10/16/19 THE INTERSECTION OF INTIMATE PARTNER VIOLENCE & CHILD ABUSE Jacqueline M. Baugh, Ph.D., M.S., M.B.A., R.N. National Domestic Violence Expert, Advocate, Author and Educator 1 DEDICATION TO MY BELOVED DAUGHTER AT AT 13 YEARS YOUNG YOU WITNESSED THE MOST HORRIFYING EVENT THAT AT HAS FOREVER FO CH CHANGE GED THE LENS IN WHICH CH YOU VIEW THE WORLD. D. TO TO TH THE YO YOUN UNG WOMA MAN WHO WORKS DA DAILY TO TO MA MAINTAIN BALANCE CE IN A WORLD WH WHERE VIOLENCE IS UNPRECENDENT. TO TO TH THE PERSON WHOM I WAS BLESSED TO TO GI GIVE LIFE AND FOR TH THE FORGI GIVENESS YO YOU HAVE SHOWN TO TOWARDS ME ME IN TH THE YE YEARS FOLLOWING, WHEN I HAVE ST STRUGGLED TO FO FORGIVE MYSE SELF. F. TO TO A LOVING GO GOD WHO HAS SHOWN ME MERCY, CY, GR GRACE CE AND HAS GI GIVEN US US STR TRENGTH GTH TO TO SHARE OUR UR JOUR URNEY TH THAT OTH THERS MA MAY SEE HOPE. TO TO TH THE WOMA MAN I CA CALL MY MY DA DAUGH UGHTE TER, FRIEND AND FELLOW SUR URVIVOR SISTE TER. MY MY GREATE GR TEST ACCO CCOMPLISHMENT, YOU ARE A TR TRUE UE WARRIOR! 2 “We are only as happy as our saddest child.” -Beth Moore 3 1
10/16/19 OUR JOURNEY THROUGH IPV AND CHILD ABUSE § JU JULY 5, 2009, I LEFT FT MY MARRIAGE GE IN AN AN AM AMBULAN ANCE ON LIFE SUPPORT § MY MY DAUG UGHTE TER AT 13 YE YEARS YO YOUN UNG CA CALLED 911 AS I LAY LIFE FELESS ON TH THE FL FLOOR IN A POOL OF BLOOD, D, UN UNCO CONSCI CIOUS US, AND BROKEN. § OU OUR STORY ORY OF OF ABUSE AND THE AF AFTERMATH OF SURVIVAL AL IS A GIFT THAT TH WE SHARE TO TO HELP OTH THERS BEC BECOME SURVI VIVORS. . § FR FROM 2004-2009 2009 MY MY DAUG UGHTE TER SUFFE SU FFERED THE COLLATERAL DAMAGE OF OF THE ABUSE SHE WITNESSED § TH THIS IS OUR UR STO TORY 4 DEFINITION OF DOMESTIC VIOLENCE For Fo purposes of the he Batterer Int ntervent ntion St Stand ndards for the he St State of Michi higan Dome Do mestic violenc nce is define ned as follows: “D “Domest stic Viole lence is a pattern of controlli lling behaviors, s, so some of which are criminal, l, that th incl cludes but is not limite ted to to physica cal assaults ts, sexu xual assaults ts, emoti tional abuse, is isolatio ion, economic ic coercio ion, threats, stalkin ing and in intim imid idatio ion. These behavio iors are used us by the batterer in an effort to control the intimate partner. The behavior may be di directed at others with the effect of controlling the intimate par artner.” Batter Ba erer er Interven ervention Stan andar dards ds for the State of Michigan gan, Sec ection 4.1 .1. 5 REASONS ABUSERS NEED TO CONTROL § An Anger management issues (Discussion regarding An Anger Management) § Je Jealousy § Lo Low self-es esteem eem § Fe Feeling ng inf nferior § Cu Cultural beliefs they have the right to control their partner § Pe Personality disorder (Narcissism) or psychological disorder § Le Learned behavior from growing up in a family where domestic violence was accepted § Al Alcohol and drugs, as an impaired individual may be less likely to control violent impulses im 6 2
10/16/19 ACCORDING TO HUECKER & SMOCK (2019) Fa Family and domestic violence (including child abuse, intimate partner abuse, and elder abuse) is a common problem in § th the Unite ted Sta tate tes. Family and domesti tic health th violence are esti timate ted to to affect 10 million people in th the Unite ted Sta tate tes ev ever ery yea ear. It is a national public hea ealth problem em, and virtually all hea ealthcare profes essionals will at some point ev evaluate or tr treat a pati tient who is a victi tim of some form of domesti tic or family violence.] Un Unfortunately, each form of family violence begets interrelated forms of violence, and the "cycle of abuse" is often § co continued from ex exposed ed children en into thei eir adult rel elationships , , and finally to to th the care of th the elderly. Domestic Do and family violence include a range of abuse including economic, physical, sexual, emotional, and § ps psychological toward children, adults, and elders. In Intimate partner violence includes st stalking, se sexual and physi sical violence, and psy sychological aggressi ssion by a current or § fo former partner. In the United States, as many as on one in fou our wom omen and on one in nine men are victims of of dom omestic violence. Domestic vi vi violence is thought to be underreported. Domestic vi violence affects the vi victim, families, co-wo workers, an and community. It cau auses di diminished psychological and physical health, de decreases the quality of life, and results in de decreased produ ductivity. Th The national economic cost of domestic and family violence is estimated to be over 12 billion dollars per year. Th The § nu numbers of ind ndividuals affected is expected to rise over the ne next 20 years with the inc ncrease in the elderly population. n. Do Domestic and family violence is difficult to identify, and many cases go unreported to health professionals or legal § au authorities. Due to the preval alence in our society, al all heal althcar are professional als, including psychologists, nurses, ph pharmacists, dentists, ph physician assistants, nurse pr practitioners, and ph physicians will at some po point evaluate and po possibly treat tr a victi tim or perpetr trato tor of domesti tic or family violence. 7 NATIONAL COALITION AGAINST DOMESTIC VIOLENCE (NCDAV) STATISTICS 2018 § In In the United States, an average of 20 people le experience intimate partner physical violen vi ence every every m minute. e. § Thi This equates to mo more tha han 10 10 mi million abuse victims ms annu nnually. § 1: 1:4 wo wome men and 1: 1:9 me men experience severe intima mate partner phy hysical violence, in intim imate partner contact sexual vio iolence, and/or in intim imate partner stalkin ing wit ith im impacts such as in injury, fearfulness, posttraumatic ic stress dis isorder, use of vic ictim im se services, s, contraction c of o se sexually t transm smitted d dise sease ses, s, etc. e 8 ADDITIONAL STATISTICAL DATA § Fa Family and domes estic violen ence (including child abuse, e, intimate part rtner er abuse, e, and el elder er abuse) e) is a co commo mmon problem in the he Un United States. Fami mily and dome mestic he health violence ce are estima mated to affect ct 10 mi million people in the he Un United States every year ar. It is a national al public he heal alth problem, m, an and virtual ally al all he heal althcar hcare professional als will at some me point eval aluate or treat a patient who ho is a vict ctim of some me form of domestic do or family violence. § Un Unfortunately, each ach form of fami amily violence ce begets interrelated forms ms of violence ce, an and the he "cy cycl cle of abuse" ab is often continued from exposed chi hildren into the heir ad adult relationshi hips, an and final ally to to th the care of th the elderly. § Do Domestic and nd family violenc nce inc nclude a rang nge of abuse inc ncluding ng econo nomic, physical, sexual, emotiona nal, an and psycho hological al towar ard chi hildren, ad adults, an and elders. § Int Intimate partne ner violenc nce inc ncludes st stalking, se sexual and physi ysical violence, and psyc sychological aggressi ssion by by a current or former partner. In the United States, s, as many as on one in fou our wom omen and on one in nine men ar are victims ms of dome mestic violence. Dome mestic violence is tho hought ht to be underreported. Dome mestic violence af affects the he victim, m, fami amilies, co-wo workers, s, and community. y. It cause ses di diminished psychological and physical heal he alth, h, decr creas ases the he qual ality of life, an and results in decr creas ased product ctivity. § Th The national economic cost of do domestic and family violence is estimated to be over 12 billion do dollars per year. The ye numbe bers of individuals affected is expected to rise se over the next 20 ye years wi with the increase se in th the elderly populati tion. § Do Domestic and nd family violenc nce is difficult to ident ntify, and nd many ny cases go unr nreported to health pr profe ofession onals or or legal author orities. Due to the pr preva valence in ou our soc ociety, all healthcare pr profe ofession onals, in inclu ludin ing psycholo logis ists, nurses, pharmacis ists, dentis ists, physic icia ian assis istants, nurse practit itio ioners, and physicians ph will at som ome poi point eva valuate and pos possibly treat a vi victim or or pe perpe petrator or of of dom omestic or or fa family violence. vi 9 3
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