Public Health week 1 Flashcards
Domestic abuse (DA) definition.
a) An ______ or a pattern of ______
b) C_____, c_____ or t______ behaviour, violence or abuse
c) Between those aged over ____ years, (if younger, this is a ____ _____ issue) who are or have been ____ partners or ____ _____
d) Regardless of g______ or s_______
e) Can encompass what 5 forms of DA
a) Incident
b) Controlling, coercive or threatening
c) 16; child protection; intimate partners or family members
d) gender or sexuality
e) physical, psychological, emotional, financial, sexual
DA: health impacts.
a) Physical
b) Somatic/chronic illness - types (neuro, GI, gynae, obstetric)
c) P______ - 5 common
d) If children involved, consider…?
a) injury
b) headaches, pelvic bleeds/pain, IBS, LBW and prem delivery
c) PTSD, depression, anxiety, substance misuse, eating disorders
d) safeguarding; risk of child abuse
What is the toxic triangle for child abuse?
DA, mental health issues, substance misuse
Risk factors for DA.
a) Toxic _____
b) Patient is iso____.
c) Gender
triangle; isolated; female
Risk levels for DA.
a) Standard
b) Medium
c) High
a) Current evidence suggests low likelihood of causing serious harm
b) Identifiable indicators of serious harm risk, but current evidence suggests current harm unlikely unless a change of circumstances (e.g. baby arrival)
c) Identifiable indicators of imminent serious harm risk
Tool to assess risk
- Name
- Three components of dynamic risk assessment
DASH
Victim: children/pregnant, isolated, frightened, depression/suicidal
Perpetrator: violent/criminal history, weapons, drugs/alcohol/mental health, suicidal, accomplices
Interaction: stalking, death threats, sexual abuse, strangling/drowning, escalation (freq/severity)
MARAC
- stands for…
- Who is involved?
- What do they do?
Multi-Agency Risk Assessment Conference
Police, social work, housing, health visitor, etc.
Priorities for each individual to action
IDVAS
- stands for…
- what do they do?
Independent Domestic Violence Advice Service
Help those at highest risk of harm from DA
Interventions for DA.
a) First contact (posters)
b) Ask ____ questions (not in front of who?)
c) Acknowledge that DA is ______.
d) High risk: refer to _____ or _____
a) Helpline
b) Direct; children, relatives
c) Serious
d) MARAC or IDVAS
Health psychology.
a) What is it?
b) What is its aim?
a) Emphasis on psychological factors in the cause, progression and consequences of health and illness
b) To promote healthy behaviours to avoid illness
Health behaviours.
a) Health behaviour - example
b) Illness behaviour - example
c) Sick role behaviour - example
d) Two conflicting types of health behaviour (good/bad)
a) Eating healthily
b) Seeking medical help
c) Active process - taking medications
d) Health-promoting and health-damaging
Why do people engage in health-damaging behaviours?
a) Main phenomenon (1 mark)
b) Explain this (2 marks)
c) 4 examples of this.
d) 5 other reasons for engaging in health damaging behaviours
a) Unrealistic optimism
b) Due to inaccurate perceptions of risk and susceptibility
c) Lack of personal experience of problem; believe that it’s preventable through personal action; believe that if its not happened now it won’t happen; believe that problem is infrequent
d) Age (teenage), pleasure, health beliefs, socioeconomics, stress, cultural variability, situational rationality
Behaviour and burnout in medical students.
a) 3 phenomena
b) 3 protective factors
a) Depersonalisation, emotional exhaustion, lack of personal achievement
b) diet, sleep, exercise
Reasons for non-compliance - give 4
SEs, socioeconomics, perceive no benefit, practical issues
Health behaviour interventions.
a) 2 approaches
b Give 3 examples of health promotion
c) On what 3 levels can/do these interventions act?
d) Describe how campaign to reduce alcohol consumption would impact on these three levels
a) Population; patient-centred
b) Screening, campaigns (5 a day, drinkaware, Stoptober), immunisation
c) Individual, community, population
d) Ind - reduce alcohol, reduce DA, Comm - reduce A&E numbers, reduce crime; Pop - reduced tax levied, increase pop health and productivity and so increased GDP
