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violence service providers. Such policies and protocols should be developed with active participation of the line staff and others who will be responsible for day-to-day implementation.

d.Health care facilities should develop ongoing mechanisms to maintain/ improve the system's response.

Examples of this are inclusion of domestic violence education into all ongoing in-service education programs, orientation programs for new staff, inclusion of domestic violence identification and response into Continuous Quality Improvement (CQI) systems, and the establishment of case management teams.

e.Health care facilities should develop mechanisms to hold staff accountable for performing their duties in a manner consistent with the facility's protocol.

Administrators and supervisors should create incentives for good performance and provide clearly articulated  sanctions for staff who fail to comply or who engage in actions which may further endanger victims/patients. Administration should publicly demonstrate a commitment to improve facility response to victims and should appoint a person, or preferably a team of persons, to act as liaison for the facility, participating in the coordination of training and implementation activities, attending interagency meetings and community coalitions or task forces. Administration should provide support for such appointed persons by ensuring that the appointed representative can attend to such duties during the performance of regularly scheduled work hours and by providing such person or persons necessary support to engage in the additional duties that such an appointment adds.

f.Information on domestic violence as a public health problem for women and children, including its correlation with other significant public health problems, such as unintended pregnancy, low-birth weight, infant mortality, low immunization rates, HIV infection, sexually transmitted diseases, etc., should be broadly disseminated throughout the county.

g.Cross-training should be conducted between health care providers, domestic violence service providers, the child welfare system, mental health system, substance abuse treatment system, the police, and the courts. Written interagency protocols should be developed between the health care systems and these other systems.

(22)"Domestic Violence Intervention Calls for More Than Just Treating

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