allow for a comprehensive understanding of her situation. It is essential to approach the conversation with sensitivity, respecting Mrs. Michel’s autonomy and choices while offering support and providing information about available resources. Bottom Line: When caring for and questioning a suspected domestic violence victim like Mrs. Michel, healthcare providers should prioritize maintaining a supportive and objective approach. By being supportive, objective, and actively listening, Rachel can establish trust, encourage open communication, and provide the necessary support and resources to address Mrs. Michel’s situation effectively.
and investigating potential signs and symptoms of abuse to ensure the safety and well-being of the patient. c. Insisting that the victim discloses the truth can further traumatize or discourage them from sharing their experiences. Building trust and creating a safe environment for open communication are vital components in addressing domestic violence effectively. d. Healthcare providers should strive to maintain a supportive and objective stance when communicating with suspected domestic violence victims. Being empathetic, nonjudgmental, and actively listening to Mrs. Michel’s experiences will help establish trust, encourage disclosure, and
DOMESTIC AND SEXUAL VIOLENCE IN THE UNITED STATES
Unnecessary trauma and abuse remain widespread in the United States. Domestic violence—also known as intimate partner violence (IPV)—devastates families, the community, and the nation. Nearly 50% of all women in the United States have experienced at least one form of psychological aggression by an intimate partner (American Psychological Association [APA], 2023). DV impacts the quality of life of abused individuals and the lives around them. In addition, the cost to society is enormous. It is estimated that the lifetime cost of IPV is more than $3.6 trillion (Centers for Disease Control [CDC], 2022). Sexual violence in the United States is common. One in three women and one in four men experience some form of sexual violence that involves physical contact in their lifetime (CDC, 2020a). Sexual violence may start as early as 11 years of age, occurring in one in three rape victims, and may begin earlier. Sexual violence costs, on average, $122,461 in medical costs, criminal justice costs, and lost productivity. Definitions of domestic violence and sexual violence The US Department of Justice (2023) defines domestic violence as “A pattern of abusive behavior in any relationship that one partner uses to gain or maintain power and control over another intimate partner.” Domestic violence can be physical, sexual, emotional, economic, or psychological actions or threats of actions that influence another person. IPV is defined as physical violence, sexual violence, stalking, and psychological aggression (including coercive acts) by a current or former intimate partner (CDC, 2022). The CDC defines sexual violence as a sexual act committed when consent is not obtained or freely given (CDC, 2022). Although these terms are often used interchangeably, they can vary depending upon specific state terminology and by what profession is defining these terms. These definitions and the requirements for reporting domestic violence vary from state to state. Usually, mandatory reporting of known or suspected violence
Do You Live in Connecticut? According to the Connecticut State Department of Children and Families (2020), approximately 20,000 family violence incidents annually result in arrests. The state of Connecticut provided 32,927 court-based advocacies, which was a 1% increase from 2018. Intimate partner violence constitutes most of these incidents. Connecticut Coalition Against Domestic Violence (CCADV) reported in 2019 that 33,141 adults and 4,632 children were treated. In addition, 2,214 victims and their children were housed in shelters with an average length of stay of 46.3 days. The number of hotline calls yielded 33,711 for 2019. According to the Connecticut Alliance to End Sexual Violence (CAESV, 2020), one in two women and one in five men experience sexual violence other than rape in their lifetime. In 2016, sexual violence expenditures totaled $5,762,944 through medical costs or lost wages. In Connecticut, 77% of victims know their perpetrator, a common theme among DV victims (CAESV, 2020). against a vulnerable population is required in the United States. These populations include children, the elderly, and the mentally incompetent. Failure to report suspicion of abuse may lead to hefty fines or possible confinement of the healthcare provider or healthcare provider. Healthcare Consideration: Healthcare providers need to be knowledgeable about the specific definition and reporting requirements of domestic violence based on the state in which they practice, as laws can vary. Understanding these variations is crucial for healthcare professionals to appropriately identify, document, and report cases of domestic violence, ensuring compliance with legal obligations and facilitating the provision of necessary support and protection for survivors. By staying informed about state-specific laws, healthcare providers can effectively contribute to addressing domestic violence and promoting the well-being of affected individuals.
HISTORY OF DOMESTIC AND SEXUAL VIOLENCE
Previously, women were seen as objects or property and had no rights. During ancient times in Mesopotamia, the Code of Hammurabi, a Babylonian code of law dating from 1754 BC, provided guidelines for disciplining females and children. It allowed a husband to execute his wife if caught cheating and drown if she overspent monies. In addition, he could sell the children or force them into slavery to repay his debts (Criminal Justice, 2020).
Domestic and sexual violence has been noted throughout history. However, in today’s world, we experience more violence, including school massacres; the killing of innocent groups, such as children, women, and lesbian, gay, bisexual, transgendered, and queer/questioning people (LGBTQI+); and terrorist attacks across the world in the name of religion. This may increase domestic and sexual violence as social norms change.
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Book Code: MIL1224
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