THE ROLE OF THE DENTIST IN THE RECOGNITION AND PREVENTION OF DOMESTIC

VIOLENCE

DOMESTIC (FAMILY) VIOLENCE

CHILD NEGLECT AND ABUSECHILD NEGLECT AND ABUSE INTIMATE PARTNER ABUSEINTIMATE PARTNER ABUSE ELDER ABUSEELDER ABUSE DISABLED PERSON ABUSEDISABLED PERSON ABUSE

FORMS OF DOMESTIC ABUSE

PHYSICALPHYSICAL SEXUALSEXUAL EMOTIONAL / BEHAVIORAL / EMOTIONAL / BEHAVIORAL /

PSYCHOLOGICALPSYCHOLOGICAL ECONOMICECONOMIC

HOW SERIOUS A PROBLEM IS PHYSICAL DOMESTIC VIOLENCE??

APPROXIMATELY 3 CHILDREN DIE APPROXIMATELY 3 CHILDREN DIE EACH DAY; 500,000 ARE INJURED EACH DAY; 500,000 ARE INJURED YEARLYYEARLY

NEARLY 31% OF WOMEN REPORT NEARLY 31% OF WOMEN REPORT CURRENT OR FORMER ABUSECURRENT OR FORMER ABUSE

ABOUT 500,000 ELDERLY ADULTS ABOUT 500,000 ELDERLY ADULTS PER YEAR ARE ABUSED OR PER YEAR ARE ABUSED OR NEGLECTEDNEGLECTED

REASONS FOR FAILURE TO RECOGNIZE DOMESTIC VIOLENCE

LACK OF AWARENESS BY HEALTH LACK OF AWARENESS BY HEALTH CARE PROVIDERSCARE PROVIDERS

BUSYNESS OF THE PROVIDERSBUSYNESS OF THE PROVIDERS FAILURE TO DISTINGUISH FAILURE TO DISTINGUISH

INTENTIONAL FROM ACCIDENTAL INTENTIONAL FROM ACCIDENTAL TRAUMATRAUMA

VICTIM’S FAILURE TO VOLUNTEER VICTIM’S FAILURE TO VOLUNTEER INFORMATIONINFORMATION

SIGNS AND SYMPTOMS OF PHYSICAL DOMESTIC VIOLENCE

65% -70% OF PHYSICAL ABUSE INVOLVES THE HEAD, NECK AND FACIAL REGIONS

RECOGNITION OF CHILD ABUSE

PHYSICAL INJURIESPHYSICAL INJURIES LACK OF CLEANLINESS LACK OF CLEANLINESS POOR NUTRITIONAL STATUS POOR NUTRITIONAL STATUS

(HEIGHT AND WEIGHT)(HEIGHT AND WEIGHT) NATURE OF THE INJURIES NATURE OF THE INJURIES

INCONSISTANT WITH INCONSISTANT WITH “EXPLANATION” OF THEIR ORIGIN“EXPLANATION” OF THEIR ORIGIN

DEBUNKING THE MYTHS ABOUT PHYSICAL CHILD ABUSE

IT IS NOT RELATED TO LOW IT IS NOT RELATED TO LOW SOCIOECONOMIC STATUSSOCIOECONOMIC STATUS

IT IS INDEPENDENT OF RACE AND IT IS INDEPENDENT OF RACE AND THE LEVEL OF EDUCATIONTHE LEVEL OF EDUCATION

THERE IS NO SPECIFIC “ABUSIVE” THERE IS NO SPECIFIC “ABUSIVE” PERSONALITYPERSONALITY

PHYSICAL SIGNS OF ACUTE CHILD ABUSE BRUISES AND CUTS ON THE HEADBRUISES AND CUTS ON THE HEAD BALD SPOTS ON THE HEADBALD SPOTS ON THE HEAD LIP LACERATIONS AND CONTUSIONSLIP LACERATIONS AND CONTUSIONS FRACTURED, LOOSENED, OR AVULSED FRACTURED, LOOSENED, OR AVULSED

TEETHTEETH BURNS ON THE SKINBURNS ON THE SKIN JAW FRACTURESJAW FRACTURES INJURIES OR FRACTURES IN OTHER PARTS INJURIES OR FRACTURES IN OTHER PARTS

OF THE BODYOF THE BODY

CHRONIC SIGNS OF PHYSICAL CHILD ABUSE DISCOLORED ANTERIOR TEETHDISCOLORED ANTERIOR TEETH MULTIPLE FACIAL OR SCALP SCARSMULTIPLE FACIAL OR SCALP SCARS MULTIPLE SCARS ON THE MULTIPLE SCARS ON THE

EXTREMITIESEXTREMITIES EVIDENCE OF OLD SKELETAL EVIDENCE OF OLD SKELETAL

INJURIESINJURIES

INTIMATE PARTNER VIOLENCE (SPOUSAL ABUSE)

2-3 MILLION WOMEN PER YEAR ARE 2-3 MILLION WOMEN PER YEAR ARE VICTIMS VICTIMS

150,000 MEN PER YEAR ARE VICTIMS150,000 MEN PER YEAR ARE VICTIMS

FORMS OF INTIMATE PARTNER ABUSE

PHYSICAL INJURIESPHYSICAL INJURIES SEXUAL ABUSESEXUAL ABUSE MENTAL ABUSEMENTAL ABUSE INTIMIDATIONINTIMIDATION

RECOGNITION OF PHYSICAL ABUSE IN ADULTS

ORAL AND FACIAL INJURIES ORAL AND FACIAL INJURIES SIMILAR TO THOSE SEEN IN SIMILAR TO THOSE SEEN IN CHILDREN (ORAL AND FACIAL CHILDREN (ORAL AND FACIAL LACERATIONS, CONTUSIONS, LACERATIONS, CONTUSIONS, INJURIES TO TEETH, BURNS)INJURIES TO TEETH, BURNS)

FRACTURES OF THE NOSE, JAWS, FRACTURES OF THE NOSE, JAWS, CHEEK BONES, AND ORBITSCHEEK BONES, AND ORBITS

FORMS OF ELDER ABUSE AND NEGLECT

PHYSICAL ABUSE AND NEGLECTPHYSICAL ABUSE AND NEGLECT SEXUAL ABUSESEXUAL ABUSE VERBAL AND EMOTIONAL ABUSEVERBAL AND EMOTIONAL ABUSE FINACIAL EXPLOITATIONFINACIAL EXPLOITATION

PERPETRATORS OF PHYSICAL ABUSE OF THE ELDERLY

SPOUSESSPOUSES ADULT CHILDRENADULT CHILDREN OTHER CAREGIVERSOTHER CAREGIVERS

PHYSICAL SIGNS OF ABUSE OF THE ELDERLY SIMILAR TO THOSE SEEN IN CHILD AND SIMILAR TO THOSE SEEN IN CHILD AND

INTIMATE PARTNER ABUSEINTIMATE PARTNER ABUSE CONTUSIONS, ABRASIONS, LACERATIONS CONTUSIONS, ABRASIONS, LACERATIONS

ON THE HEAD, FACE, NECK, AND OTHER ON THE HEAD, FACE, NECK, AND OTHER PARTS OF THE BODYPARTS OF THE BODY

ORAL AND DENTAL TRAUMAORAL AND DENTAL TRAUMA BITE MARKSBITE MARKS FRACTURES OF JAWS AND FACIAL BONESFRACTURES OF JAWS AND FACIAL BONES

DIFFICULTIES IN DISTINGUISHING INTENTIONAL FROM ACCIDENTAL TRAUMA IN THE ELDERLY

SKIN LESIONS CAN RESEMBLE THOSE SKIN LESIONS CAN RESEMBLE THOSE CAUSED BY TISSUE CHANGES CAUSED BY TISSUE CHANGES ASSOCIATED WITH AGING, MEDICINES, ASSOCIATED WITH AGING, MEDICINES, SYSTEMIC OR DERMATOLOGIC DISEASESSYSTEMIC OR DERMATOLOGIC DISEASES

BRUISES CAN BE CAUSED BY IV OR IM BRUISES CAN BE CAUSED BY IV OR IM INJECTION OF MEDICATIONSINJECTION OF MEDICATIONS

BITE MARKS CAN BE SELF-INFLICTEDBITE MARKS CAN BE SELF-INFLICTED

WHAT ROLE CAN DENTISTRY PLAY IN THE MANAGEMENT OF DOMESTIC VIOLENCE??

PREVENTING ABUSE AND NEGLECT THROUGH DENTAL AWARENESS (P.A.N.D.A)

THIS PROGRAM INVOLVES:

AWARENESS OF THE PROBLEMAWARENESS OF THE PROBLEM IDENTIFICATION OF ABUSE AND IDENTIFICATION OF ABUSE AND

NEGLECTNEGLECT DOCUMENTATION OF THE INJURIESDOCUMENTATION OF THE INJURIES NOTIFICATION OF THE PROPER NOTIFICATION OF THE PROPER

AUTHORITIESAUTHORITIES

BY DOING THESE THINGS WE WILL HELP REDUCE DOMESTIC VIOLENCE, AND SPARE MANY CHILDREN AND ADULTS UNNECESSARY PAIN, SUFFERING AND EVEN POSSIBLE DEATH!!