Violence - Exam 2 Flashcards
(46 cards)
What are the top 3 forms of human trafficking mentioned in lecture?
sex, labor and organ
Labor thought to be more common, but less reported
Where do you tend to see higher number of human trafficking? What city has the most?
Especially prevalent in large, multicultural cities
Washington DC
Who falls victim to trafficking?
People with little or no “safety net” are especially vulnerable to human trafficking!
economic hardship, violence at home, unhoused people, natural disasters, political instability, undocumented immigrants
What are warning signs of human trafficking?
social disconnect
sudden or dramatic change in behavior
signs of being denied basic necessities
lack of personal possessions
Accompanied by a controlling individual
“Coached” history
What should you do if you suspect human trafficking?
contact federal law enforcement!
provide pt with reporting information
build rapport with pt
DOCUMENT!!
Roughly ____ of domestic violence (DV) victims are female. What is key phrase in domestic violence?
85%
“Significant and sustained harm”
_____ of all violent crime experienced by women is DV or intimate partner violence (IPV). About ____ female murder victims are murdered by husbands, boyfriends or ex-partner
20%
1 in 3
DV/IPV is more common in _____ populations. Victimization often occurs for the first time before the ____
LGBTQIA+
age of 25
What is the average length of domestic or IP victimization before presentation to health care providers or police?
4 years
Estimated at least ____ American women and _____ American men will be physically assaulted by a partner or ex-partner during their lifetime
1 in 4
1 in 10
_____ threatening, controlling, or harmful behavior imposed on a victim in a domestic or household setting without regards for the victim’s rights, feelings, body or health
domestic violence
_____ repeated pattern of harmful, threatening or controlling behavior as above
Abuse
What are the risk factors for DV/IPV?
race: black and indigenous
pregnancy
16-24 years old
substance abuse
prior exposure to violence
_____ is the leading cause of death among pregnant women
homicide
What are s/s of DV/IPV?
chronic pelvic pain
sexual dysfunction
chronic/recurrent vaginitis
Anxiety or tearfulness before or during pelvic or breast examination
persistent multiple body complaints
What are the 4 stages of the cycle of abuse?
What is the single most important thing a provider can do for a battered woman?
ASK about violence
When should pregnant pts be screened for s/s of DV/IPV?
at first prenatal visit
at least once per trimester
at postpartum check-up
When are DV/IPV disclosure rates higher?
Patients are asked face-to-face rather than through a questionnaire
Behaviorally specific descriptions rather than terms like “abuse”, “domestic violence” or “rape” are used
need to ask pt when they are NOT in the presence of their partner
What are 3 specific DV/IPV screening tools?
Hurt, Insult, Threaten, and Scream (HITS)
Woman Abuse Screening Tool (WAST)
Partner Violence Screen (PVS)
Who are mandatory reporters in the state of WV? How long do you have? What must you document?
“any medical, dental, or mental health professional”
Must report no more than 24 hours after suspecting abuse or neglect
Must document evidence leading to suspicion of violence
Survivors of DV/IPV have a high rate of _______. What should you do?
psychiatric symptomatology
Referral for psychiatric screening and counseling
Psychotherapy
Psychiatric medication
Detoxification and substance abuse treatment
Patient advocacy groups
What should you do if your pt won’t leave the abusive situation?
–Do not place blame or accuse patient
–Document thoroughly
–Support patient
–Follow-up with patient
______ any sexual act performed by one person on another without the person’s consent
sexual assault
