Ending Violence Association of BC Survey
RequiredRequired Question(s)

EVA BC is conducting the following 4-part survey to get valuable, up to date information and feedback directly from workers in the field.  Please complete as many sections as you can:

PART 1:  Domestic Violence Service Priority Assessment Form

PART 2:  Safety Planning

PART 3:  Women Being Arrested

PART 4:  Police Use of Polygraphs

Please submit completed survey by 5 p.m. on Monday, January 31, 2011.

 
Required 1.

What program(s) do you work in?  (Please check all that apply)

Community-based Victim Services
STV Counselling
STV Outreach
Multicultural Outreach

PART 1: 

Domestic Violence Service Priority Assessment Form

Information gathered in this section will be summarized and will assist us in giving feedback about the DVSPA form to Victim Services and Crime Prevention Division of the Ministry of Public Safety and Solicitor General.

Please note:  No identifying information from this survey will be forwarded to Victim  Services and Crime Prevention Division of MPSSG.

 
2.

Are you familiar with the Domestic Violence Service Priority Assessment Form (DVSPA) that was developed and distributed by Victim Services and Crime Prevention Division, Ministry of Public Safety and Solicitor General in 2010?

Yes
No
3.

Do you currently use the DVSPA form as part of your program's intake assessment process?

Yes
No
  • Comment:

  • 500 characters left.
4.

If no, what stands in the way of your program using the DVSPA form?

Please add your comments as we are trying to gather feedback on the form itself and other risk analysis intake tools or processes programs might be using.

Please note:  If you can supply EVA BC with samples of the forms you currently use, please email them to us at evabc@endingviolence.org.  Thank you!

We use other forms to obtain similar information
We use other techniques to obtain assessment information (for example: a conversation about safety)
Does not meet program needs
Other  
  • Comment:

  • 500 characters left.
5.

How would you rate the effectiveness of the DVSPA form?

Please comment on what is most useful about the form.

Very useful
Somewhat useful
Not useful
  • Comment:

  • 500 characters left.
6.

How frequently is the form being used in your program?

Always: it is integrated into our standard intake procedure
Sometimes: it is used at the worker's discretion
Never: the form is not used at all in our program
  • Comment:

  • 500 characters left.
7.

Do you use the entire DVSPA form or just some sections of it?

If using just some of the sections, please list which ones you use in the comments box. 

Entire form
Some sections
Do not use this form at all
  • Comment:

  • 500 characters left.
8.

Is the DVSPA form being used in addition to intake/assessment documents that were already in use or did it replace another document?

Used in addition to documents already in use
Replaced another document
Do not use this form at all
  • Comment:

  • 500 characters left.
9.

Please list all other forms you use for risk identification and safety planning.

 

1000 characters left.
10.

What are the most useful aspects of the forms you currently use (other than the DVSPA form)?

 

1000 characters left.
11.

Do you have any concerns related to the use of the DVSPA form?  If yes, please describe:

 

1000 characters left.
12.

What changes would you suggest to improve the DVSPA form?

 

1000 characters left.
13.

Are there any other comments you would like to make?

 

1000 characters left.

PART 2: 

Safety Planning

This section is about safety planning practices that are currently being used in your program(s).  Information gathered in this section will be summarized and assist us in giving feedback to Victim Services and Crime Prevention Division of the Ministry of Public Safety and Solicitor General.

 
14.

What type of safety planning does your program do with women?

Please give a brief description in the comments box below.

Formal (standardized procedures, structured forms, etc.)
Informal (conversation about safety and ongoing check-ins with the woman)
Both
  • Comment:

  • 500 characters left.
15.

Does your program have formal policies and procedures in place related to risk identification and safety planning?

Please give a brief description in the comments box below.

Please note:  If you are able to supply EVA BC with copies of your policies and procedures related to risk identification and safety planning, please email us at evabc@endingviolence.org.  Thank you!

Yes
No
Some
  • Comment:

  • 500 characters left.
16.

If your program has formal policies and procedures in place related to risk identification and safety planning - would you say these policies and procedures are consistently applied?

Yes
No
Sometimes
  • Comment:

  • 500 characters left.
17.

What practices and tools do you use to identify the level of safety planning needed by a client? (Please check all that apply)

Please give a brief description in the comments box below.

Intake form(s)
Domestic Violence Service Priority Assessment form
Risk identification form(s)
Conversations and check-ins about safety
Safety planning form (developed in-house or adapted from an external source)
Other  
  • Comment:

  • 500 characters left.
18.

Is DVERS (Domestic Violence Emergency Response System) available to women in your community?

DVERS is a collaborative risk and safety protocol that includes a personal home alarm, cell phone and ongoing support for women who are high risk.

Yes - my program participates in DVERS
Yes - another program in my organization participates in DVERS
Yes - another service provider in our community participates in DVERS
No - DVERS is not available to women in our community
  • Comment:

  • 500 characters left.
19.

Please describe what you consider to be the most effective components of your risk identification and safety planning practices (both formal and informal):

 

1000 characters left.
20.

Please identify factors you take into account when safety planning with a woman (please check all that apply):

Woman's own sense of her risk level
Behaviours of partner/ex-partner/ab-
user
Children's safety
Safety of other family members or friends
Custody and access issues (including supervised access)
Parental abduction concerns
Family court actions
Criminal court actions
Physical health
Mental health
Substance use
Sexual orientation
Gender identity
Language barriers
Cultural barriers
Financial resources
Job responsibilities
Transportation
Risk identification or assessment from police
Risk identification or assessment form other service providers
Other  
  • Comment:

  • 500 characters left.
21.

What other service providers may be involved in collaborative safety planning in your community? (Please check all that apply)

Community-based Victim Services
Transition House
STV Counselling
STV Outreach
Police
Police-based Victim Services
Corrections
Ministry of Children and Family Development (MCFD)
Other  
  • Comment:

  • 500 characters left.
22.

Does your program have a structured safety planning model in use it can share with us?

If you do have materials you can share, please list and give us your contact information in the comments box below, or contact us directly at evabc@endingviolence.org.  Thank you!

Yes
No
  • Comment:

  • 500 characters left.
23.

Please add any other comments you would like to make about safety planning in your program or in general.

 

1000 characters left.
24.

If you are willing to provide a testimonial about the importance of safety planning that may be used in the online training currently being developed, please give us your contact information  in the comments box below or contact us directly at evabc@endingviolence.org.

 

1000 characters left.

PART 3: 

Women Being Arrested

This section is about abused women being arrested in cases of relationship violence.  This information will be summarized and used by EVA BC in ongoing discussions with RCMP "E" Division on this issue.

 
25.

Are you aware of women in your community who are victims of violence in relationships who have been arrested or apprehended by the police in cases involving relationship violence (e.g. assault, assault with a weapon, criminal harassment, threatening) in the last year (Jan. to Dec. 2010)?

Yes
No
  • Comment:

  • 500 characters left.
26.

Are you aware of women in your community who are victims of violence in relationship who have been threatened with arrest related to relationship violence (e.g. asault, assault with a weapon, criminal harassment, threatening) or identified as a suspect by the police in the last year (Jan. to Dec. 2010)?

Yes
No
  • Comment:

  • 500 characters left.
27.

If you can, please provide us with any police file numbers you have permission to share.  In addition, please provide a brief outline of any evidence that suggests a historical pattern of the women being the victim (e.g. visits to shelters, prior arrest of abuser, prior police calls to the residence, prior "no contact order"). 

 

1000 characters left.
28.

In your organization's opinion, is the prevalence of female arrests related to relationship violence:

Increasing
Decreasing
Staying the same
  • Comment:

  • 500 characters left.
29.

Do you have any other comments regarding this topic?

 

1000 characters left.
30.

Do we have permission to share your responses with the police (e.g. number of women arrested, file numbers)?

If yes, please give us your name and contact information in the comments box below or contact us directly at evabc@endingviolence.org. (We need your contact information in order to share the case information you provide.)

Yes
No
  • Comment:

  • 500 characters left.

PART 4:

Police Use of Polygraphs

This section is about police use of polygraph testing on abused women and its impacts.  This information is being gathered to assess to what extent this is happening across BC.  If survey information indicates a trend rather than a few isolated incidents, then EVA BC will be taking this issue to RCMP "E" Division and/or the BC Chiefs of Municipal Police for discussion.

 
31.

Are you aware of police requesting a polygraph test from any of the abused/sexually assaulted women you worked with in the last year (Jan. to Dec. 2010)?

Yes
No
  • Comment:

  • 500 characters left.
32.

If so,  how many such requests  are you  aware of?

1
2
3
4
5
Other  
  • Comment:

  • 500 characters left.
33.

If so, how long after the incident was the request made?

Within 1 week
Within 1 month
Between 1 - 2 months
Between 2 - 3 months
Other  
  • Comment:

  • 500 characters left.

If you are aware of such a case or cases, please answer the following 4 questions:

 
34.

Which police force made the request?

 

350 characters left.
35.

What was the abused woman's situation?

 

1000 characters left.
36.

What was the stated reason for the request?

 

1000 characters left.
37.

How did the abused woman respond?

 

1000 characters left.

           Thank you for completing this survey!

    Please submit completed survey by 5 p.m. on Monday, January 31, 2011.