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Building Domestic Violence Health Care Responses in Indian Country: A Promising Practices Report.

Publication Year: 
Personal Author: 
Marjavi, Anna.
Ybanez, Vicki.
Corporate Author: 
Family Violence Prevention Fund.
Sacred Circle, National Resource Center to End Violence Against Native Women.
Sacred Hoop Technical Assistance Project.
Technical Report
Page Count: 

This report discusses the incidence of intimate partner violence in Indian Country and highlights the efforts by the Family Violence Prevention Fund (FVPF) in 2002-2009 to work with more than 100 Indian, Tribal, and urban health care facilities, as well as domestic violence advocacy programs across the United States, to improve the health care responses to domestic violence. The role of FVPF as faculty to the Innovations in Planned Care II initiative is also described. This project involves 38 Indian/Tribal and urban health Facilities and is designed to support community and individual wellness initiatives to strengthen and reduce the prevalence and impact of chronic conditions -- including domestic violence as a preventative health screening measure. The report shares the project's outcomes, including the development of a Government Performance Results Act that requires every facility to institute a policy and procedure on domestic violence, and conduct routine assessment, intervention, and referral for intimate partner violence with women ages 15-40. Specific steps are then described for creating a domestic violence response in a health care setting, including: setting up a collaborative working group; developing collaborative relationships with community domestic violence experts; developing a protocol; developing a routine, site-specific assessment and response; developing and institutionalizing a staff training program; providing resource materials for clinicians and patients; increasing community awareness; integrating domestic violence prevention into wellness programs; establishing quality assurance mechanisms to monitor response; and engaging youth, boys, and men. 71 references.

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