A new statewide initiative aims to help connect domestic-violence survivors with medical providers, with a focus on treating traumatic brain injury.

Rachel Ramirez, founder the Ohio Domestic Violence Network's Center on Partner-Inflicted Brain Injury, said survivors often experience severe violence aimed directly at the head, neck and face. But there's been a longstanding gap in accessing the right medical services when individuals come into shelters.

She said $5.12 million dollars in funding will be used to pay for medical services.

"To pay for health care that people are not able to get reimbursed through other means, through Medicaid or insurance. We want to investigate the possibilities of working with occupational therapy to help with brain-injury rehabilitation," Ramirez said.

The three-year project in collaboration with the Ohio Association of Community Health Centers will cover four to six areas of the state. According to data from the Ohio Domestic Violence Network, the state suffered 112 domestic violence-related fatalities between June 2021 and June 2022. More than twenty of those killed were children.

Ramirez said advocates are also working on developing a statewide virtual and call-in center known as the Care Health Connection.

"That will be a place where domestic-violence programs and survivors can also talk to an advocate when they have health-related needs to help them get better connected to either telehealth services, behavioral-health services or other health services in their community," she said.

Emily Kulow, director of mobile advocacy and meaningful access at the Ohio Domestic Violence Network, said the goal is to eliminate barriers that prevent survivors from seeking help, and then providing a holistic approach once a connection has been made.

"So checking in with the survivor about what's going on with their housing, what's going on with their health care. When was the last time they were even seen by a doctor," she said.

According to the National Center for Health Research, women who experience domestic abuse are more likely to suffer from diabetes, asthma, lower back pain, headaches and other chronic conditions.

May is Asian/Pacific American Heritage Month, and according to the Asian Pacific Institute on Gender-Based Violence, the number of Asian American women who have experienced sexual violence could be as high as 55%.

Monicah Yonghang, bilingual advocate with Asian Services in Action Ohio, explained various cultural barriers prevent many API survivors, including immigrants and refugees, from reporting sexual violence and accessing services.

"We also noticed that they internalized a traditional gender norms," Yonghang pointed out. "Meaning that the men have more power over women, and some violence against women are just justified and OK."

The Immigrant and Refugee Ohio Coalition to End Sexual Assault hosts a conference May 26 on sexual violence and the best ways to serve communities and survivors.

Leela Karki, another bilingual advocate with Asian Services in Action Ohio, noted concerns about public shame also factor into women's hesitancy to seek help.

"There is a fear that oh, if I get added to that data, like other people, I'm going to be exposed to other people," Karki stressed. "They're gonna find out that it happened to me because the community itself is so intertwined together."

Taylr Ucker-Lauderman, chief officer of communications and engagement for the Ohio Alliance to End Sexual Violence, said it is important for advocacy groups to take into account specific cultural needs when providing services.

"We find it extremely important to uplift the work and voices of those in various cultures, and especially people of color in the immigrants and refugees," Ucker-Lauderman emphasized. "We believe this is truly integral to ending sexual violence and serving survivors in our state."

Research shows sexual assault has many long-term impacts on women, including increased risk of chronic pain, diabetes, depression, suicide, and substance abuse.

Washington state Supreme Court justices are hearing a case today
that involves access to records for public employees who have survived domestic violence or sexual assault. The conservative think tank Freedom Foundation has said exemptions to the Public Records Act are being applied too broadly for survivors of domestic violence, sexual assault, stalking or harassment.

Deirdre Bowen, Professor and director of Seattle University's Family Law Center, said lower courts have seized on the fact that the unions who sought to stop these requests did not detail the potential harm for everyone seeking an exemption.

"They did not have evidence for each of the 1,000 different survivors saying if your information were to be released, it would create substantial, imminent physical harm to you," Brown said.

Bowen added there are a number of factors that will determine the outcome of this case, but one important factor is that the definition of domestic violence changed last July. Along with physical harm or the threat of physical harm, it also includes coercive control. Bowen said exemption cases might need to be reanalyzed under this new definition and added this case is an example of where the law fails survivors of domestic violence and sexual assault.

"The tragic part is there's no willing to understand the nature of how domestic violence operates and that these survivors are most at risk actually when they've exited the relationship," she said.

Bowen noted that harm from domestic violence cases can go on for years or decades and can escalate over time and explained the right to public information is not the only right at stake in this case. There's also the constitutional right for safety and protection from bodily harm.

"The ultimate question is which is more important?," she said. "Are we willing to risk that constitutional right versus access to public records?"


get more stories like this via email

Iowa groups have spent the past month focused on finding shelter and support for victims of sexual assault, to help them stay anonymous and safe. The efforts won't stop, even as Sexual Assault Awareness Month ends.

There is no 'good' news in a story like this, but for Iowa, there is a silver lining. At four sexual assaults per 100,000 population, the state ranks last in the nation for these crimes.

For perspective, that number is 148 in Alaska. Neighboring Missouri and Kansas report closer to 50, according to the World Population Review.

Iowa Secretary of State Paul Pate - whose office oversees programs to prevent sexual assault - said while the numbers are low, they are headed in the wrong direction.

"This type of issue is not reserved for the bigger counties or bigger city areas," said Pate. "This is, unfortunately, an equal opportunity problem. And we have seen statistics along those lines that have been very, very disturbing."

Pate said people don't always report these types of assaults for fear of being stigmatized or re-victimized, making exact numbers hard to track.

So, the state is finding ways to help survivors stay anonymous to create safety, and encourage more reporting.

In order to register to vote in Iowa, people have to give their address. Pate said if someone is hesitant to do that - because they're afraid of being sexually harassed, assaulted or stalked - the state offers what's known as a "Safe at Home" program.

"We provide them with an address confidentiality program, so that they can protect where they live at," said Pate. "We give them an alternative address they can use to receive all their mail, of course, to be able to use as their voter registration point. That's where we've seen a real impact."

Pate says 1,200 people from three-quarters of Iowa's counties are enrolled in the Safe at Home program, and the number participating has been on the rise since the program's inception.




get more stories like this via email