Trauma Informed Care: The Role of the Health Care Provider

Title: Trauma Informed Care: The Role of the Health Care Provider

Date Recorded: January 25, 2013

Learning Objectives:

  • Understand the relationship between a history of trauma and mental health and concurrent chronic health disorders.
  • Learn how programs and services can be designed to be more supportive, avoid re-traumatization, address the consequences of trauma in the individual, and facilitate healing.

Speakers:

  • Rochelle Hanson, PhD Professor of Psychiatry and Behavioral Sciences, Medical University of South Carolina
  • Mary Margaret Gleason, MD, FAAP Assistant Professor of Psychiatry and Neurology; Assistant Professor of Pediatrics; Co-clinical Director of Early Childhood Support and Services, Department of Pediatrics, Tulane University School of Medicine
  • Carole Warshaw, MD Director, National Center on Domestic Violence, Trauma & Mental Health; Executive Director, Domestic Violence & Mental Health Policy Initiative

Gun Violence: The Health Care Provider’s Role in Prevention Webinar

Title: Gun Violence: The Health Care Provider’s Role in Prevention

Date Recorded: June 4, 2013

Description: Health care providers play an important role in protecting the safety of their patients by preventing gun violence. This webinar will review the impact of gun violence on families in the United States and discuss evidence-based approaches to gun violence prevention.

Learning Objectives:

  • Identify policy strategies for reducing gun violence.
  • Identify evidence-based approaches to youth and family violence prevention.
  • Describe ways in which health care providers can engage in active firearm violence prevention in practice.

Speakers:

  • Denise Dowd, MD, MPH, PEM, Professor of Pediatrics, University of Missouri-Kansas City School of Medicine; Children’s Mercy Hospital
  • Patrick Tolan, PhD, Professor, Curry School of Education, University of Virginia; Director, Youth-Nex: The UVA Center to Promote Effective Youth Development
  • Daniel Webster, ScD, MPH, Professor of Health Policy and Management; Director, Johns Hopkins Center for Gun Policy and Research
  • Susan McCormick Hadley, MPH, BS, Adjunct Faculty, University of Minnesota Medical School, Department of Family Practice and Community Health

Supporting Our Troops’ Families: The Impact of Family Violence on Military Families

Title: Supporting Our Troops’ Families: The Impact of Family Violence on Military Families

Date Recorded: January 21, 2014

Description: An increasing number of families face the unique challenges of deployment of a family member. This webinar will explore the intersection of military service and family violence, and provide guidance for health care providers in both military and civilian settings who care for military families.

Learning Objectives:

  • Understand the impact of the stress of military service on psychological health
  • Review the research on interpersonal violence and child maltreatment in military families
  • Discuss risk assessment and strategies for prevention and management of risk of family violence in military families
  • Review practice and policies on the development and promotion of resilience in military families

Speakers:

Human Trafficking: The Role of the Health Care Provider

Title: Human Trafficking: The Role of the Healthcare

Date Recorded: May 14, 2014

Description: What can health care providers do to help victims of human trafficking? Many health care providers, who interact with human trafficking victims, are unaware that these crimes occur and often are not prepared to respond to victims, survivors, and those at risk. This webinar will provide clinicians with knowledge on trafficking and give specific tools for screening, assist victims in the clinical setting, and understand reporting requirements. Participants will have the opportunity to hear from a human trafficking survivor, and explore opportunities for improving practice and policy.

Learning Objectives:

  • Understand the background and statistics of human trafficking.
  • Describe ways in which health care providers can identify and assist victims and survivors.
  • Identify screening tools and understand reporting requirements.
  • Understand how programs and services can be designed to be more supportive and avoid re-traumatization.

Speakers:

Promoting Wellness: Incorporating Health Care into Advocacy

Title: Promoting Wellness: Incorporating Health Care into Advocacy

Date Recorded: May 7, 2013

Description: Taking care of your health can be a challenge for any woman. Going to the doctor, dentist, staying on top of all the recommended screenings, making birth control and reproductive health decisions—all of these can be overwhelming.

A woman who has experienced violence may find caring for her health even more complicated. Many survivors of violence find it almost impossible to go to the doctor, dentist, or other specialists. They may experience difficulties with the power imbalance, with being physically vulnerable, with the clinical setting, or with the acts of treatment themselves.

In this presentation Olga Trujillo will illustrate through her own experience of violence and coping, how she discovered the importance of becoming proactive in her health care. She will detail the steps that she took with the health care professionals in her life to have them partner with her in caring for her health. She will also share a new free brochure she developed with Futures Without Violence that’s a tool for survivors who access health services. The brochure gives pointers on how to have conversations about abuse with health professionals and strategies to promote healing.

Through this presentation we will explore how advocates and other professionals who work with survivors of violence can assist survivors with this challenge, including through the use of a new brochure. We will also explore how it is that violence and our coping mechanisms make it harder to actively care for our health. We will also examine why it is so important to make sure we do.

Speaker:
Olga Trujillo, JD is an attorney, speaker, author & survivor. Her experience over the past 25 years has been as a private attorney; an attorney for the U.S. Department of Justice; a consultant to many local, state and national organizations; a nationally sought speaker and author. Olga is featured in the video “A Survivor’s Story”, a documentary & training video based on her personal experience of violence. In 2006, Olga received the Bud Cramer Leadership Award given by National Children’s Alliance for her work to help professionals around the country better understand the impact of violence on children. Olga has authored a number of articles & publications. Her memoir for New Harbinger Publications entitled “The Sum of My Parts” was released in Oct 2011. She also co-authored a Handbook for Attorneys “Representing Domestic Violence Survivors Who Are Also Experiencing Trauma and Mental Health Challenges” which was released in Jan 2012. Olga currently writes a blog for Psychology Today.

From Associates to Allies: Forging Public Sector Partnerships that Prevent Violence

Title: From Associates to Allies: Forging Public Sector Partnerships that Prevent Violence

Date: Wednesday, September 10th, 2014

Time: 9:00am – 10:30am (HT), 10:00am -11:30am (AKDT), 11:00am – 12:30pm (PDT),
12:00pm – 1:30pm (MDT), 1:00pm – 2:30pm (CDT) and 2:00pm – 3:30pm (EDT).

Seats are limited, so to register click here today!

Description: Preventing violence is everyone’s work, but collaborating across sectors can be a tall order. Based on input from more than 40 practitioners, this webinar shares advice on how local government can boost your efforts to prevent gang violence, child abuse, bullying, and other forms of violence. Find a common agenda that the community and local government can all support, and figure out what you can ask of local schools, health, criminal justice and other sectors. Guest speakers in Portland, Maine, and Houston will share what they’ve been able to accomplish through multi-sector partnerships and how they’ve dealt with challenges along the way.

Learning Objectives:

  • Describe the value of collaborating across sectors and with the community to address the underlying causes of violence.
  • Name an unusual role or non-traditional partner who could be recruited to help prevent children’s exposure to violence.
  • Describe at least one joint strategy pursued by two or more sectors with the potential to prevent violence and improve other outcomes.

 

All Sites Peer-to-Peer Exchange

On Wednesday, June 25th in Memphis, TN as just one session of the All Sites Peer-to-Peer Exchange, a three-day convening of the Department of Justice’s (DOJ) Defending Childhood Initiative, we were thrilled to welcome William Gay, star cornerback for the Pittsburgh Steelers, and Keith Whitted, Jr., an 11-year-old boy who wrote “Keith’s Heart” a book sharing the true and tragic story of the shooting death of his dad. The two engaged in a moderated discussion around their personal experiences (William’s mother was murdered by her partner when he was just 7 years old), and the healing that can come from speaking – and writing – publicly about them.

FUTURES worked closely with the Department of Justice, the Shelby County Defending Childhood team and all of our partners and allies in Shelby County and Memphis, to bring together over 125 people to the All Sites Peer-to-Peer Exchange. At the three-day convening. Hosted by Defending Childhood, included representatives from, all three of the Office of Juvenile Justice and Delinquency Prevention’s violence prevention initiatives, including the National Forum on Youth Violence Prevention and Community-Based Violence Prevention. The convening was designed to engage all three initiatives in peer-to-peer learning and recognize the importance of collective impact when multiple disciplines work in concert with one another. The meeting concluded with neighborhood tours and site visits to Memphis- based Defending Childhood sites where participants were able to learn from local community services.

The meeting also included a keynote presentation, “No Kid is Born Bad” by Xavier McElrath-Bey, a youth justice advocate with the Campaign for the Fair Sentencing of Youth, where he explores the important need for at-risk youth to “cross paths” with positive people and processes. Other inspiring speakers and partners included Lawrence Laurenzi, U.S. States Attorney, Western District of TN; Mark H. Luttrell, Jr., Mayor of Shelby County; Dir. Toney Armstrong, Chief of Memphis Police; and AC Wharton, Jr., Mayor of the City of Memphis.

2013 Council on Social Work Education Conference

In 2013 two former Schechter course alumni, Amie Brooks and Dominique Shabazz, and Professors Kristie Thomas and Antontia Cordero presented a workshop on the Schechter course curriculum to other interested schools of social work. Michigan State University and University of California, Berkeley have indicated interest in implementing the course.

 

Domestic Violence, Adolescent Relationship Abuse and Mandatory Reporting in California

Title: Domestic Violence, Adolescent Relationship Abuse and Mandatory Reporting in California

Date Recorded: April 17, 2014

Description: When considering integrating domestic violence assessment and response into healthcare visits, providers and domestic violence advocates often raise valid concerns about mandatory reporting and confidentiality. However, with a clear understanding of the law, clinical protocols that address how to respond to disclosures, and strong partnerships with local DV programs, health settings can safely and effectively incorporate conversations about abuse into their clinical practice.

Learning Objectives:

  • Disclose the limits of confidentiality with patients
  • Describe the California domestic violence mandatory reporting law
  • Implement a trauma-informed response when a patient discloses domestic violence that requires a repor
  • Identify local resources for providers, advocates, and patients to address additional questions about mandatory reporting and confidentiality

Speaker:
Erica Monasterio, MN, FNP-BC is a Clinical Professor on faculty in the Division of Adolescent and Young Adult Medicine, Department of Pediatrics and the Department of Family Health Care in the School of Nursing at the University of California, San Francisco since 1997. She is the Nurse Faculty in the Leadership Education in Adolescent Health (LEAH) Program and the coordinator of the Nursing Leadership in Adolescent and Young Adult Health (NLAYAH) Program. Ms. Monasterio has over 27 years of clinical experience working with youth and families in primary care, both at UCSF and in the San Francisco Department of Public Health, and is the co-founder of the Cole Street Youth Clinic, part of the San Francisco Department of Public Health’s Community Health Network.

Health Parntership Grantee Spotlight

Since May 2014, the Women’s Health Care Clinic (WHCC), a program of the Los Angeles BioMedical Research Institute on the grounds of Harbor-UCLA Medical Center, and Interval House have launched an inventive new strategy to increase access to health information and health services among victims of domestic violence in the form of an engaging new “Monthly Health Celebration.”

WHCC staff goes to Interval House once a month to provide 90-minute workshops in English and Spanish on topics ranging across the scope of women’s health and reproductive health. Interval House clients have an opportunity to ask questions about their health in a safe, empowering space and are directly linked to the clinic through on-site appointment scheduling.

For many victims of domestic violence, urgent pressures such as relocation, legal issues, emotional and physical stress pose overwhelming barriers to health care. During the planning process for this initiative, WHCC and Interval House worked together to determine who the target audience would be (both shelter and outreach clients) and how the workshops could effectively engage and entice victims on a voluntary basis, given the heavy demands on their lives and the instability they are facing.

Knowing that it’s a very tall order, the two partners designed the program with a very client-centered focus, ensuring that, in addition to offering client incentives, the workshops are intentionally framed and promoted as a fun, empowering event. All Interval House advocates, counselors and leaders are scheduled to be a part of the event, to greet, welcome, and encourage all clients.

The ability to provide a structured opportunity, in a celebratory environment, for clients to socialize and connect with staff who have helped them through their times of crises has created an energy of comfort that has resulted in a high level of interest and engagement with clients in talking about their health and well-being – and, ultimately, accessing health care. And, to remove logistical barriers in accessing care at the clinic, Interval House and WHCC provides transportation vouchers to clients and actively arranges carpooling and rides to ensure that all clients are supported and encouraged in their efforts to access care.

As a result of the Monthly Health Celebrations, WHCC and Interval House have seen a remarkable increase in health care engagement and access, especially among victims who have reported never having had a well-woman exam, those who have had exams but had no knowledge of their medical results, and those who had not previously disclosed.

This partnership has created a bridge to healthcare that has been so important in helping victims prioritize their health, utilize services, and develop a medical home. Just in the month of June, almost 40 Interval House clients have already accessed care at the WHCC. Additionally, the Monthly Health Celebrations provide a valuable avenue for cross-training and sustainability among the Interval House staff, who have the opportunity to grow, evolve, and continue to share the knowledge they’ve learned with clients well into the future.

Mudderella Voices

My strong was leaving an abusive relationship ten years ago when I had a two-year-old son.

 

Health Cares About Domestic Violence Day Action Kit

Activities You Can Organize

  • Share these videos created with IPV survivors with guidance for healthcare clinicians on how to better support patients/caregivers to disclose and receive support around IPV.
  • Introduce the subject of domestic violence by sending an e-mail to colleagues about the day.
  • Post information on your company, community or school’s website about the day.
  • Collaborate with a local domestic violence agency to hold a community awareness forum or DV101 training at the health center. Find your local DV agency HERE.
  • Organize a resource table and distribute facts sheets, patient educational materials, and a local resource list with phone numbers of local shelters, hotlines, and community resources.
  • Organize a training session or webinar for health care staff on our universal education approach (CUES) at ipvhealth.org.
  • Invite an advocate or survivor to speak at a brown bag lunch. Download the NRCDV’s From the Front of the Room: A Survivor’s Guide to Public Speaking.
  • Reach out to your community by writing an op. ed., or editorial memo for the local newspaper or your company newsletter.
  • Engage your staff, community and local DV agencies in a conversation about screening for IPV in healthcare settings using social media with the hashtags #HCADV, #DVAM and others! View sample social media posts below.
  • Hang posters and place safety cards in waiting areas and patient rooms to give patients the message that support is available.

HCADV Day

Sample Social Media Posts

Sample Tweets: Tweet it! (dates reflect HCADV Day 2023)

  • Don’t forget: Health Cares About #DomesticViolence Day is Oct. 11! Here’s how you can spread the word: http://bit.ly/HCADVaction #HCADV #DVAM
  • Join @WithoutViolence on Oct. 11 to support Health Cares About #Domestic Violence Day! Learn more  http://bit.ly/HCADVDay #HCADV #DVAM
  • Oct. 11 is Health Cares About #DomesticViolence Day #HCADV – a day to raise awareness about health impact of #DV http://bit.ly/HCADVDay
  • Oct. 11 is Health Cares About #DomesticViolence Day #HCADV: help raise awareness to the health care community #DVAM http://bit.ly/HCADVDay
  • Did you know your relationship affects your health? Oct. 11 is Health Cares About #DomesticViolence Day #HCADV http://bit.ly/HCADVDay #DVAM

health cares about domestic violence day


To view examples of Recent and Past Events go to our HCADV Day Archive

Thank you for your outreach, creativity and for all of your valuable work! If you’ve organized an event or are planning one, we would love to hear from you! Let us know how we can best support your event or outreach on or beyond HCADV Day: health@futureswithoutviolence.org.

Project Connect Voices

Project Connect has changed me, changed my approach to public health. I see the connections and how violence left unaddressed undermines each new effort to promote health.

Hanging Out or Hooking Up?

For one in five U.S. teen girls, the most vivid memories of high school will not be her junior prom or a favorite history teacher. Instead,20% of teen girls will remember the physical abuse inflicted by someone they were dating.

Teen victims of relationship abuse are more likely to report unhealthy diet behaviors, engage in substance abuse, and report having suicidal thoughts. Given these sobering facts, adolescent relationship abuse is a major health concern facing teens today, and health care providers have a unique role to play in preventing it. Not only can they provide valuable prevention messages to help their patients build healthy relationships, but medical professionals are also uniquely positioned to help those exposed to abuse find the resources they need. And now, healthcare providers have a new tool that will make it easier than ever to integrate screening for relationship abuse and prevention into their practice.

Futures Without Violence has developed Hanging Out or Hooking Up: Clinical Guidelines on Responding to Adolescent Relationship Abuse – An Integrated Approach to Prevention and Intervention, focusing on the transformative role of the adolescent health care provider in preventing, identifying and addressing adolescent relationship abuse. These guidelines are applicable to providers working in a range of settings serving adolescents, including adolescent health, pediatrics, family planning clinics, and school-based health centers.

The Adolescent Relationship Abuse Clinical Guidelines Include:

  • Definitions, prevalence, and dimensions of Adolescent Relationship Abuse (ARA)
  • An overview of confidentiality and reporting issues and patient-centered reporting
  • Clinical strategies to promote universal education about healthy relationships
  • Clinical strategies to provide direct assessment and harm reduction strategies for reproductive coercion and ARA
  • An overview of preparing your practice to address ARA
  • Keys for success, including developing relationships with local domestic violence advocates and community programs
  • Policy recommendations

Safety Card: Order free hard copies of the Hanging Out or Hooking Up safety card in English or Spanish. Download a PDF version of the English or Spanish safety card.

Poster: Order free hard copies of the Hanging Out or Hooking Up poster. Download a PDF version of the poster.

ACE E-Learning Module

The education you need, when you need it. We make it easy to get started. Simply select from these online courses and learn anytime, anywhere you have an Internet connection. Online management tools track your progress, letting you start and stop when you like, so you can take a break and then return to your class without losing your place. Once you complete your class successfully, we can make sure you get the certification you’ve achieved, and the CEU credits you have earned.

Visit the ACE E-Learning Module now!

AceCourse

2013 Grand Prize Winner!

The national grand prize winner of a $10,000 donation, a VIP trip to New York City for the Macy’s Thanksgiving Day Parade, and $500 Macy’s gift card was Casey Chow of California. Casey submitted a spoken word video about his father, who he thanks for teaching him the meaning of respect. Casey will donate his prize money to the Donaldina Cameron House, a nonprofit serving the Asian communities in the San Francisco Bay Area. 

Announcing the 2014 RESPECT! Challenge

At the heart of the RESPECT! Challenge is a simple question: Who would you like to thank for teaching you Respect? Futures Without Violence and Macy’s, the Founding National Partner of the RESPECT! Campaign, created the RESPECT! Challenge to celebrate the everyday heroes in our lives by sharing inspiring stories from individuals across the country.

By promoting individuals who encourage positive solutions to violence, we help raise awareness and spark a discussion about the importance of role models. Participants can submit short essays or videos to the Facebook application, microsite (no Facebook account required) or by using #RespectChallenge2014 on Instagram, Twitter, or Vine.

TIMING: Entry Period: October 6 – November 14, 2014

PRIZES:

1 National Grand Prize Winner

  • $10,000 donation to a school or nonprofit of your choice
  • A VIP Trip to NYC for 2 people
  • $500 Macy’s Shopping Spree
  • 2 Tickets to a Special Surprise Event

12 Regional Prizes

  • $2,500 donation to a school or nonprofit of your choice
  • $2,500 scholarship
  • $250 Macy’s Shopping Spree

Weekly Winners on Instagram, Twitter and Vine

  • $100 Macy’s Gift Card

Meet our 2014 Regional RESPECT Captains!

Increased Vigilance on College Sexual Assaults

If one in five women were robbed at gunpoint in college, their parents, lawyers, doctors and insurance companies would storm the campus. Yet studies show that nearly one in five women in college nationwide will be victims of attempted or actual sexual assault in the course of their undergraduate careers. Fortunately, the Obama administration is requesting that colleges make public a tally of reports of dating violence, domestic violence, and stalking.

A federal law known as the Jeanne Clery Act mandates that colleges and universities must report information on crime on and around campuses, and provide victims with select rights and resources. When President Barack Obama signed a bill reauthorizing the Violence Against Women Act last March, the bill included the Campus Sexual Violence Elimination Act. That law amends the Clery Act and gives additional rights to victims of sexual violence on campus. A final version of the regulations is expected on November 1. Learn more about the new rules.

Many of these proposed changes will create more protection for victims, including reporting on the rationale behind any disciplinary proceedings at college and universities. Dating violence is now considered a crime for federal reporting purposes, and now students have the right to choose a lawyer as an advisor during disciplinary proceedings.

FUTURES was instrumental in advocating for many of these improvements to victim services and expanded data collection. These new rules will not change any of the requirements under Title IX, but will strengthen protections for victim confidentiality and improve victim services and prevention programs. A negotiated rulemaking committee agreed on the changes earlier this year.

7 Reasons Employers Should Address Domestic Violence

Employers face numerous human resource concerns, with limited time and money. Often a decision to focus on a specific problem is not made until the problem becomes significant and costly.

Historically, problems with a social stigma are less likely to receive attention, as both employers and employees may be reluctant to acknowledge that these problems exist.

Domestic violence was a hidden concern that did not show up on the public’s radar screen until relatively recently. Some employers are addressing it, but many more are not. The following are seven compelling reasons that employers should take action on this issue.

Reason 1. Domestic violence affects many employees.

  • Nearly one-third of American women (31 percent) report being physically or sexually abused by a husband or boyfriend at some point in their lives.1
  • More than one million people report a violent assault by an intimate partner every year in the U.S.2
  • At least one million women and 371,000 men are victims of stalking in the U.S. each year. Stalkers often follow the victim to the workplace.3

 

Reason 2. Domestic violence is a security and liability concern.

  • Ninety-four percent of corporate security directors surveyed rank domestic violence as a high security problem at their company.4
  • Employers who fail to protect their employees from violence at work may be liable. Jury awards for inadequate security suits average $1.2 million nationwide and settlements average $600,000.5
  • In the case of La Rose v. State Mutual Life Assurance Co., Francesia La Rose’s family filed a wrongful-death action against her employer when she was murdered by a former boyfriend at the work site. The employer paid a settlement of $850,000 for failing to protect her after being notified of a specific threat.6

 

Reason 3. Domestic violence is a performance and productivity concern.

  • In one study of batterers, 41 percent had job performance problems and 48 percent had difficulty concentrating on the job as a result of their abusive behaviors.7
  • Thirty-seven percent of women who experienced domestic violence reported that the abuse had an impact on their work in the form of lateness, missed work, keeping a job, or career promotions.8
  • The Centers for Disease Control and Prevention estimates that the annual cost of lost productivity due to domestic violence equals $727.8 million, with more than 7.9 million paid workdays lost each year.9

 

Reason 4. Domestic violence is a health care concern.

  • The national health care costs of domestic violence are high, with direct medical and mental health care services for victims amounting to nearly $4.1 billion.10
  • Among women admitted to an emergency room for violence-related injuries, 37 percent were abused by an intimate partner.11
  • In a study on the effects of violence, women who experienced any type of violence or abuse were significantly more likely to report being in “fair or poor” health, and were almost twice as likely to be coping with some form of depression.12

 

Reason 5. Domestic violence is a management issue.

  • In a 2002 survey of senior corporate executives, 91 percent said that domestic violence affects both the private and working lives of their employees.13
  • In addition, more than half (56 percent) of those surveyed were aware of employees who have been affected by domestic violence.14
  • In a 1994 survey, 66 percent of executives said their companies’ financial performance would benefit from addressing the issue of domestic violence among their employees.15

 

Reason 6. Taking action in response to domestic violence works.

  • 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.16
  • 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.17

 

Reason 7. Employers can make a difference.

  • Numerous corporations, government agencies and domestic violence experts are already addressing domestic violence, with great success. You can make a difference in your workplace and in the lives of employees who are facing abuse!

 

References:

1 Collins, K., Schoen, C., Joseph, S, Duchon, L. Simantov, E. & Yellowitz, M. (1999). Health Concerns Across A Woman’s Lifespan: The Commonwealth Fund. 1998 Survey of Women’s Health.
2 U. S. Department of Justice, Bureau of Justice Statistics, (2000). Intimate Partner Violence. NCJ 178247.
3 U.S. Department of Justice, National Institute of Justice (2000). Full Report of the Prevalence, Incidence and Consequences of Violence Against Women. November, NCJ-183781.
4 National Safe Workplace Institute Survey, as cited in Solomon, C.M. (1995). Talking frankly about domestic violence. Personnel Journal, 74, 64-66.
5 Perry, P. (1994). Assault in the workplace. Law, May 1, 41.
6 Burke, D.F. (January, 2000). When employees are vulnerable, employers are too. The National Law Journal.
7 Maine Department of Labor. (2004). Impact of Domestic Offenders on Occupational Safety & Health: A Pilot Study. 
8 EDK Associates for The Body Shop, 1997. The Many Faces of Domestic Violence and Its Impact on the Workplace. New York: EDK Associates.
9 U.S. Dept. of Health and Human Services, National Center for Injury Prevention and Control. March, 2003. Costs of Intimate Partner Violence Against Women in the United States. Atlanta, GA: Centers for Disease Control and Prevention.
10 Ibid.
11 U.S. Department of Justice, Bureau of Justice Statistics. (1997). Violence Related Injuries Treated in Hospital Emergency Departments, Special Report.
12 Collins, K., Schoen, C., Joseph, S, Duchon, L. Simantov, E. & Yellowitz, M. (1999). Health Concerns Across A Woman’s Lifespan: The Commonwealth Fund 1998 Survey of Women’s Health.
13 Patrice Tanaka & Company, Inc. (October 16, 2002). News Release: Corporate Leaders See Domestic Violence as a Major Problem That Affects Their Employees According to Benchmark Survey by Liz Clairborne, Inc. Contact Lauree Ostrofsky (212) 229-0500, x 236.
14 Ibid.
15 Roper Starch Worldwide for Liz Claiborne, 1994. Addressing Domestic Violence: A Corporate Response. New York: Roper Starch
16 Urban, B.Y. (2000). Anonymous Foundation Domestic Abuse Prevention Program Evaluation: Final Client Survey Report. Chicago, IL: The University of Illinois at Chicago. Contact byurban@aol.com.
17 Ibid.

The Legalities of Sexting

In Decatur, Illinois, 5 teenagers who shared nude photos of themselves via cell phone were arrested and now face felony child pornography charges. They range in age from 13 to 16.

Though this story may seem shocking, the truth is teen sexting is happening in every state and county in America. Sometimes sexting is just a case of bad judgment – teens being teens, if you will. When nude photos spread, sexting can involve bullying, humiliation, or in the Decatur case, worse.

In some states, the only applicable law for these acts is possession and distribution of child pornography – laws that result in lengthy sentences, and sometimes, require sex offender registration. Sexting teens will fall into the same category as predatory adults.

”Legal professionals should consider the intent and impact behind the behavior when determining how to handle teen sexting” says Jennifer White, an attorney at Futures Without Violence, who, along with Michael Runner, have provided legal education and guidance nationally on these cases.

In other words, it is crucial to know whether or not the photo was taken consensually, whether it was meant to remain private, and whether or not the teen was pressured into sending the nude photograph. Other factors for legal professionals to consider are how widely distributed the nude photograph was, any significant age difference between the sexting partners, and any history of coercive or abusive relationships.

Ms. White and Mr. Runner have provided education and edited a guide for judges on this complicated issue. This July, Jennifer White and Judge Videtta Brown of Baltimore, Maryland, will lead an education session for the National Council of Juvenile and Family Court Judges on teen sexting.

The session will help judges navigate this complex and ever-changing issue, and guide them on how to approach these cases in a tailored and nuanced manner within the existing laws.

Teen sexting is not going away, and it is vital that our legal professionals are up to the challenges posed by technology.

To learn more about issues that many teens will face today, including sexting, please visit our Effective Responses to Teen Sexting: A Guide for Judges and Other Professionals.

How can home visitors help the women in my program?

Home visitation programs are:

Voluntary, non-punitive case management programs

Designed for pregnant and parenting mothers of small children to support their health, parenting and infant/toddler care

Designed to help mothers with a range of issues, including domestic violence

Some home visitors have begun to recognize that your programs might be the best ‘home’ to start these important case management services. Linking mothers and children with home visitors may help create a safety net of care that potentially extends years past your advocacy services. Establishing a deeper relationship between home visitation and domestic violence programs creates and opportunity to support ‘warm’ referrals in both directions.

Some home visitation programs have already developed such relationships with their local domestic violence agency. In fact, some partnerships have made it possible for the home visitor to bring the advocate to meet with a woman as part of case management to encourage deeper participation in domestic violence advocacy services. While we recognize that not all programs have this capacity, this partnership can create an opportunity for a direct connection to a domestic violence program that she might otherwise not make.

If you do not have a home visitation program available in your area, please consider giving pregnant and parenting mothers this perinatal safety card it has important information that may be useful to go over with her health care provider.

For sample Memorandum of Understanding between your program and a home visitation program and to learn more about home visitation generally:

Women Under the Gun

As the 20th anniversary of The Violence Against Women Act (VAWA) approaches this September, the Senate Judiciary Committee held a hearing entitled “VAWA Next Steps: Protecting Women from Gun Violence.” Also this week, Everytown for Gun Safety released a compelling 30-second TV spot.

To mark the occasion of the Senate hearing, former Arizona congresswoman Gabrielle Giffords and Katie Ray Jones, president and acting CEO of the National Domestic Violence Hotline, wrote an Opinion piece for CNN: “The numbers should shock you: Women in America are 11 times more likely to be murdered with a gun than women in other democratic countries with developed economies. In domestic abuse situations, if the abuser has access to a gun, it increases the chance that a woman will die by 500%.  Giffords also announced the Protect all Women Leadership Network, which brings together leading women working in both policy and advocacy to push for reforms at the state and federal level to protect women from gun-toting abusers.

Jacqueline Campbell, a FUTURES board member, and renowned expert on domestic violence homicides, testified that according to her research, “gun access/ownership increased the risk of homicide over and above prior domestic violence by 5.4 times. In fact, gun access was the strongest risk factor for an abused woman to be killed by her partner or ex-partner.”

For more of Ms. Campbell’s testimony, click here.

Creating A Domestic Violence Court

Court CoverThese Guidelines are designed to assist jurisdictions considering whether to develop a domestic violence court or dedicated docket, to determine if such a court structure would be helpful, and if so, how best to model this structure to address the needs of their local communities. The Guidelines represent the views of a National Advisory
Committee comprised of leading representatives from the various disciplines involved in the processing of domestic violence cases throughout the system.

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Realizing the Promise of Home Visitation

Realizing coverThis guide will help policy makers and advocates build a strong national policy framework to maximize the effectiveness and reach of early childhood home visiting programs. More specifically, it is intended to ensure that federal home visiting policies directly address: the needs of mothers and children who are experiencing or at risk of experiencing domestic violence, the link between domestic violence and child abuse and neglect, and the impact of domestic violence on the health and well-being of children and families.

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The Facts on Guns and Domestic Violence

The presence of a firearm in a home with domestic violence can transform abuse into homicide in a fraction of a second. Firearms and domestic violence are a lethal combination – injuring and killing women, children, and bystanders every day in the United States. Contrary to public perception, many women who are murdered are not killed by strangers, but by men they know. Download our fact sheet for more information.

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Supreme Court: No Guns for Abusers

In 2009 the U.S. Supreme Court upheld the federal ban on gun possession by people convicted of domestic violence misdemeanors.

In the seven to two ruling, Justice Ruth Bader Ginsburg wrote, “Firearms and domestic strife are a potentially deadly combination nationwide,” ruling that domestic abusers convicted under general battery laws can be banned from carrying guns if there is a proven domestic relationship between the victim and the offender.

United States v. Hayes addressed the question of whether gun ownership should be barred for someone convicted under a general assault and battery law, or whether Congress intended the ban to apply only to those convicted under laws specifically barring domestic violence. Fewer than half the states specifically name domestic violence in their assault and battery laws, so many more convicted batterers would have been allowed to have guns if the Court had ruled the other way, the Washington Post reports.

The ruling is, “the right one for victims of domestic abuse and to protect law enforcement officers who are our first responders to domestic violence incidents,” Brady Center to Prevent Gun Violence President Paul Helmke said.

Chief Justice John Roberts and Justice Antonin Scalia dissented.

Senate Holds Hearing on Intersection of Domestic Violence and Gun Violence

Testimony of Futures Without Violence Board member Jacqueline Campbell, PhD, RN, FAAN, the Anna D. Wolf Chair and Professor at the Johns Hopkins University School of Nursing before Senate Judiciary Committee hearing July 30, 2014

Senators, I am grateful for the opportunity to testify in these important hearings today. I will present data from my own research on domestic violence homicide of women, as well as from other important research and national databases on the subject.

The United States has higher a homicide rate of women than all other westernized countries and among the highest rate in the world. This disparity is particularly pronounced for homicides of women committed with guns, in which the country’s rate exceeds by 11 times the average rate in other comparable countries (Hemenway, Shinoda-Tagawa & Miller, 2002; Stockl et al, 2013).

Much of this fatal violence against women is committed by intimate partners. Although neither entirely complete and nor without coding errors, the FBI’s Supplemental Homicide Reports are the most complete national database of homicide with information on the relationship of the perpetrator to the victim. In the most recent data available (2011), at least 45% of the murders of women were committed by a current husband or boyfriend or ex husband. If we only examine the homicides where the perpetrator relationship to the victim was identified, more than half (54.2%) of the homicides of women are committed by a husband, boyfriend of former husband (Violence Policy Center 2013).There were 10 times as many women killed by a current husband or boyfriend or ex-husband (926) as by a male stranger (92).

The majority of this violence is perpetrated with firearms. In the Violence Policy Center analysis of the 2011 murders of women, there were 1,707 females murdered by males in single victim/single offender incidents in 2011. Of those incidents of homicides in which the weapon could be determined (1,551), more of these homicides were committed with firearms (51 percent) than with any other weapon.

Women are also killed by partner or ex-partners when they are pregnant. In an important study of maternal mortality in the state of Maryland from 1993-2008, Dr. Diana Cheng and Dr. Isabelle Horon examined medical records of women who died during the pregnancy and the first postpartum year. Homicides (n=110) were the leading cause of death, and firearms were the most common (61.8%) method of death. A current or former intimate partner was the perpetrator in 54.5% (n= 60) of the homicide deaths and nearly two-thirds of intimate partner homicide victims in their study were killed with guns. In a national study of pregnancy associated homicide, firearms again accounted for the majority of homicides (56.6%) (Chang et al, 2005).

Research my peers and I have conducted provides further insights into how firearm access and domestic abuse elevate the risk of homicide for American women, and explain why existing federal laws restrict certain convicted domestic abusers from buying or possessing guns.

Survey research of battered women indicates that when a firearm is present, a majority of abusers will use the gun to threaten or injure the victim. In a study Susan Sorenson and Douglas Weibe conducted with over 400 women in domestic violence shelters across California, two-thirds of abused women who reported a firearm in their home said their intimate partner used a gun against them, with 71.4% threatening to shoot/kill her and 5.1% actually shooting at her.

Among the most rigorous research available on factors that influence a woman’s likelihood of homicide is the national, 12-city case-control study of intimate partner homicide (husband, boyfriend, ex-husband, ex-boyfriend) conducted by myself and colleagues. In the study we compared a group of abused women who were murdered by their partner or ex-partner to another group of abused women who were not. Controlling for other factors, we found that gun access/ownership increased the risk of homicide over and above prior domestic violence by 5.4 times. Gun access was the strongest risk factor for an abused woman to be killed by her partner or ex-partner. Among perpetrators who committed suicide after killing their abused wife, girlfriend or former wife or girlfriend, gun access was an even stronger risk factor. In those cases, access to a firearm increased the chances of the homicide-suicide by an adjusted odds ratio of 13.

Neither of these studies found evidence that women frequently use firearms to defend themselves against abuse or that access to a firearm reduces the risk of homicide for a woman. In the survey conducted by Sorenson and Wieber, fewer than 1 in 20 abused women that had access to a gun reported having ever used it in self-defense against their abuser (4.5% of the total). And our research showed that for the relatively few women in the study who owned a gun, firearm possession had no statistically significant effect on her risk of being killed by an intimate partner; it neither increased nor decreased her risk.

In leaving out abusive dating partners, current federal firearm prohibitions ignore the perpetrators of a large and growing share of intimate partner homicides. US Department of Justice data shows that the share of domestic violence homicides committed by dating partners has been rising for three decades, and boyfriends now commit more homicides than do spouses. And this data is likely an underestimate because it does not account for homicides committed by ex-boyfriends, which are seldom accurately coded in the Supplemental Homicide Reports. Our national case control data study of 12 cities found approximately 19% of intimate partner homicides are committed by an ex-boyfriend (Campbell, Webster, McFarlane et al, 2003). Estimating from that proportion, approximately 300-500 female intimate partner homicides each year should be added to the approximately 1000 already counted in the Supplemental Homicide Reports. S. 1290, the Protecting Domestic Violence and Stalking Victims Act, would expand our national domestic violence laws to include both former and current dating partners who together represented 48% of the male domestic violence homicide perpetrators in our study, and is therefore an extremely important way to keep women safe and save lives.

There is also evidence that state laws to strengthen firearm prohibitors against domestic abusers reduce intimate partner homicide. In two separate studies — one of 46 of the largest cities in the US (Zeoli and Webster, 2010) and one of at the state level (Vigdor and Mercy, 2006) — researchers found that state statutes restricting those under domestic violence restraining orders from accessing firearms are associated with reductions in intimate partner homicides, driven by a reduction in those committed with firearms. Vigdor and Mercy’s study found that state laws prohibiting firearm possession by people under domestic violence restraining orders (along with entering state domestic violence restraining orders into the federal database) reduced Intimate partner homicide of women by firearms by 12-13%, decreasing overall intimate partner homicide by 10%.

In conclusion, women who suffer abuse are among the most important for society to protect. Congress has an opportunity to do so by strengthening the laws to keep domestic abusers from getting guns. And ample scientific evidence shows that in doing so you will save lives.

I thank you very much for this opportunity to testify about this important legislation that can help save women’s lives.

References:

Bureau of Justice Statistics. Homicide Trends in the United States, 1980-2008. 2011. Washington, DC: Bureau of Justice Statistics. 2011 NCJ 236018

Catalano, S, Smith, E, Snyder, H., & Rand, M. 2009. Female Victims of Violence. Washington, DC: Bureau of Justice Statistics. NCJ 228356

Campbell JC, Webster DW, Koziol-McLain J, et al. Risk factors for femicide in abusive relationships: results from a multisite case control study. American Journal of Public Health 2003;93:1069-97.

Chang J, Berg CJ, Saltzman LE, Herndon J. Homicide: a leading cause of injury deaths among pregnant and postpartum women in the United States, 1991–1999. American Journal of Public Health 2005; 95:471–7.

Cheng, D., Horon, I. Intimate-Partner Homicide Among Pregnant and Postpartum Women. Obstetrics and Gynecology. 2010;115:1181–6.

Hemenway D, Shinoda-Tagawa T, Miller M. Firearm availability and female homicide victimization ratesamong 25 populous high-income countries. Journal of the American Medical Women’s Association 2002; 57(2):100-4.

Sorenson, SB and Wiebe, DJ. Weapons in the lives of battered women. American Journal of Public Health, 2004 94: 1412-1417.

Stöckl, H., Devries, K., Rotstein, A. Abrahams, N., Campbell, J., Watts, C. Garcia-Moreno, C. (2013). The global prevalence of intimate partner homicide. The Lancet. Published online June 20, 2013 http://dx.doi.org/10.1016/S0140-6736(13)61030-2

Vigdor ER, Mercy JA. Do laws restricting access to firearms by domestic violence offenders prevent intimate partner homicide? Evaluation Review 2006; 30:313-46.

Violence Policy Center. When Men Murder Women: An Analysis of 2011 Homicide Data – Females Murdered by Males in Single Victim/Single Offender. www.vpc.org

Zeoli, A. & Webster, D. Effects of domestic violence policies, alcohol taxes and police staffing levels on intimate partner homicide in large US cities. Injury Prevention 2010;16:90-95. doi:10.1136/ip.2009.024620

Tools For Improving Maternal Health & Safety in A Multicultural Context

If you would like to reproduce these materials and add the name and logo of your organization, please request permission from the Family Violence Prevention Fund or organization that produced it. Permission to reproduce the material is granted, as long as you provide the source and include proper credit to the organization and author that developed it. If you have any questions or feedback, please e-mail Mónica Arenas. These Materials Were Produced by the Following Three Organizations: Asesoría, Capacitación y Asistencia en Salud, AC (ACASAC), Chiapas, México Grupo de Estudios sobre la Mujer Rosario Castellanos (Casa de la Mujer), Oaxaca, México

Domestic Violence Dynamics

Domestic Violence Program in the Health Care Setting

Training Resources

Violence and Maternal Health: Improving Women’s Response (Violencia y Salud Materna: Mejorando la Respuesta de las Mujeres), a four-part audio drama in Spanish that can be either broadcast over the radio or can be used in a training setting. Produced by ACASAC, with adaptations from an FVPF manual.

Public Education Materials

Additional Resources

Using Social Media to Increase Awareness

With new national health policy recommendations in support of screening for domestic violence, using social media can support your marketing and outreach for upcoming health and domestic violence trainings or events, or help get the conversation started.

To help health care providers with their online organizing efforts, Futures Without Violence developed ten distinct graphics to make the case that asking patients about abuse is good medicine. These graphics may be posted via Facebook, Twitter and e-mail. The graphics provide links to the Health Cares About IPV Toolkit, which contains all of the information one needs to get started on screening patients for domestic and sexual violence. To view and download the graphics, please click here.

Evaluating the Implementation of Home-Based Visitation

EvaluatingHomeBasedIn this paper, the authors report on their experience in conducting a statewide evaluation of the PCADV program using previously developed performance measures. They document the variation in program implementation, changes in program performance over time, factors associated with successful program implementation, and challenges identified in meeting the needs of DV victims and health care providers.

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Understanding Children, Immigration, and Family Violence: A National Examination of the Issues

Immigrant Family Violence CoverThe issues and recommendations articulated in this document are the result of a multi-level process used by LSG and FVPF to identify challenges and opportunities in reaching out to and delivering services to immigrant children and families affected by family violence, best practices in serving them, and policy implications for the work.

This process included:

        • Reviewing related literature in the areas of family violence prevention and services, child trauma, and immigration;
        • Conducting a national telephone survey of experts and practitioners in the fields of family violence, children’s services, and immigration services;
        • Convening a National Workgroup to discuss the above

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Working with Battered Immigrant Women: A Handbook to Make Services Accessible

Cover imageThis handbook is an essential resource for advocates and volunteers at shelters, legal assistance programs, and others seeking to improve services to battered immigrant women. This publication is available in English and Spanish.  If you request this item, you will receive one PDF file containing all languages.

This handbook will:

        • Expand your knowledge of and sensitivity to battered immigrant women’s experiences
        • Teach you when and how immigration status is used as a tool of domestic violence
        • Explain a battered immigrant woman’s options, the documents she needs before leaving her home, and when she needs to see an immigration attorney
        • Familiarize you with the Violence Against Women Act’s provisions for battered immigrant women.

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Immigrant Women and Domestic Violence

Recommendations for Working with Immigrant Women

Immigrant women are a diverse group and include women who have lived in the United States for one month, as well as women who have lived here for forty years. The immigrant woman who contacts you for help may have entered the United States as a refugee fleeing persecution in her country of origin, as a relative with family members in the United States, as a student, as a tourist, or as a worker seeking better economic conditions.

Shelters sometimes are concerned about the legal or funding consequences of serving battered immigrant women, particularly undocumented immigrant women. Some shelter providers mistakenly believe that it is unlawful to provide services to undocumented women. However, non-profit organizations are explicitly exempt from verifying immigration status as a condition for providing services. Further, any non-profit or government domestic violence services program or shelter that denies assistance to immigrants who are undocumented is violating the Attorney General’s order requiring that services “necessary for the protection of life and safety” be provided without regard to immigration status and is violating civil rights and fair housing laws.

In general, immigration status is not relevant to a battered immigrant woman using your program’s services. The fact that a woman may not be a U.S. citizen or lawful resident should not affect your ability to provide her with services. Her immigration status is only relevant for you to know if it may protect her from abuse, through knowing the risks she may be facing, and helping her become a permanent resident if she is eligible. To help a battered immigrant woman, you do not need to be an expert in the technicalities of immigration law. Your role as an advocate is to empower her by knowing the range of her options, and helping her find the assistance she needs. However, you should consult an immigration lawyer if you have determined that the victim’s immigration status is uncertain.

Newly arrived battered immigrant women whose immigration status is not permanently established – because they are undocumented, conditional residents, or here on visas – have special needs. Typically, their batterers control and manipulate their unsettled immigration status as a means of keeping them in abusive relationships. These women experience the complex intersection of domestic violence with their immigration status.

Their option to reside legally and permanently in the United States may have been restricted by domestic violence. Your role is to learn about possible options, assist battered immigrant women in accessing them, and respect the decisions they make. It is up to the immigrant woman to decide whether she wants to reside in the United States or return to her country of origin.

Power and Control Wheel for Immigrant Women (English and Spanish)

power and control wheel

This version of the Power and Control wheel, adapted with permission from the Domestic Abuse Intervention Project in Duluth, Minnesota, focuses on some of the many ways battered immigrant women can be abused.

The Immigrant Women Power and Control Wheel is available in both English and Spanish. Please note that experiences of individual victims will vary from case to case.

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Download the Spanish PDF now!
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Justice for All: Ending Elder Abuse, Neglect and Financial Exploitation

The Senate Special Committee on Aging held a hearing entitled, Justice for All: Ending Elder Abuse, Neglect and Financial Exploitation. Futures Without Violence, formerly Family Violence Prevention Fund, President and Founder Esta Soler submitted testimony for the record.  Soler’s testimony emphasizes that part of the solution to ending elder abuse lies in training judges and law enforcement personnel to better recognize and respond to it. These leaders are in a unique position to help.  Futures Without Violence has been training judges and prosecutors to recognize and understand the dynamics of domestic and sexual violence for more than a decade.  In recent years, we have expanded the trainings to address elder abuse as well.

Older Adults’ Health

Seventy-seven million baby boomers are aging and people 85 and older, the fastest growing segment of the population, are disproportionately women. These demographic trends have significant implications for victimization, safety, suffering, health, and well-being of tens of millions of older Americans.

Through advocacy and education, the National Clearinghouse on Abuse in Later Life (NCALL) works every day to improve victim safety, increase abuser accountability, expand coordinated community response, and ultimately, put an end to abuse in later life. For a list of resources to help you respond go to:

Weill Cornell Medical College
UCI Center of Excellence on Elder Abuse
National Council for Aging Care

For more information tools and resources on sexual assault please see the following:
National Sexual Violence Resource Center
Pennsylvania Coalition Against Rape
Rape, Abuse and Incest National Network
International Association of Forensic Nurses

Electronic Palm Domestic Violence Assessment Tool

In an effort to reach health practitioners who rely on palm-based electronic tools for quick reference, Futures Without Violence, formerly Family Violence Prevention Fund, in collaboration with Denise Bilbao, MD and Leigh Kimberg, MD, recently created a new assessment tool for domestic violence. Complete with tips on how to conduct inquiry, assessment, intervention, documentation, and follow-up for domestic violence, along with facts and web links, this palm ready tool is available in two formats, for either the iSilo or Documents to Go text readers.

The iSilo version allows you to link freely within the document as you would on a website, while the Documents to Go version resembles a more static Word document. The Documents to Go reader comes bundled with most palm operating systems, whereas the iSilo reader (widely used) is available for free online. These files are “beamable” so that you can share the tool with your fellow providers.

iSilo format

Once you’ve installed the iSilo reader, all you have to do is download the tool in iSilo format (click on the link below and save the files to your hard drive). Once the tool is available on your hard drive, use the “Install” utility on your Palm Desktop software so that it will be uploaded to your palm pilot during your next hotsync. Access it via the iSilo reader.

Download: IPV tool – ISilo format

Documents to Go format

Documents to Go is a text reader that comes bundled with most palm operating systems. If it is not already on your palm, install it from the software CD that came with your palm.

Once you’ve installed the Documents to Go reader, all you have to do is download the tool in Documents to Go format (click on the link below and save the files to your hard drive). Once the tool is available on your hard drive, there are two ways to get it onto your palm. Either directly drag the document onto the Documents to Go icon (seen on your desktop), or choose “Add Item” when using the Documents to Go program. At your next hotsync, the tool will be directly added to your palm. Access it via the Documents to Go reader.

Download: IPV tool – Documents to Go format