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International Domestic Violence and Health Conference 2018

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International Domestic Violence and Health Conference 2018 International Domestic Violence and Health Conference 2018 Aims and Launch Kelsey Hegarty (University of Melbourne and Royal Women’s Hospital) Please engage with us throughout the conference via: Twitter: • Tag us @safer_families and use the conference hashtag #DVandHealth2018 • Support the United Nations 16 days of activism using the hashtag #HearMeToo Audience Poll: • Go to our IDVH Poll at www.pollev.com/IDVH2018 and have this link ready on your devices during the Conference #DVandHealth2018 IDVH Conference Committee Kinship, Culture and Connections IDVH Sub-committee • Kelsey Hegarty – The University of Melbourne • Karen Glover – SAHMRI • Stephanie Brown – Murdoch Children’s Research • Kerry Arabena – University of Melbourne Institute • Stephanie Brown – Murdoch Children’s Research • Elizabeth (Libby) Hindmarsh – RACGP Institute • Karen Glover – SAHMRI • Shawana Andrews – University of Melbourne • Jane Koziol-McLain – Auckland University of • David Gallant – The University of Melbourne Technology • Renee Fiolet – The University of Melbourne • Laura Tarzia – The University of Melbourne • Renee Fiolet – The University of Melbourne • Jacqui Cameron – The University of Melbourne Special Mention to Resource Staff • Amanda Wallace – WEAVERS panel • Alexandra Wilson • Fiona - WEAVERS panel • Kitty Novy • Simone Gleeson – The University of Melbourne • Rhian Parker www.pollev.com/IDVH2018 #DVandHealth2018 Welcome to Country Aunty Dianne Kerr www.pollev.com/IDVH2018 #DVandHealth2018 Story-telling begins WITH Project Well-being begins Kundalini House www.pollev.com/IDVH2018 #DVandHealth2018 WEAVERS: Launch of Conference Women and their children who have Experienced Abuse and Violence Researchers and advisers PRESENTER: Zofia Di Stephano www.pollev.com/IDVH2018 #DVandHealth2018 We want to hear from you: Laura Tarzia (University of Melbourne) What is the priority for change in the early intervention and health system space? Write one or two words and need to connect words with an underscore. www.pollev.com/IDVH2018 #DVandHealth2018 Panel Discussion Early intervention in the health sector for the whole family CHAIR: Kelsey Hegarty PANELISTS: Claudia Garcia-Moreno Suchitra Chari Jackie Ah Kit Elizabeth Hindmarsh Jane Koziol-McLain www.pollev.com/IDVH2018 #DVandHealth2018 Performance ‘Cleaving’ A duet illustrating opposing processes in trauma and recovery PERFORMERS: Nilgun Guven (Dancer) Cindy Watkin (Viola Player) www.pollev.com/IDVH2018 #DVandHealth2018 Refreshment and Wellbeing Break Please make your way down to Level 2 Pavilion Wellbeing Session Massage – Pavilion Level 2 Engagement Twitter @safer_families, #DVandHealth2018 Polling link www.pollev.com/IDVH2018 I wish tree…….. Reflections Box www.pollev.com/IDVH2018 #DVandHealth2018 International Domestic Violence and Health Conference 2018 Q and A Panel Early Intervention in health sector CHAIR: Harriet MacMillan PANELISTS: Gene Feder Marsha Uppill Rachael Green Leesa Hooker www.pollev.com/IDVH2018 #DVandHealth2018 Early intervention in health sector: the IRIS story Gene Feder International Domestic Violence and Health conference November 20th 2018 primary care at the centre Secondary and tertiary care Community General practice Social care Specific primary health care response? . contact of whole population with primary care . morbidity in primary care populations How do we engage general practice? . cluster randomised controlled trial . 1 year follow up . 48 practices in Bristol and Hackney Identification and referral to Improve Safety IRIS model Training and support + referral Health pathways education including material safeguarding + Advocacy Less Clinical children and Identification abuse enquiry Emotional adults + + + & improved Medical record Validation Referral Practical quality prompts + support of life + Documentation + Recording and + mental flagging Immediate risk health system check and + safety Advocate assessment educator + Practice champion crucial partnership with domestic violence advocacy organisations NextLink & the nia project . advocate educator . specialist referral service . link to local domestic violence fora and coordinated community response IRIS trial results (very) cost-effective . NHS cost savings of £1.07per woman per year, equivalent to UK £3155 per practice per year . societal cost savings of £37/woman/year beyond the ivory tower translation into policy . cited in Department of Health Violence Against Women and Children taskforce report as an exemplar programme . cited in WHO partner violence guidelines as evidence for recommendation on training interventions . part of NICE domestic violence guidelines evidence review . cited as a “particularly effective remedy” by the Task and Finish Group for the Welsh Government’s proposed ‘Ending Violence Against Women and Domestic Abuse (Wales) Bill’ commissioning guidance Scotland sites: sites: Scotland - Borders - Edindgurgh area - Glasgow area Northumberland - Lanarkshire Current IRIS sites - West L:othian Cumberland Durham Westmorland North Riding Yorkshire East Riding Lancashire West Riding Bolton Salford Manchester Trafford Mansfield & AshfieldLindsey Cheshire west East Cheshire Cheshire Derby Vale royal and South Notts Cheshire Nottingham Lincoln westNottingham CityKesteven , Stafford Holland Norfolk Leicester Rutland Shropshire Birmingham Sandwell Huntingdon And Warwickshire Peterborough Wales Northants Worcester Cambridge West East And Isle of Ely Suffolk Hereford Bedford Cwm Oxford Bucks Taf Gloucester Hertford Essex London sites: - Hackney - Lambeth Cardiff and the ValeBristol Greater South Berkshire west - Enfield Berks Reading & London Gloucester - Camden North Somerset Wiltshire Wokingham - Islington Bath and North East Surrey East Surrey Kent - Tower Hamlets Somerset Hampshire - Bromley Somerset - Lewisham Sussex - Southwark Southampton West East Devon Dorset Portsmouth Poole Isle of Wight Cornwall IRIS into practice . commissioned by CCGs and local authorities in 32 English localities and 2 Welsh health boards . >60 advocate educators and >50 clinical leads trained in England . > 1000 general practices trained . Total IRIS practice referral to specialist agencies is > 12000 Continuing effect? Beyond primary care? . LARA (Linking Abuse and Recovery through Advocacy) . irisADVISE (Assessing for Domestic Violence in Sexual health Environments) . irisPharm What about men & children? IRIS + Workstream I of the REPROVIDE Programme Enlarging the IRIS model beyond women survivors of domestic violence IRIS+ Phase 3 Phase 1 Phase 2 Pilot Evidence Development Phase 4 Phase 5 Adjustments Consultation Consultation Trial Nested studies Interim Development Protocols Report 2016Systematic 2016Training-17 and AE Training2017-18 pilot 2018Cluster-20 2018Nested-21 review of role delivery with randomised trial qualitative study interventions for development observation (24 control and of programme male victims 24 intervention implementation Protocol and Pilot interviews practices) Mapping study of data collection Mixed-method services for men development Pilot Agency and study (interviews victims and questionnaires practice data and children Consultations analysis questionnaires) Adjustments to Training and AE Pre-pilot training, referral Cost- Analysis, role development delivery pathway, AE role, effectiveness synthesis, report, trial data analysis dissemination Consultations Pilot practice collection tools Consensus recruitment and protocols process IRIS+ Thank you to survivors to their families to colleagues to funders Lunch and Wellbeing Break Please make your way down to Level 2 Pavilion Wellbeing Session Singing – Bayside 4A Level 2 (25 mins from 1pm) Massage – Pavilion Level 2 Table Conversations A-sis-stance – an action group for Women Early Intervention Culture, Kinship and Connection www.pollev.com/IDVH2018 Children and Young People #DVandHealth2018 International Domestic Violence and Health Conference 2018 Q and A Panel Dynamics and complexity of abuse and resilience CHAIR: Jo Spangaro PANELISTS: Stephanie Brown Fiona Carmel O'Brien Karen Glover Nancy Glass www.pollev.com/IDVH2018 #DVandHealth2018 Dynamics and complexity of abuse and resilience INTERNATIONAL DOMESTIC VIOLENCE & HEALTH CONFERENCE 20 NOVEMBER 2018 STREAM 2 STEPHANIE BROWN Overview •Snapshot of findings from 2 studies •Rethinking role of health services in promoting the health and wellbeing of women, children and families Intergenerational Health OUR VISION: Health, wellbeing and equity for mothers, children and families Prospective pregnancy cohort: 1507 first time mothers and first born children Prospective birth cohort: 344 Aboriginal families in urban, regional and remote areas of South Australia 1507 first time mothers & first born children Intimate partner violence In the last 12 months, has a partner or ex-partner… • pushed, grabbed or shoved you • shook you • beat you up • blamed you for causing their violent behavior • tried to turn family, friends of children against you • told you no one would want you …? Composite Abuse Scale Short version, 18 items measuring physical and emotional abuse (Hegarty K et al) 5-6 YEARS 344 Aboriginal families in SA in families Aboriginal 344 FIRST 12 MONTHS 344 Aboriginal families in SA During your pregnancy, did any of the following things happen to you? • Scared of other people’s behavior • Left home because of family argument • Upset by family arguments • Pushed, shoved or assaulted In the last 12 months, has a partner or expartner … • Told you that you are crazy (boontha) • Stopped you
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