Police departments can assist domestic violence survivors through protocols that help identify concussion symptoms.
Incidents of domestic violence often go unreported with survivors sustaining traumatic brain injuries (TBIs) that are left untreated, leading to psychological and neurological problems.1 The city of Mesa, Arizona, implemented a standardized protocol designed to assist officers during domestic violence (DV) calls that identify TBIs. The ConQVerge device, created by the CACTIS Foundation, measures people’s ability to control certain eye movements affected by a TBI. The device collects relevant data and, along with other testing conducted by forensic nurses, reliably assesses whether the survivor has a concussion. The program allows officers to use the device to make an initial evaluation of TBI symptoms and to mobilize additional medical help and resources for DV survivors who have experienced a TBI.2
The Mesa Police Department, the Maricopa County Attorney’s Office, the CACTIS Foundation, and other organizations collaborated to develop a protocol to assist police response to DV calls involving a TBI.3 Nine months after the protocol was implemented, 163 DV cases were reported; cases that involved adults who were already in a hospital receiving treatment or juveniles were excluded. Of the 122 remaining cases, almost 40 percent of the survivors refused additional testing when offered. And officers did not offer the ConQVerge testing to just more than 35 percent of survivors who may have experienced a TBI. The officers’ low compliance rate led researchers to investigate how other police departments implement the same or similar protocols.
The researchers’ recommendations include the following:
- Training should be structured and hands-on to ensure that officers have confidence using the device; training for Mesa officers involved only a video demonstration.
- Because TBIs typically go untreated among DV survivors, police management and other local stakeholders should repeatedly emphasize the importance of providing this service, so that officers understand the value of and the need for the ConQVerge screening.
- Police departments should have a designated DV or special victims unit, to better respond to the needs of victims, prevent future DV incidents, and increase compliance with the protocols.
- Each officer should receive a ConQVerge device, as opposed to one device per patrol supervisor.
Although the researchers were unable to determine whether the initiative was effective in increasing DV survivors’ willingness to accept the resources offered, they concluded that officers who are trained to identify TBIs may be able to offer more services to DV survivors and increase their knowledge of TBIs and their effects. This may in turn allow officers to provide more effective and knowledgeable investigations of domestic violence.
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