REQUIREMENTS FOR THE HEALTH SYSTEM
I. Health System Competency Health System Actions
A. Accreditation systems embody competencies related to violence and abuse. 1. Accreditation organizations will require violence and abuse related competencies, policies and procedures
B. Physical and behavioral health professional cultures recognize the physical and mental health consequences of violence and abuse, and value profession- speci c competency on violence and abuse. 1. An understanding of physical and behavioral health consequences of violence and abuse is integrated into the professional training and practice of the various professions.
C. Physical and behavioral health professions provide specialized competencies and training programs appropriate for each profession and specialty within professions. 1. Professional societies will adapt these general competencies to the speci c needs of their providers and patients/clients.
D. Physical and behavioral health care delivery systems seek and achieve sustained improvement and excellence in the identi cation, treatment and prevention of violence and abuse. 1. Identify individuals with interest and expertise to serve as resources. 2. Seek outside consultation. 3. Implement best practices in care management for victims of violence and abuse. 4. Implement best practices in primary prevention. 5. Implement best practices in systems for outcome measurement and continuous quality improvement.
E. Continuing education standards incorporate knowledge, attitudes and clinical skills related to the identi cation, prevention and treatment of violence and abuse. 1. Require Continuing Education for physical and behavioral health care professionals in all elds to build and maintain competence.
F. Strong research programs explore issues surrounding violence and abuse. 1. Health care systems support interdisciplinary research on violence and abuse intervention and prevention. 2. Professional and advocacy organizations encourage federal and foundation funding of interdisciplinary research on violence and abuse, including: a. delineation of the biological pathways affected by exposure to violence and abuse creates adverse health outcomes, b. identi cation of protective factors that buffer against or mitigate adverse health effects, c. ef cacy of identi cation and intervention programs in reducing negative health effects of violence and abuse, d. primary prevention strategies for violence and abuse, and e. cost-bene t analysis.
G. Build a common, integrated knowledge base across health care professions. 1. Research results are disseminated and readily accessible to physical and behavioral health professionals, advocates, policy makers, and the general public.
H. Implement systemic environmental change. 1. Create a safe and respectful organizational environment for employees and customers. 2. Institute policies and procedures that embody best practices regarding violence and abuse intervention and prevention, including primary prevention. 3. Assure employee’s safety and provide support for those facing current or past abuse by establishing appropriate workplace policies and procedures that include education and identi cation of resources. 4. Promote education of patients/clients about healthy relationships, violence and abuse using diverse media (posters, safety cards and displays, newsletters, etc.), and create physically and psychologically safe spaces for disclosure. 5. Establish environmental benchmarks and implement continuous quality improvement.