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ABACUS Counselling, Training and Supervision Ltd
Gambling Harm Minimisation
and
Family Violence
Family Violence and Self-care
before we begin
• For this training, if something comes up anyone does not
want shared, we will respect their privacy, and what is
shared personally in the room, stays in the room
• Pick another person in the room you feel comfortable with
and pair up with them.
• Briefly discuss to your comfort level, what steps you would
take if anything discussed triggers any personal concerns or
feelings (5 minutes)
Quiz: Violence & Family Violence in NZ
• Responding to family violence accounts for 1/4 of a frontline
police officer’s time
False – it accounts for nearly half (41%) of their time!
• In 2016, there were over over 100,000 family violence
investigations by NZ police
True – 118,910 and 5,461 protection order applications
• Between 2009-2015 there were 60 IVP deaths
False – 92 IVP deaths/98% had recorded history of abuse
• In 2015/16, CYF received over 140,000 care and protection
notifications
True – 142,249 - 44,689 further action/16,394 findings abuse & neglect
• In 2016, there were over 6,000 recorded male assaults
female victimisations in NZ
True – 6,377, and 4,852 breaches of protection orders
• In 2014, 24% of NZ women and 6% of men reported having
experienced sexual assault in their lifetime
True – 17% women from IPs; 2,708 sexual offences to adults in 2016
• Between 1 in 3 and 1 in 5 NZ women and 1 in 10 men report
having experienced child sex abuse
True – and in 2016, there were 2,163 reported sexual victimisations against a
child 16 years or under
Quiz: Violence & Family Violence in NZ
Power
&
control
Physical
violence
Sexual violence:
Including
coercion
Emotional
violence:
Insults, bullying
threats
Controlling
behaviours:
Financial
Isolation
Monitoring
What is violence?
Is Violence a Significant Problem
In
Gambling Harm?
Group Exercise
Discuss the following in your group & report:
• Both family violence and gambling harm are ‘hidden
disorders’ – how open are clients about violence issues?
Discuss how you create a safe space for disclosure.
• How have you worked with those clients experiencing
violence/abuse (including sexual)?
• Have you/how have you worked with those who have used
violence/abuse (including sexual)?
• Feed back to main group
Economic or financial abuse (general)
‘A subtle form of emotional abuse’
• Rigidly controlling your finances/financial decisions.
• Withholding money or credit cards.
• Making you account for every penny you spend.
• Withholding basic necessities (food, clothes, medications,
shelter).
• Restricting you to an ‘allowance’.
• Preventing you from working or choosing your own career.
• Stealing from you or taking your/household money.
Power and Control: Gambling
• Not divulging true income; limiting/controlling money to
ensure ability to gamble; losses hidden. Spouse may be
blamed for overspending household budget, then abused
• Wins justify means to gamble/control $
• Anger/abuse used to generate fear; ability to leave home to
gamble without discussion
• Spouse may be glad of respite and afraid to question losses
or whereabouts
Gambling as a response to Violence
• Gambling as a way of ‘losing time’/switching off anxiety,
depression, fear of abuse, guilt of staying in abusive
relationship, powerlessness
• Gambling losses and time out may cause guilt and feelings of
deserving abuse/punishment, contributing to
abuse/gambling cycle
• Gambling ‘illusion of control’ may feel like only available
choice, or only power/control
N=115 gamblers from
a gambling HM
treatment service,
52.5% reported
family violence in last
year; gambling
generally preceded
family violence
Gamblers
experiencing harm
were violent with:
Current partners 30%
Parents 29%
Ex-partners 19.5%
Children 7%
Extended family 5%
Siblings 5%
Family violence and affected family gender
Suomi, Jackson et al 2013
10% of
females
were
violent
25% were
both victims
and violent
32% of
females were
victims of
violence
7% of males
were victims
of violence
20% of males
were both
victims and
violent
11% of
males
were
violent
Conclusions of this research
Suomi, Jackson et al 2013
• Over half affected by gambling violence, compares with
2.1%-28% in family violence rates last 12 months
• Gambler violence generally response to their $ loss
• Family violence against gambler generally related to
underlying anger and mistrust
• But half couples in study reported conflicts prior to gambling
problems
• More negative gambling impacts resulted in increased
likelihood of family violence
Gamblers experiencing harm at-risk
Echeburua et al 2013
• Gamblers experiencing harm more anxious and impulsive,
poor self esteem
• Greater history of Axis 1 disorders (anxiety, depression
especially)
• Males especially have alcohol problems too
• 68.6% of female gamblers (exp.harm) compared with 9.8%
gamblers (no harm) reported being victims of intimate
partner violence
Recent research
Roberts et al 2016 in Addiction
• ‘Growing evidence to show that gambling harm is a specific
risk factor for family and intimate partner violence’
• Gamblers experiencing harm 2-3x more likely to be in
physical fight in last 5 years
• Gamblers experiencing harm with AOD use at higher risk for
violence, but even when this factor allowed for, there was
elevated violence
• Concluded that Minimising Gambling Harm services should
screen for alcohol, violence and IPV, and tailor treatment
accordingly
• 370 gamblers and 84 affected others accessing Minimising
Gambling Harm services took part in a survey on gambling
and family/whanau violence and abuse (n=454)
• Half of participants were victims of physical, psychological,
emotional, verbal or sexual abuse (past 12 months)
• 44% committed the violence or abuse
• Verbal most common: (37% ‘screamed/cursed’/41% victims;
34% ‘insulted/talked down to’/40% victims)
• Physical abuse: (7% caused physical harm/9% victims; 9%
threatened physical harm/12% were threatened; no-one
reported sexually abusing/4% were sexually abused)
Recent NZ research
Bellringer M et al, 2016. Problem gambling and family violence in help-seeking
populations: Co-occurrence, impact and coping (AUT)
More affected others reported committing and being victims of
violence and abuse (except financial abuse) than gamblers:
• 57% committed violence/abuse compared with 41% gamblers
• 66% victims of violence/abuse compared with 47% gamblers
• Gamblers more likely to commit financial abuse
• 75% violence was to/from current or ex partners; 25% to
children and other family/whanau members
• 46% affected other victims thought violence/abuse was caused
by gamblers’ gambling compared with 21% gambler victims
• 54% affected other perpetrators thought violence/abuse caused
by gamblers’ gambling compared to 33% gambler perpetrators
Recent NZ research
Bellringer M et al, 2016. Problem gambling and family violence in help-seeking
populations: Co-occurrence, impact and coping (AUT)
Gamblers underestimated the effect of their gambling on
family/whanau members:
• Children, family/whanau and home life all negatively affected
- financial deprivation, emotional upset, poorer relationships
• Major risk factors for gamblers being victims were:
1) having children living at home; 2) those experiencing the
greatest negative impacts from their gambling
• Major risk factor for gamblers committing violence/abuse
was having family/whanau members with a mental health
issue
Recent NZ research
Bellringer M et al, 2016. Problem gambling and family violence in help-seeking
populations: Co-occurrence, impact and coping (AUT)
Recommendations from this research:
• At a minimum, routinely screen for family/whanau violence and
facilitate clients as necessary, to relevant family violence services
for assistance.
• Occurrence of family/whanau violence for Maori is higher, so
culturally tailored interventions for both gambling harm and
violence based on whanau ora - developed/implemented
• Training for staff on screening, assessing risk for family/whanau
violence; safety measures and supports in place for those who
disclose violence and risk to self and others, including those being
violent that are open to change
• The HITS screen is easy to use for those who aren’t violence
experts
Recent NZ research
Bellringer M et al, 2016. Problem gambling and family violence in help-seeking
populations: Co-occurrence, impact and coping (AUT)
Incorporating Interventions
for
Family Violence
Into Our Practice
Screening
Screening for those experiencing
violence and abuse: cultural considerations
• ‘Occurrence of family/whanau violence for Maori is higher, so culturally
tailored interventions for both gambling harm and violence based on
whanau ora - developed/implemented’
• ‘Unclear if Pacific people are/are not over-represented in regard to family
violence, but Pacific people over 6x more likely to have problems with
gambling, and gambling participation is associated with cultural beliefs,
practices and obligations amongst Samoan and Tongan communities’
• ‘Asian gamblers reported substantially higher losses than other
ethnicities: 11% Asian clients in study accounted for 41% of losses.
Recent review of family violence and gambling (country of origin and
migrant Asian contexts) concluded there was a link between violence and
gambling in certain Asian communities’ – (all in Bellringer M et al, 2016)
In groups: Comment on cultural styles in approach – screening and
treatment planning – Feed back to main group
Screening to pick up those who are abusive/violent
(modified HITS screen – AUT)
‘44% committed the violence or abuse’ (Bellringer M et al 2016)
In the last 12 months have you (answer yes/no):
1. Physically hurt a current or ex-partner or family/whanau
member?
2. Insulted or talked down to a current or ex- partner or
family/whanau member
3. Threatened a current or ex-partner or family/whanau
member with harm?
4. Screamed or cursed at a current or ex-partner or
family/whanau member?
5. Forced a current or ex-partner or family/whanau member
to have sexual activities?
Screening to pick up those who are abusive/violent
(from CHAT)
Is controlling your anger sometimes a problem for you?
 no  yes  if yes, do you want help with this?  no  yes but not today  yes
1) HITS screen: Gathering screen score (written/oral) and discussing the
result
2) CHAT screen: Asking a question the client may find relevant to them,
then using MI/other skills to expand information and gain insight
• How does the
• How could the CHAT screen questions lead into the HITS questions?
• How confident do you feel about asking Q.5 (sexual violence)?
• What is most likely to get in the way of disclosure - (fear of
consequence; shame/guilt; not understanding what violence is in this
context; cultural norms for them; not ready for change; or all of the
above)?
• Discuss in groups and feed back to main group
Screening to pick up those who are abusive/violent
(facilitating disclosure)
Some thoughts to assist disclosure and engagement:
• Confidentiality override explained early on (‘safety’)
• Keeping in the health frame rather than ‘offence’ frame
• Explaining that family/whanau health/safety also part of your
professional counselling role (requirement and rationale for
questions/actions)
• ‘MI spirit’, empathy and ‘rolling with resistance’
• Having comprehensive list of resources and services to offer
when there is disclosure (person abusing and person who is
abused) and information about next steps/outcome
• Others?
Screening Practice Scenario
Malosi is a new client - a 52 year-old Samoan man who plays
pokies at the casino. He gets paid on Thursday and usually goes
to the casino on the way home, often losing around $200,
which his family of 4 cannot afford, as he doesn’t want his wife
to work. Sometimes if there is a jackpot, he will buy $36 of lotto
tickets on the weekend to try to make up losses. John says he
knows his wife is disappointed in him, but ‘knows better than to
tell him what to do’. He appears motivated to change, but finds
his gambling routine hard to break as he has been trying
unsuccessfully on his own for months. You have done gambling
screens and are now considering co-existing screens.
Think about which screen you would use (HITS/CHAT) and
how you would introduce it.
Screening Practice
• Break into pairs – someone you feel comfortable with
• Choose who will be client and practitioner
• Using information in the scenario, introduce the
screen/rationale for completing it, and go through the
questions, eliciting feedback
• Discuss where to next
• Reverse roles
• Feed back to group
Screening for those who have experienced
violence/abuse
‘Half of participants were victims of physical, psychological,
emotional, verbal or sexual abuse’ (Bellringer M et al 2016)
What is most likely to get in the way of disclosure:
• Fear of consequences from abuser
• Not understanding what violence is in this context
• Cultural norms for them
• Shame/guilt (for ‘letting it happen’/staying)
• Depression/anxiety disempowering them
• Feeling they don’t have resources to leave
• ‘Not the reason I’m coming to this service’
• Others?
During the past month have you often been bothered by feeling down, depressed or hopeless?
 no  yes
During the past month have you often been bothered by having little interest or pleasure in doing
things?
 no  yes  if yes to either or both of these questions, do you want help with this?  no  yes but not today  yes
During the past month have you been worrying a lot about everyday problems?
 no  yes  if yes, do you want help with this?  no yes but not today  yes
What aspects of your life are causing you significant stress at the moment?
 none  relationship  work  home life  money  health  study  other (specify) __________________
Is there anyone in your life whom you are afraid or who hurts you in any way?
 no  yes
Is there anyone in your life who controls you and prevents you doing what you want
 no  yes  if yes to either or both of these questions, do you want help with this?  no  yes but not today  yes
Is controlling your anger sometimes a problem for you?
 no  yes  if yes, do you want help with this?  no  yes but not today  yes
As a rule, do you do more than 30 minutes of moderate or vigorous exercise (such as walking or a sport)
on 5 days of the week?
 no  yes  if yes, do you want help with this?  no yes but not today  yes
Lifestyle Assessment form (CHAT)
(Case Finding and Help Assessment Tool)
What we do and how we feel can sometimes affect our health. To help us assist you to reach and maintain a healthy
and enjoyable lifestyle, please answer the following questions to the best of your ability
HITS
Sherin (1998), modified: AUT
In the last 12 months has a current or ex-partner or
family/whanau member:
1. Physically hurt you?
2. Insulted or talked down to you?
3. Threatened you with harm?
4. Screamed or cursed at you?
5. Forced you to have sexual activities?
Responses (Original screen):
Never(1), Rarely(2), Sometimes(3), Fairly often(4), Frequently(5).
>10 suggests intimate partner violence.
Modified screen yes/no – allows for 5th question addition.
Yes = suspected violence
Screening for those experiencing violence and abuse
Discuss:
• If using the HITS screen, how do you feel about using
question 5 with gambling clients (modified for AUT study)?
Would that question (as is) be suitable to ask in all ‘cultures’?
• If we left out Q.5, would it be considered ethical to be
selective around type of violence/abuse?
• ‘More affected others reported committing and being victims
of violence and abuse (except financial abuse) than
gamblers’ (Bellringer M et al 2016)
• Affected others come to the service for help with others’
gambling – How would you raise the potential issue of their
violence/abuse?
Screening Practice Scenario
Josie is a new client, a 28 year-old woman with a 5 year-old daughter,
who has just become separated from her partner of 5 years. She is
now on a benefit so she can look after her daughter, who has learning
difficulties. She has come for help to stop playing pokies, as she can
no longer afford to gamble after leaving her partner, and also can’t
easily leave the house now that there is no-one else at home. She has
tried some online gambling and lotto, but says she loses too much too
quickly, and needs to stop. She says she is afraid of her partner and
‘he could return anytime’, so needs a distraction and doesn’t know
how she will cope if she can’t play. She also says she feels isolated and
has no family or supports to help her manage.
Which screen (HITS/CHAT) would you use and how would you
introduce it?
Screening Practice
• Break into pairs – someone you feel comfortable with
• Choose who will be client and practitioner
• Using information in the scenario, introduce the
screen/rationale for completing it, and go through the
questions, eliciting feedback
• Discuss where to next
• Reverse roles
• Feed back to group
The Law
and
Application to Our Practice
Police Safety Orders
• Police attending a family violence incident can issue a Police
Safety Order when they think removing the abuser is
necessary for the safety of those experiencing violence/abuse
• Abuser has to leave the property – lasts 5 days/can’t appeal
• Consent from those experiencing abuse not necessary
• Provides a ‘cooling down’ period to prevent further abuse
• Allows time for those experiencing abuse to seek support and
further protection, eg Protection Order
• If abuser breaks the order, they can be taken into custody and
court may release them, issue another Safety Order or issue a
Temporary Protection Order (if no objection from the person
at risk)
Protection Orders
• Anyone experiencing family violence can apply to Family
Court for a Protection Order – ‘legal protection’
• Respondent (abuser) must not be violent to protected
person or children who live with them
• If living apart, respondent can’t contact without consent
• If they can’t qualify for legal aid, can cost $400 - $1400
• Temporary order can be done the same day ‘without notice’
(abuser notified after issue) if safety risk
• Two parts to an order (non violence/non contact conditions)
• Children covered automatically
• Protected person entitled to free support programme
• Others can apply for an order on behalf of person abused
• A Protection order is a civil order, not on criminal record, but
a breach of an order is a legal offence, prosecuted in court
• If a Protection Order has been breached, police can arrest
without complaint or warrant
• Police can refuse to issue a firearms licence if a protection
order has been issued
• Respondent in a Protection Order is usually required to
attend a non-violence programme
Protection Orders
Conditions FPO
• Attend stopping violence programme (free)
• Children under 17 also protected
• Breach is a criminal offence (up to $5000 fine; six months
imprisonment -3 breaches in 3 yrs = 2 years imprisonment)
• Parenting order – who cares for children
• Property order – who lives at house/who keeps furniture
• Occupation order: applicant can live in their home
• Tenancy order: respondent is no longer tenant of the home
• Furniture order: applicant can take furniture & appliances
Conditions for person committing violence/abuse
• Surrender firearms licence, weapons
• No abuse (physical, sexual, psychologically)
• No threats, property damage (self or others)
• Must not go to home/workplace/school, or ‘hang around’
regular places, neighbourhood
• Can’t follow them, stop them coming/going
• No phone, texts, emails, letters, fax or contact
• Exception in emergency, Court Order, special condition,
agreement, F/group conference
When are those experiencing
violence/abuse most at risk?
• When abuser feels they are losing control
• When violence/abuse is disclosed to others
• When the abused person leaves/tries to leave
• When the abused person takes out a protection order
• When the abused person gives evidence in court
• When the abused person starts a new relationship
• When abuser experiences high gambling losses and feels
vulnerable
• When there are children at home and increased financial
pressures from needs and expenses and no money left
Family member needs and options
• Women’s Refuge – safe accommodation for women and
children; support and information, programmes for abuse
survivors
• For family member who perpetrates violence, stopping
violence programmes
• Oranga Tamariki – protect children under 17, manage young
offenders, care of children and oversee adoptions
Child Abuse
Violence and Abuse - Children
• Physical abuse – hitting, kicking, shaking, biting, burning,
throwing, or from excessive or inappropriate discipline, or
family violence
• Psychological effects from PG parents arguing over money,
time away, and general defensiveness
• Neglect through loss of money/income – food, heating,
clothing, presents, outings, holidays, school trips
• Neglect of medical, dental, other health care
• Effects of lost assets, including family home or dwelling;
evictions, frequent moving, disrupted
schooling/relationships
• Neglect and compromised parenting and supervision through
absence, fear, anger, blaming, mistrust, keeping secrets,
shame
• Refusal to accept full parental responsibility to provide
appropriately/developmentally for the child/children
• May be left alone to cope; have to take responsibility for
younger children (by parents and/or childcare providers)
• May feel responsible for family problems
• Modelling of abusive and gambling behaviours
• Witnessing arguments, fights, physical family violence
Violence and Abuse - Children
Impacts on Children
• Effects of emotional abuse and witnessing abuse can be as
damaging as direct physical abuse
• When children have to manage with frequent violence at home
and going to school, they learn to keep secrets
• 70% of domestic violence incidents are witnessed by children; this
can range from seeing to hearing, and observing the aftermath
(blood, bruising, injury); also feeling tension
• Children may feel responsible for the violence/abuse and older
children may try to protect vulnerable parent and/or younger
siblings
• Long-term, trauma can lead to anxiety, depression, addictions
Another Police Service
• Clients (with children) if concerned they may be in a new
relationship with someone who may have a history of
violence/sexual assault or offences against children (or may
have current issues with violence/abuse) – can use the
Family Violence Information Disclosure Scheme (FVIDS).
• Person/concerned other can contact police to disclose if
partner has violence history (action within 20 days or if
serious, 24 hours).
Exercise: Raising the issue of neglect
Marie is a new client (solo parent) who has come for help for playing pokies at pubs
and the casino. She is embarrassed to admit that she was excluded from the casino
because she had left her 2 children aged 7 and 9 years alone in the car park while
she went ‘for a quick flutter’ after she picked them up from school. She also said it
was better than leaving them with her former child-carer who used to drink when
she left them at night and was sometimes ‘passed out’ when she got home. She had
been hoping to win some money so the kids could go on a school trip the following
week. Her goal is to be able to just play on weekends or when the kids are asleep and
when the neighbours are home, as they are ‘great with the kids’. She felt there was
nothing wrong with having a bit of fun now and again and pokies were her favourite
relaxation. She has been given your contact so she can have some counselling before
she goes back to the casino. Meanwhile, she says she’ll go to the local.
Discuss how you would raise the issue and where to from there.
Feed back to main group.
Oranga Tamariki (Ministry for Children)
Five core services:
• Prevention – ‘underlying factors’ that lead to vulnerability;
focus on strengthening family/whanau
• Intensive intervention – identifying and responding to safety
concerns; decisions to move children to safety
• Care support – working with family/whanau - stable care
• Youth Justice – prevent young people from offending and
reoffending/breaking cycle; reducing custodial care
• Transition support – supporting young people transitioning
from care or youth justice – partnership with community
Reporting Child Abuse to Oranga Tamariki
• Can contact 24/7 for any safety concern; can be anonymous;
no repercussions if turns out unfounded; may be asked for
report in Court
• Assessment of safety to determine response
• Serious child abuse = Investigation Response (Serious
physical/sexual abuse/willful neglect); or child witnessing
serious domestic violence (resulting in/potential
death/significant injury)
• Children at risk of immediate harm/harmed - (emergency
action) can be removed from home with/without a warrant
• Oranga Tamariki can apply for Custody Order; within 3 days
• Parents can also apply – court decides – can order
counselling/support
• If Family Court – Family Group Conference within 60 days –
professional and family decision, considered in court
• Oranga Tamariki may work directly with young people to
establish their safety.
Reporting Child Abuse to Oranga Tamariki
Other violence/neglect issues
• Contact with criminal justice system – violence, forgery,
fraud, theft, tax evasion – supervision, home detention,
community sentence, prison
• Loan sharks, gangs, money lenders – gamblers and family
members threatened & harassed
• Children abandoned/forgotten in casinos, car parks and at
home
• ‘Pre-occupied’ and victimised parents
• Many gamblers with trauma and abuse issues modelling
same/compromised in parenting; other addiction issues –
AOD, internet, shopping, porn
Possible outcomes
• Family/whanau agreement: (minimal intervention to ensure
safety) - contract/agreement with the family (up to 3 months), to
meet goals, then reviewed/evaluated.
• Family group conference: formal meeting for family and whanau
to meet with professionals to discuss & make decisions for the
child. Plans made to ensure child’s safety/well-being and family
support as needed.
• If a child is in danger of harm, police/social workers can remove
them for safety – Family Court must agree.
• May be placed with family or foster care – return depends on
severity of risk and whether changes made; if unsafe, Oranga
Tamariki finds alternative ‘home for life’ with extended family or
suitable safe family situation
Therapy
for
Family Violence
Therapy options
• Pros and cons of group therapy?
• Family therapy? Children support
• Building confidence, assertiveness, self value
• Automatic thinking?
• Motivating for change; goals for self and children – using
Motivational Interviewing
• Reviewing safety during gambling therapy
• Role of problem gambling and family violence; an integrated
approach
The Cycle of Violence
Why do those who are abused
stay with an abusive partner?
• Fear: what has been done can be done again/threats made if they try to
leave
• Financial control: abuser may be main/only income earner
• Family/whanau/culture: will abused person be believed or perhaps
blamed? Does culture or faith dictate they stay?
• Needs of family/children: need a father/‘look ok from outside’
• “He’s so good most of the time/he has promised it won’t happen again/he
says he needs/loves me”
• “Leaving is too hard, I’m exhausted, where would I go?”
• Forgiving: Abuser apologised, gave gifts, made promises, love them too
much to leave them.
• Low self esteem: “no-one else would want me”, ‘fights are common in
relationships’; feeling conflicted, embarrassed/ashamed.
What is helpful for clients
who have experienced abuse/violence?
• To be heard, believed, not judged or blamed
• To feel safe to tell their story at their own pace
• To understand that they did not cause the abuse and it’s not
their fault – violent behaviour is a choice (by abuser)
• Practical supports: resource information, referral, facilitation
to services (money, housing, transport, childcare, etc)
• Strength-based counselling support
• Safety planning support whether staying or leaving – ensure
options in place before any action/avoid signalling departure
Other Safety Considerations
• Survivors of intimate partner violence are twice as likely to
attempt suicide multiple times, and cases of murder-suicide
are most likely to occur in the context of abuse.
• "It's very important to inquire if intimate partner violence is
taking place or if they're having suicidal thoughts.”
Exercise
In groups discuss:
Jenny (47), 2 children (9, 7), is seeking help for her gambling. She discloses in
her HITS that her partner of two years (Bruce) will yell at her when she
returns from the pokies having spent all her wages. Last week he threatened
her with having her dog put down because he refuses to pay for its food as
well. The children hide in their room when the screaming starts, and are
always nervous around Bruce, although he’s never touched them. She says
she deserves his anger, and couldn’t live without his earnings. He’s never hit
her so she says she can’t complain, but he is rarely friendly now, and kicks
the furniture when she doesn’t agree with him. She says her mother doesn’t
realise her situation, and she would be too ashamed to ask.
How would you start the conversation.
What safety concerns do you have
What should you do
Self-care for practitioners
• Debrief after sessions where IPV is present
– Did this affect me?
– Did I cover risk issues with client?
– Should I act independently?
• Be aware of vicarious trauma risk
• Discuss in supervision
Resource Information
• Women’s Refuge (www.womensrefuge.org.nz) 0800 REFUGE
• Oranga Tamariki (0508 326 459) or contact@mvcot.govt.nz
• Community Law: guide to applying for a protection order -
www.communitylaw.org.nz
• Family Court www.courts.govt.nz/family
• Police www.police.govt.nz (111 – 24 hrs)
• Rape Crisis (Auckland) www.rapecrisis.org.nz
• Victim Support www.victimsupport.org.nz 0800 842 846
• Shine (helping agency) - 0508 744 633; www.2shine.org.nz
• Stopping Violence Services (Nat Network) www.nnsvs.org.nz
• It’s not OK!/Are you OK? www.areyouok.org.nz 0800 456 450
Discussion Panel
• Confidence level for screening and intervening
• Where are the gaps
• Where to from here
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Gambling Harm Minimisation and Family Violence

  • 1. ABACUS Counselling, Training and Supervision Ltd Gambling Harm Minimisation and Family Violence
  • 2. Family Violence and Self-care before we begin • For this training, if something comes up anyone does not want shared, we will respect their privacy, and what is shared personally in the room, stays in the room • Pick another person in the room you feel comfortable with and pair up with them. • Briefly discuss to your comfort level, what steps you would take if anything discussed triggers any personal concerns or feelings (5 minutes)
  • 3. Quiz: Violence & Family Violence in NZ • Responding to family violence accounts for 1/4 of a frontline police officer’s time False – it accounts for nearly half (41%) of their time! • In 2016, there were over over 100,000 family violence investigations by NZ police True – 118,910 and 5,461 protection order applications • Between 2009-2015 there were 60 IVP deaths False – 92 IVP deaths/98% had recorded history of abuse • In 2015/16, CYF received over 140,000 care and protection notifications True – 142,249 - 44,689 further action/16,394 findings abuse & neglect
  • 4. • In 2016, there were over 6,000 recorded male assaults female victimisations in NZ True – 6,377, and 4,852 breaches of protection orders • In 2014, 24% of NZ women and 6% of men reported having experienced sexual assault in their lifetime True – 17% women from IPs; 2,708 sexual offences to adults in 2016 • Between 1 in 3 and 1 in 5 NZ women and 1 in 10 men report having experienced child sex abuse True – and in 2016, there were 2,163 reported sexual victimisations against a child 16 years or under Quiz: Violence & Family Violence in NZ
  • 6. Is Violence a Significant Problem In Gambling Harm?
  • 7. Group Exercise Discuss the following in your group & report: • Both family violence and gambling harm are ‘hidden disorders’ – how open are clients about violence issues? Discuss how you create a safe space for disclosure. • How have you worked with those clients experiencing violence/abuse (including sexual)? • Have you/how have you worked with those who have used violence/abuse (including sexual)? • Feed back to main group
  • 8. Economic or financial abuse (general) ‘A subtle form of emotional abuse’ • Rigidly controlling your finances/financial decisions. • Withholding money or credit cards. • Making you account for every penny you spend. • Withholding basic necessities (food, clothes, medications, shelter). • Restricting you to an ‘allowance’. • Preventing you from working or choosing your own career. • Stealing from you or taking your/household money.
  • 9. Power and Control: Gambling • Not divulging true income; limiting/controlling money to ensure ability to gamble; losses hidden. Spouse may be blamed for overspending household budget, then abused • Wins justify means to gamble/control $ • Anger/abuse used to generate fear; ability to leave home to gamble without discussion • Spouse may be glad of respite and afraid to question losses or whereabouts
  • 10. Gambling as a response to Violence • Gambling as a way of ‘losing time’/switching off anxiety, depression, fear of abuse, guilt of staying in abusive relationship, powerlessness • Gambling losses and time out may cause guilt and feelings of deserving abuse/punishment, contributing to abuse/gambling cycle • Gambling ‘illusion of control’ may feel like only available choice, or only power/control
  • 11. N=115 gamblers from a gambling HM treatment service, 52.5% reported family violence in last year; gambling generally preceded family violence Gamblers experiencing harm were violent with: Current partners 30% Parents 29% Ex-partners 19.5% Children 7% Extended family 5% Siblings 5% Family violence and affected family gender Suomi, Jackson et al 2013 10% of females were violent 25% were both victims and violent 32% of females were victims of violence 7% of males were victims of violence 20% of males were both victims and violent 11% of males were violent
  • 12. Conclusions of this research Suomi, Jackson et al 2013 • Over half affected by gambling violence, compares with 2.1%-28% in family violence rates last 12 months • Gambler violence generally response to their $ loss • Family violence against gambler generally related to underlying anger and mistrust • But half couples in study reported conflicts prior to gambling problems • More negative gambling impacts resulted in increased likelihood of family violence
  • 13. Gamblers experiencing harm at-risk Echeburua et al 2013 • Gamblers experiencing harm more anxious and impulsive, poor self esteem • Greater history of Axis 1 disorders (anxiety, depression especially) • Males especially have alcohol problems too • 68.6% of female gamblers (exp.harm) compared with 9.8% gamblers (no harm) reported being victims of intimate partner violence
  • 14. Recent research Roberts et al 2016 in Addiction • ‘Growing evidence to show that gambling harm is a specific risk factor for family and intimate partner violence’ • Gamblers experiencing harm 2-3x more likely to be in physical fight in last 5 years • Gamblers experiencing harm with AOD use at higher risk for violence, but even when this factor allowed for, there was elevated violence • Concluded that Minimising Gambling Harm services should screen for alcohol, violence and IPV, and tailor treatment accordingly
  • 15. • 370 gamblers and 84 affected others accessing Minimising Gambling Harm services took part in a survey on gambling and family/whanau violence and abuse (n=454) • Half of participants were victims of physical, psychological, emotional, verbal or sexual abuse (past 12 months) • 44% committed the violence or abuse • Verbal most common: (37% ‘screamed/cursed’/41% victims; 34% ‘insulted/talked down to’/40% victims) • Physical abuse: (7% caused physical harm/9% victims; 9% threatened physical harm/12% were threatened; no-one reported sexually abusing/4% were sexually abused) Recent NZ research Bellringer M et al, 2016. Problem gambling and family violence in help-seeking populations: Co-occurrence, impact and coping (AUT)
  • 16. More affected others reported committing and being victims of violence and abuse (except financial abuse) than gamblers: • 57% committed violence/abuse compared with 41% gamblers • 66% victims of violence/abuse compared with 47% gamblers • Gamblers more likely to commit financial abuse • 75% violence was to/from current or ex partners; 25% to children and other family/whanau members • 46% affected other victims thought violence/abuse was caused by gamblers’ gambling compared with 21% gambler victims • 54% affected other perpetrators thought violence/abuse caused by gamblers’ gambling compared to 33% gambler perpetrators Recent NZ research Bellringer M et al, 2016. Problem gambling and family violence in help-seeking populations: Co-occurrence, impact and coping (AUT)
  • 17. Gamblers underestimated the effect of their gambling on family/whanau members: • Children, family/whanau and home life all negatively affected - financial deprivation, emotional upset, poorer relationships • Major risk factors for gamblers being victims were: 1) having children living at home; 2) those experiencing the greatest negative impacts from their gambling • Major risk factor for gamblers committing violence/abuse was having family/whanau members with a mental health issue Recent NZ research Bellringer M et al, 2016. Problem gambling and family violence in help-seeking populations: Co-occurrence, impact and coping (AUT)
  • 18. Recommendations from this research: • At a minimum, routinely screen for family/whanau violence and facilitate clients as necessary, to relevant family violence services for assistance. • Occurrence of family/whanau violence for Maori is higher, so culturally tailored interventions for both gambling harm and violence based on whanau ora - developed/implemented • Training for staff on screening, assessing risk for family/whanau violence; safety measures and supports in place for those who disclose violence and risk to self and others, including those being violent that are open to change • The HITS screen is easy to use for those who aren’t violence experts Recent NZ research Bellringer M et al, 2016. Problem gambling and family violence in help-seeking populations: Co-occurrence, impact and coping (AUT)
  • 20. Screening for those experiencing violence and abuse: cultural considerations • ‘Occurrence of family/whanau violence for Maori is higher, so culturally tailored interventions for both gambling harm and violence based on whanau ora - developed/implemented’ • ‘Unclear if Pacific people are/are not over-represented in regard to family violence, but Pacific people over 6x more likely to have problems with gambling, and gambling participation is associated with cultural beliefs, practices and obligations amongst Samoan and Tongan communities’ • ‘Asian gamblers reported substantially higher losses than other ethnicities: 11% Asian clients in study accounted for 41% of losses. Recent review of family violence and gambling (country of origin and migrant Asian contexts) concluded there was a link between violence and gambling in certain Asian communities’ – (all in Bellringer M et al, 2016) In groups: Comment on cultural styles in approach – screening and treatment planning – Feed back to main group
  • 21. Screening to pick up those who are abusive/violent (modified HITS screen – AUT) ‘44% committed the violence or abuse’ (Bellringer M et al 2016) In the last 12 months have you (answer yes/no): 1. Physically hurt a current or ex-partner or family/whanau member? 2. Insulted or talked down to a current or ex- partner or family/whanau member 3. Threatened a current or ex-partner or family/whanau member with harm? 4. Screamed or cursed at a current or ex-partner or family/whanau member? 5. Forced a current or ex-partner or family/whanau member to have sexual activities?
  • 22. Screening to pick up those who are abusive/violent (from CHAT) Is controlling your anger sometimes a problem for you?  no  yes  if yes, do you want help with this?  no  yes but not today  yes 1) HITS screen: Gathering screen score (written/oral) and discussing the result 2) CHAT screen: Asking a question the client may find relevant to them, then using MI/other skills to expand information and gain insight • How does the • How could the CHAT screen questions lead into the HITS questions? • How confident do you feel about asking Q.5 (sexual violence)? • What is most likely to get in the way of disclosure - (fear of consequence; shame/guilt; not understanding what violence is in this context; cultural norms for them; not ready for change; or all of the above)? • Discuss in groups and feed back to main group
  • 23. Screening to pick up those who are abusive/violent (facilitating disclosure) Some thoughts to assist disclosure and engagement: • Confidentiality override explained early on (‘safety’) • Keeping in the health frame rather than ‘offence’ frame • Explaining that family/whanau health/safety also part of your professional counselling role (requirement and rationale for questions/actions) • ‘MI spirit’, empathy and ‘rolling with resistance’ • Having comprehensive list of resources and services to offer when there is disclosure (person abusing and person who is abused) and information about next steps/outcome • Others?
  • 24. Screening Practice Scenario Malosi is a new client - a 52 year-old Samoan man who plays pokies at the casino. He gets paid on Thursday and usually goes to the casino on the way home, often losing around $200, which his family of 4 cannot afford, as he doesn’t want his wife to work. Sometimes if there is a jackpot, he will buy $36 of lotto tickets on the weekend to try to make up losses. John says he knows his wife is disappointed in him, but ‘knows better than to tell him what to do’. He appears motivated to change, but finds his gambling routine hard to break as he has been trying unsuccessfully on his own for months. You have done gambling screens and are now considering co-existing screens. Think about which screen you would use (HITS/CHAT) and how you would introduce it.
  • 25. Screening Practice • Break into pairs – someone you feel comfortable with • Choose who will be client and practitioner • Using information in the scenario, introduce the screen/rationale for completing it, and go through the questions, eliciting feedback • Discuss where to next • Reverse roles • Feed back to group
  • 26. Screening for those who have experienced violence/abuse ‘Half of participants were victims of physical, psychological, emotional, verbal or sexual abuse’ (Bellringer M et al 2016) What is most likely to get in the way of disclosure: • Fear of consequences from abuser • Not understanding what violence is in this context • Cultural norms for them • Shame/guilt (for ‘letting it happen’/staying) • Depression/anxiety disempowering them • Feeling they don’t have resources to leave • ‘Not the reason I’m coming to this service’ • Others?
  • 27. During the past month have you often been bothered by feeling down, depressed or hopeless?  no  yes During the past month have you often been bothered by having little interest or pleasure in doing things?  no  yes  if yes to either or both of these questions, do you want help with this?  no  yes but not today  yes During the past month have you been worrying a lot about everyday problems?  no  yes  if yes, do you want help with this?  no yes but not today  yes What aspects of your life are causing you significant stress at the moment?  none  relationship  work  home life  money  health  study  other (specify) __________________ Is there anyone in your life whom you are afraid or who hurts you in any way?  no  yes Is there anyone in your life who controls you and prevents you doing what you want  no  yes  if yes to either or both of these questions, do you want help with this?  no  yes but not today  yes Is controlling your anger sometimes a problem for you?  no  yes  if yes, do you want help with this?  no  yes but not today  yes As a rule, do you do more than 30 minutes of moderate or vigorous exercise (such as walking or a sport) on 5 days of the week?  no  yes  if yes, do you want help with this?  no yes but not today  yes Lifestyle Assessment form (CHAT) (Case Finding and Help Assessment Tool) What we do and how we feel can sometimes affect our health. To help us assist you to reach and maintain a healthy and enjoyable lifestyle, please answer the following questions to the best of your ability
  • 28. HITS Sherin (1998), modified: AUT In the last 12 months has a current or ex-partner or family/whanau member: 1. Physically hurt you? 2. Insulted or talked down to you? 3. Threatened you with harm? 4. Screamed or cursed at you? 5. Forced you to have sexual activities? Responses (Original screen): Never(1), Rarely(2), Sometimes(3), Fairly often(4), Frequently(5). >10 suggests intimate partner violence. Modified screen yes/no – allows for 5th question addition. Yes = suspected violence
  • 29. Screening for those experiencing violence and abuse Discuss: • If using the HITS screen, how do you feel about using question 5 with gambling clients (modified for AUT study)? Would that question (as is) be suitable to ask in all ‘cultures’? • If we left out Q.5, would it be considered ethical to be selective around type of violence/abuse? • ‘More affected others reported committing and being victims of violence and abuse (except financial abuse) than gamblers’ (Bellringer M et al 2016) • Affected others come to the service for help with others’ gambling – How would you raise the potential issue of their violence/abuse?
  • 30. Screening Practice Scenario Josie is a new client, a 28 year-old woman with a 5 year-old daughter, who has just become separated from her partner of 5 years. She is now on a benefit so she can look after her daughter, who has learning difficulties. She has come for help to stop playing pokies, as she can no longer afford to gamble after leaving her partner, and also can’t easily leave the house now that there is no-one else at home. She has tried some online gambling and lotto, but says she loses too much too quickly, and needs to stop. She says she is afraid of her partner and ‘he could return anytime’, so needs a distraction and doesn’t know how she will cope if she can’t play. She also says she feels isolated and has no family or supports to help her manage. Which screen (HITS/CHAT) would you use and how would you introduce it?
  • 31. Screening Practice • Break into pairs – someone you feel comfortable with • Choose who will be client and practitioner • Using information in the scenario, introduce the screen/rationale for completing it, and go through the questions, eliciting feedback • Discuss where to next • Reverse roles • Feed back to group
  • 33. Police Safety Orders • Police attending a family violence incident can issue a Police Safety Order when they think removing the abuser is necessary for the safety of those experiencing violence/abuse • Abuser has to leave the property – lasts 5 days/can’t appeal • Consent from those experiencing abuse not necessary • Provides a ‘cooling down’ period to prevent further abuse • Allows time for those experiencing abuse to seek support and further protection, eg Protection Order • If abuser breaks the order, they can be taken into custody and court may release them, issue another Safety Order or issue a Temporary Protection Order (if no objection from the person at risk)
  • 34. Protection Orders • Anyone experiencing family violence can apply to Family Court for a Protection Order – ‘legal protection’ • Respondent (abuser) must not be violent to protected person or children who live with them • If living apart, respondent can’t contact without consent • If they can’t qualify for legal aid, can cost $400 - $1400 • Temporary order can be done the same day ‘without notice’ (abuser notified after issue) if safety risk • Two parts to an order (non violence/non contact conditions) • Children covered automatically
  • 35. • Protected person entitled to free support programme • Others can apply for an order on behalf of person abused • A Protection order is a civil order, not on criminal record, but a breach of an order is a legal offence, prosecuted in court • If a Protection Order has been breached, police can arrest without complaint or warrant • Police can refuse to issue a firearms licence if a protection order has been issued • Respondent in a Protection Order is usually required to attend a non-violence programme Protection Orders
  • 36. Conditions FPO • Attend stopping violence programme (free) • Children under 17 also protected • Breach is a criminal offence (up to $5000 fine; six months imprisonment -3 breaches in 3 yrs = 2 years imprisonment) • Parenting order – who cares for children • Property order – who lives at house/who keeps furniture • Occupation order: applicant can live in their home • Tenancy order: respondent is no longer tenant of the home • Furniture order: applicant can take furniture & appliances
  • 37. Conditions for person committing violence/abuse • Surrender firearms licence, weapons • No abuse (physical, sexual, psychologically) • No threats, property damage (self or others) • Must not go to home/workplace/school, or ‘hang around’ regular places, neighbourhood • Can’t follow them, stop them coming/going • No phone, texts, emails, letters, fax or contact • Exception in emergency, Court Order, special condition, agreement, F/group conference
  • 38. When are those experiencing violence/abuse most at risk? • When abuser feels they are losing control • When violence/abuse is disclosed to others • When the abused person leaves/tries to leave • When the abused person takes out a protection order • When the abused person gives evidence in court • When the abused person starts a new relationship • When abuser experiences high gambling losses and feels vulnerable • When there are children at home and increased financial pressures from needs and expenses and no money left
  • 39. Family member needs and options • Women’s Refuge – safe accommodation for women and children; support and information, programmes for abuse survivors • For family member who perpetrates violence, stopping violence programmes • Oranga Tamariki – protect children under 17, manage young offenders, care of children and oversee adoptions
  • 41. Violence and Abuse - Children • Physical abuse – hitting, kicking, shaking, biting, burning, throwing, or from excessive or inappropriate discipline, or family violence • Psychological effects from PG parents arguing over money, time away, and general defensiveness • Neglect through loss of money/income – food, heating, clothing, presents, outings, holidays, school trips • Neglect of medical, dental, other health care • Effects of lost assets, including family home or dwelling; evictions, frequent moving, disrupted schooling/relationships
  • 42. • Neglect and compromised parenting and supervision through absence, fear, anger, blaming, mistrust, keeping secrets, shame • Refusal to accept full parental responsibility to provide appropriately/developmentally for the child/children • May be left alone to cope; have to take responsibility for younger children (by parents and/or childcare providers) • May feel responsible for family problems • Modelling of abusive and gambling behaviours • Witnessing arguments, fights, physical family violence Violence and Abuse - Children
  • 43. Impacts on Children • Effects of emotional abuse and witnessing abuse can be as damaging as direct physical abuse • When children have to manage with frequent violence at home and going to school, they learn to keep secrets • 70% of domestic violence incidents are witnessed by children; this can range from seeing to hearing, and observing the aftermath (blood, bruising, injury); also feeling tension • Children may feel responsible for the violence/abuse and older children may try to protect vulnerable parent and/or younger siblings • Long-term, trauma can lead to anxiety, depression, addictions
  • 44. Another Police Service • Clients (with children) if concerned they may be in a new relationship with someone who may have a history of violence/sexual assault or offences against children (or may have current issues with violence/abuse) – can use the Family Violence Information Disclosure Scheme (FVIDS). • Person/concerned other can contact police to disclose if partner has violence history (action within 20 days or if serious, 24 hours).
  • 45. Exercise: Raising the issue of neglect Marie is a new client (solo parent) who has come for help for playing pokies at pubs and the casino. She is embarrassed to admit that she was excluded from the casino because she had left her 2 children aged 7 and 9 years alone in the car park while she went ‘for a quick flutter’ after she picked them up from school. She also said it was better than leaving them with her former child-carer who used to drink when she left them at night and was sometimes ‘passed out’ when she got home. She had been hoping to win some money so the kids could go on a school trip the following week. Her goal is to be able to just play on weekends or when the kids are asleep and when the neighbours are home, as they are ‘great with the kids’. She felt there was nothing wrong with having a bit of fun now and again and pokies were her favourite relaxation. She has been given your contact so she can have some counselling before she goes back to the casino. Meanwhile, she says she’ll go to the local. Discuss how you would raise the issue and where to from there. Feed back to main group.
  • 46. Oranga Tamariki (Ministry for Children) Five core services: • Prevention – ‘underlying factors’ that lead to vulnerability; focus on strengthening family/whanau • Intensive intervention – identifying and responding to safety concerns; decisions to move children to safety • Care support – working with family/whanau - stable care • Youth Justice – prevent young people from offending and reoffending/breaking cycle; reducing custodial care • Transition support – supporting young people transitioning from care or youth justice – partnership with community
  • 47. Reporting Child Abuse to Oranga Tamariki • Can contact 24/7 for any safety concern; can be anonymous; no repercussions if turns out unfounded; may be asked for report in Court • Assessment of safety to determine response • Serious child abuse = Investigation Response (Serious physical/sexual abuse/willful neglect); or child witnessing serious domestic violence (resulting in/potential death/significant injury)
  • 48. • Children at risk of immediate harm/harmed - (emergency action) can be removed from home with/without a warrant • Oranga Tamariki can apply for Custody Order; within 3 days • Parents can also apply – court decides – can order counselling/support • If Family Court – Family Group Conference within 60 days – professional and family decision, considered in court • Oranga Tamariki may work directly with young people to establish their safety. Reporting Child Abuse to Oranga Tamariki
  • 49. Other violence/neglect issues • Contact with criminal justice system – violence, forgery, fraud, theft, tax evasion – supervision, home detention, community sentence, prison • Loan sharks, gangs, money lenders – gamblers and family members threatened & harassed • Children abandoned/forgotten in casinos, car parks and at home • ‘Pre-occupied’ and victimised parents • Many gamblers with trauma and abuse issues modelling same/compromised in parenting; other addiction issues – AOD, internet, shopping, porn
  • 50. Possible outcomes • Family/whanau agreement: (minimal intervention to ensure safety) - contract/agreement with the family (up to 3 months), to meet goals, then reviewed/evaluated. • Family group conference: formal meeting for family and whanau to meet with professionals to discuss & make decisions for the child. Plans made to ensure child’s safety/well-being and family support as needed. • If a child is in danger of harm, police/social workers can remove them for safety – Family Court must agree. • May be placed with family or foster care – return depends on severity of risk and whether changes made; if unsafe, Oranga Tamariki finds alternative ‘home for life’ with extended family or suitable safe family situation
  • 52. Therapy options • Pros and cons of group therapy? • Family therapy? Children support • Building confidence, assertiveness, self value • Automatic thinking? • Motivating for change; goals for self and children – using Motivational Interviewing • Reviewing safety during gambling therapy • Role of problem gambling and family violence; an integrated approach
  • 53. The Cycle of Violence
  • 54. Why do those who are abused stay with an abusive partner? • Fear: what has been done can be done again/threats made if they try to leave • Financial control: abuser may be main/only income earner • Family/whanau/culture: will abused person be believed or perhaps blamed? Does culture or faith dictate they stay? • Needs of family/children: need a father/‘look ok from outside’ • “He’s so good most of the time/he has promised it won’t happen again/he says he needs/loves me” • “Leaving is too hard, I’m exhausted, where would I go?” • Forgiving: Abuser apologised, gave gifts, made promises, love them too much to leave them. • Low self esteem: “no-one else would want me”, ‘fights are common in relationships’; feeling conflicted, embarrassed/ashamed.
  • 55. What is helpful for clients who have experienced abuse/violence? • To be heard, believed, not judged or blamed • To feel safe to tell their story at their own pace • To understand that they did not cause the abuse and it’s not their fault – violent behaviour is a choice (by abuser) • Practical supports: resource information, referral, facilitation to services (money, housing, transport, childcare, etc) • Strength-based counselling support • Safety planning support whether staying or leaving – ensure options in place before any action/avoid signalling departure
  • 56. Other Safety Considerations • Survivors of intimate partner violence are twice as likely to attempt suicide multiple times, and cases of murder-suicide are most likely to occur in the context of abuse. • "It's very important to inquire if intimate partner violence is taking place or if they're having suicidal thoughts.”
  • 57. Exercise In groups discuss: Jenny (47), 2 children (9, 7), is seeking help for her gambling. She discloses in her HITS that her partner of two years (Bruce) will yell at her when she returns from the pokies having spent all her wages. Last week he threatened her with having her dog put down because he refuses to pay for its food as well. The children hide in their room when the screaming starts, and are always nervous around Bruce, although he’s never touched them. She says she deserves his anger, and couldn’t live without his earnings. He’s never hit her so she says she can’t complain, but he is rarely friendly now, and kicks the furniture when she doesn’t agree with him. She says her mother doesn’t realise her situation, and she would be too ashamed to ask. How would you start the conversation. What safety concerns do you have What should you do
  • 58. Self-care for practitioners • Debrief after sessions where IPV is present – Did this affect me? – Did I cover risk issues with client? – Should I act independently? • Be aware of vicarious trauma risk • Discuss in supervision
  • 59. Resource Information • Women’s Refuge (www.womensrefuge.org.nz) 0800 REFUGE • Oranga Tamariki (0508 326 459) or contact@mvcot.govt.nz • Community Law: guide to applying for a protection order - www.communitylaw.org.nz • Family Court www.courts.govt.nz/family • Police www.police.govt.nz (111 – 24 hrs) • Rape Crisis (Auckland) www.rapecrisis.org.nz • Victim Support www.victimsupport.org.nz 0800 842 846 • Shine (helping agency) - 0508 744 633; www.2shine.org.nz • Stopping Violence Services (Nat Network) www.nnsvs.org.nz • It’s not OK!/Are you OK? www.areyouok.org.nz 0800 456 450
  • 60. Discussion Panel • Confidence level for screening and intervening • Where are the gaps • Where to from here • Any other questions?