2.3.2 AWHN Conference 6 2010 Chancellor 2:
Improving service responses to violence against women with disabilities.Victorian Women with Disabilities Network
This is a modified PowerPoint presentation from the 2011 National Conference on Ending Family Homelessness that provides a basic overview of shelter diversion, how it works, and how it can benefit homeless assistance systems and the households they serve. This is meant to be used as a teaching tool and comes with slide notes so that individuals can present it to fellow providers or staff members.
FULL TITLE:
A Deeper Look at Programs that Work with the Ultra-Poor, Including Youth and People with Disabilities
ROOM: Tsavo A
Translated session: English & French
PANEL:
Chair: Mr. Mohammed Khaled, Middle East & North Africa (MENA) Regional Representative, CGAP, Palestine
Panelist: Ms. Janet Bett, Manager, Tumaini Department, Jamii Bora Trust, Kenya
Panelist: Ms. Yetnayet Girmaw, Deputy Chief of Party, CARE Ethiopia, Ethiopia
How Viable Is Crime Stoppers? by K. Scott Abrams Crime Stoppers International...Scott Mills
Crime Stoppers USA K. Scott Abrams presentation to delegates at the 2011 Crime Stoppers International Training Conference in Montego Bay, Jamaica October 26, 2011
This is a modified PowerPoint presentation from the 2011 National Conference on Ending Family Homelessness that provides a basic overview of shelter diversion, how it works, and how it can benefit homeless assistance systems and the households they serve. This is meant to be used as a teaching tool and comes with slide notes so that individuals can present it to fellow providers or staff members.
FULL TITLE:
A Deeper Look at Programs that Work with the Ultra-Poor, Including Youth and People with Disabilities
ROOM: Tsavo A
Translated session: English & French
PANEL:
Chair: Mr. Mohammed Khaled, Middle East & North Africa (MENA) Regional Representative, CGAP, Palestine
Panelist: Ms. Janet Bett, Manager, Tumaini Department, Jamii Bora Trust, Kenya
Panelist: Ms. Yetnayet Girmaw, Deputy Chief of Party, CARE Ethiopia, Ethiopia
How Viable Is Crime Stoppers? by K. Scott Abrams Crime Stoppers International...Scott Mills
Crime Stoppers USA K. Scott Abrams presentation to delegates at the 2011 Crime Stoppers International Training Conference in Montego Bay, Jamaica October 26, 2011
Equity and inclusion in all domains of life cannot be achieved when persons with intellectual/developmental disabilities are four to ten times more likely than other community members to be victims of violent crime. This presentation highlights how this horrific statistic is the norm in many of our communities.It also suggests easy to implement for community members and law enforcement. For more information contact info@brcenter.org
During a UN-sponsored seminar on sexual violence against men and boys in conflict Jane Sigmon of the US State Department discussed some of the research gaps that exist in terms of male-directed sexual violence.
This presentation was part of Embody's Safe Healthy Strong 2014 conference on sexuality education (www.ppwi.org/safehealthystrong). Embody is Planned Parenthood of Wisconsin's education and training programs. Learn more: www.ppwi.org/embody
DESCRIPTION
Improve clinical assessment of and increase referrals for IPV- including reproductive coercion – through increased understanding of the prevalence and impact of IPV, acknowledging the role that reproductive coercion plays in IPV, utilizing clinical best practices for IPV assessment and referral, and considering use of a brief, evidence-based, brochure-based intervention to enhance IPV and reproductive coercion assessment and referral in clinical settings.
ABOUT THE PRESENTER
Meghan Benson, MPH, CHES has worked in the field of sexuality education since she was a teen peer HIV educator in high school. She completed her MPH in Community Health Sciences with a focus on adolescent health and development at the University of Illinois at Chicago, and is a Certified Health Education Specialist (CHES). As the Planned Parenthood of Wisconsin Director of Community Education, Meghan develops programming and coordinates educational opportunities throughout the state. Meghan is a board member for the Association of Planned Parenthood Leaders in Education (APPLE), a co-chair of the Policy and Action Subcommittee of the Wisconsin Maternal and Child Health Advisory Committee, and a member of the Dane County Youth Commission.
On May 27 2021, the Child Protection and Gender sections at NYHQ and UNICEF Innocenti organised an internal webinar on UNICEF’s Strategy Paper on the Gender Dimensions of Violence against Children and Adolescents in which over 200 UNICEF colleagues from regional and country levels participated. The webinar aimed to help participants learn more about the strategy paper and provided an opportunity to share ideas and recommendations for the implementation of priority actions in this area.
Presentation by Chris Jennings, Disability Project Worker from Women's Domestic Violence Crisis Service. This presentation was delivered to DVRCV's 'Sowing the seeds of change' forum for and by women with disabilities.
According to the US Department of Justice, crimes against people with developmental disabilities doubled between 2009 and 2012. Molly Kennedy, Chairperson of the CA State Council on Developmental Disabilities, was a presenter at the recent TASH conference.
http://conference.tash.org/sessions/abuse-of-persons-with-disabilities-a-silent-epidemic/
Our Alarming Reality! Abuse of Persons with Disabilities and What We Can Do About It.
In 2014 the National Crime Victim Survey revealed that people with disabilities face a greater risk of being victimized compared to individuals without disabilities. Studies expose an epidemic rate of violent victimization.
Slides from a webinar featuring California self-advocates Molly Kennedy and Kecia Weller. They are joined by Teresa Favuzzi, Executive Director of the CA Foundation for Independent Living Centers. The team shares ways all of us can make a difference in our communities. Let’s learn more to prevent more. Together we can curb this epidemic!
4.8.4 AWHN Conference 6 2010 Theatrette Wool Store:Reproductive Health at Risk:
Challenges Associated with
Pelvic Inflammatory Disease
in remote Central Australia
Equity and inclusion in all domains of life cannot be achieved when persons with intellectual/developmental disabilities are four to ten times more likely than other community members to be victims of violent crime. This presentation highlights how this horrific statistic is the norm in many of our communities.It also suggests easy to implement for community members and law enforcement. For more information contact info@brcenter.org
During a UN-sponsored seminar on sexual violence against men and boys in conflict Jane Sigmon of the US State Department discussed some of the research gaps that exist in terms of male-directed sexual violence.
This presentation was part of Embody's Safe Healthy Strong 2014 conference on sexuality education (www.ppwi.org/safehealthystrong). Embody is Planned Parenthood of Wisconsin's education and training programs. Learn more: www.ppwi.org/embody
DESCRIPTION
Improve clinical assessment of and increase referrals for IPV- including reproductive coercion – through increased understanding of the prevalence and impact of IPV, acknowledging the role that reproductive coercion plays in IPV, utilizing clinical best practices for IPV assessment and referral, and considering use of a brief, evidence-based, brochure-based intervention to enhance IPV and reproductive coercion assessment and referral in clinical settings.
ABOUT THE PRESENTER
Meghan Benson, MPH, CHES has worked in the field of sexuality education since she was a teen peer HIV educator in high school. She completed her MPH in Community Health Sciences with a focus on adolescent health and development at the University of Illinois at Chicago, and is a Certified Health Education Specialist (CHES). As the Planned Parenthood of Wisconsin Director of Community Education, Meghan develops programming and coordinates educational opportunities throughout the state. Meghan is a board member for the Association of Planned Parenthood Leaders in Education (APPLE), a co-chair of the Policy and Action Subcommittee of the Wisconsin Maternal and Child Health Advisory Committee, and a member of the Dane County Youth Commission.
On May 27 2021, the Child Protection and Gender sections at NYHQ and UNICEF Innocenti organised an internal webinar on UNICEF’s Strategy Paper on the Gender Dimensions of Violence against Children and Adolescents in which over 200 UNICEF colleagues from regional and country levels participated. The webinar aimed to help participants learn more about the strategy paper and provided an opportunity to share ideas and recommendations for the implementation of priority actions in this area.
Presentation by Chris Jennings, Disability Project Worker from Women's Domestic Violence Crisis Service. This presentation was delivered to DVRCV's 'Sowing the seeds of change' forum for and by women with disabilities.
According to the US Department of Justice, crimes against people with developmental disabilities doubled between 2009 and 2012. Molly Kennedy, Chairperson of the CA State Council on Developmental Disabilities, was a presenter at the recent TASH conference.
http://conference.tash.org/sessions/abuse-of-persons-with-disabilities-a-silent-epidemic/
Our Alarming Reality! Abuse of Persons with Disabilities and What We Can Do About It.
In 2014 the National Crime Victim Survey revealed that people with disabilities face a greater risk of being victimized compared to individuals without disabilities. Studies expose an epidemic rate of violent victimization.
Slides from a webinar featuring California self-advocates Molly Kennedy and Kecia Weller. They are joined by Teresa Favuzzi, Executive Director of the CA Foundation for Independent Living Centers. The team shares ways all of us can make a difference in our communities. Let’s learn more to prevent more. Together we can curb this epidemic!
4.8.4 AWHN Conference 6 2010 Theatrette Wool Store:Reproductive Health at Risk:
Challenges Associated with
Pelvic Inflammatory Disease
in remote Central Australia
4.8.2 AWHN Conference 6 2010 Theatrette Wool Store:IMPROVING WOMEN’S ACCESS TO HEALTH SERVICESTHE INNOVATIVE ROLE OF THE WOMEN’S HEALTH NURSE PRACTITIONER
4.1.4 AWHN Conference 6 2010 Federation Concert Hall: Cooperation and collaboration between NACCHO & AWHN and the Talking Circle. National Aboriginal Community ControlledHealthOrganisation.Aboriginal Community Controlled Health Service
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
1. Improving service responses to
violence against women with
disabilities
Keran Howe
Executive Officer
Victorian Women with Disabilities Network
2. contextcontext
women with disabilities experience violence is atwomen with disabilities experience violence is at
least 40% more likely to occur at twice the rateleast 40% more likely to occur at twice the rate
of violence against non-disabled womenof violence against non-disabled women
women with disabilities often experience forms ofwomen with disabilities often experience forms of
violence that are uniquely linked to theirviolence that are uniquely linked to their
disabilitydisability
women with an intellectual disability are 10.7women with an intellectual disability are 10.7
times more likely to experience sexual assaulttimes more likely to experience sexual assault
3. contextcontext
Sustained policy failure means services areSustained policy failure means services are
not responsive to women with disabilitiesnot responsive to women with disabilities
Building the EvidenceBuilding the Evidence
4. Building the EvidenceBuilding the Evidence
The Building the Evidence Report
analysed the extent to which current Victorian
family violence policy and practice recognises and
provides for women with disabilities who
experience violence.
made recommendations to improve responses to
women with disabilities dealing with family
violence
5. What do we mean by family violence ?What do we mean by family violence ?
Building the EvidenceBuilding the Evidence
6. Findings of the Building the
Evidence
Most WWD do not have access to the resources theyMost WWD do not have access to the resources they
need to protect themselves from violenceneed to protect themselves from violence
Family violence, family services, courts, police etc. areFamily violence, family services, courts, police etc. are
not able to meet the needs of women with diversenot able to meet the needs of women with diverse
disabilitiesdisabilities
Disability services are not equipped to identify orDisability services are not equipped to identify or
respond to experiences of family violencerespond to experiences of family violence
9. Workforce developmentWorkforce development
Most family violence workers had minimal orMost family violence workers had minimal or
no trainingno training
Training opportunities increased but…Training opportunities increased but…
Workforce development providesWorkforce development provides
opportunities for cross-sector collaborationopportunities for cross-sector collaboration
10. Building the EvidenceBuilding the Evidence
WWD experiences of seekingWWD experiences of seeking
helphelp
Hard to seek help*Hard to seek help*
Nature of disabilityNature of disability
Nature of violenceNature of violence
Low self esteemLow self esteem
Lack of economic independenceLack of economic independence
Social isolationSocial isolation
Lack of services and supportLack of services and support
No active referral until woman in crisisNo active referral until woman in crisis
Post-crisis, women lost to the systemPost-crisis, women lost to the system
Crisis in alternative accommodation optionsCrisis in alternative accommodation options
Inability of police to ensure safety of women with disabilitiesInability of police to ensure safety of women with disabilities
(exclusion orders)(exclusion orders)
11. Workers experiencesWorkers experiences
Lack of confidenceLack of confidence
Want more inputWant more input
Want more opportunity for networkingWant more opportunity for networking
IsolationIsolation
Building the EvidenceBuilding the Evidence
12. Building the EvidenceBuilding the Evidence
cross sector collaborationcross sector collaboration
Workload demand prevents networkingWorkload demand prevents networking
Needs leadership from senior managementNeeds leadership from senior management
Training initiatives for disability and family violenceTraining initiatives for disability and family violence
workersworkers
Risk assessment: includes the presence of disabilityRisk assessment: includes the presence of disability
Disability units in refugesDisability units in refuges
Development of Disability Action PlansDevelopment of Disability Action Plans
13. Outcomes of this approach?Outcomes of this approach?
• A body of evidence on policy and practiceA body of evidence on policy and practice
• An advocacy toolAn advocacy tool
• a resource for service providersa resource for service providers
• Cross sectoral collaboration is in itsCross sectoral collaboration is in its
infancyinfancy
Building the EvidenceBuilding the Evidence
14. What are we doing now ?What are we doing now ?
AdvocacyAdvocacy
More researchMore research
Support to workers in the fieldSupport to workers in the field
Influencing risk assessment strategyInfluencing risk assessment strategy
Supporting new relationshipsSupporting new relationships
Building the EvidenceBuilding the Evidence
15. Resources
vwdnvwdn.org.au/clearinghouse.htm (for a copy of.org.au/clearinghouse.htm (for a copy of
thethe Building the EvidenceBuilding the Evidence Report go toReport go to
http://www.vwdn.org.au/violence.htmhttp://www.vwdn.org.au/violence.htm))
www.dvrcv.org.auwww.dvrcv.org.au
www.wwda.org.auwww.wwda.org.au
Editor's Notes
There is a critical need to raise awareness and understanding – and keep doing so - about the serious nature of violence against women with disabilities and how hidden it is in our society.
We know that family violence is endemic in Australia with family violence-related deaths in Victoria alone averaging 25 per year (that’s one death every fortnight in Victoria), even if, as a society, it’s more often than not the elephant in the room.
The extent of violence against women with disabilities – in fact, men and women with disabilities - is neither widely acknowledged nor understood. It is a major hidden social problem. This is not helped by the fact that we don’t collect the right data to really be able to quantify it.
That said a number of studies have indicated how extensive it is. Let’s be clear about it.
WWD experience violence at twice the rate of violence against non-disabled women
WWD often experience forms of violence that are uniquely linked to their disability e.g. they are more vulnerable to institutionalized forms of violence; perpetrators may be carers, regular drivers or other providers of assistance; they may be intimate partners or family members who provide care
Over 80% of women with a cognitive disability experience sexual assault
Source: Carolyn Frohmader (2005) ‘Submission to the South Australian Government Review of South Australian Domestic Violence Laws’ on behalf of Women With Disabilities Australia; available at www.wwwda.org.au
Difficulties in knowing full extent of prevalence because dearth of robust data (data not collected, some research focusses on specific types of violence but not others e.g. IPV but excludes carers, research uses different definitions/understandings of disability e.g. exclude women with mental health problems and on what VAWWD is)
Canadian study (Brownridge 2006) found that of 7,000 plus, WWD had 40% greater likelihood of experiencing violence in previous 5 years than women without
The Building the Evidence Report
I want to draw on the findings of the Building the evidence report to inform our discussion but also feedback from the managers workers I have met with across regions
Last year, a 6 month research project was undertaken to analyse the extent to which the Victorian family violence policy and practice recognises and provides for women with disabilities who experience violence. We found that in both policy and practice, Victorian government and non-government agencies were failing this isolated group of women. We made a number of recommendations to improve responses to women with disabilities dealing with a diverse spectrum of issues. Some of these were drawn from talking to women with disabilities about their help-seeking experiences; others were drawn from family violence workers (we had to focus on them, rather than also including disability workers and other service sectors because it was a 6 month project). The recommendations, which you can read about in the report included:
Access issues: relating to physical access issues and access to information in the appropriate formats for women with hearing, sight, speech and cognitive impairments
Training and workforce development, particularly in the first instance, to family violence workers (the primary focus of our research in the BtE research, for pragmatic reasons) and disability workers, but also required for deliverers of service e.g. courts, police etc.
Data collection
Practice guidelines, codes of practice etc.
The need for further research
Most importantly, we argued for the need for greater cross sector collaboration.
Today’s presentation will focus on this latter theme: the critical need for services to collaborate effectively if women with disabilities – and their children – are to be better supported when experiencing violence.
So, it’s important to understand – and this understanding is growing – that FV is not at the margins of your work e.g. as police officers, court staff, corrective service workers, disability workers, child protective service workers, health workers etc.
Do these findings fit with your views of what you know about wwd who exp violence ?
Lacking confidence in supporting WWD, FV workers consulted wanted further training but most had only minimal or no training. Most acquired their knowledge of how to support WWD through ‘learning on the job’.
There has been an increase in the number of training opportunities on family violence as it affects women with disabilities over the last 2 years but even so, the training available through DHS’ Disability Services Division last year would have only reached a possible 140 out of 11,000 disability workers, at most. It has been difficult to:
attract/encourage workers to take up training opportunities but when they did feedback was very positive
2) sustain training initiatives to reach workers in FV response system
3) Competing training needs and/or opportunities may be a barrier to FV and disability sectors
Workforce development is one way of providing opportunities for cross-collaboration e.g. Provided an opportunity for disability and family violence workers in each region to meet each other and begin conversations about the issues.
*Hard to seek help because of inter-related and compounding factors
One woman was so denigrated by her husband who called her his “personal whore” . He abused their son who also had a disability saying things like “you should never have been born”.
** Lack of services and support
“…placed extra strain upon me and my ability to seek help when dealing with violence and its consequences. I have no understanding when dealing with courts particularly and court staff. As I am able to walk, I am not deemed to have any disability by those that I have met and it is not until I go into details of my condition that people become slightly more aware. Having said this though I have not found any extra assistance being offered to me to reduce any physical, emotional or mental distress at any time. I have often been left feeling very undervalue as a member of the community.”
“It was like, I’m all alone here. Why isn’t there help? And, it wasn’t until I went into the refuge when [DV worker] asked, ‘why didn’t my GP tell me this? She [refuge worker] said, ‘There are all these services out there.’ Well, I didn’t know…I had no idea there was all this help…If only I’d known, maybe I wouldn’t have had to leave my home…There were a lot of what ifs…I said to the doctor, ‘Can someone come in and bring in the wood for me?...What about home help?...The doctor said, ‘We don’t have those services, we only have those for elderly people…You’ll have to manage as best you can.’”
The issues
The presence of disability in both the woman and her children
Women had varied experience of services
Service limitations
Securing affordable accessible housing is a huge problem. It is for anyone but when disability is factored in houses become very difficult to find, and even more so if other services such as special schools are a consideration. Long waiting time for modifications to the house
lack of appropriate referral by health workers when violence disclosed; Lack of home help referral ; No contact with a support group; Limited availability of support – short term and crisis only; Court staff failing to protect against abuse by the perpetrator and failing to understand an invisible disability ; Frequent changes of housing leading to frequent change of support workers and limited support
Prejudicial attitudes of staff and family
child protection punishing the mother by refusing access to visits when a child taken into care
Fears about courts being prejudiced by disability rather than supportive
The presence of a disability can tend to make both family and support services keen to see the woman remain with her partner. This denial of the violence seems to be exacerbated by the additional complexity of dealing with a disability and the dependency on support it requires. This problematises the woman rather than the violent behaviour. Women also felt they were less likely to be believed by a partner who blames the relationship ‘problems’ on the woman’s disability.
Validation is the key most important thing for a women seeking assistance to deal with DV – WWD face a much harder battle in being believed; especially women with communication impairments, learning impairments, and mental health problems
In this context the extent of collaboration between the sectors is quite inspiring. Which is not to say that the problem is solved.
It requires leadership from senior executives in both sectors, it requires the government depts in each portfolio area to talk wth one another
A good example at collaboration is the work of Disability Services Division who initiated a series of training programs at regional level to skill disability services and to encourage connections between family violence and disability services. This included both. training for disability workers + forum to which disability and FV workers are invited. This has required intersectoral planning with representation from both disability and family violence workers and managers at the statewide level. However, even with careful and continuous discussion the implementation still demonstrated the need for greater involvement of both disability and family violence leaders at regional levels in the planning, promotion and implementation of the training. This takes time and considerable resources as well as good will and a willingness to understand different perspectives.
Through strong advocay from women with disabilities the family violence risk assessment now incorporates a question about disability . The research identified some other good collaboration had been taking place but needed ongoing resourcing to be sustainable.
Molly’s House
Affirmative access policies
Diverse staff expertise (NESB + disability incl. Mental health)
Disability data collection i.e. improved re referral data
Supporting older wwd especially those a) exp DV from adult cn b) with adult sons with disabilities – both find hard to seek assistance
Gendered approach to supporting wwd
Consumer participation group
Woorarra
Example of good cross sectoral collaboration between refuge and Chandler House Community Mental Health Clinic
Disability audit and development of DAP
Developed protocols between DV and mental health services
Local cross-sectoral staff development
DV outreach worker for women with mental health issues