Wellington City Libraries Palm Tree Blossoming of Our Children - Kia Puawai Ngā Tamariki - 10th Australasian Conference on Child Abuse and Neglect

Child Protection and Partner abuse - two sides of the same coin

 

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Presenters

Mollie Wilson and Miranda Ritchie

Organisations

Mollie Wilson - Group Manager, Women, Children, Youth and Community Services, Hawke's Bay District Health Board (HBDHB), Hastings
Miranda Ritchie- Coordinator Family Violence Intervention & Child Protection Programmes, HBDHB, Hastings

Speaker

Miranda Ritchie


This paper will describe how an integrated systems approach supports family violence intervention enabling child and partner abuse intervention to be implemented.

The HBDHB established a Child Protection Programme in 2001 that provided the platform for the subsequent development of the Family Violence Intervention Programme in 2002.  This was in accordancewith the Ministry of Health's Family Violence Intervention Guidelines: Child and Partner Abuse (2002).

This presentation describes the systems approach utilised to establish, manage, review and sustain the Child Protection and Family Violence Intervention Programmes in the HBDHB.  A workforce development programme provided for all staff who care for women and children incorporates skill development on joint risk assessment.  Fundamental to the development and sustainability of both programmes has been the need to recognise and support the core activity of joint assessment for both forms of abuse, e.g. family violence and child abuse.  Initial and subsequent audits of both Child Protection and Family Violence Intervention programmes promotes the view that routine questioning for partner abuse should be part of regular, first assessments for all women, age 16 years and over who attend Emergency Department (ED), maternity and menal health services.  In addition, routine questioning for partner abuse needs to be part of regular, first assessments of all mothers of children who present to ED and child health services.

External and internal quantitative and qualitative evaluations, demonstrate both an improvement in the quality of assessment of child abuse and partner abuse through an increasing number of referrals made to community agencies.  The feedback loop of reporting the evaluation findings to staff is fundamental to achieve and sustain change.

The Child Protection and Family Violence Intervention programmes utilise a systems approach for implementation, management and review.  HBDHB's evaluation results are consistent with international research.  Research indicates that to achieve and sustain change with family violence intervention (child and partner abuse) that includes reduction in child and partner abuse, an integrated, multidisciplinary approach is required.  This enables identification of barriers and addresses processes to maximise changes required in clinical practice.  The ultimate goal is to empower individuals, families and communities to modify, and or change behaviours, that impact on environments in which families function.

Presentation

Paper

Biographies

Mollie Wilson

Bachelor of Arts (Nursing and Management)
Fellow of College of Nurses Aotearoa
Registered General and Obstetric Nurse
Certificate in Community Child Health Nursing
Associate Fellow NZ Institute of Management
Associate Fellow of NZ Institute of Health Management

Current Position
Group Manager, Women, Children, Youth & Community Service, Hawke's Bay District Health Board.

Miranda Ritchie

Master of Arts (Applied) Nursing
Bachelor of Health science (Nursing)
Registered Comprehensive Nurse
Member of College of Nurses Aotearoa
Member of Paediatric society of New Zealand

Miranda is the Co-ordinator of the Family Violence Intervention (FVI) and Child Protection programmes in the Hawke's Bay District Health Board. This regional FVI position was established in 2002 and responsibilities include the implementation and evaluation of family violence intervention within the DHB. In 2004 Miranda was appointed the National Co-ordinator for DHB Family Violence Intervention programmes. This role's responsibilities include providing support for DHBs implementing the family violence intervention, developing resources and co-ordinating the National Network of Family Violence Intervention (Child and Partner Abuse) Co-ordinators.