Domestic Violence and Same-Sex Domestic Violence in an HIV Ambulatory Care Setting


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Ruth Hennessy, Psychology Unit Manager/Senior Clinical Psychologist, Albion Street Centre
In response to the gaps in the 2006 NSW Health Domestic Violence Screening Policy, Albion Street Centre developed a research project to explore clients’ experience of DV, helpseeking behaviours and whether HIV was a factor in any abuse experienced.
Anonymous surveys were completed by 102 clients attending the Albion Street Centre, over two separate four week periods. This
podium presentation will report the findings of the survey and contribute to improving health care worker’s understanding of
DV and SSDV within HIV positive clients’ relationships.

Published in: Health & Medicine
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  • Is there meant to be a number somewhere on this slide? I don’t understand it! Is it data from 2006 or were there 2006 screens?
  • DELETE first +ve, should be people affected by HIV.
  • Relationship discord, not relationship discordance
  • Split into 2 slides
  • Current and/or present – aren’t they the same thing? Current and/or past partners???
  • Not sure how these figures work: Did 25% not have partners? Is the last line about partners only? Not clear.
  • Did some tell more than one person? (%s add up to 34%)
  • Domestic Violence and Same-Sex Domestic Violence in an HIV Ambulatory Care Setting

    1. 1. Domestic Violence and Same Sex Domestic Violence in an HIV ambulatory care setting Ruth Hennessy Alisa Green Damien Rivkin Albion Street Centre, Surry Hills
    2. 2. Overview <ul><li>Background </li></ul><ul><li>Context </li></ul><ul><li>Survey </li></ul><ul><li>Results </li></ul><ul><li>Discussion </li></ul>
    3. 3. Background <ul><li>2006 NSW Health Policy routine screening for DV for women presenting to antenatal, mental health & alcohol & other drug (AOD) services asks: </li></ul><ul><ul><li>experienced actual violence </li></ul></ul><ul><ul><li>and/or </li></ul></ul><ul><ul><li>frightened of partner </li></ul></ul>
    4. 4. Context <ul><li>Albion Street Centre (ASC) Psychology Unit: psychological treatment for people affected by HIV (inclusive of mental health, AOD issues and relationship issues) </li></ul><ul><li>Majority of ASC clients are HIV+ve men in same sex relationships </li></ul>
    5. 5. Guidelines <ul><li>NSW Health guidelines regarding Health Care Workers (HCWs) to refer perpetrators of DV on DV issues (includes Anger mx) to other services (primarily Relationships Australia) </li></ul><ul><li>Ambiguity re identification of DV / Anger mx / relationship discord </li></ul>
    6. 6. ASC Psychology <ul><li>Is DV an issue for our clients? </li></ul><ul><li>Does HIV play a role in DV? </li></ul><ul><li>What assistance are people accessing? </li></ul><ul><ul><li>How helpful was assistance? </li></ul></ul><ul><li>What barriers, if any, to help? </li></ul>
    7. 7. Survey <ul><li>Anonymous, voluntary, waiting areas </li></ul><ul><li>Experience of various behaviours that may be signs of DV </li></ul><ul><li>Whether help was accessed in cases where DV experienced </li></ul><ul><li>From whom assistance was sought and whether it was helpful </li></ul><ul><li>Barriers to help seeking </li></ul>
    8. 8. Survey <ul><ul><li>12 questions types of abusive behaviour: with current and/or past partners </li></ul></ul><ul><ul><li>4 intimidation/threat/violence </li></ul></ul><ul><ul><li>1 accusatory behaviours </li></ul></ul><ul><ul><li>1 control of money/spending </li></ul></ul><ul><ul><li>1 pertaining to isolation </li></ul></ul><ul><ul><li>2 sexual violence (unprotected sex) </li></ul></ul><ul><ul><li>1 regarding outing of sexual orientation </li></ul></ul><ul><ul><li>2 HIV-specific: threat to tell status and prevent health access </li></ul></ul>
    9. 9. Descriptive Results <ul><li>102 clients attending ASC x 2 months </li></ul><ul><li>92% male with 67% male partners and 8% female partners </li></ul><ul><li>39% 36-45 yo </li></ul><ul><li>82% HIV positive </li></ul><ul><li>35% HIV positive and 36% HIV negative partners </li></ul>
    10. 10. Results <ul><li>Current relationships </li></ul><ul><li>46.1% reported one+ types of abusive behaviour </li></ul><ul><li>21.6% three or more </li></ul><ul><li>Past relationships </li></ul><ul><li>26% reported one+ types of abusive behaviour </li></ul><ul><li>18% three or more </li></ul>
    11. 11. Types of abuse <ul><li>Most reported factors: </li></ul><ul><li>Jealousy (27.5%) </li></ul><ul><li>Indirect violent anger (21.6%) </li></ul><ul><li>Isolation (15.7%) </li></ul><ul><li>HIV: disclosure threat 8.8%, prevention health access 4.9% </li></ul>
    12. 12. Types of abuse <ul><li>Controlling-jealous behaviours and social isolation were the primary abusive behaviours leading respondents to end relationship </li></ul>
    13. 13. Help Seeking <ul><li>31% told someone </li></ul><ul><ul><li>14% counsellors </li></ul></ul><ul><ul><li>10% police </li></ul></ul><ul><ul><li>6% GP </li></ul></ul><ul><ul><li>4% friend </li></ul></ul><ul><li>66% said assistance was helpful </li></ul><ul><li>Barriers to seeking help: </li></ul><ul><li>8% concerned unsympathetic response </li></ul>
    14. 14. Discussion <ul><li>Limitations: </li></ul><ul><ul><li>public nature of the survey </li></ul></ul><ul><ul><li>DV itself is defined by an abusive pattern </li></ul></ul><ul><ul><li>sample bias </li></ul></ul><ul><ul><li>stigmatised context </li></ul></ul>
    15. 15. Summary <ul><li>46% experienced at least one type of abusive behaviour, 22% three or more </li></ul><ul><li>Forms of abuse relating to sexuality or accessing HIV Rx least prevalent forms of abuse endorsed </li></ul><ul><li>Less than a third sought assistance – consistent with other gay and lesbian response </li></ul>
    16. 16. Future considerations <ul><li>Health / ASC Psychology: </li></ul><ul><li>How do we assess and identify DV? </li></ul><ul><li>What is our management of DV perpetrators? </li></ul><ul><li>Acknowledgement of same sex and other relationship status DV </li></ul>