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TREATING FAMILY
 VIOLENCE AS A
 HEALTH ISSUE
MAIRINA DUNN
17 JANUARY 1989 - 27 AUGUST 2006
Why is Family Violence a Health Issue?
 Abused women are five times more likely to need mental
 health services and three times more likely to need other
                     health services. (1)

     Violence against women often begins or escalates with
                         pregnancy (2)

    In 2005, 29 murders in NZ were family/whanau violence
                           related (3)

     In 2005 62,000 young people and children were present
     or involved at family violence offences attended by the
                      New Zealand Police (4)
Family Violence Defined
The New Zealand Domestic Violence Act 1995 defines Domestic Violence
as violence against a person by any other person with whom that person
is, or has been, in a domestic relationship with.

The New Zealand Domestic Violence Act 1995 defines Violence as:
(a) Physical abuse:
(b) Sexual abuse:
(c) Psychological abuse, including, but not limited to,---
         (i) Intimidation:
         (ii) Harassment:
         (iii) Damage to property:
         (iv) Threats of physical abuse, sexual abuse, or
              psychological abuse
Family Violence Defined
Family Violence has no boundaries
and does not discriminate against age,
sexuality, ethnicity...
Or gender...




In 2005/6 NZ Police apprehended 4,000 female
                offenders…
..and over 25,000 male family violence
              offenders…
Family Violence Power and
                     Control Wheel
 • Coercion by way of self-
 harm of perpetrator and                        • Ability of victim
    the physical health                        to provide accurate
                                                  information to
concerns that then arise for
        this person                                  medical
                                                   professional.
      • Inability to                              • Mental Health
   financially follow                            concerns arising
         up with                               from being subjected
    prescriptions or                             to family violence
      further visits
      • Perpetrator
  making the rules -                                • Practical effect
  Not allowing victim                                    of being
   to access medical                                demographically
       treatment –                                     or physically
  forbidding it – this                                 isolated i.e.
     view supported                                inability to access
      •  Emotional disturbances                         health care.
       • Teenagers - behavioural        • Not seeking medical
   difficulties i.e. absconding, self          attention
                 harming
What are we seeing?

    Intimate Partner Violence both male and female
     victims and perpetrators
    Male victims often injured secondary to domestic
     disputes
    Financial and caregiver abuse of Older People
    Concerns emerging with onset or progression of
     pregnancy
    Teenage victims
    Family trends
    Repeat visits
What can we do?
    Increase awareness – ours and others
    Increase understanding - of the dynamics
     of Family Violence
    Increase knowledge - of local resources
     and supports available
    Increase ability – to competently become
     involved
    Follow Policies
By asking, acknowledging and
 intervening, healthcare workers are
making a stand that it is a human right
          not to be abused.
If this presentation has raised any issues for you please
                  contact in confidence:

              • Your tutor for this programme
                 • Student Support Services
               • Family Violence Co-ordinator

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Treating Family Violence as a Health Issue

  • 1. TREATING FAMILY VIOLENCE AS A HEALTH ISSUE
  • 2. MAIRINA DUNN 17 JANUARY 1989 - 27 AUGUST 2006
  • 3. Why is Family Violence a Health Issue?  Abused women are five times more likely to need mental health services and three times more likely to need other health services. (1)   Violence against women often begins or escalates with pregnancy (2)   In 2005, 29 murders in NZ were family/whanau violence related (3)   In 2005 62,000 young people and children were present or involved at family violence offences attended by the New Zealand Police (4)
  • 4. Family Violence Defined The New Zealand Domestic Violence Act 1995 defines Domestic Violence as violence against a person by any other person with whom that person is, or has been, in a domestic relationship with. The New Zealand Domestic Violence Act 1995 defines Violence as: (a) Physical abuse: (b) Sexual abuse: (c) Psychological abuse, including, but not limited to,--- (i) Intimidation: (ii) Harassment: (iii) Damage to property: (iv) Threats of physical abuse, sexual abuse, or psychological abuse
  • 6. Family Violence has no boundaries and does not discriminate against age, sexuality, ethnicity...
  • 7. Or gender... In 2005/6 NZ Police apprehended 4,000 female offenders…
  • 8. ..and over 25,000 male family violence offenders…
  • 9. Family Violence Power and Control Wheel • Coercion by way of self- harm of perpetrator and • Ability of victim the physical health to provide accurate information to concerns that then arise for this person medical professional. • Inability to • Mental Health financially follow concerns arising up with from being subjected prescriptions or to family violence further visits • Perpetrator making the rules - • Practical effect Not allowing victim of being to access medical demographically treatment – or physically forbidding it – this isolated i.e. view supported inability to access •  Emotional disturbances health care. • Teenagers - behavioural • Not seeking medical difficulties i.e. absconding, self attention harming
  • 10. What are we seeing?   Intimate Partner Violence both male and female victims and perpetrators   Male victims often injured secondary to domestic disputes   Financial and caregiver abuse of Older People   Concerns emerging with onset or progression of pregnancy   Teenage victims   Family trends   Repeat visits
  • 11. What can we do?   Increase awareness – ours and others   Increase understanding - of the dynamics of Family Violence   Increase knowledge - of local resources and supports available   Increase ability – to competently become involved   Follow Policies
  • 12. By asking, acknowledging and intervening, healthcare workers are making a stand that it is a human right not to be abused.
  • 13. If this presentation has raised any issues for you please contact in confidence: • Your tutor for this programme • Student Support Services • Family Violence Co-ordinator