Domestic Abuse Flashcards
1
Q
What is domestic abuse?
A
any form of physical, verbal, sexual, psychological or financial abuse which might amount to criminal conduct and which takes place within the context of a relationship
2
Q
In what relationships can domestic abuse occur?
A
- partners or ex-partners
- married
- cohabiting
- civil partnership
- other
3
Q
What are the different types of domestic abuse?
A
- situational couple violence
- fighting
- verbal agression
- not involving control
- coercive and controlling behaviour
- violence may also be a feature
4
Q
What is gender based violence?
A
- violence directed against a person on the basis of their gender
- domestic abuse
- rape and sexual assault
- childhood sexual abuse
- sexual exploitation and trafficking
- sexual harassment and stalking
- harmful traditional practices
5
Q
What is gender based violence?
A
- violence directed against a person on the basis of their gender
- domestic abuse
- rape and sexual assault
- childhood sexual abuse
- sexual exploitation and trafficking
- sexual harassment and stalking
- harmful traditional practices
6
Q
What types of abuse are there?
A
- verbal
- emotional
- physical
- sexual
- financial
7
Q
What can coercive control involve?
A
- pattern of behaviour
- isolation
- degradation
- micro regulation of all aspects of life
- money
- dress
- surveillance
- charming to others
- increases isolation
8
Q
What are the health consequences of abuse?
A
- non-fatal outcomes
- physical issues
- chronic conditions
- reproductive health
- mental health
- health harming behaviours
- fatal outcomes
- femicide
- suicide
- maternal mortality
9
Q
What are adverse childhood events?
A
- events in childhood increase risk of various health and social issues later in life
- brain response to stress altered
- more likely to become involved in health harming behaviours
- abuse
- physical
- emotional
- sexual
- neglect
- physical
- emotional
- household dysfunction
- mental illness
- mother treated violently
- divorce
- incarcerated relative
- substance abuse
10
Q
How can abuse be recognised?
A
- behavioural
- low self esteem,
- fearful, anxious or sad
- constant phoning or texting a partner
- alcohol
- partner does all of the talking
- partner insists on female clinician
- missed appointments
- physical
- repeated injuries
- bruises at different stages of healing
- dental/maxillofacial injuries
- unlikely explanation for injury
- facial bruising, strangle marks
- fingertip bruising on arms, neck or behind ears
- delay in seeking help for injury
- TMJ problems
11
Q
What are barriers to screening for domestic abuse?
A
- patient accompanied
- lack of training
- concern about offending patient
- patient’s cultural norms
- embarrassment
- lack of knowledge about where to refer
- lack of time
12
Q
What is AVDR?
A
- Ask
- about abuse
- in a private setting
- non-judgemental language
- Validate
- removes blame
- shows belief and that it is taken seriously
- even when patient denies abuse
- may provide some relief and comfort
- may help them realise they are in serious situation
- Document
- specific and detailed
- use patient’s words
- describe injuries in detail, with photos if possible
- Refer
- signposting to appropriate services
- patient must take action
- do not attempt to deal with problem
- developed for use with dentists to offer help
- simple way to ask about domestic abuse
13
Q
What else can be done by dentists to help those experiencing domestic abuse?
A
- put cards in toilets and posters in waiting areas
- shows willingness to talk
- useful if patient is not ready to disclose
- have staff wear ASC badges
- ask, support, care
- allow patients to use their phone in the surgery
- contact other agencies if they need to
- link with local domestic abuse agencies
- have materials available
- lets patients know you are trained and willing to help
- develop a protocol to allow you to get patients on their own
- useful if partners are present
- code word to alert others to the issue
