1. Dales GPEC Domestic Abuse by Sydorenko Oksana, MD, PhD

2. Dales GPEC What Is Domestic Abuse? A continuum of behaviour ranging from verbal abuse, through threats & intimidation, manipulative behaviour, physical & sexual assault, to rape and even homicide. (DOH)

3. Dales GPEC What Is Domestic Abuse? Physical, emotional, sexual & other abuse by someone (usually, but not always a man) of a person (usually but not always a woman) with whom they have or had had some kind of intimate relationship such as marriage, in order to maintain power & control over the person. (Women’s aid)

4. Dales GPEC Facts & Figures At least 190,000 women affected each year. 50% of homicides of women are by the women’s partner or ex-partner. 20% of all murder victims are women killed by their partner or ex-partner. On average women suffer DA for 7 years before ending the relationship.

5. Dales GPEC Facts & Figures Children of women sufferers of DA are at much higher risk of child abuse. Children who witness DA are significantly more likely to exhibit behavioural problems, both as children and in adult life.

6. Dales GPEC Facts & Figures Children witnessing DA exhibit the same emotional & behavioural problems as do children who are being abused.

7. Dales GPEC DA in Pregnancy High incidence of miscarriage / TOP. Higher incidence of still birth. Premature labour more likely. Increased incidence of smoking / alcohol / drug misuse.

8. Dales GPEC Domestic Abuse & Child Abuse 33-70% of children from families where DA occurs experience child abuse, usually by the same violent man. 40% of child abuse cases are associated with violence to the mother. Children who witness domestic violence are at increased risk of maladaption.

9. Dales GPEC Effects on Children School problems Truancy Poor performance Social problems Shame & embarrassment about family. Tendency to get into “serious” relationships early to escape from home. Depression. Suicide. Alcohol & drug problems. Confusion about gender roles. Physical injuries. Physically intervening to protect mother.

10. Dales GPEC Effects on Children Advanced maturity & sense of responsibility. Feelings of guilt or shame. Aggression or anger to mother. Bed wetting. Nightmares. Sleep disturbance. Eating problems. Self-harm. Low self esteem.

11. Dales GPEC If the Children Don’t See It? DA can include actual or threats to harm the children as part of the man’s control strategy. 90% of incidences children are in the same or adjacent room. Living with DA & the impact on mothers causes distress, confusion & disruption to children. There is an overlap between sexual abuse of children & DA of partner (control).

12. Dales GPEC Related Issues Stays in B&B / Refuges often mean risk to health & safety, disrupted education, & sometimes sharing bathrooms/kitchens with male offenders and drug users.

13. Dales GPEC Related Issues Where mother and child are being abused by the same man, child protection work is often ineffective for protecting both child & mother.

14. Dales GPEC Related Issues Men are almost routinely granted contact orders for their children, whether or not they are violent. Thus Children Act contact orders undermine other child protection work as they create the circumstances for a violent man to continue to abuse his partner and child(ren).

15. Dales GPEC DA & Child Death DA is prominent in many cases of child death since 1974,(Maria Colwell, Sukina Hammond, Toni Dales, Kimberley Carlisle, Victoria Climbie etc). Significance often not understood or acknowledged by professionals. Only since the 1990’s that debate has occurred on the relationship between DA and child abuse. ……Why?

16. Dales GPEC Quotes Influencing Impact Action Plan Asking the Question Practicalities Communication Further Help

17. Dales GPEC Effects on the Foetus Increased low birth weight, foetal injury and death. Effects of attempted suicide, alcohol, smoking, drugs, infections & anaemia. May suffer bruising, broken bones, stab wounds or death.

18. Dales GPEC WHAT LEADS TO TEENAGE PREGNANCY.

19. Dales GPEC THIS IS THE WAY MOST PARENTS TEACH ABOUT SEX.

20. Dales GPEC WAYS TO HELP TEENAGERS ON THIS ISSUES.

21. Dales GPEC IS ABORTION REALLY AN OPTION?

22. Dales GPEC DONT COMMAND YOUR TEENAGER, TEACH THEM WHEN YOU TELL YOUR TEENAGER NOT TO DO SOME CERTAIN THINGS, TRY TO REASON WITH THEM GIVE THEM REASONS FOR YOUR ACTIONS OR RULES YOU MAKE REGARDING CERTAIN ISSUES. THEY FEEL THEY ARE ADULTS, AND WANT TO FEEL RESPECTED AS WEEL.BEEN A TEENAGER IS ALREADY DIFFICULTY AS IT IS ALREADY. THEY IN BETWEEN BEEN CHILDREN AND BEEN ADULTS( BEEN RESPONSIBLE FOR THERE OWN SELVES.)

23. Dales GPEC CONTRACEPTIVES.

24. Dales GPEC INCREASE IN TEENAGE PREGNANCY.

25. Dales GPEC BIRTH RATES…. TEENAGE BIRTHS HAVE INCREASE OVER THE YEARS.

26. Dales GPEC A TEENAGER STUCK IN ROOM WHILE FRIENDS MOVE AHEAD IN LIFE

27. Dales GPEC MAJOR PROBLEM OF TEEN PREGNANCY( THERE BODY IS NOT READY. Vesicovagin Fistula (VVF) VVF occurs when the blood supply to the tissues of the vagina and the bladder is restricted during prolonged obstructedlabour, the tissues die between these organs, forming holes through which urine can pass uncontrollably.

28. Dales GPEC TEENAGERS ALL OVER THE WORLD ARE THE SAME.

29. Dales GPEC PREGNANT SCHOOL GIRL…

30. Dales GPEC USE A CONDOM PREVENT PREGNANCY AND STD..

31. Dales GPEC TYPICAL TEENAGE STRESS WITH BABY.

32. Dales GPEC THANK YOU FOR YOUR ATTENTION…….