Domestic violence and family safety are community responsibilities. Teacher readers to know when violence is present and how best to assist victims.

1. Everyday Advocacy ©
Domestic Violence Is a
Community Responsibility
Families & Communities
Empowered for Safety
and Business and Professional
Women of Oklahoma
May 16, 2009

2. It all begins at home…
Lifespan
Presenter: Tim Gray, Attorney and longtime domestic violence victim advocate

3. Domestic violence is about…
Physical Social & physical
abuse isolation
POWER AND CONTROL
Sexual Emotional &
abuse Economic verbal abuse
abuse

4. Oklahoma Child Abuse & Neglect
Year Total Total Confirmed Confirmed Both Deaths
Investigations Confirmed Abuse Neglect Abuse &
& Assessments Neglect
1994 34,846 10,891 3,913 5,815 1,163 31
1995 39,831 11,700 4,198 6,221 1,281 34
1996 40,916 11,646 3,816 6,797 1,033 29
1997 48,399 13,627 3,748 8,351 1,528 42
1998 61,709 16,710 4,157 10,235 2,318 45
1999 57,026 16,217 3,745 10,054 2,418 47
2000 62,023 14,273 3,063 8,575 2,635 48
2001 50,683 13,394 2,696 8,154 2,544 38
2002 50,728 13,903 1,899 9,816 2,188 35
2003 57,383 12,971 1,572 9,390 2,009 27
2004 60,770 12,347 1,414 8,953 1,980 51
2005 61,926 13,328 1,360 10,094 1,874 40
2006 36,529 13,827 1,219 10,588 2,020 *
2007 36,090 13,191 1,235 10,025 1,931 *
Sources: Compiled by The Parent Child Center of Tulsa based on (1) Annual Report of Child
Abuse & Neglect Statistics published by the Oklahoma Department of Human Services, Children and Family Services Division,
Child Protective Services Programs Office; and (2) Annual Report of the Oklahoma Child Death Review Board.

5. 2008 Homicide Data
• Oklahoma ranks fourth
highest in the nation in homicides of
women per 100,000 population
• 92% of the victims knew their killer and of
these 60% were wives or intimate partners of
the perpetrator
Violence Policy Center report, Washington D.C. Sept. 2008

6. Elder Abuse and Neglect
Tulsa Lifespan Abuse Information
• FY 04--1,453 DHS Adult Protective Services confirmed cases in Tulsa
• Tulsa -- 8.6% of all state referrals (16,804)
5.6% annual increase fr/ FY 03
116% increase over past 10 years
(Source: Adult Protective
Services (APS) w/ the
Oklahoma Department
of Human Services,
2005)
To Compare
• In FY 04, Tulsa’s child abuse case investigations--1,228 confirmed cases of
16,000 state calls
(Source: S. Arnold de Berges. Prioritization of System Issues, Child Protection System of Tulsa County
Report, 2005 )

7.
¥
¦
¨
¦
©
Domestic Violence and Abuse
¡
¢
£
§
¡
£
§
£
£
¤
¤
Approximately 1.5 million women are physically assaulted by an intimate partner annually in the United States.
National Institute of Justice Centers For Disease Control, National Violence Against Women Survey, 1998
Approximately 90%-95% of domestic violence victims are women.
Bureau of Justice Statistics Selected Findings, 1994
A woman is more likely to be assaulted, injured, raped or killed by a male partner than by any other type of assailant.
Bureau of Justice Statistics, National Crime Victimization Study, 1995
Women are more often victims of domestic violence than victims of burglary, mugging, or other physical crimes combined.
First Comprehensive National Health Survey of American Women, Commonwealth Fund, July 1993
Among victims of violence committed by an intimate, the victimization rate of women separated from their husbands was
about 3 times higher than that of divorced women and about 25 times higher than that of married women.
Bureau of Justice Statistics, National Crime Victimization Study, 1995
It is often more dangerous for battered women after they leave a violent relationship. Although divorced and separated women
compose only 10% of all women in this country, they account for 75% of all battered women. Divorced and separated women report
being physically abused fourteen times as often as women still living with their partners.
Raphael, Jody, Saving Bernice: Battered Women, Welfare, and Poverty, 2000, p. 61
Divorced or separated persons had the highest rate of violent crimes committed by relatives.
Bureau of Justice Statistics, Criminal Victimization in the United States, 1990, Washington D.C.: U.S. Department of Justice,
February 1992
One-third to one-half of homeless women are on the street because they are fleeing domestic violence
U.S. Senate Committee on the Judiciary, 1990
3 million children in the United States are exposed to domestic violence in their homes each year.
American Psychology Association, Violence in the Family: Report of the American Psychological Association Presidential Task
Force on Violence in the Family, 1996

8. Everyday Advocacy
• Tell a victim you are wor-
ried about her and her
children’s safety.
• Tell her you believe her,
she is not to blame, and she
deserves a peaceful life free
of violence and abuse.
• Inform her that information
and services she may want
or need to get safe are
available in Oklahoma.*
• Help her make a safety plan.
• Give her a copy of the 20-risk factors in Jacqueline Campbell Danger
Assessment – it will raise her awareness of possible danger.
• Advise her to remove guns from the house.
* http://www.ocadvsa.org/member_programs.htm

9. Healthcare and Screening for Domestic Violence
Raising Awareness; Inspiring Action
Families and Communities Empowered for Safety
(918) 519-3698 :: faces.sherry@gmail.com :: www.faces.tulsa.org

10. “…time does not heal some of the
adverse experiences we found so
common in the childhoods of a large
population of middle-aged,
middle-class Americans. One
doesn't just get over” some
things.” –06/2006
The Relation Between Adverse Childhood Experience and Adult Health:
Turning Gold into Lead
http://xnet.kp.org/permanentejournal/witer02/goldtolead.html
Presenter: Chandina Sharma MD, Gerontologist, University of Oklahoma Community Health

11. This is often what we see…
• Sleep and appetite • Abdominal and GI
disturbances complaints
• Fatigue – Irritable bowel
syndrome
• Sexual dysfunction
– Dyspepsia
• Headaches
• Depression
• Chronic pelvic pain
• Anxiety disorders
• Atypical chest pain
• Suicide attempts
• Somatization

12. Stress-related Chronic Illness
-
• Stress of living in abusive situation may
cause or worsen physical symptoms
• “Thick chart syndrome” — frequent
visits, comprehensive exams with
extensive testing, no known physical
cause for complaints
• “Medically Unexplained Symptoms” –
MUS common in victims of violence

13. Effects of Abuse on Children
• Of the 2-4 million women battered each year , one half live with
children under 12
• 62% of children living in a home with
domestic violence are also abused
• Boys who witness violence against
their mothers are ten times more
likely to abuse their female partners
as adults
• 63% of boys aged 11-20 arrested
for murder were arrested for
murdering the man assaulting
their mother

14. Health Care Utilization
in IPV Victims
• History of DV predictor of
hospitalizations, general clinic
use, mental health services
and out-of-plans referrals
• Net costs $1775 more
annually*
• Being an IPV victim associated with
1.6 to 2.3-fold increase in total health
care utilization and costs**
*Wisner et al J Fam Pract 1999
**Ulrich et al Am J Prev Med 2003

15. Recommendation from American Medical Association
• Physicians should
routinely screen all
women patients
alone, without
partner.

16. How Can You Advocate for
Family Safety?
• Write to your personal physician to
encourage him/him to learn how to screen
patients for domestic violence.
• Take posters and safety plans for your physician to
place in private patient areas.
• Call your local domestic violence victim advocacy
agency and ask them to co-sponsor a “Screen to
Save” seminar for area healthcare practitioners – and
volunteer to help.

17. Domestic Violence
in the Workplace
Domestic violence doesn’t stay at home.
Families and Communities Empowered for Safety
(918) 519-3698 :: faces.sherry@gmail.com :: www.faces.tulsa.org

18. 7 Reasons Companies Should
Develop a Workplace Policy
1. Domestic violence affects many employees.
2. Domestic violence is a security and liability concern.
3. Domestic violence is a performance productivity
concern.
4. Domestic violence is a health care concern.
5. Domestic violence is a management issue.
6. Taking action in response to domestic violence
works.
7. Employers can make a difference.
http://endabuse.org/content/features/detail/1013/
Presenter: Jim Holland, Risk Assessment Director, St. John Healthcare Systems, retired

19. Costs of IPV
in United States
• Exceeds $5.8 billion per year
– $4.1 billion in direct medi-
cal and mental health care
costs
• $900 million from lost productivity from paid
work and household chores
• $900 million from lifetime earnings lost by victims of IPV homicide

20. Education is Prevention
• After participating in domestic violence training at
a factory, the rate of employees asking for
workplace counseling services for domestic abuse
problems was 14 times what it had been prior to
the training.
• When a sample group of 40 abused employees at
the factory began using the domestic abuse
counseling services, their average absence rate
was higher than the factory’s average absence
rate. After using counseling services, the abused
employees reduced their absenteeism rates to
normal.
Urban, B.Y. (2000). Anonymous Foundation Domestic Abuse Prevention Program Evaluation:
Final Client Survey Report. Chicago, IL: The University of Illinois at Chicago. Contact .

21. What Can You Do?
• Ask your employer to adopt a policy that will
include teaching staff and employees basic
protective steps that can be taken at work,
including:
– Educate
– Refer
– Support
– Secure
• Support your co-worker
and let her know she is valued
by her colleagues.

22. Domestic Violence
and the Law
1. Should every victim of IPV apply for a
protective order?
2. Is there a right time
to apply?
3. Is there ever a
circumstance when
a victim should not
file for a PO?
Presenter: Judge Deborah Shallcross, Senior Tulsa County District Court Judge

23. Depend On Advocates to Help
Victims Get to Safety
1. There is not a one-size-fits-all solution
to getting safe.
2. A trained victim advocate is the best resource a
victim of domestic violence can have.
3. Contact your local domestic violence
victim advocacy agency and ask for
help.
http://www.ocadvsa.org/member_programs.htm

24. Domestic Violence is a
Community Responsibility
• Arrange a local domestic violence and family safety
training and invite your judges, local
law enforcement, and prosecutors to
attend.
• Begin a f.a.c.e.s. Sheila’s Shawls and
Hope Blossoms domestic violence
awareness campaign in your community.
• Start a local domestic violence court watch project.
• Call your local domestic violence victim advocacy agency
to ask how you can help.

25. ¦
¥
¥
¦
¥
She didn’t know what she didn’t know…
£
¡
£
¡
¤
!
This presentation is
dedicated to the
memory of Carrie Tutor
who was murdered by
her ex-husband in her
Tulsa workplace on
February 10, 2005.
We will always
remember Carrie.
Domestic violence
is a community responsibility.

26. Resources
The Relation Between Adverse Childhood Experience and “…time does not heal some of
Adult Health: Turning Gold into Lead the adverse experiences we
found so common in the
http://xnet.kp.org/permanentejournal/witer02/goldtolead.html
childhoods of a large population
A Community Checklist: Important Steps to Ending Violence of middle-aged, middle-class
Against Women Americans. One doesn't just get
http://www.met.police.uk/dv/files/com_checklist.pdf over some things.” –06/2006
Multidisciplinary Responses to Domestic Violence
http://www.abanet.org/domviol/mrdv/home.html
REFERENCES:
DVIS/Call Rape, Inc. Tulsa - www.dvis.org - safety planning information
Family Safety Center, Tulsa - emergency protective order application and
advocacy www.cityoftulsa.org/PublicSafety/FSC/
Parent Child Center, Tulsa - www.parentchildcenter.org
Oklahoma Coalition Against Domestic Violence and Sexual Assault Mailing address:
OCADVSA, Oklahoma City - Sherry Clark, Founding President
http://www.ocadvsa.org/member_programs.htm 6533 E. 89th Place
Hope Blossoms – www.facestulsa.org or contact Sherry Clark at Tulsa, OK 74133
faces.sherry@gmail.com
faces.sherry@gmail.com
www.facestulsa.org