Take Home Tips from Alaska IPVDV Screening Project:

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Take Home Tips from Alaska IPV/DV Screening
Project

• Linking Culture and Community
• to Action

Presented by Lynn Hoefer, Ketchikan Indian
Community Tribal Health Clinic Domestic Violence
Specialist
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Statistics

• Nine women were killed by men in Alaska in 2004,
  a number that once again puts Alaska ahead of all
  other states in the rate at which men slay
  women
• - Violence Policy Center

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Violence Against Women Act

• The U.S. Department of Justice estimates that
• 1 of 3 Native women will be raped
• 6 of 10 will be physically assaulted
• 9 of 10 rapes or assaults against Natives are
  committed by non-Native assailants
• Native women are stalked at a rate of at least 2x
  more than any other population

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• Southeast
• Alaska
• The
• Inside
• Passage
• Ketchikan

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KIC Tribal Health Clinic
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Customized Endabuse poster
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KIC Tribal Health Clinic

• Received funding from IHS/ACF in 2002 to
  implement domestic violence screening in the
  healthcare setting
• Developed internal DV Prevention Team including
  staff from various clinical departments
• Conducted training in-house and to outlying areas
  of SE Alaska
• Presented at 2004 2006 HDV national conferences

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Multidisciplinary Team

• Physician
• Domestic Violence Advocate
• Social Services
• Nursing
• Dental
• Lab
• Medical Social Worker
• Batterers Program Counselor
• Administration Staff Member

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KIC DV Prevention Team
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DV Demonstration Project

• Develop the clinical practice, education and
  outreach to Native clinics

• Promote local public education and prevention
  efforts, presenting domestic violence as a public
  health issue

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DV Demonstration Project

• Develop and support advocacy efforts within
  healthcare systems

• Develop culturally appropriate domestic violence
  assessment tools

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DV Demonstration Project

• Develop appropriate data collection forms
• Improve safety of victims and create
  public-private partnerships

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Screening Target Population

• Initial Implementation (Phase l)
• Trauma Cases
• Pregnant Women
• Annual Exams
• Women ages 18-44
• Phase ll
• Women ages 15-44
• Phase lll
• Same as above, but screen all female patients

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GPRA Domestic Violence Screening Females age
15-40
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10.5
2.4
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Individual Successes in DV Screening by Nurse
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Screening Tool
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Self Sustaining Project

• Phase III completed February 2007
• Policy and procedures for screening are
  established and monitored through GPRA
  (Government Performance and Reporting Act)
  standards
• Internal prevention team will remain intact and
  provide in-house and regional training

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Strategies to Promote Safety, Justice and Healing

• IMPLEMENT policies and processes as applicable
• EDUCATE by training staff in latest screening
  prevention methods
• EVALUATE by measuring trends and improvements

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Strategies to Promote Safety, Justice and Healing

• OUTREACH by sharing knowledge with other
  communities, continuity of care, training for
  transient community
• ADVOCATE for clients/patients victims safety,
  legal advocacy, and through group sessions
• DOCUMENT on PCC or EHR (or your method)

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• Gunal cheesh
• (Tlingit)
• Thank you