Hanging Out or Hooking Up: - Futures Without Violence

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Hanging Out or Hooking Up: Clinical Guidelines on Responding to Adolescent Relationship Abuse 12 FUTURES WITHOUT VIOLENCE
PART 2: HEALTH EFFECTS OF ADOLESCENT RELATIONSHIP ABUSE Magnitude of the Problem and Focus Reproductive Hanging Out Health or Hooking and Partner Up: Clinical Violence Guidelines Guidelines on Responding to Adolescent Relationship Abuse ARA is a pervasive and persistent problem that has major implications for girls and young women and society at large: The 2010 National Intimate Partner and Sexual Violence Survey (NISVSS) by the Centers for Disease Control and Prevention found that more than one in three women (35.6%) and more than one in four men (28.5%) in the US experienced rape, physical violence and/or stalking by an intimate partner in their lifetime. Most female and male victims (69% of female and 53% of male victims) experienced some form of intimate partner violence for the first time before 25 years of age. 28 Each year in the U.S., at least 400,000 adolescents experience serious physical and/or sexual dating violence. 29 Two in five (40%) of female adolescent patients seen at urban adolescent clinics had experienced IPV; 21% reported sexual victimization. 30 In addition to physical injury, ARA is closely linked to many adverse health outcomes including poor mental health, substance use, poor reproductive and sexual health, risky social behavior, and even homicide. Mental Health and Substance Abuse Risks The presence of mental health issues such as depression, thoughts of suicide, substance abuse and disordered eating may be clinical indicators to assess for ARA. Population-based data indicates that adolescents who experienced forced sexual intercourse were more likely to engage in binge drinking and attempt suicide. 31 Victims of physical and sexual violence in dating relationships are more likely to: • Report sadness, hopelessness 32 or suicidal ideation. 33 Over 50% of youth reporting both dating violence and rape also reported attempting suicide. 34 • Engage in substance use. 35 • Use vomiting for weight loss. 36 FUTURES WITHOUT VIOLENCE 13
Page 1 and 2: Hanging Out or Hooking Up: Clinical
Page 3 and 4: CONTENTS Hanging Out or Hooking Up:
Page 5 and 6: PART 1: INTRODUCTION Hanging Out or
Page 7 and 8: Adolescent health care providers pl
Page 13: conversations with preteens and the
Page 17 and 18: Part 2: Hanging Health Out Effects
Page 21 and 22: TRAIN Part 3: Guidelines for Provid
Page 23 and 24: Part 3: Guidelines for Providing An
Page 33 and 34: Part 4: Direct Assessment for Repro
Page 35 and 36: Sample Script: “I’m really glad
Page 37 and 38: Sample Script: “Because this happ
Page 39 and 40: Part 4: Direct Assessment ✔ Tried
Page 41 and 42: PART 5: POLICY IMPLICATIONS & SYSTE
Page 43 and 44: options and best approaches is esse
Page 45 and 46: APPENDIX A Hanging Out or Hooking U
Page 49 and 50: • The patient’s response • Do
Page 51 and 52: APPENDIX B Adolescent Health Progra
Page 55 and 56: Environment and Resources Are there
Page 61 and 62: NOTES Hanging Out or Hooking Up: Cl
Page 63 and 64: About the National Health Resource

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