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Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence (2002)

Chapter: Appendix E Existing Curricula on Family Violence

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Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 235
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 236
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 237
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 238
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 239
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 240
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 241
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 242
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 243
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 244
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 245
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 246
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 247
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 248
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 249
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 250
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 251
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 252
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 253
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 254
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 255
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 256
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 257
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 258
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 259
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 260
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 261
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 262
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 263
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 264
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 265
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 266
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 267
Suggested Citation:"Appendix E Existing Curricula on Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
×
Page 268

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Appendix E Existing Curricula on Family Violence 233

Child Abuse and Neglect 234 Sponsoring Institution/ Developer Title/Release Date Audience Training Approach Description Focus on Child Abuse Medical Medium: slide format; Resident can diagnose possible child abuse residents self-assessment slides cases; fact sheets cover shaken baby syndrome, Method: educational managing stress, punishment versus discipline brochures; fact sheets on a range of topics; articles; guide to current trends in child abuse and neglect; elective Curriculum for Pediatric Medical Learn the basics of child abuse, child neglect, and Resident Education in residents abuse identification and management; identify and Child Abuse and Neglect communicate with families at risk for abuse or neglect and provide appropriate intervention; attend lectures about physical abuse and sexual abuse; learn about forensic evaluations of child sexual abuse; evaluate children referred for PST consultation; conduct at least one psychosocial interview under supervision; review radiographic studies; evaluate children who may have been sexually abused Alaska Family Training Materials on Emergency Core curriculum Curriculum covers both domestic violence and child Violence Prevention Domestic Violence; medicine (modules) with abuse: physical abuse ranking scale; examples of Project (AFVPP) developed 1999 practitioners, talking points emotional abuse, sexual abuse; severity and psychologists, for each slide frequency; prejudice and misunderstanding; clinical pediatricians, Section 1: Core indicators; common diagnoses; nature and home visitors Curriculum on circumstance of injuries; related medical findings;

Domestic Violence mental health/psychological symptoms; relationship Section 2: Relationship between domestic violence and child abuse; Between Domestic escalation of the violence; severe and fatal cases of Violence and Child child abuse; childhood history of abuse; child Abuse Curriculum witnesses; screening for domestic violence and child abuse; goals when intervening in domestic violence and child abuse; child abuse reporting American Academy of Visual Diagnosis of AAP members, Medium: binder with Normal anatomy and variants; nonabusive pathology Pediatrics (AAP) Child Sexual Abuse; medical 166 slides; 33-page and trauma; examples in male and female children developed 1998 professionals study guide Method: elective education program American Academy of The Visual Diagnosis of AAP members, Medium: binder with Medical evidence of physical abuse: inflicted burns, Pediatrics (AAP) Child Physical Abuse; medical 150 slides; 33-page bruises, abrasions, fractures; radiological diagnosis developed 1994 professionals study guide of head trauma; ocular findings Method: elective education program American Academy of Focus on Child Abuse: Medical Medium: CD-ROM 200 color slides on CD-ROM; visual diagnosis of Pediatrics (AAP) Resources for Prevention, professionals featuring 200 color slides child physical abuse; visual self-assessment; parent Recognition, and Method: presentation and patient education/information; results of 50-state Treatment, 2nd edition child abuse survey; AAP policies, manual excerpts; full-text articles from Pediatrics; AAP speaker’s kit with slides, lecture notes, and handouts continued on next page 235

Child Abuse and Neglect 236 Sponsoring Institution/ Developer Title/Release Date Audience Training Approach Description American Psychological A Guide for Including Graduate Medium: three-part guide Integrating child abuse and neglect into current Association, Child Information on Child students of with resources (graduate course work; definitional issues; prevalence and Abuse and Neglect Abuse and Neglect in psychology course on child abuse consequences of child abuse and neglect; theories Working Group and Professional Education and neglect) about the development of abusive and neglectful Section on Child and Training; Method: specialized behaviors; recognition and referral of abused and Maltreatment of the A Guide for Including training for clinical, neglected children and adults: child protection Division of Child, Information on Child counseling, and school system, medical intervention, legal involvement, Youth, and Abuse and Neglect in the psychologists (basic mental health interventions; prevention of child abuse Family Services Undergraduate Curriculum; materials on child abuse and neglect; ethical issues; research methods; developed 1996 and neglect) involvement with other professionals; assessment of child abuse and neglect victims and their families; interventions with abused and neglected children and families—issues for the psychologist; interventions with perpetrators of abuse and neglect Boston Children’s Health Care Services for Health care Medium: 60-page manual; Relationships between child abuse and woman abuse Hospital, AWAKE Battered Women and providers elective (also covers domestic violence); specific, practical program (Advocacy for Their Abused Children information for a health system response Women and Kids in Emergencies) Brown University Fellowship Program in School of Medicine, Child Abuse and Neglect Department of Pediatrics and Hasbro Children’s Hospital, Providence, RI

Center for Child Gynecology and Gynecology Medium: clinical Manner in which sexual abuse medical evaluation can Protection, Children’s Obstetrics Preceptorship and obstetrics training program be effectively and atraumatically performed; team Hospital and Health Clinical Method: lecture; meetings for case review; 3-5 examples of cross- Center, San Diego, CA Training Program vignettes; clinic discipline cooperation; roles of law enforcement, child protective services, clinical forensic examiner/ interviewer as they relate to investigation; anticipatory problems indicating need for referral for abuse counseling; filling out OCJP 925 medical reports; interpretation of examination findings; documentation; interpretation of photographs; literature review Center for Child Family Violence Rotation Medium: student rotation Observe child protective services hotline for 1 hour as Protection, Children’s Method: observation; well as forensic videos, dv tro clinic, Oprah tape on Hospital and Health educational videotapes; incest dynamics and conference tape; article on child Center, San Diego, CA clinic; meetings; sexual abuse accommodation syndrome; observe/ research project perform exams on children suspected of having been abused; participate in the failure-to-thrive clinic; standardized paper cases to demonstrate differences between medical and forensic history; law review; reporting forms; attendance at a navy family advocacy meeting; meeting with therapists; expert witness testimony Center on Child Abuse Interdisciplinary Training Graduate-level Method: weekly seminars; Role of child protective services; interviewing and Neglect, University Program in Child Abuse students in law, two field practica; children for suspected sexual abuse; substance abuse of Oklahoma Health and Neglect psychology, course projects; and child abuse and neglect; issues of child Sciences Center social work, participation in a maltreatment in indian country; foster care; treatment nursing, mock trial of offenders and victims; mock trial; overview dentistry, public of prevention health, education, and related disciplines 237 continued on next page

Child Abuse and Neglect 238 Sponsoring Institution/ Developer Title/Release Date Audience Training Approach Description Child Abuse and Identifying Child Abuse: AAP members Medium: 3-hour lecture Interactive case-based sessions with ARS; review Neglect, American Can You Meet followed by “Award for common pitfalls in recognizing abuse; provide Academy of Pediatrics the Challenge? Outstanding Service to approaches for improving diagnostic acumen; and (AAP) 2000 Annual Maltreated Children”; highlight disease mimickers of physical and sexual Meeting elective abuse Children’s Hospital of The Child Abuse and Board-eligible 2 years Court testimony; clinical care of children; education Philadelphia Neglect Fellowship or board- of medical personnel; multidisciplinary approach to certified caring for abused children; CARE clinic: work with pediatricians social work coordinator of the clinic and attending physician to provide medical evaluations to children who are victims of physical and sexual abuse; in-patient evaluations: fellow provides consultation to the pediatric and surgery teams in the hospital when children are admitted as a result of abuse or neglect; research: develop research skills and learn proper research techniques under the guidance of pediatricians and epidemiologists with expertise in the medical research design; multidisciplinary work with the Child Advocacy Center, Philadelphia Child Fatality Review Team, Law Enforcement Child Abuse Project of Philadelphia, Medical Legal Advisory Board on Child Abuse Children’s Memorial Child Abuse Rotation PL-3 residents Medium: 2-week Hospital consults (mostly physical abuse and some Hospital, Chicago Curriculum rotation; required neglect); outpatient sexual abuse clinic; death review Method: clinic; meetings; juvenile court; home visits with consultations; review Department of Children and Famly Services meetings; home visits

Division of Emergency Fellowship in Child Pediatricians; Medium: 1-year Training in the clinical areas of physical child abuse, Medicine, Mayerson Forensics and Abuse; completion of fellowship sexual child abuse, medical neglect, Munchausen Center for Safe and developed 1998 pediatric Method: training; syndrome by proxy; administrative skills needed to Healthy Children, residency administrative; research direct a child abuse program; research skills required Children’s Hospital of medical investigators Medical Center, University of Cincinnati Duke Medical Center Pediatric residency Second-year Medium: 1-month-long Residents are with the physicians every day of the rotation residents required course (however, week but do not participate in child abuse coverage 1 week of vacation time on evenings or weekends comes out of this month, and not every resident is able to rotate through the child abuse program/clinic because of limited space) Method: shadowing; clinic Governor’s Office, Governor’s Proposal to Physicians and Medium: curriculum How to identify child abuse and neglect and State of Pennsylvania Help Medical other medical provided by 27 physicians families at risk of child abuse and neglect; Professionals Identify and professionals and 32 county children curriculum focuses on providing information on child Prevent Child Abuse and and youth agencies in protective services law and mandatory reporting Neglect; released the state provisions; hypothetical examples in which April 1999 Method: lecture physicians and medical professionals may suspect child abuse and neglect; actual examples of child abuse compiled by the American Academy of Pediatrics; common themes that may indicate child abuse and neglect continued on next page 239

Child Abuse and Neglect 240 Sponsoring Institution/ Developer Title/Release Date Audience Training Approach Description Hawaii Dental Dentistry’s Role in Dentistry Medium: reading list; History and etiology of child abuse and neglect; risk Hygenists’ Association Preventing Abuse students handout; worksheet factors for child abuse and neglect; warning signs; and Neglect Method: lectures physical and behavioral indicators of child abuse and neglect; the relation of child abuse and neglect to other forms of family violence; statutory definitions; precipitating factors to family violence; recognition of physical abuse: clinical, general, head and neck, intra- oral; sexual abuse; emotional abuse; conditions that mimic abuse; dental neglect; recognition of neglect; interventions; legal and liability issues; multipage resource/reading list; office protocol for identifying and reporting suspected child abuse and neglect Louisiana County Family Violence for Health Also covers elder abuse, domestic violence, and other Department of Health Professional professionals special topics Health Services Schools; 1981 (currently being updated) Louisiana State Child abuse rotation All pediatrics Medium: 1-month One to three residents per month; outpatient clinic University, School of interns, fourth- rotation that consists of involves physical abuse, sexual abuse, failure to Medicine, Department year elective, 40 hours per week thrive and burns (inflicted); after hours; inpatient of Pediatrics psychiatry outpatient clinic local death consultations; multidisciplinary staffing; fellows Method: clinic; attendance at review panels; elective attendance at consultations; review pediatric autopsies; attendance in juvenile and meetings; court criminal court; hired former prosecutor to plan/hold attendance mock trial withthe resident being the expert once a month; planning to add a major/minor head injury

clinic in conjunction with neurology and ophthalmology; psychiatry fellows concentrate on improving interview skills with children Massachusetts Society Medical evaluation of physical and sexual abuse; for the Prevention of accidents and abuse: how to tell the difference; head Cruelty to Children, trauma in child abuse; visceral injuries in child abuse; Institute for cutaneous manifestations of child abuse; skeletal Professional Education injuries as a manifestation of child abuse; child neglect; unsafe manifestations of child abuse; Munchausen syndrome by proxy; conditions mistaken for child abuse; syndromes associated with child abuse, fatal child abuse, and sudden infant death syndrome, dental aspects of child abuse and neglect; critical injuries from falls Nova Southeastern Issues in Medicine: First-year Medium: on-line project Presentation features epidemiology; diagnosis; University Physician Domestic Violence; physician or course during the treatment; patient education; counseling and Assistant Program, developed 1999 assistant “transition month” for prevention; state laws; reporting and case College of Allied students, physician assistant presentations; also covers spousal/mate abuse, elderly Health, Health practicing students; for CME abuse, disabled abuse Professions Division physician [?] credits assistants Method: 3-hour program continued on next page 241

Child Abuse and Neglect 242 Sponsoring Institution/ Developer Title/Release Date Audience Training Approach Description Ohio State University The Child Abuse Program; 1 year Fellow attends five clinics in the Family Development College of Medicine, developed 1998 (July 1 through Clinic each week; remaining time is spent in self- Columbus June 30) study, including pre- and posttesting, preparation of education materials, and community visits; attendance at weekly pediatric grand rounds and other appropriate educational programs at Children’s Hospital; fellow and staff on all consultations, training programs, and court appearances; develop skills in research design, data collection, and data analysis; perform a forensic physical exam for abuse or neglect; complete an appropriate abuse form; participate in the interview of a child suspected of having been sexually abused; testify in court about findings as a fact witness; recognize sexual abuse; describe the roles of adjudication, identification, treatment, and prevention; date a bruise, subdural bleed, fracture; recognize 10 diseases that can be mistaken for child abuse; develop a community plan of action for child maltreatment; family development clinic St. Joseph’s Hospital, Children’s Health Center, Residents in Medium: 1-month-long Sexual abuse clinic; hospital consults; spend day with Phoenix St. Joseph’s their PL-2 year required course investigator; attend court with staff who are Hospital Residents Method: clinic; testifying; rotation initiated at the request of the shadowing; rotation students who wanted more training

State University of Fellowship in Forensic Pediatricians Medium: 2- to 3-year Prepare pediatricians for teaching, research, patient New York, Health and Child Abuse fellowship for one or care, legal and community responsibilities in the area Science Center at Pediatrics two fellows of child maltreatment, including child abuse, Syracuse University Method: teaching; forensics, foster care, sexual abuse, physical abuse, Health Center research; patient care neglect and related issues; provide clinical treatment advocacy to maltreated children; plan, conduct, analyze, interpret, write studies related to maltreatment; advocate for children’s issues, including courtroom time; teach medical students and residents, parent groups, and community professionals; program development for child abuse programs Team for Children at Child abuse curriculum Risk, Children’s Mercy Hospital, Kansas City, MO University of Child Abuse and Neglect Candidate either Medium: 2-year Experimental design workshop, conferences, California, Davis Fellowship board certified fellowship training meetings; Child Protection Center Clinic Medical Center, or board eligible program responsibilities; on-call responsibilities; rotation/ Sacramento in pediatrics Method: teaching experiences; progress assessment; clinical and responsibilities; teaching assessment community involvement; research responsibilities; biomedical statistics course; writing workshop; computer workshop; literature searches; database management continued on next page 243

Child Abuse and Neglect 244 Sponsoring Institution/ Developer Title/Release Date Audience Training Approach Description University of Colorado Child Abuse and Neglect Board-certified Medium: 1- to 2-year Weekly child protection team; clinic sees primarily Hospital and Kempe Fellowship or board-eligible residency fellowship sexual abuse consultations for colposcopy and Children’s Center, pediatricians, Method: first year is interviews; civil and criminal court involvement Denver state medical primarily clinical; second license required year can be designed around research with 60% clinical, 30% research, 10% outside involvement in advocacy center or consultation work; one or two positions yearly University of Maryland SEEK (Safe Community Manual with chapters on Assessment; initial management; referral information; Medical System’s Child Environment for Every pediatricians, domestic violence, questioning the child; questioning the parent; special Protection Program Kid): Provider child health care physical and sexual considerations; documentation Information Manual; providers abuse, and child sexual developed March 2000 abuse prevention University of Michigan Practice Seminar in Master’s in Medium: class Explores personal, professional, and societal Child Maltreatment: social work Method: lectures; responses to children at risk; discusses client issues Assessment and students discussion; and responses to child welfare interventions; Treatment demonstrations; video; discusses theories that explain child maltreatment role play; small-group exercises; duration 4 months (one semester)

University of Michigan Integrative Seminar in Master’s in Medium: class Examination of child welfare from perspective of Child Maltreatment social work Method: lecture; community practice, direct practice and policy; students discussion; small-group integration of research findings related to child exercises; student welfare; examines the relationship between child presentation; guest maltreatment and environmental factors speakers; elective University of North Preventive Medicine Preventive Medium: 2-year Year 1: work in a multidisciplinary child abuse Carolina at Chapel Hill, Residency/Fellowship in medicine fellowship center; work on the consultation team for domestic School of Medicine, Violence Prevention; residents; must Method: first year: violence Department of developed 1998 have learning research skills; Year 2: 30 working days at the state health Social Medicine completed a acquiring master’s in department or a national health agency, completion of primary care public health in a major research project, and continued clinical work training epidemiology; outcomes in one or more areas of violence specialization (also program in research or maternal and covers youth violence and domestic violence) internal child health; at end of medicine, program, fellows will be family practice, eligible for American or pediatrics Board of Preventive Medicine University of Pittsburgh Child Sexual Abuse Bachelor’s in Medium: class Overview of child sexual abuse; assessment of child social work Method: lecture; readings; abuse situations; examination of personal value/belief students written papers; duration is system; evaluation of effectiveness of treatment 4 months (one semester) approaches University of Pittsburgh Child Maltreatment: Bachelor’s in Medium: class Development of relevant treatment strategies for Physical Abuse and social work Method: discussion; role family members; identification of gender and racial Neglect students plays; readings; written issues in abuse/neglect situations; overview of how assignments; duration abuse and neglect are identified and integrated 4 months (one semester) continued on next page 245

Child Abuse and Neglect 246 Sponsoring Institution/ Developer Title/Release Date Audience Training Approach Description University of Texas Child Welfare Bachelor’s and Medium: duration is at Austin master’s in 4 months (one semester); social work elective students Vanderbilt University Child Abuse Forensic First-year Medium: 2 weeks, Inpatient evaluation of suspected child abuse cases; Pediatric Rotation medical required as part of their two half-days per week at Our Kids, functioning as residents ambulatory clinic months/ the primary medical provider, performing and research month documenting genital exams; take calls for both the Method: slide review; CARE team and Our Kids during a month; history taking, visual interviewing techniques; attend review meetings with diagnosis; management of multidisciplinary review of cases; review and present acute and chronic sexual a forensic pediatric case consult; attend x-ray rounds; abuse presentations attend court, depositions, or other legal matters with members of CARE and Our Kids; keep a log of patients and diagnoses; complete a pre- and posttest knowledge test on aspects of forensic pediatrics Western Schools, Child Abuse; Nurses Medium: self-study book Characteristics of families at risk; underlying causes Inc. developed 1993 for nurses; continuing of violence against children; factors in a child’s education credits medical history that help professionals identify abuse; physical examination of the child; x-ray, ultrasound, and CAT scan studies; causes and detection of psychological abuse; legal aspects; failure to thrive; reporting; difference between juvenile and criminal courts; evidence; successful treatment approaches for families

Elder Abuse and Neglect Sponsoring Institution/ Developer Title/Release Date Audience Training Approach Description Benjamin Rose Model Intervention for Cross-training Medium: comprehensive Faculty guides; participant’s workbooks; learning Institute, Alzheimer’s Elder Abuse and service provider training manual on elder objectives; value statements; interactive exercises; Association of Dementia; 19999 abuse and dementia case discussion guides Cleveland, Department Method: organized into Organized into three modules: (1) emphasizes the of Senior and Adult three modules manifestations of various types of dementia; Protective Services (2) provides background information on elder abuse, characteristics and theories of causation, how to screen for possible abuse, information on elder abuse laws, referral protocols; (3) integrative module promotes collaboration, discussion, ethical dilemmas, legal issues Hawaii Dental Dentistry’s Role in Dentistry Method: reading list; Dentistry’s role in preventing child abuse and neglect Hygienists’ Association Preventing Abuse and students handout; worksheet and domestic violence, also covers elder abuse: Neglect Method: lecture physical and behavioral indicators; history; relation to other forms of family violence; etiology; statutory definitions; precipitating factors to family violence; recognition of physical abuse; clinical, general, head and neck, intra-oral; sexual abuse; emotional abuse; conditions that mimic abuse; dental neglect; recognition of neglect; interventions; legal and liability issues; multipage resource/reading list; office protocol for identifying and reporting suspected abuse and neglect; warning signs; risk factors continued on next page 247

Elder Abuse and Neglect 248 Sponsoring Institution/ Developer Title/Release Date Audience Training Approach Description Integrated Health Abuse Prohibition Health care Medium: abuse Abuse, neglect, and misappropriation of property; Services Program professionals prohibition program prevention, identification, investigation of abuse; Method: PowerPoint abuse protocol; definitions and examples of abuse; presentation indicators that abuse may have occurred; guidelines for communication; suspected abuse reporting tools; abuse prohibition New York State Office Shining Light on the Health care Medium: elder abuse Introduction to elder abuse, mistreatment, and for the Aging Hidden Problem of providers prevention training neglect; high-risk factors and indicators; challenges in Elder Abuse manual with overheads substantiating elder abuse; role of the financial community; role of the health care community; role of the law enforcement community; recommendations to reduce prevalence; resources Nova Southeastern Issues in Medicine: First-year Medium: On-line course Presentation features epidemiology, diagnosis, University Physician Domestic Violence; physician or course during the treatment, patient education, counseling and Assistant Program; 1999 assistant “transition month” for prevention, Florida laws, reporting, and case College of Allied students, physician assistant presentations; also features spousal/mate abuse, Health, Health practicing students; for continuing disabled abuse, child abuse Professions Division physician medical education credits, assistants 3-hour program Terra Nova Films Just to Have a Health Medium: 10-minute video; Training video on older battered women’s issues; (ELDER) Peaceful Life professionals elective complements materials produced by Wisconsin Coalition Against Domestic Violence Older Battered Women’s Project

Wisconsin Bureau on Elder Abuse, Neglect, Health care Medium: resource Descriptions of elder abuse, resources, key issues, Aging and Family Violence: professionals manual; elective addresses most commonly asked questions; also A Guide for Health covers domestic violence Care Professionals Wisconsin Coalition Elder Abuse, Neglect, Health care Medium: manual Domestic abuse in later life; response to suspected Against Domestic and Family Violence: professionals elder abuse; answers to commonly asked questions; Violence (WCADV) A Guide for Health Care what can be done to help older victims of family Wisconsin Bureau on Professionals; 1999 violence; resources Aging and Long Term Care Resources (BALTCR) 249

Intimate Partner Violence 250 Sponsoring Institution/ Developer Title/Release Date Audience Training Approach Description Alabama Coalition Domestic Violence: Health care Lecture and discussion Training components: domestic violence 101; medical Against Domestic The Effective providers with accompanying role in responding to domestic violence; domestic Violence Medical Response 120-page resource manual violence laws in Alabama; Alabama Coalition Against Domestic Violence resources; safety plan; medical 1-2 hours total resources; selected articles; resource material Alaska Family Violence Developing a Domestic Maternal and Resource manual for Vol. 1—Technical Assistance Manual Overview; Prevention Project Violence Training child health background and domestic violence as a maternal and child health (AFVPP) Initiative: Technical providers planning (Vol. 1) issue; building partnerships; local data sources; Assistance Manual designing and conducting a needs assessment; (Vol. 1) locating resources; developing a training project; making the connection: family violence; funding sources Training Materials on Didactic presentation; Vol. 2—Training Materials on Domestic Violence Domestic Violence small-group discussion Core curriculum on domestic violence; relationship (Vol. 2); 1999 (variable duration) between domestic violence and child abuse (Vol. 2) Training evaluation included American College of 1995 Nurse 50-page manual Training manual for use by faculty of nurse Nurse Midwives midwifery midwifery education programs students

American College of Intimate Partner Violence Reproductive 30- to 60-minute slide 44 slides on CD with accompanying 73-page manual/ Obstetricians and During Pregnancy: health care lecture presentation with facilitator guide; references; selected bibliography; Gynecologists, Centers A Guide for Clinicians; providers: facilitator notes and resource listings for Disease Control 2000 physicians— talking points and Prevention, Work attending, Group on the fellows, Prevention of Violence residents, During Pregnancy medical students, advanced- practice nurses, emergency department personnel, mental health providers, dentists American College of Domestic Violence— Reproductive 30- to 60-minute slide 68 slides with accompanying 89-page manual/ Obstetricians and The Role of the health care lecture presentation with facilitator guide with lecture script; references; Gynecologists Physician in providers: facilitator notes and selected bibliography; resource listings Identification, physicians— talking points Intervention and attending, Targeted to obstetrics-gynecology residency training Prevention; 1995 fellows, programs residents medical students advanced- practice nurses, other health care practitioners, general public continued on next page 251

Intimate Partner Violence 252 Sponsoring Institution/ Developer Title/Release Date Audience Training Approach Description American College of Domestic Violence: Physicians On-line self-instructional Instructional components: objectives; definition of Physicians—American How Do You Know and manual with domestic violence; signs of victimization; Society of Internal What Do You Do? accompanying self-test; interviewing the victim; documentation; intervention; Medicine, Florida A Guide For Physicians; continuing medical resources; RADAR; references; continuing medical Chapter 2000 education (1-hour) for education test physicians American Medical Domestic Violence; Health care On-line self-instruction Text with interspersed audio and video clips of Women’s Association 1999 providers survivor interviews. On-line test for continuing (MDs and medical education non-MDs) Modules: introduction; nature and dynamics; screening; assessment; documentation; presentations and assessment in clinic safety planning; referrals; legal aspects; children of domestic violence; the perpetrator; course evaluation Arkansas: University of Student Syllabus: Medical Didactic presentation Training components: lecture; small-group discussion Arkansas for Medical Domestic Violence students with accompanying with patient interview; journal entry Sciences independent study and small-group patient interview Association of Women’s Health: Obstetricians Chapter 17 in a textbook Chapter 17: Violence Against Women: basic Professors of A Teaching Guide to and on teaching about descriptive text; three case vignettes with discussion Gynecology and Psychosocial Issues; gynecologists psychosocial issues in questions; appendix: sample safety plan; Obstetrics (APGO) 2000 women’s health bibliography; web resources Medical Education Foundation

Belson/Hanwright Video Domestic Violence: Health care 20-minute video Three vignettes with discussion by a hospital-based Identification, Treatment, providers domestic violence consult team and Referral for the Health Professional; 1995 California: Health Why Does Daddy Health Video presentation with Training components: videos (2); course books; Education Alliance, Hit Mommy?—A Course professionals accompanying written workbooks San Jose in Assessment materials and Intervention 12 continuing education hours for nurses California Medical Improving the Healthcare Health care Structured didactic Four separate course offerings with course director Training Center Response to Violence; providers, presentations; panel and participant guides for each course: 1998 especially presentations; role-play (1) Advanced training in domestic violence (1 day). physicians, exercises; small-group Seven modules: prevalence; dynamics; screening; nurses, discussions; skill labs assessment; legal responsibilities; forensic exam; physician (courses 2 and 3); photo providing care; (2) pediatric sexual abuse evidentiary assistants, review (course 2). exam training; (3) sexual assault evidentiary exam emergency (variable duration from (3 days); (4) elder and dependent adult abuse training department 1 hour to 3 days, (1-2 hours) personnel, depending on course) Each course has complete facilitator notes; handouts; forensic video illustrations; slides (35 mm or presentation on examiners CD); full-text references; resource lists; bibliography College of St. Catherine The Anatomy of Violence Bachelor’s in Medium: Class lecture Identifies issues related to cultural, racial, and and University of social work Method: Attend a interpersonal violence; explores the extent of violence St. Thomas students community antiviolence and theoretical approaches to understanding violence; event; journal; written examines cultural/institutional sanctions for violence paper; written exams; meet once weekly for 4 months 253 continued on next page

Intimate Partner Violence 254 Sponsoring Institution/ Developer Title/Release Date Audience Training Approach Description Colorado Department of Domestic Violence: Health care 30-minute training video Designed for emergency health providers as an Public Health and Recognizing the providers adjunct to other training about intimate partner Environment, Injury Epidemic violence; video consists of three clinical scenarios Prevention and with discussion highlighting perspectives of Control Program physician, emergency department nurse, district attorney, police officer, perpetrator, treatment provider, shelter counselor, and victim-survivor Connecticut Primary Domestic Violence Community Lecture and Clinic-wide curriculum; continuing medical Care Association, Training Project: health center small-group discussion education curriculum; train-the-trainer University of A Program for staff curriculum Connecticut Health Health Professionals Center Domestic Violence Training Project Family Violence Improving the Health Health care Structured didactic 1. Resource manual (“White Manual”) Prevention Fund Care Response to providers presentations; role-play 2. Trainer’s manual (“Blue Manual”) Domestic Violence exercises; small-group Discrete modules with background material, (2nd edition); 1998 protocol development participant and facilitator notes; and handouts, exercises (2-day program) understanding domestic violence; identification; assessment and intervention; health care responses to perpetrators; establishing an appropriate response; appendixes (forms, sample policies and protocols, etc.) Module on cultural competency included

Florida Department of Domestic Violence: Family practice 106-page (plus appendixes) Ten-chapter manual for self-instruction or class/ Children and Families; A Competency-Based residents manual for self-instruction seminar use: overview of project; role of family Institute for Family Training Guide for or classroom use practice residents in addressing domestic violence; Violence Studies, Family Practice encountering domestic violence in emergency room Florida State University Residents; 1999 rotations; encountering domestic violence in School of Social Family obstetrics-gynecology rotations; encountering Practice Residency domestic violence in pediatric rotations; encountering Program, Tallahassee domestic violence in orthopedic rotations; Memorial Regional encountering domestic violence in medical rotations; Medical Center working with special populations of domestic violence patients; legal issues present in domestic violence practice; utilizing community resources; references and bibliography; appendixes Florida International Family Violence Bachelor’s in Medium: University social work Elective course students Group Health Managing Domestic Adult health Two-hour training session Session 1: basic information; identification; Cooperative of Puget Violence in Primary care providers with didactic components assessment; documentation and referral skills Sound, Harborview Care Settings; 1998 including overheads and Session 2: Skill building via role plays and survivor Injury Prevention and video, accompanied by presentation; panel discussion on legal issues and Research Center, supporting materials for community resources University of patient education and Multidisciplinary training team; evaluation of Washington office support program published Health Resources and Domestic Violence: HRSA-funded Two-part satellite Broadcast series goal is to improve the capacity of Services Administration Lessons, community- broadcast, each available community health centers to better recognize and (HRSA), Office of Community Partners; based primary as a 2-hour video treat abused women. Broadcast I: “Lessons” designed Minority Health 2000 health care as “Domestic Violence 101.” Covers awareness, providers assessment, and intervention Broadcast 2: “Community Partners.” Covers strategies for developing a coordinated community response 255 continued on next page

Intimate Partner Violence 256 Sponsoring Institution/ Developer Title/Release Date Audience Training Approach Description IIllinois: University of Improving the Health Primary care Lectures; structured Intensive, interactive, 8-week elective course, 90 Chicago Pritzker School Care Response to internal small-group discussions; minutes per week; topics include overview of of Medicine, Abused Domestic Violence; medicine site visit to an emergency domestic violence; site visit to Greenhouse shelter; Women Coalition, 2000 residents shelter identifying, assessing, and intervening with domestic Cook County Hospital, Integrated into residency violence victims; working with diverse populations; Hospital Crisis training program the batterer; intervening with sexual assault patients; Intervention Project gun/community violence; child abuse; elder abuse and legal issues Indiana University Domestic Violence Medical CD-ROM CD-ROM with a combination of orally delivered School of Medicine, Curriculum—Medical students didactic material, text material, and resources, plus National Centers of Student Edition four video demonstrations of clinical vignettes; Excellence in includes a a knowledge-based posttest for student Women’s Health evaluation Kentucky Board of Domestic Violence, All nurses in Lecture series (3 hours); Four modules: dynamics of family violence Nursing Recognition, Intervention, Kentucky with 3-hour required (0.5 hours); victims of domestic/family violence and Prevention—A Model active licensure continuing education (1 hour); prevention and intervention strategies: Curriculum for Nursing nursing protocols (1 hour); legal and social Continuing Education; mandates (0.5 hours) 1997 Kentucky Governor’s Mental Health Mental health Lecture series (3 hours); 3-hour training program with 130-page companion Office of Child Abuse Intervention in Cases of clinicians 3-hour required manual for participants and Domestic Violence Domestic Violence: continuing education Five modules: scope and dynamics of domestic Services Training Guide and violence; domestic violence as an issue for mental Clinical Manual; health providers; correlation of domestic violence and 1996, revised 2001 chemical abuse; duties of mental health professionals in cases of domestic violence; application of criminal and civil law in cases of domestic violence

Kentucky Medical Model Health Care Physicians in Lecture series (3 hours) Training modules: dynamics of domestic violence Association, Protocol on Abuse, primary care (45 minutes); effects of domestic violence and Subcommittee on Neglect, and Exploitation: practice lethality and risk issues facing victims of domestic Domestic Violence, Child, Spouse/Partner, violence (75 minutes); societal issues and violence— Committee on Adult, and Elder; 1997 laws and community resources for violence victims Community and (45 minutes) Rural Health Louisiana State Family Violence Master’s in Medium: course Examination of manifestations and dimensions of University social work Method: discussion; family violence; discussion of the dynamics of family students role play; small-group violence as a social problem; applying social work readings; written skills to interventions assignments; duration 4 months (one semester) March of Dimes Abuse During Perinatal nurses, Self-study or group study 60-page manual contains basic information, clinical Pregnancy; 2001 nurse midwives manual; self-administered protocols, vignettes of survivors, resource exam for continuing information, and pre- and postinstruction instruments education and course evaluation Maryland Alliance Maryland Physicians’ Physicians Didactic presentation and Curriculum components: physicians’ manual; Against Family Campaign Against self-study manual with curriculum guide; slides; posters; bus placards; clergy Violence, Medical and Family Violence accompanying patient information packet; hospital information packet; Surgical Faculty of education and community patient information brochures Maryland (Maryland outreach materials State Medical Society) continued on next page 257

Intimate Partner Violence 258 Sponsoring Institution/ Developer Title/Release Date Audience Training Approach Description Massachusetts: Shelter from the Mental health 236-page trainer’s manual; Training materials include training manual, Boston Medical Center, Storm; 2000 clinicians 12-hour curriculum of 115 slides on disk, handout containing slide text, Child Witness to lectures; small-group additional handouts Violence Project discussion; case discussion Manual contains lecture/facilitator notes, case Designed to train mental material, reproducible handouts; bibliography, list of health clinicians to provide resources, CD-ROM services to children and families affected by Modules: domestic violence: principles of intimate partner violence empowerment-based practice; impact of domestic violence on children; assessment of children affected by domestic violence; individual and group treatment of children affected by domestic violence; domestic violence; children; the courts; caring for the caregiver Massachusetts: Health Care Services for Health care 2-hour lecture with Training focus: intimate partner violence; child abuse Children’s Hospital of Battered Women and providers accompanying 60-page and neglect Boston, Family Violence Their Abused Children; training manual Task Force AWAKE 1997 Training topics: definitions; prevalence; dynamics; program (Advocacy for myths; barriers; signs and symptoms; screening Women and Kids techniques; staff as victims or perpetrators; in Emergencies) disclosure; children who witness violence; additional topics on request (personal safety, clinic security, confidentiality, human resources, role plays)

Massachusetts Seminar Series on Physicians, Structured seminars, Four interactive structured seminars with Medical Society Domestic Violence medical instructional video, comprehensive facilitator notes and handouts: students, house interactive CD-ROM background and dynamics of domestic violence; officers, (6 hours total RADAR—a clinical model for screening, diagnosis, practicing instructional time) and intervention; skills development for clinical physicians, other practice; a team approach to violence prevention and health care intervention providers 15-minute instructional video: “Diagnosis: Domestic Violence”; three-disc CD-ROM with three survivor interviews and four-visit primary care interactive “cases”; baseline and follow-up evaluation instruments; instructional “goal cards”; handouts; slides; guidelines for teaching section; designed for interested yet nonexpert faculty to teach effectively Massachusetts: Office Diagnosis: Health care 24-minute video with Basic introduction to domestic violence featuring case of the Attorney General Domestic Violence providers accompanying monograph histories; section on children as witnesses and characteristics of batterers Massachusetts: Interclerkship in Third-year Full-day multidisciplinary Lectures; workshops; small-group discussions; role University of Domestic Violence; medical training plays; keynote address by a survivor Massachusetts 1995, updated yearly students Originally 3 days; now 1 day Medical School Required of all third-year medical students MEDCEU Domestic Violence Nurses, other On-line self-instructional Instructional components: history, definitions and Update; 2000 medical monograph with posttest facts, health effects, dating violence, male batterers, and 2001 professionals for nursing continuing references education units continued on next page 259

Intimate Partner Violence 260 Sponsoring Institution/ Developer Title/Release Date Audience Training Approach Description Medulogic The Many Faces of Physicians, Self-instructional Instructional components: introduction and Family Violence; nurses CD-ROM, including instructions; overview; survivor’s story; dynamics; 1999 dentists, printable text myths; domestic violence and health care system; social workers and video clips recognizing and interviewing victims; documentation; advocacy; therapy and community action; same-sex Physician, nursing and intimate partner violence; understanding the batterer; dental continuing elder abuse; child abuse; legal and reporting issues; education units (20 hours) resource kit for health care providers; resources; references Compatible with IBM-PC, not Macintosh computers Minnesota: Allina Creating a Safe Place: Health care Modular teaching, Training components: Domestic Violence 101: Health System Family Violence providers including lecture, group definitions; statistics; dynamics; barriers to leaving; Screening in Health Care (primary care, discussion, video, clinical provider barriers; screening; assessment; social service, scenarios documentation; community resources; self-care; allied health, 18-minute video and accompanying discussion guide; prehospital) “Creating a Safe Place”; teaching scenarios Minnesota: Screening and Intervening Ambulatory Brown-bag lunch Video: “Domestic Violence—How to Ask and What HealthPartners Family for Domestic Violence health care discussions; 26-minute to Say” highlights three health care providers Violence Prevention providers and training video inquiring about abuse Program clinic staff

Minnesota: University Family Violence: Dental 6-hour multicomponent Training components: introduction; definition; myths; of Minnesota School of Intervention Model for professionals training program, including patterns; warning signs of abuse; clinical signs of Dentistry, Program Dental Professionals didactic presentations, abuse; role clarification; ethical and legal Against Sexual Violence small-group discussion, responsibilities; “healing voices: intervention model role plays, case reviews, for dental professionals”; intervention techniques; and two training videos development of office safety plans; team intervention techniques; community resources; Q&A Concurrent tracks for dentists and allied Accompanying materials: training monograph; dental personnel resource directory; selected articles; poster Network for Domestic Violence: Physicians 60-minute video Used as an independent or adjunctive training tool; Continuing Medical Intervention Strategies can be used as a grand rounds presentation Education for the Physician; 2000 Nova Southeastern Issues in Medicine: First-year 3-hour course with reading Course is part of a series of preclinical seminars University Physician Domestic Violence; physician assignments, lecture, case offered during the “transition month” for physician Assistant Program; 1999 assistant discussion, video scenarios assistant students entering clinical training Ft. Lauderdale, FL students and interviews Ohio State Ohio Physicians’ Physicians, 58-page manual, Designed for self-study or as a text for training Medical Association Domestic Violence nurses, other 2-hour program; classes; components: how to approach women who Project: TRUST TALK; health care continuing medical are battered; clinical guidelines for recognizing abuse, 1995 providers education credit available legal issues and reporting requirements, Ohio resources Oregon Health Voices of Survivors: Physicians 30-minute video Documentary video made from the perspectives of Sciences University Domestic Violence consisting of a black- survivors of intimate partner violence; Survivors Educate and-white photo accompanying handbooks for learners and facilitators Physicians; montage with voiceover 1999 continued on next page 261

Intimate Partner Violence 262 Sponsoring Institution/ Developer Title/Release Date Audience Training Approach Description Philadelphia Family The RADAR Domestic Health center- 3 to 6 hour didactic and Focus on trauma theory; instruction in RADAR Violence Working Violence Training Project based health video presentation approach to care; survivor presentation Group, Physicians for care providers delivered by a Social Responsibility multidisciplinary team Physicians for a PVS Documentation Physicians Four 40-minute structured Curriculum contains slides and complete facilitator Violence-Free Society Course: Standardized didactic presentations on a notes for each lecture, participant’s syllabus (to be (PVS) Medical Documentation standardized approach to copied for each participant), chief instructor’s guide, for Domestic Violence medical documentation of course coordinator’s guide Injuries; 1999 injuries resulting from domestic violence; Participant syllabus contains narratives of each interactive session on how lecture, articles, course evaluation form, local to use a camera designed resources for medical documentation Lecture summary: introduction and need for a medical response, medical response to domestic violence, living forensics: recognizing patterns of injury, medical-legal aspects of domestic violence Interactive session: learning to take pictures Professional Resource Domestic Violence and Psychologists, Home study continuing Book sections: what kind of families are violent? how Press Spousal Abuse Program; psychiatrists, education course and much do you know about partner abuse? assessment 1994 social workers, self-exam based on book of spouse abuse; treatment of spouse abuse; final psychiatric on spouse abuse; 3 hours word on spouse abuse; references nurses, other of continuing education mental health providers

Select Media In Need of Emergency 18-minute video Emergency room training film demonstrates how Special Attention medical emergency room personnel can identify and treat professionals victims of spouse abuse Society for Academic Domestic Violence Physicians 54-slide didactic Slide presentation for residency faculty to use as a Emergency Medicine Presentation presentation teaching tool, for self-instruction, or for grand rounds presentations Texas: Violence Manual Strangulation Physicians PowerPoint presentation Presentation components: rapid response intervention; Intervention Prevention in Victims of in-depth assessment; case management, disposition, (VIP) Center Domestic Violence and placement; homicidal strangulation; literature on Parkland Hospital, survivors of strangulation; information on walking Dallas and talking to the strangled patient University of Iowa Family Violence Master’s in Medium: course Discussion of historical aspects of family violence; social work Methods: readings; lecture; examination of family violence as a social issue; students written assignments; discussion of the role of “family” in society duration, 4 months (one semester) University of Iowa Selected Aspects of Social work Medium: lecture Analyze violent content on television; overview of Social Work: students Method: readings; violence in community; effects of traumatic Violence and Trauma interview with trauma experiences survivor or professional in field; written assignments; guest speakers; duration is 4 months (one semester) continued on next page 263

Intimate Partner Violence 264 Sponsoring Institution/ Developer Title/Release Date Audience Training Approach Description University of Kentucky Family Violence: Master’s in Medium: course Evaluation of theories for understanding the etiology Social Work Interventions social work Method: readings; lecture; of child, spouse, elder, and sibling abuse; identify students exams; duration, 4 weeks: interventions to be used; identify implications of meets twice a week violence for social policy for 3 hours University of Michigan Family Violence Master’s in Method: no information Focus on methods of prevention; intervention and Prevention and social work Medium: duration is social change; provides overview of risk factors; Intervention students 4 months (one semester); emphasis is on needs of oppressed populations elective University of Michigan Special Issues in Master’s in Method: no information Integrates content on diversity, prevention, and social Interpersonal Violence social work Medium: duration is justice; use of social science theories and research is students 4 months (one semester); applied required course University of Michigan Integrative Seminar: Master’s in Medium: models of Overview of risk factors; effects of trauma due to Family Violence social work interagency coordination; family violence are discussed; description of current students duration, 4 months models of prevention and intervention (one semester) University of Michigan Practice Seminar in Master’s in Lectures; discussion; Explores personal, professional, and societal responses Child Maltreatment: social work demonstrations; video role to children at risk; discusses client issues and Assessment and students play; small-group responses to child welfare interventions; discusses Treatment exercises; duration, theories that explain child maltreatment 4 months (one semester)

University of Michigan Integrative Seminar in Master’s in Lecture; discussion; Examination of child welfare from perspective of Child Maltreatment social work small-group exercises; community practice; direct practice and policy; students student presentation; integration of research findings related to child guest speaker welfare; examines the relationship between child maltreatment and environmental factors University of Domestic Abuse: Medical Format includes lecture Relationship of early intervention and prevention; Minnesota Medical The Role of students and video; class is 1 prevalence of domestic abuse and violence; School the Physician; hour in length and is definitions; misconceptions and dynamics of domestic 1996 taught once every abuse; role and responsibilities of the health care 2 months provider; Joint Committee on Accreditation of Healthcare Organizatons hospital and ambulatory care standards; prevention in practice—a structure for change client services—advocacy and case management; where do we go from here? University of Pittsburgh Family Violence Bachelor’s in Medium: course Exploration of aspects of family violence; treatment social work Method: discussion; strategies presented; contains theoretical approach students readings; written papers; but with focus on practical social work experience written exam; presentation; duration is 4 months (one semester) University of Pittsburgh Child Sexual Abuse Bachelor’s in Lecture; readings; written Overview of child sexual abuse; assessment of child social work papers; duration is abuse situations; examination of personal value/belief students 4 months (one semester) system; evaluation of effectiveness of treatment approaches continued on next page 265

Intimate Partner Violence 266 Sponsoring Institution/ Developer Title/Release Date Audience Training Approach Description University of Pittsburgh Child Maltreatment: Bachelor’s in Discussion; role plays; Development of relevant treatment strategies for Physical Abuse and social work readings; written family members; identification of gender and racial Neglect students assignments; duration is issues in abuse/neglect situations; overview of how 4 months (one semester) abuse and neglect are identified and integrated University of Texas Contemporary Issues in Bachelor’s and Method: no information Dynamics of domestic violence and practice with at Austin Domestic Violence master’s in Duration is 4 months individuals and families are discussed social work (one semester); elective students University of Texas Child Welfare Bachelor’s and Duration is at Austin master’s in 4 months (one semester) social work students U.S. Healthcare, Current Concepts in Physicians and 75-page self-study Components: overview and introduction; Medical Education Women’s Health; other women’s manual; 5 hours identification, diagnosis, and clinical findings; Collaborative Domestic Violence and health care continuing medical intervention and treatment; special considerations; Primary Care providers education by appendix, including assessment documents; patient the American Academy resources; bibliography of Family Physicians, Administration on Aging

Vantage Professional Domestic Violence: Nurses, Self-study on-line or Self-study document containing course objectives; Education Update for dieticians download and print; what is domestic violence?; dynamics of violent Healthcare Professionals; 4 contact hours—Georgia relationships; effects of domestic violence on 2000 Nurses Associations; children; health care response to domestic 4 continuing professional violence case studies; sample forms and worksheets; education credits— bibliography and additional sources; continuing Commission on education test; answer sheet Dietetic Registration Virtual Lecture Hall, The Current Management Physicians On-line self-study Case-based, interactive, downloadable forms; links to Medical Directions, Inc. of Domestic Violence; (no time references and web sites; continuing medical 1999 duration indicated) education available Washburn University Clinical Practice with Master’s in Medium: lectures Exploration of trauma on children and adults; impact Survivors of Trauma social work Method: audio-visual aids; of institutional and professional responses to traumas; students class exercises; readings; strengths perspective duration, 4 months (one semester) Washburn University Clinical Practice with Master’s in Medium: lectures Exploration of trauma on adults; impact of Survivors of Trauma: social work Method: audiovisual aids; institutional and professional responses to traumas; Adults students class exercises; readings; strengths perspective duration, 4 months (one semester) Washburn University Clinical Practice with Master’s in Medium: lecture Focus on practitioner skills; transference and Survivors of Trauma: social work Medium: discussions; countertransference are discussed Professional Development students readings; written assignments; duration, 4 months (one semester) continued on next page 267

Intimate Partner Violence 268 Sponsoring Institution/ Developer Title/Release Date Audience Training Approach Description Washburn University Clinical Practice with Master’s in Medium: lectures Exploration of trauma on children; impact of Survivors of Trauma: social work Method: audiovisual aids; institutional and professional responses to traumas; Adults students class exercises; readings; strengths perspective duration, 4 months (one semester) Washington, DC: Sensitive Topics in Medical Videotape review; Training components: videotape—the dynamics of George Washington Interviewing: students discussion; role play domestic violence and the ethics of physician University Domestic Violence involvement; lecture/discussion; role plays followed by plenary discussion; selected articles as reference Washington: Sacred A Time of Opportunity: Health 22-minute video Overview that includes basic information and Heart Medical Helping Battered Women professionals interviews with survivors of physical, emotional, and Center, Spokane in the Health Care Setting sexual abuse and a number of professionals who work with battered women Wisconsin: The Family Violence: Health care Self-study manual Manual contains syllabus, required readings, Family Peace Project A Self-Study Guide for providers background information, referral information, Health Care Professionals resource information in Primary Care; 1994 Training also includes survivor presentations; role plays; community resource assessment

Next: Appendix F Summary of Evaluation Studies on Training of Health Care Professionals on Intimate Partner Violence »
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As many as 20 to 25 percent of American adults—or one in every four people—have been victimized by, witnesses of, or perpetrators of family violence in their lifetimes. Family violence affects more people than cancer, yet it's an issue that receives far less attention. Surprisingly, many assume that health professionals are deliberately turning a blind eye to this traumatic social problem.

The fact is, very little is being done to educate health professionals about family violence. Health professionals are often the first to encounter victims of abuse and neglect, and therefore they play a critical role in ensuring that victims—as well as perpetrators—get the help they need. Yet, despite their critical role, studies continue to describe a lack of education for health professionals about how to identify and treat family violence. And those that have been trained often say that, despite their education, they feel ill-equipped or lack support from by their employers to deal with a family violence victim, sometimes resulting in a failure to screen for abuse during a clinical encounter.

Equally problematic, the few curricula in existence often lack systematic and rigorous evaluation. This makes it difficult to say whether or not the existing curricula even works.

Confronting Chronic Neglect offers recommendations, such as creating education and research centers, that would help raise awareness of the problem on all levels. In addition, it recommends ways to involve health care professionals in taking some responsibility for responding to this difficult and devastating issue.

Perhaps even more importantly, Confronting Chronic Neglect encourages society as a whole to share responsibility. Health professionals alone cannot solve this complex problem. Responding to victims of family violence and ultimately preventing its occurrence is a societal responsibility

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