THE ROLE OF THE DENTIST IN THE RECOGNITION AND PREVENTION OF DOMESTIC VIOLENCE

DOMESTIC (FAMILY) VIOLENCE CHILD NEGLECT AND ABUSE CHILD NEGLECT AND ABUSE INTIMATE PARTNER ABUSE INTIMATE PARTNER ABUSE ELDER ABUSE ELDER ABUSE DISABLED PERSON ABUSE DISABLED PERSON ABUSE

FORMS OF DOMESTIC ABUSE PHYSICAL PHYSICAL SEXUAL SEXUAL EMOTIONAL / BEHAVIORAL / PSYCHOLOGICAL EMOTIONAL / BEHAVIORAL / PSYCHOLOGICAL ECONOMIC ECONOMIC

HOW SERIOUS A PROBLEM IS PHYSICAL DOMESTIC VIOLENCE?? APPROXIMATELY 3 CHILDREN DIE EACH DAY; 500,000 ARE INJURED YEARLY APPROXIMATELY 3 CHILDREN DIE EACH DAY; 500,000 ARE INJURED YEARLY NEARLY 31% OF WOMEN REPORT CURRENT OR FORMER ABUSE NEARLY 31% OF WOMEN REPORT CURRENT OR FORMER ABUSE ABOUT 500,000 ELDERLY ADULTS PER YEAR ARE ABUSED OR NEGLECTED ABOUT 500,000 ELDERLY ADULTS PER YEAR ARE ABUSED OR NEGLECTED

REASONS FOR FAILURE TO RECOGNIZE DOMESTIC VIOLENCE LACK OF AWARENESS BY HEALTH CARE PROVIDERS LACK OF AWARENESS BY HEALTH CARE PROVIDERS BUSYNESS OF THE PROVIDERS BUSYNESS OF THE PROVIDERS FAILURE TO DISTINGUISH INTENTIONAL FROM ACCIDENTAL TRAUMA FAILURE TO DISTINGUISH INTENTIONAL FROM ACCIDENTAL TRAUMA VICTIM’S FAILURE TO VOLUNTEER INFORMATION VICTIM’S FAILURE TO VOLUNTEER INFORMATION

SIGNS AND SYMPTOMS OF PHYSICAL DOMESTIC VIOLENCE

65% -70% OF PHYSICAL ABUSE INVOLVES THE HEAD, NECK AND FACIAL REGIONS

RECOGNITION OF CHILD ABUSE PHYSICAL INJURIES PHYSICAL INJURIES LACK OF CLEANLINESS LACK OF CLEANLINESS POOR NUTRITIONAL STATUS (HEIGHT AND WEIGHT) POOR NUTRITIONAL STATUS (HEIGHT AND WEIGHT) NATURE OF THE INJURIES INCONSISTANT WITH “EXPLANATION” OF THEIR ORIGIN NATURE OF THE INJURIES INCONSISTANT WITH “EXPLANATION” OF THEIR ORIGIN

DEBUNKING THE MYTHS ABOUT PHYSICAL CHILD ABUSE IT IS NOT RELATED TO LOW SOCIOECONOMIC STATUS IT IS NOT RELATED TO LOW SOCIOECONOMIC STATUS IT IS INDEPENDENT OF RACE AND THE LEVEL OF EDUCATION IT IS INDEPENDENT OF RACE AND THE LEVEL OF EDUCATION THERE IS NO SPECIFIC “ABUSIVE” PERSONALITY THERE IS NO SPECIFIC “ABUSIVE” PERSONALITY

PHYSICAL SIGNS OF ACUTE CHILD ABUSE BRUISES AND CUTS ON THE HEAD BRUISES AND CUTS ON THE HEAD BALD SPOTS ON THE HEAD BALD SPOTS ON THE HEAD LIP LACERATIONS AND CONTUSIONS LIP LACERATIONS AND CONTUSIONS FRACTURED, LOOSENED, OR AVULSED TEETH FRACTURED, LOOSENED, OR AVULSED TEETH BURNS ON THE SKIN BURNS ON THE SKIN JAW FRACTURES JAW FRACTURES INJURIES OR FRACTURES IN OTHER PARTS OF THE BODY INJURIES OR FRACTURES IN OTHER PARTS OF THE BODY

CHRONIC SIGNS OF PHYSICAL CHILD ABUSE DISCOLORED ANTERIOR TEETH DISCOLORED ANTERIOR TEETH MULTIPLE FACIAL OR SCALP SCARS MULTIPLE FACIAL OR SCALP SCARS MULTIPLE SCARS ON THE EXTREMITIES MULTIPLE SCARS ON THE EXTREMITIES EVIDENCE OF OLD SKELETAL INJURIES EVIDENCE OF OLD SKELETAL INJURIES

INTIMATE PARTNER VIOLENCE (SPOUSAL ABUSE) 2-3 MILLION WOMEN PER YEAR ARE VICTIMS 2-3 MILLION WOMEN PER YEAR ARE VICTIMS 150,000 MEN PER YEAR ARE VICTIMS 150,000 MEN PER YEAR ARE VICTIMS

FORMS OF INTIMATE PARTNER ABUSE PHYSICAL INJURIES PHYSICAL INJURIES SEXUAL ABUSE SEXUAL ABUSE MENTAL ABUSE MENTAL ABUSE INTIMIDATION INTIMIDATION

RECOGNITION OF PHYSICAL ABUSE IN ADULTS ORAL AND FACIAL INJURIES SIMILAR TO THOSE SEEN IN CHILDREN (ORAL AND FACIAL LACERATIONS, CONTUSIONS, INJURIES TO TEETH, BURNS) ORAL AND FACIAL INJURIES SIMILAR TO THOSE SEEN IN CHILDREN (ORAL AND FACIAL LACERATIONS, CONTUSIONS, INJURIES TO TEETH, BURNS) FRACTURES OF THE NOSE, JAWS, CHEEK BONES, AND ORBITS FRACTURES OF THE NOSE, JAWS, CHEEK BONES, AND ORBITS

FORMS OF ELDER ABUSE AND NEGLECT PHYSICAL ABUSE AND NEGLECT PHYSICAL ABUSE AND NEGLECT SEXUAL ABUSE SEXUAL ABUSE VERBAL AND EMOTIONAL ABUSE VERBAL AND EMOTIONAL ABUSE FINACIAL EXPLOITATION FINACIAL EXPLOITATION

PERPETRATORS OF PHYSICAL ABUSE OF THE ELDERLY SPOUSES SPOUSES ADULT CHILDREN ADULT CHILDREN OTHER CAREGIVERS OTHER CAREGIVERS

PHYSICAL SIGNS OF ABUSE OF THE ELDERLY SIMILAR TO THOSE SEEN IN CHILD AND INTIMATE PARTNER ABUSE SIMILAR TO THOSE SEEN IN CHILD AND INTIMATE PARTNER ABUSE CONTUSIONS, ABRASIONS, LACERATIONS ON THE HEAD, FACE, NECK, AND OTHER PARTS OF THE BODY CONTUSIONS, ABRASIONS, LACERATIONS ON THE HEAD, FACE, NECK, AND OTHER PARTS OF THE BODY ORAL AND DENTAL TRAUMA ORAL AND DENTAL TRAUMA BITE MARKS BITE MARKS FRACTURES OF JAWS AND FACIAL BONES FRACTURES OF JAWS AND FACIAL BONES

DIFFICULTIES IN DISTINGUISHING INTENTIONAL FROM ACCIDENTAL TRAUMA IN THE ELDERLY SKIN LESIONS CAN RESEMBLE THOSE CAUSED BY TISSUE CHANGES ASSOCIATED WITH AGING, MEDICINES, SYSTEMIC OR DERMATOLOGIC DISEASES SKIN LESIONS CAN RESEMBLE THOSE CAUSED BY TISSUE CHANGES ASSOCIATED WITH AGING, MEDICINES, SYSTEMIC OR DERMATOLOGIC DISEASES BRUISES CAN BE CAUSED BY IV OR IM INJECTION OF MEDICATIONS BRUISES CAN BE CAUSED BY IV OR IM INJECTION OF MEDICATIONS BITE MARKS CAN BE SELF-INFLICTED BITE MARKS CAN BE SELF-INFLICTED

WHAT ROLE CAN DENTISTRY PLAY IN THE MANAGEMENT OF DOMESTIC VIOLENCE??

PREVENTING ABUSE AND NEGLECT THROUGH DENTAL AWARENESS (P.A.N.D.A)

THIS PROGRAM INVOLVES: AWARENESS OF THE PROBLEM AWARENESS OF THE PROBLEM IDENTIFICATION OF ABUSE AND NEGLECT IDENTIFICATION OF ABUSE AND NEGLECT DOCUMENTATION OF THE INJURIES DOCUMENTATION OF THE INJURIES NOTIFICATION OF THE PROPER AUTHORITIES NOTIFICATION OF THE PROPER AUTHORITIES

BY DOING THESE THINGS WE WILL HELP REDUCE DOMESTIC VIOLENCE, AND SPARE MANY CHILDREN AND ADULTS UNNECESSARY PAIN, SUFFERING AND EVEN POSSIBLE DEATH!!