Confronting chronic neglect : the education and training of health professionals on family violence / Committee on the Training Needs of Health Professionals to Respond to Family Violence, Board on Children, Youth, and Families, Institute of Medicine ; Felicia Cohn, Marla E. Salmon, and John D. Stobo, editors.

Format:

Book

Author/Creator:

National Research Council (U.S.). Committee on the Training Needs of Health Professionals to Respond to Family Violence.

Contributor:

Cohn, Felicia.

Salmon, Marla E.

Stobo, John D.

Language:

English

Subjects (All):

Family violence.

Medical personnel--Training of--United States.

Medical personnel.

Domestic Violence--prevention & control.

Medical personnel--Training of.

United States.

Health Personnel--education.

Medical Subjects:

Domestic Violence--prevention & control.

United States.

Health Personnel--education.

Physical Description:

xvii, 348 pages : illustrations ; 24 cm

Place of Publication:

Washington, DC : National Academy Press, [2002]

Summary:

As many as 20 to 25 percent of American adults -- or one in every four people -- have been victimized by, witnesses of, or perpetrators of family violence in their lifetimes. This is an astounding figure, one that should concern everyone. Indeed, family violence affects more people than cancer. But it's an issue that receives far less attention. Surprisingly, many people assume that health professionals are deliberately turning a blind eye to this traumatic social problem. The fact is that at a time when it should be at the top of everyone's list, very little is octually being done to educate health professionals about family violence. We know that health professionals are often the first to encounter victims of abuse and neglect. They, therefore, play a critical role in ensuring that victims -- as well as perpetrators -- get the help they need.

Yet, despite their critical role, studies continue to describe a lack of education for health professionals about how to identify and treat family violence. And those that have been trained often say that, despite their education, they feel ill-equipped or lack support from their employers to deal with a family violence victim, sometimes resulting in a failure to screen for abuse during a clinical encounter. Equally problematic, the few formal curricula in existence often lack systematic and rigorous evaluation. This makes it difficult to say whether or not the existing training regimens even work. Confronting Chronic Neglect represents an important step in the right direction. The Institute of Medicine now offers very specific recommendations, such as creating education and research centers, that would help roise awareness of the problem on all levels. In addition, the book goes on to recommend ways to involve health care professionals in assuming greater responsibility for responding to this difficult and devastating issue. Perhaps even more importantly, Confronting Chronic Neglect encourages society as a whole to share responsibility. Health professionals alone cannot solve this complex problem. Responding to victims of family violence and ultimately preventing its occurrence is a societal responsibility, one in which we must all share.

Contents:

2 Defining the Problem 21

Definitions and Magnitude 21

Health Professionals' Roles 27

3 Current Educational Activities in the Health Professions 35

Physician Education 35

Physician Assistants 38

Dentistry 38

Nursing 39

Psychology 40

Social Work 42

4 Forces Influencing Health Professionals' Education 45

Intrinsic Influences on the Training Environment 46

Accreditation, Licensure, and Certification Requirements 54

Individual Issues: Professional and Personal Factors 56

Professional Organizations and Stakeholder Groups 60

Laws Mandating Reporting and Education 68

Resource Issues 74

5 Evaluation of Training Efforts 84

Search Strategy 85

Types of Training Efforts Evaluated 88

Assessing the Available Evidence 90

Characteristics of the Evaluation and Research Base 92

Training Outcomes and Effectiveness 97

Quality of the Evidence Base 105

6 Training Beyond the State of the Art 108

Training Content: Core Competencies 109

Achieving Competency Through Education and Training 122

Influencing Family Violence Education in the Future 134

7 Priorities for Health Professional Training on Family Violence 141

Building a Field 141

A Accreditation Requirements 193

B Policy Statements of Health Professional Organizations 197

C Mandatory Reporting Laws for Family Violence 205

D Mandatory Education Laws for Family Violence 229

E Existing Curricula on Family Violence 233

F Summary of Evaluation Studies on Training of Health Care Professionals on Intimate Partner Violence 269

G Summary of Evaluation Studies on Training Health Care Professionals on Child Abuse and Neglect 317

H Core Competencies for Family Violence 327.

Notes:

Includes bibliographical references (pages 161-190) and index.

ISBN:

0309074312

OCLC:

48857729