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Linking Domestic Violence and Traumatic Brain Injury

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On average women experienced five brain injuries in the prior year. ... 75% sustained at least 1 partner-related brain injury and ... – PowerPoint PPT presentation

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Title: Linking Domestic Violence and Traumatic Brain Injury


1
Linking Domestic Violenceand Traumatic Brain
Injury
Alabama Department of Rehabilitation Services
  • Supported by Grant CFDA93.234 TBI Post
    Demonstration Maternal and Child Health Bureau
  • United States Department of Health Human
    Services

2
Learning Objectives
  • Become aware of the high incidence of traumatic
    brain injury in victims of domestic violence by a
    review of the research on the subject.
  • Be able to recognize typical descriptions of
    women who have experienced a brain injury.
  • Increase your awareness of how repeated brain
    injury leads to greater dysfunction over time.

3
Session agenda
  • Review literature linking Domestic Violence (DV)
    with a high incidence of Traumatic brain injury
    (TBI)

4
Domestic Violence is defined as
  • A deliberate pattern of
  • abusive tactics used by one partner in an
    intimate relationship
  • to obtain and maintain
  • power and control over the other.
  • (Alabama Coalition Against Domestic Violence)

5
The Challenge
  • U.S. Surgeon General (1995) declared partner
    abuse as the greatest cause of major injury to
    women seeking medical attention.
  • the most frequent cause of injury to women
    seeking medical attention and the primary reason
    women ages 15-44, seek emergency room services.
    (American Medical Association 1992, Boss 1994)

6
Each Year
  • 1.5 million women experience domestic violence
  • (National Violence Against Domestic Violence
    Annual Report).
  • Incidence rates range from 8.4 to 22.
  • (Plichta Weisman and Meridith, Abbott Adams)

7
Domestic Violence
  • Only 1 of abused women are appropriately
    identified by the health care system.
  • (Boss 1994)

8
Domestic Violence
  • Greater than 90 of all injuries secondary to
    domestic violence occur to the head, neck or face
    region.
  • (Monahan OLeary 1999)

9
Brain Injury a contributing factor to Ongoing
Victim Abuse
  • In 53 women living in a DV shelter - On average
    women experienced five brain injuries in the
    prior year.
  • - Almost 30 reporting 10 brain injuries the
    previous year.
  • (Jackson Phillips 1998)

10
In women reporting to ERs for injuries associated
with DV
  • 30 of battered women reported a LOC at least
    once.
  • 67 reported residual problems that were
    potentially head-injury related.
  • (Corrigan 2003)

11
Domestic violence...
  • Of 99 battered women
  • 75 sustained at least 1 partner-related brain
    injury and
  • 50 sustained multiple partner-related brain
    injuries
  • (Valera, 2003)

12
Of the abused women with prior brain injuries,
  • 81 reported cognitive, emotional, and physical
    complaints identical to individuals who have
    experienced a brain injury.
  • (Ross 2002)

13
Typical Descriptions
  • Unmotivated
  • Unfocused
  • Poorly organized
  • Unable to plan ahead
  • Unable to follow a train of thought
  • Forgetful
  • Koss 1997, Walker 1991, Warshaw 1993

14
Repeated Brain Injury
  • Typical of ongoing domestic violence.
  • Leads to increased cognitive, physical, and
    emotional dysfunction over time.
  • (Hibbard 2002)

15
combinedDomestic Violence and Brain Injury
increase the womans risk of continued harm,
repeated brain injuries and program intervention
failure
16
In conclusion, research suggests that victims of
domestic violence are at increased risk of a
co-occurring TBI
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