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Rural Health
Resources by Topic: Abuse and violence

Child Maltreatment 2019
Reports on rates of children receiving child protective services, children who died of abuse and neglect, and children who are victims of maltreatment, using data collected from the National Child Abuse and Neglect Data System (NCANDS). Offers information on availability and access to child protective services at the state and territory level, including how some counties respond to child abuse and neglect screenings, referrals, and the provision of services. Mentions rural responses in Connecticut, Minnesota, Nevada, and North Dakota.
Date: 01/2021
Type: Document
Sponsoring organizations: Administration for Children and Families, U.S. Department of Health and Human Services
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Indian Health Service Facilities Made Progress Incorporating Patient Protection Policies, but Challenges Remain
Assesses Indian Health Service (IHS) facility implementation of policies to protect children from sexual abuse by providers. Identifies challenges to carrying out the policies. Also discusses barriers that might prevent staff and patients from reporting abuse. Includes recommendations to IHS to further protect patients from abuse. Recommendations address training and guidance, background checks, abuse reporting processes, and monitoring of facility compliance.
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Indian Health Service - COVID-19 Webinar Recordings
Features a number of webinar recordings of Indian Health Service trainings related to COVID-19. Discusses issues such as emotional well-being, domestic violence, and telebehavioral health in the context of the COVID-19 pandemic.
Date: 12/2020
Type: Document
Sponsoring organization: Indian Health Service
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America's Children in Brief: Key National Indicators of Well-Being, 2020
Examines the relationship between child well-being and community type, including metropolitan, micropolitan, or rural. Provides rural/urban breakdowns on child race/ethnicity, maltreatment, poverty, mortality, health conditions, and more.
Date: 09/2020
Type: Document
Sponsoring organization: Federal Interagency Forum on Child and Family Statistics
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American Indian Trauma Report 2020
Identifies the disproportionate impact of trauma on Native Americans in Arizona in order to target interventions to improve injury prevention programs and reduce traumatic injuries. Identifies patient demographics, trauma risk factors such as alcohol or drug use, injury characteristics, access to care, and mortality rates.
Date: 08/2020
Type: Document
Sponsoring organization: Arizona Department of Health Services
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Rural Versus Urban Prevalence of Intimate Partner Violence-Related Emergency Department Visits, 2009-2014
Examines disparities in prevalence of intimate partner violence (IPV)-related incidents, using a sample of 156,945 emergency department (ED) visits by people ages 15-64. Features demographics with breakdowns by urban or rural residence, and statistics on IPV-related ED visits with breakdowns by 6 categories of population density.
Author(s): Maria J. Perez-Patron, Nancy R. Downing, Nora Montalvo-Liendo, Brandie D. Taylor
Date: 08/2020
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Human Trafficking in Native Populations: Q&A with Commissioner Jeannie Hovland
Interview with Jeannie Hovland, Commissioner of the Administration for Native Americans (ANA) under the U.S. Department of Health and Human Services (HHS) Administration for Children and Families, about ANA and HHS responses to human trafficking, abuse, and violence in Native American communities. Discusses the relationship between trafficking and missing and murdered Native Americans and HHS tools to support tribal healthcare and human service efforts.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 08/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Elder Abuse and Grandparent Abuse
Presentation slides from the National Indigenous Elder Justice Initiative on elder abuse and grandparents raising grandchildren in Native American communities. Describes spiritual, cultural, and language considerations for responding to cases of abuse or neglect, including specific ways that hospitals can meet the needs of abused Native American elders. Offers census data on households in which grandparents raise grandchildren, including age and income characteristics and factors leading to grandparents caring for grandchildren. Includes a document outlining the needs and capacity of grandparents to take on a custodial role for children.
Additional links: Grandparent Preparedness Checklist
Author(s): Jacqueline Gray
Date: 07/2020
Type: Presentation Slides
Sponsoring organization: National Indigenous Elder Justice Initiative
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"It's on Us": Healthcare's Unique Position in the Response to Human Trafficking
Provides an overview of human trafficking and explains the role healthcare providers can play in addressing this issue in rural communities. Features a rural hospital CEO, a State Office of Rural Health (SORH) director, a Sexual Assault Nurse Examiner, and a Safe Harbor Regional Navigator sharing their experiences combating human trafficking.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 07/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Privacy, Confidentiality and Privileged Communications: Keystones to Safety - A Guidebook for Advocates and Survivors of Battering or Domestic Violence in Native Communities
Provides guidance and best practices for programs providing shelter or advocacy for Native American women who have been the victim of domestic violence. Defines privacy and confidentiality and discusses implementation of privacy and confidentiality policies.
Date: 07/2020
Type: Document
Sponsoring organization: National Indigenous Women's Resource Center
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