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Comprehensive Services
Pages 94-105

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From page 94...
... Comprehensive service efforts can be administrative conveniences designed to integrate fragmented program activities, or they can represent systematic efforts to integrate diverse units into a coherent strategy focused on the treatment and prevention of selected forms of family violence. The desire for integrated, comprehensive, community-based programs that integrate services from health, social service, and legal settings has stimulated a variety of models and approaches that deserve careful analysis.
From page 95...
... The Duluth Domestic Abuse Intervention Project (DAlP) has two primary goals: (~)
From page 96...
... Basic protective measures should be the focus of policy development, and they should address considerations such as the necessity of shifting the burden of responsibility for stopping the violence from the victim to the community; preserving victim autonomy and self-determination; and eliminating broad discrimination while establishing policies that allow agencies to respond effectively to individual cases.
From page 97...
... The emergency response program will supplement existing efforts to secure broad compliance with basic policies and procedures in the community's legal and mental health systems, including mandatory arrest by police, aggressive prosecution, increased sanctions for offenders, and a movement away from couples counseling toward a group treatment process for men who batter. DAlP is an institutionalized community advocacy model -- a community holding itself accountable for intervention in domestic violence.
From page 98...
... A second challenge in developing intervention efforts concerns the nature of domestic violence itself. The key goal is to protect battered women and hold abusers accountable for their actions, not simply to develop more efficient systems of service delivery.
From page 99...
... Prior to 1990 the Philadelphia District Attorney's Office had discrete specialized units for child abuse, domestic violence, and adult sexual assault. it became apparent that separate intervention systems to protect children and to protect their caregivers was an unrealistic and sometimes dangerous configuration.
From page 100...
... The goal of winning a case, so central to our criminal justice response, must be redefined. We win when the quality of life for children and their caregivers is enhanced by involvement in our system.
From page 101...
... AWAKE staff members participate in committees within Children's Hospital such as weekly Child Protection team meetings and are also active members of several community and statewide advisory boards. These activities result in resource accessibility which provides optimal service plan development and protection for abused children and also their mothers when necessary In addition, AWAKE staff serve as advocates on behalf of all battered women and children with the meclical, legal, and criminal justice communities throughout 101 .
From page 102...
... Preliminary analysis of this client base indicates that after AWAKE intervention, only 12 percent of the women remained with their abusive partners, although more than half still experience varying levels of control and violence, usually associated with visitations ~ _ , 1 , _ _ _ _ 1- ~ 1 ~ O~ _ ~ _ ~ ~1~ 1_ _ ~ ~ _e _ _ _ _ 1 _1~ __1 and court proceedings. ADOUt ~ / percent or the women nac experienced physical violence; 40 percent disclosed sexual violence; and 100 percent reported repetitive psychological maltreatment.
From page 103...
... AWAKE also seeks to stimulate educational centers to develop intake protocols that would promote early identification of child and adult victims of domestic violence in day care, nursery, elementary, and even graduate school levels. Yet fiscal realities may limit opportunities for program growth and the level of service ability.
From page 104...
... In the absence of such information, researchers are unable to evaluate the relevant outcomes for such programs or to assess their relative effectiveness compared to categorical efforts within health, social service, or legal settings. What is particularly needed at this time is better documentation regarding the types of interagency coordination problems that are presented by comprehensive service efforts and assessments of the relative effectiveness of information-shar~ng within comprehensive service programs in various institutional settings.
From page 105...
... Participants observed that guidance from victims of family violence was very important especially in dealing with battered women who are frustrated by the r ~ ~ - r - - -- ~ ~ o responses from agency representatives. Some systems that have limited resources and that are resistant to change have relied on family violence advocates as a means of holding divided and fragmented systems accountable for the wise use of resources in helping battered women and their children.


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