6033.0: Thursday, November 16, 2000 - 9:10 AM

Abstract #16116

Coordinating Community Response across diverse services: Undermedicalization and underutilization of medical providers in the coalition

Barbara Herbert, MD, Emergency Department, Lawrence General Hospital, 1 General ST, Lawrence, MA 02137, 978-683-4000, bherbs@juno.com

Historically, meddical providers ignored the etiology and context of domestic violence, ignoring or blaming batetered women for their injuries. In initial feminist collaboration, informed by women themselves affected by DV and empathetic providers, education, protocol and regulation combined to change practice to identify DV and provide emergent interventions. The ehtos of care for women shifted: idntifying DV is standard of care. Ten years later, efforts at universal surveillance are minimally successful, and psychosocial intervention remains site and resource dependent. The presentation suggests that engaging providers can go beyond identification and crisis intervention to include the full modalities of current practice. Achieving maximal access to medical, surgical, pasychiatric and rehabilitative care cannot occur absent dialogue with affected women and their other service providers. It could achieve twin goals: to improve the health of DV survivors, and differently engage more providers in vigoroously opposing violence within the community. Such efforts demand different research and practice focus, novel payment and care delivery medhanisms, and a braod coalition of providers and consumers rooted in a context of community activism.

Learning Objectives: 1. To understand the construction of collaboration within a particular community to respond to domestic violence. 2.To develop a novel model for expanding medical/surgical/psychological and rehabilitation interventions for victims/survivors of intimate partner violence, integrating increased medical services within a community-based framework

Keywords: Community Collaboration, Drinking Water Quality

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: The Carney Hospital Boston Medical Center various community health centers
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA