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EXPLORE letters discussing care for patients who were battered and early treatment guidelines.

Communities Respond to Domestic Violence

From the mid-19th century onwards, western nurses became increasingly influential, introducing middle-class values of respectable femininity alongside modern methods of health care in societies around the world. Learn about the nurses featured on these postcards, in service in different countries around the world. Return to the map activity.

  • Typewritten text on a page.
    Best Practices: Innovative Domestic Violence Programs in Health Care Settings, 1997 (San Francisco, CA)

    Innovative Domestic Violence Programs, 1997

    In the early 1990s, the San Francisco-based Family Violence Prevention Fund and the Pennsylvania Coalition Against Domestic Violence successfully field-tested a model, low-cost domestic violence program in 12 hospitals and clinics. Their step-by-step manual described how to establish a similar program in other health care settings. It emphasized the need for a multi-disciplinary team and a coordinated response within the community through collaborative partnerships.

    Courtesy National Library of Medicine

  • Typewritten text on a page.
    Counseling the Abuse Victim, ca. 1979–1980 (Harrisburg, PA)

    Counseling the Abuse Victim, 1980

    The Marital Abuse Project of Delaware County, Pennsylvania developed counseling guidelines over several years of working with women who were abused. The manual advocated personal, peer-to-peer support for women who were battered, and a counseling relationship in which the power of choice was always held by the abused woman. A "special situations" section offered suggestions for how to respond when a woman brought her children to a group session, was in imminent danger, or arrived with visible injuries.

    Courtesy National Library of Medicine

  • Typewritten text on a page.
    For Shelter and Beyond: An Educational Manual for Working With Women Who Are Battered, 1981 (Boston, MA)

    For Shelter and Beyond: An Educational Manual, 1981

    In 1979, the Inservice Training Committee of the Massachusetts Coalition of Battered Women Service Groups held two statewide workshops for people involved in the training of volunteers and staff of battered women's programs. This educational manual grew out of those workshops, which addressed myths about women who were battered, the need for multi-pronged advocacy, and important factors such as race, poverty, culture, and sexual orientation when trying to end abuse and violence.

    Courtesy National Library of Medicine

  • Typewritten text on a page.
    Guidelines for Doing Hospital Advocacy, 1982 (Minneapolis, MN)

    Guidelines for Doing Hospital Advocacy, 1982

    In 1977, the Harriet Tubman Women's Shelter in Minneapolis started the Women's Advocacy Program at Hennepin County Medical Center, the first hospital-based advocacy program for battered women. Written guidelines provided advice and information for the volunteers who would be working with survivors of domestic violence in the hospital setting. The guidelines emphasized the importance of supporting what a patient who had been battered chooses to do.

    Courtesy National Library of Medicine

  • Typewritten text on a page.
    Protocol of Care for the Battered Woman: Prevention of Battering During Pregnancy, 1987 (Houston, TX)

    Prevention of Battering During Pregnancy, 1987

    The Houston chapter of the March of Dimes sponsored the publication of this manual to educate health care providers about the prevention of battering during pregnancy. Along with information about the impact of violence on an unborn child and the mother's health, the manual included sections on misconceptions about battering, the special needs of rural women, interview techniques to encourage self-help behavior, and an abuse assessment tool in English and Spanish.

    Courtesy National Library of Medicine

  • Typewritten text on a page.
    Sexual Assault Intervention Manual, 1981 (Springfield, IL)

    Sexual Assault Intervention Manual, 1981

    The work and experiences of staff and volunteers at community-based rape crisis centers in Illinois led to the creation of this sexual assault manual. The manual outlined the reality vs. mythology of rape and rape survivors, and described how to provide appropriate medical care, counseling, and legal assistance to those who had been sexually assaulted. A section on marital rape noted that non-consenting sexual encounters within a marriage relationship can be considered "battering assaults."

    Courtesy National Library of Medicine

  • Typewritten text on a page.
    Wife Beating: Counselor Training Manual #2, 1976 (Ann Arbor, MI)

    Wife Beating: Counselor Training Manual #2, 1976

    Published by the National Organization of Women (NOW) Domestic Violence Project in Ann Arbor and written by a social worker, this manual was designed to train volunteers who came in direct contact with women who were battered and in crisis. The project's early staff included NOW chapter members, women who had been assaulted, and NOW volunteers

    Courtesy National Library of Medicine