Global Health

Perspective
The Effects of Domestic
Violence on Children
By: Hannah Peterson, Rachel
Farmer, Leah Cange, Courtney
Sands, Jenna Rosenqvist,
Salla Keso

Introduction
This presentation explores:

Childrens definition of health

The effects of domestic abuse on children

Health services for children affected by domestic violence

How cognitive and developmental level affects childrens health beliefs

US and Finland

Rehabilitation plan for this vulnerable population

Application of nursing theory to this process

Childrens Definition of
Health

This vulnerability populations view of

health is a bit different than others
Their idea of health:
Eating healthy
Exercising
According to the Piko (2006) article,
healthy behavior as described by children
often include sports and physical activity
Very rudimentary opinion of being
healthy

Why Do They Think This Way?

Unable to comprehend the disease

process
Unable to understand the other
factors that affect health

Health teaching is based on:

Children may be unaware of the mental,

social, and spiritual aspects of health
Nutrition
Physical activity

Obesity epidemic
Current emphasis on the fitness and
nutrition movement

Why Should We Care?

Nursing Concerns for Health Promotion and
Prevention of Disease:

1.

2.

Cognitive changes
Poor school achievement,
impaired memory
Behavioral impairments
Aggression, violent/criminal
behavior, noncompliance,
antisocial behaviors,
substance abuse

Why Should We Care?

Nursing Concerns for Health Promotion and
Prevention of Disease:

3.

Social/emotional impairments
a.

Depression, poor self esteem,

anxiety, suicidal ideation, anxiety,
hostility, high stress levels,
dissociation

4.

Physical consequences from

abuse
a.

Bruising, bleeding, pain, enuresis,

sleep disturbances, stomachaches,
headaches, etc.

US Health Services
Government Organizations

Childhood Domestic Violence Association

National Coalition Against Domestic Violence

Education & assistance

National Victim Center

Increase awareness
Empower caring adults to help

24 hour hotline
Victim services

National Domestic Violence Hotline

1.800.799.SAFE

US Health Services

Local Help - Springfield, MO, USA

Ozark Counseling Center

Springfield PD

Drop-in center for youth

Harmony House

Family Violence Task Force

Immediate intervention & follow-up care for victims

Rare Breed

Counseling & mediation

Resolve issues before resorting to violence

Shelter for victims of domestic abuse

Missouri Department of Social Services

Finland Health Services

Police (emergency number 112)

Health care centers
School health care
Maternity clinic and child health centers
Occupational health care
Mental health clinics
Family counselling centers
A-clinics
Social assistance centers
Congregations

Legal aid offices

MLLs LASTEN JA NUORTEN PUHELIN JA
NETTI - phone and internet support for
children
The federation of Mother and Child Homes
and Shelters
Online Family Shelter
Womens Line
Multicultural Womens Association
Victim Support

Finland Health Services

ANKKURI cooperation team

Finnish Regional State Administrative Agency (AVI)

Multiprofessional
Focused on adolescent criminal action and domestic violence
Team composed of: policeman, social worker, director, psychiatric nurse
Collaborate to solve complex social issues
Monitors: accessibility, sufficiency and fulfilment of legal protection services

National Institute for Health and Welfare (THL)

Coordinates nationwide work to prevent domestic and intimate partner violence

Finland Health Services

Ministry of Social Affairs and Health

Ministry of Justice

Planning and guidance

Working on prevention
Developing nationwide system of support
Criminal Code

Cross-administrative teams of public servants

Finland Health Services

Local Help - Pori, Finland

Local police (Porin poliisiasema)

Health care centers
School health care
Maternity clinics and child health centers
Family shelter (Porin ensi-ja turvakotiyhdistys ry)
Child protection (lastensuojelutoimisto)
Family counseling

Comparison of Services in US and Finland

Similarities- both countries rely on:

Social workers
Local law enforcement
Shelters
School health employees
Counseling services
National policy and agencies
Hotlines or phone/internet services

Differences:

US has more systematic nationwide process with Child Protective Services

Finland benefits from focus on collaborative, multi-professional teams working on the issue of
domestic violence

Plan for Rehabilitation

Children often dont know where to turn for help
First step School counselors & social workers

Social workers then make plans for possible

Notification of parents/ guardians

Home visits
Contacting of Child Protective Services (CPS)
Further counseling for the child needing help

Applying Nursing Theory

Sister Callista Roys Adaptation Model

Physiologic mode

Self-concept

Physical well-being
Psychological and spiritual well-being

Role function and Interdependence

Focused on people and their relationship with one another

Social and intellectual capacity of children is still developing

Applying Nursing Theory

Sister Callista Roys Adaptation Model

Physiologic mode
1. Teach physical signs of
abuse
2. Perform thorough
head-to-toe at physicals
and well-visit
3. Provide care to burns,
cuts, broken bones from
abuse

Applying Nursing Theory

Sister Callista Roys Adaptation Model

Self-concept
1. Development of identity and
self-confidence
2. Mental health screenings,
awareness
3. Counseling for those who have
experienced abuse

Applying Nursing Theory

Sister Callista Roys Adaptation Model

Role function and Interdependence

1. Teach signs of
emotional/psychological abuse
2. Assess for healthy relationships
among peers and with authority
figures
3. Counseling to develop coping
mechanisms for past abuse

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