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Home / New Zealand

Trial to pinpoint abuse is 'a success'

22 Sep, 2000 07:11 AM2 mins to read

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By MONIQUE DEVEREUX

A scheme encouraging doctors to ask female patients if they are being abused, rather than wait for them to ask for help, has proven successful in one Auckland hospital.

This week, the Ministry of Health released briefing papers compiled in response to the Commissioner for Children's report on the brutal death of James Whakaruru, the Hawkes Bay 4-year-old fatally beaten by his stepfather.

The ministry suggests that, as a method of addressing abuse, GPs should ask female patients - regardless of their reason for visiting the surgery - if they are victims of abuse.

US research has shown that women are more inclined to tell someone that they are being abused if they are asked directly.

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Some GPs said the idea was "crazy" and would insult patients. But a similar scheme run in Middlemore Hospital's emergency ward in 1995 indicates that the system may work.

The trial was initiated by the Auckland School of Medicine injury prevention research centre and the alcohol and public health unit.

Yesterday, project coordinator Janet Fanslow said the trial was successful although it had targeted only women whose injuries were potentially abuse-related.

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Before the trial, emergency staff identified that 2.8 per cent of injured women had been hurt by partners. Afterwards, that figure rose to nearly 5 per cent. A key factor was ensuring that staff knew where to refer the women once abuse had been identified.

"This new system could work very well, but without the health professionals knowing where the best followup care is, it is not going to work at all," Ms Fanslow said.

The three-month pilot scheme included a month training staff how to refer patients to appropriate welfare groups.

Ms Fanslow said that when she went back to Middlemore a year later to see what had happened without the scheme, a smaller number of abuse cases were being picked up.

Meanwhile, some men say they should also be asked if they are abuse victims. Darrell Carlin of the Tauranga support group Men and Their Children says the number of men being abused by partners is growing.

Herald Online feature: violence at home

Donations to the

Safe and Sound Appeal

can be sent to PO Box 91939, Auckland Mail Centre

Free phone: 0800 946 010

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