About Section P
This section of the Ryan White Part B & HOPWA NMCM Assessment is focused on assessing current and past violence to which the client may have been exposed. Case managers should ask clients if they have experienced violence of any kind in their life, and subsequently ask about the subsections listed under “Type.”
If the client is more comfortable filling out the chart themselves they may, but it is not recommended.
Section P: VIOLENCE/ABUSE/NEGLECT
Are you currently in a relationship? Yes No
Have you ever experienced a violent event? Yes No
If yes, please complete Violence Assessment Chart:
*If experiencing or experienced violence, refer to appropriate emergency services (e.g. Partner/Domestic Violence Hotline, police, etc.)
Does client have any service need in this section? Yes No Declined
If yes, please document referral information in referral tracking.
If no or declined, please state the reason: ___________________________________________
Type of Violence
|Physical Abuse||This could be from a friend, family member or other source. This would be if the client was hit, kicked, punched or scratched. Physical abuse is one of the most common forms of child maltreatment.|
|Domestic/Partner Violence||Intimate Partner Violence (IPV), also referred to as domestic violence, occurs when an individual purposely causes harm or threatens the risk of harm to any past or current partner or spouse. While abuse often occurs as a pattern of controlling and coercive behavior, an initial episode of abuse may also be cause for concern.|
|Community Violence||Community violence is exposure to intentional acts of interpersonal violence committed in public areas by individuals who are not intimately related to the victim. Common types of community violence that affect youth include individual and group conflicts (e.g., bullying, fights among gangs and other groups, shootings in public areas such as schools and communities, civil wars in foreign countries or “war-like” conditions in US cities, spontaneous or terrorist attacks). |
|Physical Neglect||Neglect is defined as a type of maltreatment related to the failure to provide needed, age-appropriate care. Unlike physical and sexual abuse, neglect is usually typified by an ongoing pattern of inadequate care and is readily observed by individuals in close contact with the [individual]. Physical neglect is most common in children.|
|Emotional Abuse||Emotional abuse is any abusive behavior that isn’t physical, which may include verbal aggression, intimidation, manipulation, and humiliation, which most often unfolds as a pattern of behavior over time that aims to diminish another person’s sense of identity, dignity and self-worth, and which often results in anxiety, depression, suicidal thoughts or behaviors, and post-traumatic stress disorder (PTSD).|
|Elder Abuse||Elder abuse is an intentional act, or failure to act, by a caregiver or another person in a relationship involving an expectation of trust that causes or creates a risk of harm to an older adult. (An older adult is defined as someone age 60 or older.) This can include physical, sexual, emotional abuse or neglect.|
|Sexual Abuse/Assault||Sexual abuse is unwanted sexual activity, with perpetrators using force, making threats or taking advantage of victims not able to give consent. Most victims and perpetrators know each other. Immediate reactions to sexual abuse include shock, fear or disbelief. Long-term symptoms include anxiety, fear or post-traumatic stress disorder. |
|Financial Abuse||Financial abuse is a common tactic used by abusers to gain power and control in a relationship. The forms of financial abuse may be subtle or overt but in in general, include tactics to conceal information, limit the victim’s access to assets, or reduce accessibility to the family finances.|
|Verbal Abuse||Verbal abuse is verbal bulling that creates emotional pain and mental anguish in the victim. |
Orientation to violence
Case managers should indicate whether the client was the victim, perpetrator or a witness to the violence described.
Time period of the violence
Case managers should indicate whether the violence was in the past or if it is currently ongoing.