Domestic Violence Safety Plan
Domestic Violence Safety Plan
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Injury Maps
Injury Maps
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Mandated Reporter
Mandated Reporter
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Vulnerable Groups (Human Trafficking)
Vulnerable Groups (Human Trafficking)
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Abuse in Individuals with IDD
Abuse in Individuals with IDD
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Child Maltreatment Categories
Child Maltreatment Categories
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Neglect (Child Abuse)
Neglect (Child Abuse)
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Elder Abuse Categories
Elder Abuse Categories
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Elder Abuse Reporting
Elder Abuse Reporting
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Signs of Abuse in IDD Patients
Signs of Abuse in IDD Patients
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Suspicious Caregiver Behaviors
Suspicious Caregiver Behaviors
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Assessing Risk Factors for Abuse
Assessing Risk Factors for Abuse
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Trauma-Informed Approach
Trauma-Informed Approach
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Reporting Suspicions
Reporting Suspicions
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What are some key signs of neglect in IDD patients?
What are some key signs of neglect in IDD patients?
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Why is a trauma-informed approach important when working with IDD patients?
Why is a trauma-informed approach important when working with IDD patients?
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Safety Plan
Safety Plan
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Verbatim Documentation
Verbatim Documentation
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Assessing a Safety Plan
Assessing a Safety Plan
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Abuse Indicators in IDD
Abuse Indicators in IDD
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Vulnerable Groups in Human Trafficking
Vulnerable Groups in Human Trafficking
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IPV Screening for All Women
IPV Screening for All Women
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Separate Interviews for Abuse
Separate Interviews for Abuse
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Child Abuse Screening During Visits
Child Abuse Screening During Visits
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Signs of Abuse in IDD Individuals
Signs of Abuse in IDD Individuals
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Why screen ALL women for IPV?
Why screen ALL women for IPV?
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What is a safety plan?
What is a safety plan?
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How do I document abuse?
How do I document abuse?
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What are some abuse indicators in IDD individuals?
What are some abuse indicators in IDD individuals?
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Who are some potential victims of human trafficking?
Who are some potential victims of human trafficking?
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What is the purpose of an injury map?
What is the purpose of an injury map?
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What are some suspicious caregiver behaviors?
What are some suspicious caregiver behaviors?
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Why is a trauma-informed approach crucial for IDD patients?
Why is a trauma-informed approach crucial for IDD patients?
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Child Maltreatment: Types
Child Maltreatment: Types
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Neglect (Child)
Neglect (Child)
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Danger Assessment
Danger Assessment
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Mandatory Reporting
Mandatory Reporting
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IPV Screening: Who?
IPV Screening: Who?
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Child Abuse Screening: When?
Child Abuse Screening: When?
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Safety Plan: What?
Safety Plan: What?
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Documenting Abuse: How?
Documenting Abuse: How?
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Trauma-Informed Approach: Why?
Trauma-Informed Approach: Why?
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Suspect Abuse, Act!
Suspect Abuse, Act!
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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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Description
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.
