Title: A domestic and sexual violence training for substance abuse preventionists and mental health providers
1- A domestic and sexual violence training for
substance abuse preventionists and mental health
providers
2Purpose Overview
- Increase safety for victims of domestic and
sexual violence - Identify Power Control as a root cause of
domestic and sexual violence - Be aware of the barriers victims face when
seeking a way out, and how substance abuse makes
it harder - Understand the impact of violence on children
whether as victims or witnesses - Become a resource for adult victims to access
services if they choose - Review mandatory reporting, and how it applies to
children, elderly and mentally disabled adults - How to interview, ask questions, and respond
3Definitions
DOMESTIC VIOLENCE A pattern of coercive behavior
used to establish power and control over another
person through the use of threats or actual use
of physical, sexual, verbal, or psychological
violence. including intimate partners,
ex-partners, family members, elders, and children
4Definitions
SEXUAL VIOLENCE Sexual violence is a violent act
involving genitalia that is against another
persons will, by force, or without the consent
of one of the people involved. Sexual violence is
legally defined as oral, anal, or genital contact
by the genitals of another person. A hand, an
object, or the mouth are considered substitutes
for genitalia.
5Definitions
DATING VIOLENCE Dating violence is not only
physical. Any time one person uses power to
control another, there is potential for violence.
Dating violence can take all of the following
forms
6Definitions
STALKING Stalking can be a part of
domestic/sexual/dating violence and involves one
persons obsessive behavior toward another
person. Stalkers are Obsessed Cant let
go Many deaths are associated with stalking
behavior.
7The Dynamics of Interpersonal Violence
8Myths Stereotypes
Stress, alcohol and drug abuse cause domestic
violence.
9Myths Stereotypes
People abuse because they have anger management
problems or are provoked by the victim.
10Myths Stereotypes
The primary motive for rape is sexual
11Degrees Types of Interpersonal Violence
- Battering
- Ongoing pattern of power control tactics
- Characterized by belief in natural superiority
hierarchy, lack of consequences social
conditioning - Women are the vast majority of victims
- Generalized fear
- Resistive Reactive Violence
- Based in victim resistance retaliation
- Goals are to escape and/or stop violence
establish a semblance of parity in relationship - Situational Violence
- An expression of anger or disapproval - not based
in a pattern of power control - Victim Perpetrator may often shift
- No generalized fear
12Degrees Types of Interpersonal Violence cont.
- Pathological Violence
- Root of violence are physical conditions related
to mental illness, altered mental states, or
substance abuse - When cause is removed, behavior ceases. In
Battering, substance abuse may escalate violence,
but violence persists even when sober. - Not typically directed at a single individual or
gender - Over-used defense
- Anti-Social Violence
- Abusive in a number of social settings bars,
work, home, sports field, etc. - Little understanding of the consequences of
behavior and no feeling of shame or remorse - Batterers may also be anti-social, but are
singularly resistant to change
13Power and Control Wheel
14How Severe Can It Be?
- Research by Kristin Carmichael, Shelter Manager
at Esperanza Shelter - 5 random women in shelter
- Asked how often abuse occurred in the previous
year, using the Power Control Wheel - Over 50,000 incidents of abuse identified by 5
women
15(No Transcript)
16At Risk Populations
- Adult Women
- Children (both boys and girls)
- Infants
- Elderly
- Mental Illness
- Developmental /Physical Disability
17Barriers to Safety
18Myths Stereotypes
Victims of domestic violence stay in the
relationship because they enjoy the abuse, or are
weak or mentally unstable.
19Sexual Violence
Using the Children
Attempts to Reconcile
Stalking
Intimidation
Economic Control
Emotional Abuse
Minimizing, Denying, Blaming
Threats Coersion
Physical Violence
Isolation
20The Impact of Violence on Children Child
Witnesses
21Diagnoses in Adolescents Exposed to Chronic Trauma
- Disruptive Behavior Disorder (ADHD, ODD, CD)
- Major Depressive Disorder
- Separation Anxiety Disorder
- Learning Disabilities
- PTSD
22In English!
- High Emotions
- Easily set off
- Difficulty Calming Down
- Self-Destructive Behavior (risk-taking, sexual
involvement, suicidal preoccupation) - Amnesia, Dissociation, Depersonalization
- Feel ineffective damaged
- Guilt, responsibility, shame
- Learning difficulty
- Difficulty trusting others/difficulty lasting
relationships - Re-victimization
- Victimizing others
- Chronic pain
- Digestive problems
- Foreshortened future (education, work, love)
- Problem sustaining beliefs
- -David Pelcovitz, PhD
23Adult Results of Childhood Trauma
- Alcoholism and alcohol abuse
- Chronic obstructive pulmonary disease
- Depression
- Fetal death
- Health-related quality of life
- Illicit drug use
- Ischemic heart disease
- Liver disease
- Risk for intimate partner violence
- Multiple sexual partners
- Sexually transmitted diseases
- Suicide attempts
- Unintended pregnancies
- ACE Study
24Child Traumatic Stress Screening Questions
- Child
- Have you been really scared or thought you or
someone you love might die? - Does a sudden noise really make you jump?
- Do you feel sick or very upset when reminded of
what happened? - Do you have people who care about you and pay
attention to you?
25Becoming a Resource and Providing Safety
26If someone asks for help
- If they are an able adult
- Stay calm
- Believe what they tell you is true
- Find a private area, if possible
- Ask how you can help them
- Ask if they are safe
- Ask if you can call someone for them (if the
person is a minor you must call someone) - Offer a pamphlet from Esperanza or SFRCTTC and
go over available resources
27DO NOT
Do not call anyone unless the person asks you
to A good response is Other people have been
injured or killed from this. Im concerned for
your safety.
This rule does not apply to minors, people with
developmental disabilities or elders
28Top Lethality Indicators
- Has your partner or aggressor ever used a
weapon against you or threatened you with a
weapon - Has he or she ever threatened to kill you or your
children? - Do you think he/she might try to kill you?
29Additional Risk Indicators
- Possession/access to weapons
- Incident of choking/strangulation
- Violently or constantly jealous/controlling
- Recently separated
- Aggressor unemployed
- Aggressor attempted suicide
- Spying/following (stalking)
- Threatening messages
- Use of alcohol or other drugs
30How do you ask questions?
- The more specific questions the better. Often,
people who experience violence will answer in the
negative if asked are you or have you ever been
a victim of domestic violence? - Open-ended questions to children, teens, or
adults fosters denial
31How do you ask questions?
- Have you ever been hit, kicked, punched,
threatened or otherwise hurt by someone within
the past year and if so, by whom? - In the past year, have you been afraid of a
partner? - In the past year, have you thought of getting a
court order for protection? - Is there a partner from a previous relationship
making you feel unsafe now? - (Recommended by MedScape)
32REMEMBER
- Offering resources and providing a temporary safe
place is of primary importance - Do not make promises to the victim that you might
not be able to keep or that are out of your
control. - Do not project emotions onto the person
- Do not pressure the person to talk.
- Do not pry! The person needs to have control.
33Making Referrals
- Things to consider
- Does this person WANT the name of a resource?
- Is this persons safety at risk?
- Is this person a minor or disabled or impaired
adult? - To whom do you refer?
34Mandatory Reporting
- New Mexico mandates "any person" who has
reasonable suspicion of child abuse must report
it. - You are also mandated to report abuse against
people with disabilities and elders to adult
protective services and law enforcement.
35Mandatory Reporting for Adults
- If a person 18 or over is experiencing domestic
violence, sexual violence or stalking it is up to
that person to file a police report or not.
Self-determination is essential, especially in
times of crisis. - Exception if there is imminent threat of
homicide or suicide including a plan of action,
report the crime and inform the person that you
must do so for everyones safety.
36To Whom do you Refer?
Sexual ViolenceSanta Fe Rape Crisis Trauma
Treatment Center 24-hour Hotline986-9111 or
800-721-7273 Domestic ViolenceEsperanza Shelter
for Battered Families473-5200 or
800-473-5220 Law Enforcement Santa Fe Police
Department428-3710 Santa Fe County Sheriff
428-3720 New Mexico State Police
827-9300 Immediate Danger or Emergency 911
37To Whom do you Refer?
Child Abuse Reporting Children, Youth and
Families Central Intake 800-797-3260 Bureau of
Indian Affairs National Child Abuse
Hotline 800-663-5155 Homeless Youth Youth
Shelters 877-983-0586 Elder Abuse and Abuse of
Adults with Disabilities Adult Protective
Services 866-654-3219
38Additional Volunteer Training Opportunities
- If you want to know more about these topics,
there are many ways you can be more involved and
more educated about stopping violence in our
community. - CALL
- Santa Fe Rape Crisis Trauma Treatment Center
988-1951 - Esperanza Shelter for Battered Families, Inc.
- 474-5536