Robert W Ball, Service and Workforce Development, HIV/AIDS & Related Programs (HARP) This presentation will discuss the focus testing of the same-sex domestic violence identification tool for health and community care workers developed by the HARP Unit of Sydney South West Area Health Service. Now in its final design, the screening tool is flexible enough to be used both within government health care settings and throughout non-government support and care organisations.

1. The Brick Wall The Development Of A Routine Screening Tool To Identify Same Sex Relationship Violence Robert Ball Service and Workforce Development HIV/AIDS and Related Programs SSWAHS.

3. Physical Psychological Bruises and welts Depression and anxiety Body injury Alcohol and drug abuse Chronic pain Sleeping disorders Disability Eating disorders Gastrointestinal disorders Physical inactivity Ocular damage Poor self esteem Reduced physical function Suicide and/or self harm Irritable bowel syndrome Unsafe sexual behaviour THE HEALTH CONSEQUENCES OF DOMESTIC VIOLENCE

4. Sexual and reproductive Fatal health Gynaecological disorders AIDS related Mortality Infertility Death Pelvic inflammatory disease Homicide Pregnancy complications Suicide Sexual dysfunction Sexually Transmitted Infections, including HIV/AIDS NSW Policy & Procedures 2003 P.49 The health consequences of domestic violence (continued)

6. Some consequences to consider are those relating to HIV testing, treatment access including PEP and medication compliance. & Where the form of abuse centres around; psychological (outing), social (isolation), immigration or residency issues, sexuality or sexual practices and health status. What are the unique impacts of domestic violence in Gay or Lesbian relationships?