{"id":5168,"date":"2020-07-29T13:45:28","date_gmt":"2020-07-29T20:45:28","guid":{"rendered":"https:\/\/dixonsociety.ca\/?p=5168"},"modified":"2020-07-29T13:45:31","modified_gmt":"2020-07-29T20:45:31","slug":"the-relationship-between-health-and-domestic-violence","status":"publish","type":"post","link":"https:\/\/dixonsociety.ca\/the-relationship-between-health-and-domestic-violence\/","title":{"rendered":"The relationship between health and domestic violence"},"content":{"rendered":"\n
\"Header<\/figure><\/div>\n\n\n\n

At Dixon, we know that the care we provide is healthcare. Many of the women and children walking through Dixon\u2019s doors are accompanied by the lasting effects of trauma. <\/p>\n\n\n\n

The health consequences of experiencing domestic violence can be particularly severe and long-lasting. However, with swift, specialized treatment, these effects can be mitigated. Still, we don\u2019t often think of domestic violence as a complex and serious health risk indicator in our everyday conversations.  <\/p>\n\n\n\n\n\n\n\n

According to the World Health Organization, surviving domestic violence can have negative health effects on a woman and her children<\/a>, encompassing many different aspects of health, including physical health, sexual and reproductive health, and mental health. <\/p>\n\n\n\n

\"Infographic<\/figure><\/div>\n\n\n\n

Even with everything we know about the health effects of domestic violence, treatment can be difficult. To learn why, we sat down with Peggy, Dixon\u2019s Clinical Supervisor. <\/p>\n\n\n\n

Learning to process and cope with trauma often requires intensive care <\/h2>\n\n\n\n

When we\u2019re talking about the health of domestic violence survivors, says Peggy,\u00a0it\u2019s important to keep in mind that the cases of these individuals are\u00a0incredibly\u00a0<\/em>complex.\u00a0<\/p>\n\n\n\n

People can develop post-traumatic stress responses when exposed to trauma.\u00a0Post-traumatic stress responses are essentially our\u00a0body\u2019s way of protecting us from environmental threats, both physically and mentally. These responses help prepare our bodies\u00a0to adapt\u00a0to\u00a0the\u00a0challenges we might face.\u00a0Unfortunately,\u00a0they can become maladaptive.\u00a0Chronic\u00a0stress is connected\u00a0to every major health concern.\u00a0<\/p>\n\n\n\n

Peggy also tells us that the duration and magnitude of these responses can vary according to our own personal resiliency.  Post-traumatic stress responses can develop into post-traumatic stress disorder (PTSD). PTSD itself is a complicated disorder to diagnose. Learning to cope with triggers associated with one\u2019s PTSR\/PTSD often requires time and help. This learning process can be very difficult and may last an entire lifetime.  <\/p>\n\n\n\n

\"Two<\/figure><\/div>\n\n\n\n

Concurrent disorders can further complicate a situation. For example, in trying to cope with post-traumatic stress, some individuals might develop addictions. This makes their cases even more complex. Both of these conditions often require specialized care, which many might find difficult to access.  <\/p>\n\n\n\n

The needs of children often go unmet<\/h2>\n\n\n\n

Peggy\u00a0stressed\u00a0that children\u00a0need to\u00a0receive specialized treatment as well (which is why our Child Support<\/a> program is so vital). When it comes to addressing domestic abuse, children are often treated as a sort of add-on to their\u00a0mother\u2019s case.\u00a0Children also experience\u00a0trauma\u00a0living in the same toxic environments\u00a0as\u00a0their\u00a0mothers.\u00a0\u00a0Many children also experience stressors like poverty, racism, or the challenges associated with immigration.\u00a0<\/p>\n\n\n\n

The focus of interventions surrounding children often centers around\u00a0housing, childcare, and schooling. Specialized psychological care is often left out of the equation. As a result, caregivers may be tasked with helping children manage complex traumatic stress responses. In many cases, these protective responses are\u00a0mislabeled as \u201cbehavioural problems.\u201d\u00a0\u00a0<\/p>\n\n\n\n

\"Sad<\/figure><\/div>\n\n\n\n

Like adults, kids can experience complexly interwoven health conditions.\u00a0Sadly, the\u00a0treatments for these conditions tailored towards children aren\u2019t always readily accessible.\u00a0As a result, it is often\u00a0difficult for children to get the help they need.\u00a0<\/p>\n\n\n\n

The root causes of survivors\u2019 health problems are often social<\/h2>\n\n\n\n

Domestic violence isn\u2019t a purely psychological and physical\u00a0ailment, but a social one.\u00a0Exposure to domestic violence is a\u00a0social determinant of health<\/strong>. Social determinants of health are the various economic, environmental, and social elements and systems shaping an individual\u2019s daily life.\u00a0These systems often shape situations of domestic violence, as well.<\/p>\n\n\n\n

For example, we know that domestic violence is more prevalent in rural than urban areas. This is because of a variety of factors, ranging from entrenched gender inequities to a lack of mental health and social services. These factors shape a woman and her children\u2019s experiences of domestic violence. In turn, these factors then affect their health. <\/p>\n\n\n\n

Poverty, Peggy notes, is another major social determinant of health. It is strongly linked to domestic violence,\u00a0in many cases\u00a0increasing the likelihood\u00a0of experiencing violence.\u00a0Poverty\u00a0is\u00a0also\u00a0a source of considerable stress in and of itself and is\u00a0perfectly capable of creating complex health issues on its own.\u00a0\u00a0<\/p>\n\n\n\n

\"Sad<\/figure><\/div>\n\n\n\n

Unfortunately, poverty is a condition that tends to follow women and their children when leaving a violent situation.\u00a0\u00a0Many women fleeing domestic violence are single mothers or become them. Single mothers tend to fall into the \u201clow bracket\u201d of the social safety net and tend to lie on the margins of our collective awareness.\u00a0Because of this, finding support can be difficult.<\/p>\n\n\n\n

Organizations caring for women and children fleeing violence are not treated like healthcare organizations <\/h2>\n\n\n\n

According to Peggy, adopting a feminist, political analysis of the non-profit sector reveals that Canadian non-profits tend to end up servicing the most complex health conditions with the fewest resources. Many women and children fleeing violence face multiple challenges due to systemic oppression.  <\/p>\n\n\n\n

For example, any women fleeing domestic violence are single mothers.  Single mothers tend to fall into the \u201clow bracket\u201d of the social safety net and tend to lie on the margins of our collective awareness. Because of this, finding support can be difficult.  <\/p>\n\n\n\n

When trying to access care, women may face many barriers. Racism entrenched in the healthcare system can lead staff to provide BIPOC with poorer care.<\/a> Some women may even be altogether excluded from accessing care due to their immigration status.  As a result, low-barrier, anti-oppression organizations like Dixon can be critical in helping a woman and her children heal. <\/p>\n\n\n\n

Part of the problem is that there is a competition among non-profits for funding.  Unlike hospitals and clinics, non-profits often need to apply for grant funding to support their operations. Consequently, the care provided by non-profits is not afforded the same level of funding as the care provided by the healthcare sector. Sadly, this includes transitional housing societies like Dixon. <\/p>\n\n\n\n

This\u00a0lack of resources\u00a0can be stressful for staff. It can\u00a0also\u00a0lead to a lack of engagement among them. The population living in\u00a0transitional housing is highly complex and marginalized. As a result, any lack of engagement and consistency might be detrimental\u00a0to clients’ healing.\u00a0\u00a0<\/p>\n\n\n\n

So how can we effectively treat women and children who are fleeing domestic violence? <\/h2>\n\n\n\n

According to\u00a0Peggy, experiencing domestic violence requires holistic,\u00a0trauma-informed care at\u00a0both\u00a0clinical and organizational levels.\u00a0Trauma-informed\u00a0approaches recognize that in order to provide effective care,\u00a0care teams need to have a complete picture of a client\u2019s lived experiences.<\/p>\n\n\n\n

Because of this, trauma-informed care entails a paradigm shift. This kind of care doesn\u2019t aim to pathologize an individual\u2019s experiences, but instead focus on holistic healing. Trauma-informed care necessitates that professional resources enter into the low-barrier spaces that marginalized people can readily access. <\/p>\n\n\n\n

\u00a0In a trauma-informed approach, service providers tailor their care to the client. For example, when working with a child, clinical art and play therapy\u00a0could be enlisted.\u00a0<\/p>\n\n\n\n

\"Women<\/figure><\/div>\n\n\n\n

Trauma-informed approaches involve principles of empowerment, collaboration, and transparency. This care requires that staff are cognizant of the power imbalances implicit in the provider-client relationship. In a trauma-informed setting, staff work with<\/em> clients to make decisions on how to move forward, not for <\/em>them. This approach can improve health outcomes by offering clients them the chance to engage more fully in their care and develop a more trusting relationship with their support teams. <\/p>\n\n\n\n

Additionally, trauma-informed approaches also help keep staff healthy and avoid burnout. Avoiding burnout allows staff to continue to be reliable supports. <\/p>\n\n\n\n

At Dixon, we know that the care we provide is<\/em> healthcare <\/h2>\n\n\n\n

We incorporate a feminist, trauma-informed approach into the care we provide. We recognize that in recovering from an experience with domestic violence, women and children need to be able to reclaim their sense of control over their own lives. Our woman-centred approach recognizes that each woman that steps through our doors knows the needs of her and her family better than anyone else. This recognition enables us to provide support and specialized care while respecting the autonomy of our clients. <\/p>\n\n\n\n

\"Two<\/figure><\/div>\n\n\n\n

To our knowledge, Dixon is the only transitional house in British Columbia with a clinical consultant supporting staff. At Dixon, we know that caring for our staff has a ripple effect. In caring for our staff\u2019s wellbeing, we can ensure that the families at Dixon have consistently reliable supports to turn to. <\/p>\n\n\n\n

 Our comprehensive healing plan helps guide the care of the women and children we serve. Families at Dixon have access to mindfulness programs and counselling. Dixon\u2019s continuum of care incorporates both restorative and resiliency practices. Dedicated Women Support Workers and Child Support Workers are on-site to support families as they create and pursue their goals. <\/p>\n\n\n\n

\"Two<\/figure><\/div>\n\n\n\n

If you or someone you know would like some help leaving a violent situation, please do not hesitate to reach out. At Dixon, you can call our 24-hour intake line at 6044-298-3454 or get in touch by email. For resources outside of Burnaby, please call VictimLink BC at 1-800-563-0808. If you are in immediate danger, please call 911. <\/p>\n","protected":false},"excerpt":{"rendered":"

At Dixon, we know that the care we provide is healthcare. Many of the women and children walking through Dixon\u2019s doors are accompanied by the lasting effects of trauma.  The health consequences of experiencing domestic violence can be particularly severe and long-lasting. However, with swift, specialized treatment, these effects can be mitigated. Still, we don\u2019t often think of domestic violence as a complex …<\/p>\n

The relationship between health and domestic violence<\/span> Read More \u00bb<\/a><\/p>\n","protected":false},"author":88890,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"","footnotes":""},"categories":[35],"tags":[],"class_list":["post-5168","post","type-post","status-publish","format-standard","hentry","category-blog"],"yoast_head":"\nThe 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