National Academies Press: OpenBook
« Previous: Appendix I Biographical Sketches of Committee Members and Staff
Suggested Citation:"Index." 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 337
Suggested Citation:"Index." 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 338
Suggested Citation:"Index." 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 339
Suggested Citation:"Index." 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 340
Suggested Citation:"Index." 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 341
Suggested Citation:"Index." 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 342
Suggested Citation:"Index." 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 343
Suggested Citation:"Index." 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 344
Suggested Citation:"Index." 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 345
Suggested Citation:"Index." 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 346
Suggested Citation:"Index." 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 347
Suggested Citation:"Index." 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 348

Below is the uncorrected machine-read text of this chapter, intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text of each book. Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.

INDEX 337 Index A Alaska Family Violence Prevention Project (AFVPP), 66, 127, 234-235, 250 Abandonment, 70 Allina Health System, 260 Abuse Assessment Screen, 94 Alzheimer’s Association, 104, 247 Abused Women Coalition, 256 Alzheimer’s disease centers program, 5, 152 Academy of Certified Social Workers, 56 American Academy of Family Physicians Accreditation Council for Graduate Medical (AAFP), 198 Education (ACGME), 36, 194 American Academy of Pediatrics (AAP), 10, Accreditation requirements, 8, 9, 54-55, 81, 84- 27, 37, 60, 82, 117, 120, 156-157, 198, 85, 131, 132, 149, 150, 194-196 235, 238, 239 Accreditation Review Commission on American Academy of Physician Assistants Education of the Physician Assistant (AAPA), 38, 60, 198-199 (ARC-PA), 196 American Association of Colleges of Nursing Administration for Children and Families, 4, (AACN), 10, 39, 40, 61, 110, 114-115, 75, 156 156, 199 Administration on Children, Youth, and American Association of Orthopedic Nursing, Families, 75 61 Adolescent health program, 115, 117 American Board of Examiners in Clinical Adult protective service workers, 104 Social Work, 64 Advocacy for Women and Kids in Emergencies American Board of Obstetrics and Gynecology, (AWAKE), 236, 258 55 Advocacy groups, 9, 64-67, 150 American Board of Pediatrics, 37, 55, 56, 117- Agency for Healthcare Research and Quality, 4, 118 68, 75, 77, 135, 156 American College of Emergency Physicians Alabama, 206-207, 218-219, 250 (ACEP), 37, 200 Alabama Coalition Against Domestic Violence, American College of Nurse Midwives 250 (ACNM), 10, 27, 39, 61, 65, 82, 114, Alaska, 57, 66, 70, 71, 73, 127, 206-207, 218- 157, 204, 250 219, 232, 234-235, 250 337

338 INDEX American College of Obstetricians and response of health care system to victims, Gynecologists (ACOG), 10, 27, 60, 62- 66, 142 63, 82, 156-157, 251 third-party reimbursement policies and, 67- American College of Physicians, 10, 156, 252 68 American College of Surgeons (ACS), 200 time constraints, 9, 57, 127 American Dental Association (ADA), 10, 60, Battered child syndrome, 22, 24 156, 194, 200-201 Battered woman syndrome, 22 American Medical Association (AMA), 10, 27, Battered women’s shelters, 64 47, 60, 156, 198, 200, 201 Behavioral change in health professionals American Medical Women’s Association case studies, 132-134 (AMWA), 201, 252 concepts affecting, 108 American Nurses Association (ANA), 39, 47, in continuing medical education, 125-134, 60-61, 201 148 American Osteopathic Healthcare Association systems approaches, 127-134, 139-140, (AOHA), 194 148-149 American Psychological Association (APA), Benjamin Rose Institute, 247 10, 27, 40, 41, 42, 50, 60, 61, 64, Blue Shield of California, 67 72 n.8, 81, 156, 195, 202, 236 Boston Medical Center, 258 American Society of Internal Medicine Boston University, 76 (ASIM), 252 Brown University, 236 Arizona, 206-207, 218-219, 242 Bureau of Health Professions, 40, 75 n.11 Arkansas, 206-207, 218-219, 252 Association of American Medical Colleges (AAMC), 10, 50, 156 C Association of Physician Assistant Programs, California, 57, 70, 71, 73, 120, 206-207, 218- 38 219, 226-227, 230, 237, 253 Association of Professors of Gynecology and California Medical Training Center, 253 Obstetrics (APGO), 252 Cancer, 14, 28, 78 Association of Women’s Health, Obstetric, and Carnegie Mellon University, 76 Neonatal Nurses (AWHONN), 39, 61 Center for Child Protection, 237 Center on Child Abuse and Neglect, 77, 237 B Centers for Disease Control and Prevention, 4, 6, 15, 19, 25, 34, 75, 77, 78-79, 85 n.1, Barriers to training 135, 154, 156, 251 barriers to practice and, 45 Centre for Evidence-Based Medicine, 135 cognitive biases, 124-132, 139, 149 Certification, 8, 9, 55, 56, 61, 149, 150 competency requirements as, 8, 9, 54-56, Charge to Committee, 1-2, 15 81, 84-85, 149, 150 Child abuse and neglect curriculum priority conflicts, 48-50 cases reported, 14 institutional culture and norms, 8, 9, 50-54, categories, 24-25 81 certification requirements, 55 intrinsic, 46-54 definitional issues, 22, 24-25 leadership issues, 53-54 common elements, 24 measuring and addressing, 128, 130 core competencies, 115, 117-118 perceptions of need, 8, 9, 46-48, 81 costs of health care, 29 personal issues, 9, 59-60, 149, 150 current educational initiatives, 36, 37, 38, privacy issues, 51-53 39, 40-42, 43, 60, 64, 81, 84, 234-246, professional factors, 8, 9, 56-59, 149, 150 265 research base on, 45 deaths, 28, 29 resource constraints, 74-81, 83, 127

INDEX 339 evaluation of training initiatives, 9, 85, Commission on Collegiate Nursing Education 86 nn.2,4, 87, 88-90, 92-93, 95-97, 98, Accreditation (CCNE), 195 106 Commonwealth v. McAfee, 51 exposure to intimate partner violence, 25, Community health center staff, 102, 103, 254, 28-29, 42 262, 288-289, 294-295, 312-313 funding for training, 77-78, 79 Computer Retrieval of Information on health effects of, 28-30 Scientific Projects (CRISP), 77 health professionals’ responsibilities, 14, 27 Connecticut, 70, 206-207, 218-219, 254 incidence of, 14, 24-25 Connecticut Primary Care Association, 254 licensure requirements, 55 Continuing medical education mandatory education laws, 73, 150-151, behavioral change models, 125-134, 148 198, 230 cognitive biases and, 125-127 mandatory reporting laws, 27, 52, 68, 69, current programs, 37, 40, 41, 42, 43, 49, 71, 118, 150-151, 206-217 198, 234-235, 238, 239, 242-244, 252, outcomes of training, 9, 28, 92-93, 95, 99- 253, 256, 257, 259-263, 267 100, 317-325 effective teaching strategies, 89, 148 parental authority issue, 51 evidence-based practice in, 135 perceptions of training adequacy, 87 formal, 126-127 research base, 3 impacts of, 74, 126-127 and risk of becoming abusers, 29 perceptions of adequacy of, 49-50 shaken baby syndrome, 28 policy statements of professional standardization of terminology, 34 organizations on, 198 as subspecialty, 117-118 and screening for abuse, 57-58 Child Abuse and Neglect Working Group, 34 Cook County Hospital, 256 Child Abuse Prevention and Treatment Act of Core competencies. See also Curriculum; 1974, 64, 77, 79 Knowledge acquisition; Training and Child Advocacy Center, 239 education Child protective services workers, 99, 322-325 achievement through training, 122-134 Child Witness to Violence Project, 258 advanced, 111-112, 115, 117, 139 Children’s Bureau, 34, 75 as barriers to training, 54-56, 81, 84-85 Children’s Hospital and Health Center (San basic, 7, 111, 115, 116-117, 138-139, 147 Diego), 237 child abuse and neglect, 115, 117-118 Children’s Hospital Medical Center common elements, 113-114, 147 (Cincinnati), 239 conclusions of Committee, 7, 138-139 Children’s Hospital of Boston, 236, 258 cultural, 42, 119-122 Children’s Hospital of Philadelphia, 238 defined, 7, 109, 147 Children’s Memorial Hospital (Chicago), 239 domains, 113-114, 118, 147 Children’s Mercy Hospital (Kansas City), 243 elder maltreatment, 112, 115 Clinical Social Work Federation, 64 evaluation of, 109, 113, 148 Cochrane Collaboration, 134-135, 136 evidence base, 108-109, 112-118 Cognitive biases forensic services, 111-112, 118-119, 132, 242 cognitive heuristics and, 124-125 importance of, 109 continuing medical education and, 125-127 integrated delivery networks, 111 debiasing, 8, 125, 139, 148, 149 interpersonal, 114 systems change models and, 127-132, 139- leadership, 111, 139 140, 148-149 levels differentiated, 109-111 College of St. Catherine, 253 Oklahoma Principles, 110 Colorado, 41, 70, 206-207, 226-227, 254 and outcomes of training, 113 Commission on Accreditation of Allied Health performance indicators, 116-117 Education Programs (CAAHEP), 196 role assignments for providing care, 111- 112, 139, 327-329

340 INDEX Costs of health care, 3, 29, 31-32, 33, 67-68, 145 current educational initiatives, 36, 37, 38, Council on Social Work Education (CSWE), 39-40, 42, 43, 84, 104, 146, 247-249 10, 27, 42-43, 156, 196 definitional issues, 26-27 Cultural considerations, 42, 119-122 evaluation of training initiatives, 85-86, 87, Curriculum. See also Core competencies 106 defined, 19 funding for training, 76, 77, 78, 79 evidence-based practice in, 135, 136 health effects of, 32-33 existing programs on family violence, 61, health professionals’ responsibilities, 27 233-268 incidence/prevalence of, 26-27, 34 integrated content, 126-127 institutional, 36 perceptions of adequacy, 6, 44 licensure requirements, 55 priority conflicts, 48-50 mandatory education laws, 73, 231 mandatory reporting laws, 27, 68, 70-71, 218-225 D outcomes of training on, 104-105 professionals’ perceptions of adequacy of Definitional issues training, 49-50 family violence, 4, 17-18, 21-27, 33-34, screening problems, 32 145-146 self-neglect, 23, 27 and prevalence/incidence estimates, 21-22, standardization of terminology, 34 145-146 survey of, 34 professional responsibility, 4, 18, 19, 27-33 survival rates, 27, 32 responses of health professionals to family utilization of health care services, 32 violence, 19 Emergency departments standardization initiatives, 33-34 certification requirements, 56 training and education, 18-19 outcomes of training, 100 n.10, 101, 102, Delaware, 70, 206-207, 218-219 103, 104-105, 278-287, 292-293, 296- Dental Coalition to Combat Child Abuse and 297 Neglect, 38-39 training programs, 64, 89, 234-235, 253, Dentists and dental hygienists 263, 304-307 accreditation, 55 utilization of services, 13, 30, 31, 32 beliefs about family violence, 47-48 Emergency medical technicians, 86 n.4, 278- reporting of abuse, 71 279 training programs, 38-39, 49-50, 73, 89, Emergency Nurses Association (ENA), 39, 61, 136, 194, 198, 237, 240, 247, 260, 261 202 Detection of family violence, 19 ERIC, 85 District of Columbia, 70, 206-207, 218-219, 268 Evaluation of training efforts. See also Domestic violence. See Intimate partner Outcomes of training violence barriers to, 84-85, 106 Duke Medical Center, 239 characteristics assessed, 88, 92-97 for child abuse and neglect, 9, 85, 86 nn.2,4, 87, 88-90, 92-93, 95-97, 98, E 106, 151 Education. See Evaluation of training efforts; conclusions of Committee, 6-7, 107, 146- Training and education 147 Education and research centers, 5-6, 152-156 core competencies, 109, 113 Education Development Center, 142 critical questions, 74, 91 Elder maltreatment current initiatives, 65 categories, 26 design issues, 6-7, 86-87 n.4, 90-91, 96-97, common elements, 24 98, 106, 107, 136, 146-147 core competencies, 112, 115 for elder maltreatment, 85-86, 87, 106

INDEX 341 follow-up component, 90, 95, 97 Food and Drug Administration, 77 funding for, 3, 4, 85, 151-152, 159-160 Forensic services, 111-112, 118-119, 132, 242, infrastructure support for, 81 243, 246, 253 internal validity, 90-91 Fulgham v. State, 51 methodologies, 11, 90-92, 100, 103-104, Funding issues, 3, 4-5, 74-80, 81, 83, 85, 142, 106 151-152, 159-160 outcome measures, 7, 86, 90, 91, 92, 93-99, 146-147 population relevant to, 86 G quality of evidence, 6-7, 105-107 quantitative comparisons, 92 n.8 Gender violence. See Intimate partner violence quasi-experimental design, 7, 91, 96-97, George Washington University, 268 Georgia, 206-207, 218-219 106, 107, 136, 146, 159 randomized field experiments, 90-91, 96, Geriatric Education Center Program, 40, 153 98, 100, 102, 103, 105, 106, 107, 147, Geriatricians, 112 Gorman v. State, 51 159 recommendations, 11, 143, 158-160 Group Health Cooperative of Puget Sound, 67, scope of Committee review, 19 138, 148, 157, 255 search for studies, 85-87 time series and cohort studies, 91, 98 types of interventions, 57-58, 88-90 H Evidence-based practice, 8, 134-137, 140, 149 Harborview Injury Prevention and Research Center, 255 Harvard Youth Violence Prevention Center, F 152-153 Family Peace Project, 268 Hawaii, 120, 208-209, 218-219, 240, 247 Family violence Hawaii Dental Hygienists’ Association, 240, 247 data deficiencies, 2-3, 4, 33, 41 n.2, 145, 146 Health care providers, 67-68, 236, 248, 250, definitional issues, 4, 17-18, 21-27, 33-34 252-254, 255, 258, 259, 260 Health Education Alliance (San Jose), 253 evidentiary requirements, 22, 146 funding for training, 77, 79 Health effects of family violence, 3-4, 13-14, health effects of, 1, 13-14, 28-33, 145 28-33, 145 Health insurance organizations, 9, 67, 150 health professionals’ roles, 2, 4, 27-33 magnitude of problem, 1, 2-3, 4, 13, 21-22, Health professional organizations. See also 33, 109, 145, 146 individual organizations influence on training, 8, 9, 36, 37, 65, 82, prevention, 245 research needs, 3-4, 33 142, 149, 150 symptoms of, 48 policies and guidelines on training, 27, 60- 64, 197-204 types of, 17-18 underreporting of, 13-14 recommended roles, 10, 156-157 Family Violence Prevention and Services Act, Health professionals. See also Training and education 79 Family Violence Prevention Fund, 64, 66, 68, adequacy of training, 49, 50 82, 85 n.1, 254 beliefs about family violence, 8, 9, 47-49, 52, 59, 81, 149, 150 Family Violence Task Force, 236, 258 Financial exploitation, 23, 27, 70 certification of, 56 Florida, 38, 71, 73, 206-207, 218-219, 232, clinical responsibility, 27 core competencies, 111, 114, 234-235 248, 252, 255, 261 Florida International University, 255 definitional issues, 4, 18, 19, 27-33 Florida State University, 255 educational materials for, 60, 252

342 INDEX groups most likely to encounter victims, 2, clinical outcomes, 103-104 18, 89 common elements, 24 legal responsibilities, 27 core competencies, 110, 120 licensure requirements, 55 current educational initiatives, 36, 37, 38, marginalization of, 53 42, 43, 47, 84, 127, 250-268 outcomes of training, 99, 288-291, 306-307, deaths, 30 318-321 definitional issues, 25-26, 34 perceptions of training adequacy, 6, 14, 44, economic costs, 31-32 47, 49-50, 57, 61, 64, 81, 87 evaluation of training initiatives, 85, 86 n.2, personal experience with violence, 59, 81, 87, 88-90, 92, 93, 94-97, 98, 106-107 150 female victims, 25-26, 30 reporting of abuse, 14, 82-83 funding for training, 78, 79 responses to family violence, 19, 56-60, 142 guidelines of health professional role assignments for providing care, 111- organizations on, 60-61 112, 139, 327-329 health effects, 30-32 testimony in court, 118-119 incidence/prevalence of, 25, 30-31 time constraints, 57 male victims, 25-26, 30 vicarious traumatization, 59-60, 150 mandatory education laws, 73, 232 Health Professions Education Partnerships Act mandatory reporting laws, 68, 69-70, 71, of 1998, 15 72, 226-227 Health Research Services Administration, 61 outcomes of training on, 100-104 Health Resources and Services Administration, perceptions of health professionals about, 4, 74, 77, 115, 153, 156, 255 47, 51-53, 57, 66 HealthPartners Family Violence Prevention referral of victims, 57 Program, 260 research base, 49 Healthplan Employer Data and Information Set response of health care system to, 66, 68 (HEDIS), 8, 131, 132, 134, 137-138, screening for, 57-58, 59, 89, 101-103 140, 148, 149 special populations, 26, 30, 60 Healthy People 2000 objectives, 79, 80 standardization of terminology, 34 Hemenway, David, 152-153 and utilization of health care services, 30-31 Home visitors, 104-105, 234-235 victims of, 25, 67 Hospital Crisis Intervention Project, 256 Intimate partners, defined, 23 Hospitalizations of abuse victims, 30-32 Iowa, 73, 208-209, 220-221, 230, 231 Human resources, for education and training, 80-81 J I John A. Hartford Institute for Geriatric Nursing Practice, 40 Idaho, 71, 208-209, 220-221 Johns Hopkins University, 76 Illinois, 208-209, 220-221, 239, 256 Joint Commission on Accreditation of Indiana, 208-209, 220-221, 256 Healthcare Organizations (JCAHO), 202 Indiana University School of Medicine, 256 Institute for Family Violence Studies, 255 Institute of Medicine, 3, 17, 105, 127, 143, 146, K 151 Kaiser Permanente of Northern California, 67, Institutional culture and norms, 50-54, 81 Integrated Health Services, 248 132, 148, 157 Intimate partner violence Kansas, 70, 208-209, 220-221 Kemp Children’s Center, 244 categories, 25 certification requirements, 55 Kentucky, 73, 208-209, 220-221, 226-227, 232, children’s exposure to, 25, 28-29, 42 256-257

INDEX 343 Knowledge acquisition and training of health professionals, 8, 9, andragogy principles, 123-124 68-69, 72, 73, 82-83, 118, 149, 150-151 behavioral models, 8, 122-123, 125-126, victims’ concerns about, 9, 72, 82-83, 150 128-130, 132-134, 148 March of Dimes, 257 cognitive heuristics, 124-125 Maryland, 208-209, 220-221, 257 debiasing and, 8, 125 Maryland Alliance Against Family Violence, evidence-based practice and, 136-137 257 Koop, C. Everett, 46-47 Maryland State Medical Society, 257 Massachusetts, 38-39, 210-211, 220-221, 241, 258-259 L Massachusetts Medical Society, 259 Massachusetts Society for the Prevention of Law Enforcement Child Abuse Project of Cruelty to Children, 241 Philadelphia, 239 Maternal and Child Health Bureau, 115, 117 Leadership issues, 111, 139 Maternal and child health providers, 250, 310- Liaison Commission on Medical Education 311 (LCME), 194 Mayerson Center for Safe and Healthy Licensure, 8, 9, 40, 55, 149, 150 Children, 239 Louisiana, 208-209, 220-221, 240 McMaster University, 126, 128 Louisiana State University, 240-241, 257 MEDCEU, 259 Medical Directions, Inc., 267 Medical Education Collaborative, 266 M Medical Education Foundation, 252 Maine, 208-209, 220-221 Medical Legal Advisory Board on Child Abuse, Maltreatment, definitions of, 22 239 Mandatory education laws Medical schools child abuse curriculum, 73, 198, 230 accreditation requirements, 194 elder maltreatment, 73, 231 evidence-based practice in, 135 health professionals affected by, 73 professionals’ perceptions of adequacy of impacts, 73-74, 83, 149, 150-151 training, 49-50 intimate partner violence, 73, 232 Medical students requirements, 37, 73, 106 outcomes of training, 99, 100, 101, 270- state standards, 229-232 275, 298-299, 318-319 Mandatory reporting laws training programs for, 35-36, 194, 234, 236, child abuse and neglect, 27, 52, 68, 69, 71, 237, 252, 259, 265, 268 118, 150-151, 206-217 Medical University of South Carolina, 76 for data collection purposes, 70-71 MEDLINE, 85 elder maltreatment, 27, 68, 70-71, 118, 218- Medulogic, 260 225 Mental health services exemptions from, 70, 71 referral of victims for, 57 health professionals responsible for, 27, 69, training initiatives, 40-42, 49-50, 132, 195, 70, 71 236, 237, 258, 262 impacts of, 71-72, 82-83 utilization, 31 intimate partner violence, 68, 69-70, 71, 72, Michigan, 210-211, 220-221 118, 226-227 Minnesota, 70, 210-211, 222-223, 260-261 limits on, 69 Mississippi, 210-211, 222-223 requirements, 69-71, 106 Missouri, 70, 210-211, 222-223 research base on, 9, 72 Montana, 210-211, 222-223 standards, by state, 70, 205-227 Mortality rates, 28, 29, 30, 32

344 INDEX N National Violence Against Women Prevention Research Center, 78-79 National Association for Children of National Violence Against Women Survey, 25- Alcoholics, 109-110 26 National Association of Orthopedic Nurses Nebraska, 71, 210-211, 222-223 (NAON), 27, 203 Neglect, 23, 24-25, 27 National Association of Pediatric Nurse Network for Continuing Medical Education, Associates & Practitioners, Inc. 261 (NAPNAP), 195 Nevada, 70, 210-211, 222-223 National Association of Social Workers New Hampshire, 70 n.7, 210-211, 222-223 (NASW), 60, 64, 203 New Jersey, 70, 210-211 National Association of State Units on Aging, New Mexico, 120, 212-213, 222-223 78 New York State, 70, 73, 212-213, 230, 248 National Black Nurses’ Association, 61 North Carolina, 70, 212-213, 222-223 National Board of Medical Examiners, 55 North Dakota, 70, 212-213 National Campaign Against Family Violence, Northern Illinois University, 76 201 Nova Southeastern University, 38, 241, 248, 261 National Center for Injury Prevention and Nurse midwives, 40, 56, 250, 257, 288-289 Control (NCIPC), 154 Nurse practitioners, 56, 195, 320-321 National Center on Child Abuse and Neglect Nurses. See also professional organizations (NCCAN), 64, 77, 106 accreditation, 55 National Center on Elder Abuse, 78 beliefs about family violence, 47-48, 59 National Centers of Excellence in Women’s core competencies, 111-112, 114-115, 117, Health, 256 327-329 National Clearinghouse on Child Abuse and outcomes of training, 103, 278-279, 294- Neglect (NCCAN), 34 295, 308-309, 320-321 National Committee for Quality Assurance public health, 103, 294-295, 312-313, 320- (NCQA), 137 321 National Consortium on Violence Research, 75 sexual assault examiners, 111-112 National Council on Boards of Nursing, 55 training programs, 39-40, 49-50, 52-53, 64, National Institute for Child Health and Human 73, 76, 135, 136, 195, 199, 237, 253, Development, 34 256, 257, 259, 260, 262, 267 National Institute of Justice (NIJ), 4, 76, 156 victimization experiences, 59 National Institute of Mental Health (NIMH), 3, Nursing Network on Violence Against Women 75, 76, 143 International, 65 National Institute on Aging (NIA), 34, 76, 77, 152 National Institute on Nursing Research, 76 O National Institutes of Health (NIH), 4, 34, 76- 77, 80, 142, 156 Office of Assistant Secretary for Health, 77 National League for Nursing Accrediting Office of Community Services, 75 Commission (NLNAC), 195 Office of Justice Programs, 4, 156 National Library of Medicine, 135 Office of Minority Health, 255 National Nursing Summit on Violence Against Office on Child Abuse and Neglect (OCAN), Women, 61 64, 77 National Research Council (NRC), 18-19, 78, Office on Women’s Health, 61 105, 146, 151 Ohio, 212-213, 222-223, 242, 247, 261 Committee on National Statistics, 34 Ohio State Medical Association, 261 Committee on the Assessment of Family Ohio State University, 242 Violence Interventions, 3, 17, 127, 143 Oklahoma, 212-213, 222-223, 237 National Science Foundation (NSF), 76 Oklahoma Principles, 110

INDEX 345 Older Americans Act, 78, 79 Physician assistants Oregon, 38, 71, 212-213, 224-225, 261 accreditation requirements, 55, 196 Oregon Health Sciences University, 261 policy statements of professional Osteoporosis, 32 organizations, 198-199 Outcomes of training. See also Patient training programs, 38, 89, 241, 248, 253, outcomes 261 assessment instruments, 93-95 Physicians. See also Continuing medical on child abuse, 28, 92-93, 95, 99-100, 317- education; Medical students; Residency 325 training programs clinical intervention practices, 9, 92-93, 94, Physicians for a Violence-Free Society, 65, 262 97, 98, 99, 103-104, 107, 292-297, 324- Physicians for Social Responsibility, 262 325 Policy statements of professional organizations, core competencies and, 113 198 domains, 86, 92-93 Post-traumatic stress syndrome, 30, 59-60 on elder abuse, 104-105 Pregnancy, unintended, 30 on intimate partner violence, 92, 94, 95, Pregnant women, as victims of abuse, 26, 30, 100-104, 270-315 60, 103, 251, 257 knowledge, attitudes, and beliefs, 7, 92-93, Prenatal health clinic staff, 296-297, 314-315 94, 97, 98, 99-100, 101, 105, 106, 107, Presidential Task Force on Violence and the 270-291, 318-323 Family, 40, 50, 61, 64 quality of care, 92, 103, 104, 137 Prevent Abuse and Neglect Through Dental research base on, 105-107, 141, 147 Awareness (PANDA), 38 screening, identification, and detection, 92- Prevent Child Abuse America, 29 93, 94-95, 97, 98, 101-103, 104, 105, Primary care team members, 101, 102, 255, 107, 298-315, 322-323, 324-325 290-291, 296-297, 314-315 supportive environment and, 10, 107, 147 Privacy of family matters, 51-53 systems approach and, 132 Professional organizations. See Health timing of measurements, 95-96 professional organizations Professional Resource Press, 262 Program Against Sexual Violence, 261 P Protective order statutes, 51 PSYCHInfo database, 85 Pacific Business Group on Health, 67 Psychological/emotional abuse, 22-24, 28 Parkland Hospital (Dallas), 263 Psychologists. See also Mental health services Patient outcomes. See also Health effects of accreditation, 55 family violence; Outcomes of training beliefs about family violence, 47-48 child abuse victims, 28 core competencies, 117 evidence-based practice and, 8, 136-137, training programs, 40-42, 49-50, 195, 234- 140, 148 235, 236, 237, 258, 262 Pediatric intensive care, 29-30 vicarious traumatization, 60 Pennsylvania, 41, 70, 127, 212-213, 238, 239, Public Health Services Act, 75 262 Public health staff training, 103, 135, 136, 237, Pennsylvania Coalition Against Domestic 294-295, 312-313, 320-321 Violence, 127 Perinatal hospital staff, 282-285, 296-297, 308- 309 R Perpetrators, 23, 42, 71, 150 Phelps, Tony, 152 Recommendations Philadelphia Child Fatality Review Team, 239 developing, testing, and evaluating training Philadelphia Family Violence Working Group, programs, 10-11, 157-158 262 education and research centers, 5-6, 152-156 Physical abuse, 22, 23, 24, 26, 27, 28, 245 evaluation methodologies, 158-160

346 INDEX health professional organizations’ roles, 10, for elder maltreatment, 32 156-157 for intimate partner violence, 57-58, 59, 89, of prior studies, 143-144, 152 101-103 Referral of family violence victims, 19 as outcome measure of training, 92-93, 94- Reporting of abuse. See also Mandatory 95, 97, 98, 101-103, 298-315, 322-323, reporting laws 324-325 by dentists, 71 personal experiences of professionals and, immunity for, 69 59 mandatory education laws and, 73 professional organizations’ voluntary, 69 recommendations, 60-61, 64 Reproductive health care providers, 237, 250, rates, 54, 103 252 reimbursement policies, 67-68 Research on family violence. See also training and, 46 n.1, 57-58, 88 Evaluation of training efforts Select Media, 263 adequacy of, 3, 9, 16, 45, 49, 108-109, 112- Self-neglect, 23, 27 118, 141-142 Sexual abuse funding, 4-5, 75, 142 certification requirements, 56 mandatory reporting laws, 72 of children, 24, 28, 29, 40, 42, 64, 237, 242, recommended, 5, 152, 154 245 response to prior recommendations, 2-3, costs of health care, 29 143-144 defined, 23 survey methods and populations, 22 health effects of, 28, 30 victim partnerships in, 66, 67 of intimate partners, 26, 31, 36 Residency Review Committees (RRC), 36, 117, licensure requirements, 55 194 training and education on, 36, 237, 242, 245 Residency training programs Sexual assault, 36, 53, 64, 67, 111-112 accreditation requirements, 194 Shaken baby syndrome, 28 child abuse and neglect, 36-37, 234, 236, Social Security Act, 78, 79 237, 238, 239, 240-241, 242, 245, 246 Social workers core competencies, 117 accreditation, 55 elder maltreatment, 36, 37 beliefs about family violence, 47-48, 52-53 intimate partner violence, 36, 37, 251, 255, certification, 56 256 core competencies, 112, 117 outcomes of, 99, 101, 102, 104, 105, 136, outcomes of training, 320-325 274-277, 280-281, 292-293, 298-303, referrals to, 57 318-319 training programs, 42-43, 49-50, 64, 73, perceptions of adequacy of training, 49-50 136, 196, 237, 244, 245, 253, 255, 257, policy statement of professional 260, 262, 263, 264, 265, 266, 267-268 organizations, 198 Society for Academic Emergency Medicine Rhode Island, 70, 212-213, 224-227, 236 (SAEM), 263 Robert Wood Johnson Foundation, 142 Society for Adolescent Medicine, 117 Society of Teachers of Family Medicine, 120 Sociological Abstracts, 85 S South Carolina, 214-215, 224-225 South Dakota, 70, 214-215 Sacred Heart Medical Center (Spokane), 268 Spousal abuse. See Intimate partner violence Same-sex relationships, violence in, 26, 42 St. Joseph’s Hospital (Phoenix), 242 Screening for family violence State University of New York, 243 assessment/diagnostic tools, 88, 89-90, 94- State v. Jones, 52 95, 102, 103 State Victim Compensation and Assistance defined, 19 Fund, 77 disciplinary policies, 103

INDEX 347 Substance abuse, 14, 29, 30 funding issues, 4-5, 74-80, 81, 83, 151-152 Substance Abuse and Mental Health health care providers/payers and, 67-68, 80, Administration, 77 82 Suicide/suicidal behavior, 29, 30 HEDIS and, 8, 131, 132, 134, 137-138, 140, Survey methods, 86 n.3 148, 149 Syracuse University Health Center, 243 human resources, 66-67, 80-81 Systems change models, 127-132, 139-140, incentives for participation, 58-59, 129, 132 148, 148-149 interactive meetings, 129, 130, 148 intervention planning models, 128-129 learning organizations and, 133 T licensure requirements and, 8, 9, 55, 81, 149, 150 Tallahassee Memorial Regional Medical mandatory education laws and, 8, 9, 73-74, Center, 255 83, 149, 150-151 Team for Children at Risk, 243 mandatory reporting laws and, 8, 9, 68-72, Tennessee, 214-215, 224-225 73, 82-83, 149, 150-151 Terra Nova Films (ELDER), 248 materials, 41-42, 60, 81, 253, 254 Texas, 214-215, 224-225, 263 organizational environment, 129, 131-132, Training and education. See also Barriers to 133 training; Continuing medical education; outcome measurement and reporting and, 8, Evaluation of training efforts; 134, 140, 148 Knowledge acquisition; Medical perceptions of adequacy, 87 schools; Residency training programs political considerations, 79-80 academic detailing, 128-129, 130 practice environment, 129-132 accreditation requirements and, 8, 9, 54-55, precede/proceed model, 128-133 81, 84-85, 131, 132, 149, 150, 194-196 predisposing factors, 128, 130, 132, 133 adequacy of, 1, 14, 44, 47, 49-50, 87, 146 professional organizations’ influence on, adult education principles, 8, 123-124, 139 47, 60-64, 65, 82 advocacy groups and, 64, 66, 80, 82, 134, recognition of need for, 46-48 149, 150 recommendations, 10-11, 154-155, 157-158 amount of, 35-36 reflective practice, 133 assessment/diagnostic tools, 88 reinforcing factors, 131, 132-133, 148 behavioral change models, 7-8, 107, 125- responsibility for developing, testing, and 126, 139-140, 148 evaluating, 10-11, 157-158 booster sessions, 133 scope of Committee assessment, 15-17, 19 capacity building strategies, 141-145, 152- teaching strategies, 6, 7-8, 19, 36, 37, 156 39 n.1, 44, 67, 88, 89, 126, 127-132, case-based methods, 67 139-140, 146, 148, 234-268 certification requirements and, 8, 9, 56, 61, time allocated for, 6, 35-36, 37, 39, 40, 44, 81, 149, 150 49-50, 73, 88, 146 collaborative programs, 108, 110, 127, 129, victim participation in, 66-67, 80, 82 130, 144-144, 237 conclusions of Committee, 6, 43-44 content, see Core competencies U current initiatives, 35-44, 233-268 definitional issues, 18-19 University of effectiveness of, 84 Arkansas for Medical Sciences, 252 environmental enabling factors, 129-132, California at Davis, 243 133 California at Los Angeles, 101 evidence-based practice and, 8, 133-134, Chicago Pritzker School of Medicine, 256 135-136, 137, 148, 149 Cincinnati, 239 formal, 86 Colorado Hospital, 244

348 INDEX Connecticut Health Center Domestic defined, 23 Violence Training Project, 254 disclosure of abuse, 59 Iowa, 263 noncompliance with medical advice, 58, 59 Kentucky, 264 research partnerships with, 66, 67 Maryland Medical System, 244 response of health care system to, 66, 142 Massachusetts Medical School, 259 training involvement, 66-67, 150 Michigan, 244-245, 264-265 Victims of Crime Act, 79 Minnesota, 261, 265 Violence against women. See Intimate partner New Hampshire, 76 violence North Carolina at Chapel Hill, 245 Violence Against Women Act (VAWA), 78, 79 Oklahoma Health Sciences Center, 77, 237 Violence Intervention Prevention (VIP) Center, Pittsburgh, 245, 265-266 263 St. Thomas, 253 Violent Crime Control and Law Enforcement Texas at Austin, 246, 266 Act, 78 Toronto, 126, 128 Virginia, 214-215, 224-225 Virginia, 132, 148, 157 Virtual Lecture Hall, 267 Washington, 255 Unwarranted control, defined, 23 U.S. Advisory Board on Child Abuse and W Neglect (ABCAN), 3, 141-142, 143 U.S. Department of Health and Human Washburn University, 267-269 Washington, DC. See District of Columbia Services (DHHS), 3, 4, 5, 29, 34, 61, 74-75, 78, 79, 120, 143, 152, 153, 156 Washington Business Group on Health, 67 U.S. Department of Housing and Urban Washington State, 214-215, 224-225, 268 West Virginia, 214-215, 224-225 Development (HUD), 76 U.S. Department of Justice (DOJ), 4, 29, 78, Western Schools, Inc., 246 156 Wisconsin, 70, 216-217, 248, 249, 268 Wisconsin Coalition Against Domestic U.S. General Accounting Office (GAO), 6, 156 U.S. Healthcare, 266 Violence, 248, 249 U.S. Public Health Service, 61 W.K. Kellogg Foundation Fellowships in Health Policy Research, 142 Utah, 214-215, 224-225 Utilization of health care services WomanKind program, 85 n.1 child abuse victims, 13, 29-30 Women childhood victimization, 29 data adequacy, 3, 33, 145 by elder abuse victims, 13, 32 costs of health care, 29 for intimate partner violence, 13, 30-31 intimate partner violence, 14, 30, 72, 60-61, 62-63, 64 mandatory reporting laws and, 71 untreated victims, 14 Work Group on the Prevention of Violence V During Pregnancy, 251 Working Group on Implications for Education Vanderbilt University, 246 and Training of Child Abuse and Vantage Professional Education, 267 Neglect, 41, 50, 81, 236 Vermont, 214-215, 224-225 World Psychiatric Association, 27 Victim Assistance and Law Enforcement Fund, Wyoming, 70, 216-217, 224-225 77 Victims. See also Health effects of family violence; Patient outcomes Y advocacy by, 9, 66-67, 150 Young adults, 26 concerns about mandatory reporting laws, 9, 72, 82-83, 150

Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence Get This Book
×
Buy Hardback | $39.95 Buy Ebook | $31.99
MyNAP members save 10% online.
Login or Register to save!
Download Free PDF

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

  1. ×

    Welcome to OpenBook!

    You're looking at OpenBook, NAP.edu's online reading room since 1999. Based on feedback from you, our users, we've made some improvements that make it easier than ever to read thousands of publications on our website.

    Do you want to take a quick tour of the OpenBook's features?

    No Thanks Take a Tour »
  2. ×

    Show this book's table of contents, where you can jump to any chapter by name.

    « Back Next »
  3. ×

    ...or use these buttons to go back to the previous chapter or skip to the next one.

    « Back Next »
  4. ×

    Jump up to the previous page or down to the next one. Also, you can type in a page number and press Enter to go directly to that page in the book.

    « Back Next »
  5. ×

    To search the entire text of this book, type in your search term here and press Enter.

    « Back Next »
  6. ×

    Share a link to this book page on your preferred social network or via email.

    « Back Next »
  7. ×

    View our suggested citation for this chapter.

    « Back Next »
  8. ×

    Ready to take your reading offline? Click here to buy this book in print or download it as a free PDF, if available.

    « Back Next »
Stay Connected!