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domestic violence screening tool pdf

How often does your partner scream at you? Studies that included only brief interventions and provided information about referral options were generally ineffective. 425 0 obj <> endobj H]o0+] _TJ'1R7e* RN LmMbc?M:ia3UGxYy?WU5vw;]4U D7oxswFHNBgPFY`N&HfR95?1=*pfRO,W &9. WebDomestic Violence Safety Assessment Tool (DVSAT) For use by non-government service providers and government agencies other than NSW Police Force. The National Domestic Violence Hotline connects individuals to help in their area by using a nationwide database that includes detailed information about domestic 113 0 obj <>stream Domestic and Intimate Partner Violence: Some Do's and Don'ts for Health Providers 0 Journal of Women's Health, 24(1) Related letter: The Need for Systems of Care and a Trauma-Informed Approach to Intimate Partner Violence. The tools are sorted by measurement type, and each includes a description, list of qualifications, cost, and additional information. How often does your partner threaten you with physical harm? QIZZWk e#JUWd6DBc/R]u^xZ0sl:sX\`okPs. Vawnet is a project of: hbbd```b``dd`6(&In0Y&$-L$E@l d " 5 > <> Have you ever been in a relationship where your partner has thrown, broken, or punched things? ; and Jacquelyn Campbell, Ph.D. Background and Purpose of the Risk Assessment Study There is an increasing demand for accurate risk assessment in the field of domestic violence. endobj The National Hotline on Domestic Violence has information about local programs and resources across the country.27 The Administration for Children and Families has funded a compendium of state statutes and policies on domestic violence and health care.28. Although estimates vary, IPV (including sexual violence, physical violence, and stalking) is experienced by approximately 36% of U.S. women and 33% of U.S. men during their lifetime. B@( c`X$ ~L;v30aZx^G!Re`I <7 Some states require clinicians (including primary care providers) to report abuse to legal authorities, and most require reporting of injuries resulting from guns, knives, or other weapons.16 For elder abuse, mandatory reporting laws and regulations also vary by state; however, most states require reporting.17. Domestic abuse can happen to anyone, regardless of age, race, occupation or social class. % Does your partner ever abuse you emotionally? CASE MANAGEMENT UNIT . 69 0 obj <> endobj Copyright 2016 by the American Academy of Family Physicians. Although all women of reproductive age are at potential risk for IPV and should be screened, a variety of factors increase risk of IPV, such as exposure to violence as a child, young age, unemployment, substance abuse, marital difficulties, and economic hardships.13 However, the USPSTF did not identify any risk assessment tools that predict greater likelihood of IPV in populations with these risk factors. WebC:\ClientFiles\Herrington&Co\html\clientFiles\pcadv\toolkit\site\docs\Worcester - TDV screeing tool.doc Client Name: Case #: WORCESTER COUNTY HEALTH DEPARTMENT . IV0 H2eD@"~k&ziN=@ SZ HARK includes 4 questions that assess emotional and physical IPV in the past year. endobj /"~N$Qg6j}K\Qx6?j}bb9VazF(%7]wxF};@X}(H W$q*Q-O7_h78c_r*D`LY4`K. Go?.~Wag IzdVzr~DmF7'O7w77/n/n|~p7O_vO.wa~veawUn}y/.?|^oBpje]0m/?^\~O7tn?>x~CouD[i_>/vl\|YO{2,oYzzyk The USPSTF found inadequate evidence that screening or early detection of elder abuse or abuse of vulnerable adults reduces exposure to abuse, physical or mental harms, or mortality in older or vulnerable adults. The USPSTF has made recommendations on primary care interventions for child maltreatment; screening for depression in adolescents, adults, and pregnant women; screening for alcohol misuse; and screening for drug misuse. <> %%EOF Search dates: October 2013 and March 2015. note: This review updates a previous article on this topic by Cronholm, et al.30. Among men who experience sexual violence, physical violence, or stalking, more than 10% experience at least 1 form of an IPV-related adverse effect, such as feeling fearful, feeling concerned for safety, injury, missing days of work or school, and needing medical care.1. The Cochrane review included only two studies that examined outcomes of screening and found no improvement in health or reduction in IPV rates as late as 18 months after screening. c8"I] Prevalence estimates of elder abuse and abuse of vulnerable adults vary. An ongoing relationship with the same physician improves patient openness to discussing IPV. Create an account to save and access your bookmarked materials anytime, anywhere. 0 WebScreening and Intake Forms for Domestic Violence Emergency Shelters (PDF - 271 KB) Boyland (2016) Washington State Coalition Against Domestic Violence Offers findings 2080 Linglestown Road, Suite 106 - Harrisburg, PA 17110. Explores intimate partner violence and provides information on the Government Performance Results Act screening measure, including why screenings are done, results of screenings, consequences of intimate partner violence, and more. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> A 2008 nationwide survey of U.S. adults 60 years or older found that the prevalence of any abuse or neglect in the past year was 10%.2 A 2004 survey of Adult Protective Services (APS) agencies found 40,848 substantiated reports of vulnerable adult abuse (in those aged 18 to 59 years) in 19 states.3, In addition to the immediate effects of IPV, such as injury and death, there are other health consequences, many with long-term effects, including development of mental health conditions such as depression, posttraumatic stress disorder, anxiety disorders, substance abuse, and suicidal behavior; sexually transmitted infections; unintended pregnancy; and chronic pain and other disabilities.4,5 Violence during pregnancy is associated with preterm birth and low birth weight 6 and adverse effects on maternal and infant health, including postpartum mental health problems7 and hospitalization during infancy.8, Long-term negative health effects from elder abuse include death,9 higher risk of nursing home placement10 among those referred to APS, and adverse psychological consequences (distress, anxiety, and depression).11. Severe physical violence is experienced by 21% of U.S. women and 15% of U.S. men during their lifetime.1 Prevalence rates vary by age, race/ethnicity, and income. See the Clinical Considerations section for more information on effective ongoing support services for IPV and for information on IPV in men. 1. Is your partner violently and constantly jealous of you? WebThe Relationship Assessment Tool is a screening tool for intimate partner violence (IPV). Potential Preventable Burden: Older or Vulnerable Adults. WebThe purpose of the Family Violence Risk Assessment Project is to augment the clinical skills of the Family Relations Counselors (FRCs) with a validated risk assessment instrument that is suitable to the hectic, demanding, and time-limited conditions under which domestic violence assessments are conducted in Connecticut. Does your partner ever abuse you physically? Family medicine. \][2\if Do you ever feel frightened about what your partner says or does? Minimum screening intervals are unknown; however, based on the prevalence of More than 33% of men have experienced sexual violence, physical violence, or stalking by an intimate partner in their lifetime.1 Approximately 34% of men report any psychological aggression by an intimate partner in their lifetime. All Rights Reserved. BACKGROUND AND OBJECTIVES To date, screening tools for domestic violence have been validated only for use with female patients. hbbd``b`j H |DK@DxD(@ Hwa`bd`)"30 5w. In general, how would you describe your relationship? Do arguments ever result in you feeling down or bad about yourself? WebDomestic Violence Screening Instrument (DVSI-R) Type of outcomes predicted: Domestic violence Service population: Adults Domestic violence perpetrators Time Related editorial: Beyond Identification of Patients Experiencing Intimate Partner Violence. hb``c``c }T, b|Pqq`R Patient information: See related handout on intimate partner violence. WebHow the Affordable Care Act benefits survivors of domestic violence (PDF, 442 KB) provides information on The Affordable Care Act & Womens Health from the HHS Administration for Children and Families (ACF) Division of Family Violence Prevention and Services (December 2013). Do you ever feel afraid of your partner or someone in your life? endstream endobj 181 0 obj <>/Metadata 82 0 R/Outlines 140 0 R/Pages 178 0 R/StructTreeRoot 147 0 R/Type/Catalog>> endobj 182 0 obj <>/MediaBox[0 0 612 792]/Parent 178 0 R/Resources<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 183 0 obj <>stream Validation of the HITS domestic violence screening tool with males. There is a low risk of negative effects from screening. Being aware of a patient's experiences with IPV allows the physician to gain insight into the patient's medical and emotional problems, and should prompt the physician to show extra sensitivity with physical examinations (explaining each next step in the examination and getting the patient's approval to move forward is a way of giving the patient back a sense of control over her body). WebIn 2007, the Centers for Disease Control and Prevention released the screening tool Intimate Partner Violence and Sexual Violence Victimization Assessment Instruments In The patient should always be clothed when discussing IPV. An Online Resource Library on Gender-Based Violence. 85 0 obj <>/Filter/FlateDecode/ID[<58E01425C822BA479CA7E93B412A67E8><02B04167EE1CC942A98B1753C32018CF>]/Index[69 39]/Info 68 0 R/Length 90/Prev 287407/Root 70 0 R/Size 108/Type/XRef/W[1 3 1]>>stream While not specific to age, evidence suggests that screening for IPV is not commonly occurring in practice. Intimate partner violence (IPV) is a prevalent worldwide health problem, affecting women more commonly than men. No studies definitively identified which intervention components resulted in positive outcomes. The Health Resources and Services Administration (HRSA) Strategy to Address Intimate Partner Violence (2017 to 2020) identifies priorities for reducing IPV, including training the health care and public health workforce to address IPV.25 HRSA also developed a toolkit26 for clinicians and health centers to help implement screening and interventions for IPV. There are multiple screening tools that have shown adequate sensitivity and specificity for identifying intimate partner violence and domestic violence in specific populations of women. Some patients may not feel ready to admit that they are in an abusive situation, or may fear retribution from the abuser even with assurances of confidentiality by the clinician.2,8 However, this should not deter physicians from screening patients with one of the multiple screening tools (Table 219,20 ) that have been proven sensitive and specific for identifying IPV.15 Shorter, simpler tools are as effective as longer screening instruments.21, Research shows that patients, with and without a history of IPV, favor physicians inquiring about IPV at wellness visits. Examines intimate partner violence screening in several clinics in California to determine the frequency of screening and if more screening is needed. It describes in detail tools, investigative checklists and protocols. Effective interventions generally included ongoing support services that focused on counseling and home visits, addressed multiple risk factors (not just IPV), or included parenting support for new mothers. A safety plan helps prepare the patient to leave if the situation acutely worsens, and they are at immediate risk. Presents a list of screening or assessment tools used in evaluating domestic violence cases in Idaho. 148 0 obj <>stream WebThis should include training about: the interconnectedness of the abuse of women and children; conducting risk assessments and developing safety plans; the effects of trauma on women and children; the conditions that promote recovery from trauma; the dynamics of sexual and domestic violence perpetration; the risks and forms that post-separation A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. WebResource to answer commonly asked questions that arise when providers introduce screenings for intimate partner violence into their practice. School-based education programs dealing with dating violence have been shown to reduce unwanted sexual advances. 'xyO>+kd;Q q_~@Z~h2[*z2;E&GDZ XmC8i; 1 Dg0qe{ WV)*ZE9|GQOF{jaD*sp2R6D-r8""!.BUE>Q4+ /}W,r(0%OXC8QlU/D|=OE9`t*k\mc8io3Lrs"VwY3@S']BLzq)wAu)x>. 3 0 obj 201 0 obj <>/Filter/FlateDecode/ID[<3FF06E164987C44799EA093CE997F977>]/Index[180 41]/Info 179 0 R/Length 106/Prev 799223/Root 181 0 R/Size 221/Type/XRef/W[1 3 1]>>stream h[ko+1~ I6q iW-Md)PtsnUMwZf,Guuu83neVV~&/qL1([[>VpV6r5Um-+=-'[A;l?+&]#eK Code words should be established with trusted friends or family so that the patient can call and alert them to imminent danger in the presence of the abuser. Provides information for rural health providers on some dos and don'ts of screening for domestic violence and intimate partner violence. U.S. Department of Health & Human Services, Administration for Children and Families, Family and Youth Services Bureau (2015), Assessment of Children, Youth, and Families Affected by Domestic Violence, Child Welfare Information Gateway is a service of the, Office on Child Abuse and Neglect, Children's Bureau. The resource also discusses some differences when dealing with cases in rural areas compared with urban areas. hbbd```b`` "A$dU@$c i5X_f_ g"$#$ Z+` @ : %PDF-1.5 % K)Z_wGmv?h[;9V#Fo.X'myW|D n5^?34:]T=#6|6FXG@_A6C[WR Voice 1 800 537-2238 | Fax 717 545-9456 | Online Contact Form. hXmo6+`,z3PKvE. The USPSTF found inadequate evidence on the harms of screening or interventions for elder abuse or abuse of vulnerable adults. 220 0 obj <>stream Patients who screen positive for IPV may respond in unexpected ways. Medicine, Psychology. This section provides resources on assessing domestic violence in the family, including State and local examples. This can aid the patient if charges are pressed.2,23,26,28,29, The World Health Organization recommends legislative reform and media campaigns to increase IPV awareness. 0 All women of reproductive age are at potential risk of IPV and should be screened. %PDF-1.5 Assessing Domestic Violence in the Family. The USPSTF indicates that current screening tools for IPV are sensitive and specific, that screening and intervention decrease abuse and harm to patients, and that there is a low risk of negative effects from screening.15,16, A 2014 Cochrane review contradicts the USPSTF and found insufficient evidence that routine screening improves outcomes. The USPSTF recommends that clinicians screen for intimate partner violence (IPV) in women of reproductive age and provide or refer women who screen positive to ongoing support services (Table 1). See permissionsforcopyrightquestions and/or permission requests. %%EOF Domestic Violence Inventory (DVI) The DVI is designed specifically for domestic violence offender assessment (male and female). WebThis document offers a listing of screening/assessment tools utilized in the evaluation of lethality risk in the context of in intimate partner relationships. This content is owned by the AAFP. Published 1 March 2005. endstream endobj startxref 4 0 obj 4 . An estimated 1.3 million women are victims of physical assault by an intimate partner each year. It is critical for the physician to document any injuries thoroughly and provide a detailed record of what happened, including direct quotes from the patient when appropriate. Provide resources (, Give information about local shelters in a way that it is safe for the patient to take with her (e.g., printed on a wallet card, entered into the patient's phone under a code name), Posters, brochures, and safety planning cards, National Coalition Against Domestic Violence, Help with safety planning and crisis interventions. ~|!]q4s2Otas5;3sgywp:Qt#[jea$7sqp=FL0mbL ' { |!jTT&CSg>xD{LWx@I::uFzXOQaAk8 64VOQaA%v=(;;2hvj404 "wrJO #" PBs'03Aq'ml}pMIix!D! Even when IPV is recognized, it remains an underaddressed issue. Do arguments ever result in hitting, kicking, or pushing? Washington State Coalition Against Domestic Violence Concern for children and the hope that a partner will change are also common reasons for staying in an abusive relationship.25 Regardless, it is important for physicians to be supportive and provide or refer for intervention services.15,18,26 Risk of immediate harm should be assessed at the time of IPV identification and at all subsequent visits.2,17,23. Associated Links Domestic WebScreening for Interpersonal and Domestic Violence Clinical Recommendations The Womens Preventive Services Initiative recommends screening adolescents and women endstream endobj 77 0 obj <>/Metadata 2 0 R/Pages 74 0 R/StructTreeRoot 6 0 R/Type/Catalog/ViewerPreferences 94 0 R>> endobj 78 0 obj <>/MediaBox[0 0 612 792]/Parent 74 0 R/Resources<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 79 0 obj <>stream 76 0 obj <> endobj c+(c$@ Uy How often does your partner insult or talk down to you? Randomized clinical trials of screening and interventions for IPV often screen for current IPV or IPV in the past year. ;Gilmore, Debra. Even then, they do not use behavioral assessment tools in the interviews with the parties. endstream endobj startxref hWmo6+Ud^ d As![{GQ2i'x=N5a$5DpCh)Hj p*bJ>*5$JkO=%&`o`#B(8 wL51 AEA,! Xi",-. 2080 Linglestown Road, Suite 106 - Harrisburg, PA 17110 1 0 obj National Resource Center on Domestic Violence. The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for abuse and neglect in all older or vulnerable adults. %PDF-1.7 % 442 0 obj <>/Filter/FlateDecode/ID[<4E40842C48BFC742A4248438341644B0><5CB5C5492A11F3429DBC91F3E200BA12>]/Index[425 59]/Info 424 0 R/Length 88/Prev 79414/Root 426 0 R/Size 484/Type/XRef/W[1 2 1]>>stream WebC:\ClientFiles\Herrington&Co\html\clientFiles\pcadv\toolkit\site\docs\Worcester - TDV screeing tool.doc Client Name: Case #: WORCESTER COUNTY HEALTH WebAll of the screening tools evaluated by the USPSTF are directed at patients and can be self-administered or used in a clinician interview format. IPV is largely underrecognized and underaddressed as a health issue. The most important aspect of these discussions is for the physician to demonstrate compassion and avoid condescending or judgmental behavior. However, based on the evidence from 3 studies,1820 effective interventions generally included ongoing support services that focused on counseling and home visits, addressed multiple risk factors (not just IPV), or included parenting support for new mothers. [Dr ZEI i3t7,w~WD*ZxSh0re*vK=ww6m~fP"I@Zx7.3]O5?S?xU%gm5Nis7&?`d`2[VTB9qUSjeF_en{Q0%":3OJA8 l( y0Xc*mkL&Q ts#A(flwejlbAwaAR4# 4F(t"Jl,XfA W?m:du@C_fuQXIE|H'm#OU?BJ,MV? kp2`3BGRzBGH+g4;CTZPdU'fA1% L0 m-r 6:[!E}\r|_aa)`E z05C_!*{1YF?t23K(!^z`fVx#vT6#.fGbwq#ZQnIn~a6{JEU2m(c\4Uy&iOk'P3ct%1s XLSkXz5#-=zFYP70_iV upp ~\mJ__n{MXij^pbf.u:TLy@ 'd:_]}fEk[w?5{Hyh4DX#VU|!@s(Csvz+'2K ^ The bill became effective January 1, 2019. Most studies included only women who could be separated from their partners during screening, during the intervention, or both so that screening and the intervention could be delivered in private. WebIntimate Partner Violence and Sexual Violence Victimization Assessment Instruments for Use in Healthcare Settings [PDF] is a compilation of existing tools for assessing intimate [] In Phase II, After analyzing more than 63,000 individual domestic violence case files and engaging over 500 Vermonters whose work intersects with domestic violence, project partners identified four key themes impacting domestic violence responses in Vermont: education and training, collaboration, data collection, and programming. 180 0 obj <> endobj %PDF-1.6 % Review of current research, however, shows that even simple interventions, such as providing a wallet card that includes information on IPV, safety planning, or local domestic violence shelters, can improve outcomes.17, Major medical bodies, including the American Academy of Family Physicians, the American Medical Association, and the American College of Obstetricians and Gynecologists, recommend routine screening for IPV and caution that waiting for more definitive research before addressing IPV puts women at risk.18, Screening tools are limited by the patient's readiness to disclose the abuse. UNIVERSAL ABUSE AND DOMESTIC VIOLENCE SCREENING TOOL . 93 0 obj <>/Filter/FlateDecode/ID[<27E0379C3218714B94241605B509A288><8A63C418DDC75942BFB7929EAE3B3977>]/Index[76 38]/Info 75 0 R/Length 89/Prev 99576/Root 77 0 R/Size 114/Type/XRef/W[1 3 1]>>stream Domestic Violence Assessment Tools Information about safety planning should be offered to the patient. Webdomestic violence and only address the issue if parents alleged domestic violence. NRCDV is expanding its team of Change Makers! This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. The U.S. Preventive Services Task Force recommends screening all female patients of childbearing age for IPV. Do you and your partner work out arguments with no difficulty, some difficulty, or great difficulty? endstream endobj 1034 0 obj <>/Metadata 49 0 R/Pages 1028 0 R/StructTreeRoot 59 0 R/Type/Catalog>> endobj 1035 0 obj <>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 1036 0 obj <>stream axL=:7tN}hH#4 Domestic Violence Evaluation Screening/Assessment Tools (PDF - 140 KB) Offers findings and recommendations following the assessment of the screening and intake processes of 13 domestic violence shelters and two community-based domestic violence programs in Washington. Some potential harms of screening in older or vulnerable adults, women not of reproductive age, and men are shame, guilt, self-blame, retaliation or abandonment by perpetrators, partner violence, and the repercussions of false-positive results (e.g., labeling and stigma). The following instruments accurately detect IPV in the past year among adult women: Humiliation, Afraid, Rape, Kick (HARK); Hurt, Insult, Threaten, Scream (HITS); ExtendedHurt, Insult, Threaten, Scream (E-HITS); Partner Violence Screen (PVS); and Woman Abuse Screening Tool (WAST). Limited evidence suggests that screening is not commonly occurring in practice; 1 study found that more than 60% of clinicians have never asked their older adult patients about abuse.23, Women. 133 0 obj <>/Filter/FlateDecode/ID[<8A33A32616D34F4D8E592CB354C016A7>]/Index[117 32]/Info 116 0 R/Length 82/Prev 19198/Root 118 0 R/Size 149/Type/XRef/W[1 2 1]>>stream Women who screen positive for IPV should receive intervention services. A list of local and national resources should be provided to the patient, including local shelters and the National Domestic Violence hotline number (800-799-SAFE). Copyright 2023 American Academy of Family Physicians. hXr6KJt2K8r6i( PBRYP%Y! However, the USPSTF found inadequate direct evidence that screening for IPV can reduce violence, abuse, and physical or mental harms. The studies reviewed for IPV included adolescents to women in their 40s. The assessment of the risk of immediate harm should include the following questions (if patients answer yes to at least three of these questions, they are at high risk of harm or injury, with a sensitivity of 83% and a specificity of 56%)27: Has the physical violence increased over the past six months? Simply asking patients what happened or if they feel safe and valued in their relationship can be the best way to open the dialogue.2,23 Table 3 includes tips for discussing IPV with female patients.24. Temple (2018) Copyright 2021. endstream endobj startxref y'pU~Ukj H8%~bEhUE1WB0duPF%f7z,F7ot9Fd\ju}pB5emA$p]c%5Wv {]cT/Ca]R\EN_moe\sZY*0!rUSa The USPSTF found inadequate evidence to determine the harms of screening or interventions for IPV. a lot of tension some tension no tension Do you and your partner work out arguments with: great difficulty some difficulty no difficulty Do arguments ever result in you feeling down or bad about yourself? This content is owned by the AAFP. Other recommendations focus on tracking the use of a Lethality Assessment Protocol and risk and needs assessments. endstream endobj 70 0 obj <> endobj 71 0 obj <>/MediaBox[0 0 612 792]/Parent 67 0 R/Resources<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/Tabs/S/Type/Page>> endobj 72 0 obj <>stream %PDF-1.6 % Thorough documentation of injuries sustained from abuse is critical. Integrating Intimate Partner Violence Assessment and Intervention Into Healthcare in the United States: A Systems Approach (PDF - 381 KB) Patients who are being abused exhibit chronic physical and emotional symptoms in addition to injuries sustained as a result of physical and sexual violence. hb```".A1eaBnoY.\fd0l`T`r>nx32 1033 0 obj <> endobj This document offers a listing of screening/assessment tools utilized in the evaluation of lethality risk in the context of in intimate partner relationships. The World Health Organization has released guidelines to help physicians respond to IPV in women.1, Because IPV is underreported, estimating true prevalence is difficult. Screening and Intake Forms for Domestic Violence Emergency Shelters (PDF - 271 KB) ;Newman, Jeannie. See the Clinical Considerations section for suggestions for practice regarding the I statement. Identifying Opportunities to Improve Intimate Partner Violence Screening in a Primary Care System(PDF - 186 KB) POST Bulletin 2019-10, Changes to the Domestic Violence Update Courses on the Learning Portal. IPV is underreported and underrecognized by health care professionals. (:|xXN WebAssessing the alleged perpetrator not only works toward holding the perpetrator accountable for the abuse but also guides decisions about involvement and interaction with the This recommendation applies to women of reproductive age and older or vulnerable adults without recognized signs and symptoms of abuse. U.S. Department of Health & Human Services, Philosophy and Key Elements of Family-Centered Practice, Family-Centered Practice Across the Service Continuum, Creating a Family-Centered Agency Culture, Risk Factors That Contribute to Child Abuse and Neglect, People Who Engage in Child Abuse or Neglect, Overview: Preventing Child Abuse & Neglect, Child Abuse and Neglect Prevention Programs, Public Awareness & Creating Supportive Communities, Developing & Sustaining Prevention Programs, Evidence-Based Practice for Child Abuse Prevention, Introduction to Responding to Child Abuse & Neglect, Differential Response in Child Protective Services, Responding to Child Maltreatment Near Fatalities and Fatalities, Trauma-Informed Practice in Child Welfare, Collaborative Responses to Child Abuse & Neglect, Supporting Families With Mental Health and Substance Use Disorders, Introduction to Family Support and Preservation, In-Home Services Involved With Child Protection, Resources for Managers of Family Support and Preservation Services, Transition to Adulthood and Independent Living, Overview: Achieving & Maintaining Permanency, Recruiting and Retaining Resource Families, Permanency for Specific Youth Populations, Working With Children, Youth, and Families in Permanency Planning, Working With Children, Youth, and Families After Permanency, Resources for Administrators and Managers About Permanency, Children's Bureau Adoption Call to Action, Adoption and Guardianship Assistance by State, For Adoption Program Managers & Administrators, For Expectant Parents Considering Adoption and Birth Parents, Administering & Managing Child Welfare Agencies & Programs, Evaluating Program and Practice Effectiveness, ndice de Ttulos en Espaol (Spanish Title Index), National Foster Care & Adoption Directory, Child Welfare Information Gateway Podcast Series.

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