229284 Public health prevention and intervention with family violence

Monday, November 8, 2010 : 12:30 PM - 12:50 PM

Michael Durfee, MD , Chief Consultant, ICAN National Center on Child Fatality Review, La Canada, CA
Patricia M. Speck, DNSc APRN FAAN , Primary Care/Public Health, University of Tennessee Health Science Center College of Nursing, Memphis, TN
James A. Mercy, PhD , Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control, Atlanta, GA
Family violence was generally ignored by society until the 1960s. With some exception, public health involvement came later. This century public health programs at CDC include data driven prevention programs, studies with other agencies with other agencies, programs to define terms and data on injured infants and pregnant homicide victims. Public health nursing had earlier involvement with firsthand knowledge with home visits. Community workers, law enforcement, child protective services and advocates for women's shelters have an understanding of the issue that can lead to line staff working together when management staff remain separate. The Women's Caucus of APHA has a long history of addressing violence against women. Consensus publications provide intervention frameworks for coordinated community responses to domestic and sexual violence. Public health provides great resources with population studies and structures for comprehensive programs, primarily focused on prevention. Public health funds supported studies of poor health outcomes for survivors of adverse childhood experience including child abuse. A CDC Webinar added resources on child abuse prevention. This panel will target child, sibling, and partner, older and vulnerable adult victims. Topics include legal and ethical issues and problems coordinating community responses. Model programs will be presented that include a discussion on the potential merits and hazard of using public health records to detect victims. This includes birth and death records, STD and HIV records in children, hospital discharge data and insurance claims. Models will be presented for family violence policy, programs and standards for local state and federal public health programs.

Learning Areas:
Ethics, professional and legal requirements
Other professions or practice related to public health
Program planning
Public health administration or related administration
Public health or related laws, regulations, standards, or guidelines
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
1. Explain a potential conflict for public health reporting child abuse and other family violence. 2 Describe three ways to balance the need to protect records and protect people. Describe a public health program that successfully mixes prevention and intervention with family violence.

Keywords: Family Violence, Public Health Policy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: decades of experience full time with family violence and public health, published,lectures appointments,
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.