Human Violence Flashcards
Child maltreatment
Covers a wide range of abusive and neglectful
Family Violence
All types of crime committed by an offender who is related to the victim either biologically or legally through marriage or adoption
Different types of human violence
Family violence Child maltreatment Sibling violence Intimate partner violence Youth and School Violence Hate Crimes Human trafficking War related and Military Violence
Disclosure
many will not disclose unless you ask
Screening
screen at every visit
Entry points
Nursing homes, WIC, primary care offices and clinics, mental health services, medcial emergency services, substance abuse services
Pace of assessment
based on patient’s need
Validation
develop trust
data
negative life experiences, intimate body functions, intimate relationships
Goal of Healthy People 20/20
injury and violence prevention
Risk factors
poverty, discrimination, lack of education, lack of employment oppertunities
Key aspects of interviewing
pts physical and emotional safety, pt is not pressured, works best when environment is natural and normal, ask about personal experiences of violence
Basics of interviewing
establish rappor, start with open ended questions, patient is relaxed with eye contact, only in a safe environment
Red Flags
serious injuries, multiple previous clinic visits, failure to seek timely medical care, sexual activity under the age of 14, injuries not consistent with the story, inadequate supervision, bruises in multiple stages of healing
Mental health affects
depression, anxiety, flat sullen affect, withdrawal, impulsive anger
