Room and the Social Workers Role With the Family Free

Practice Integration Paper: Expiring in the Emergency Room


The problem of violence is now becoming one of the most pressing in modern society. It has not only psychological, but also social, medical and legal aspects. Violence in its consequences belongs to the most serious psychological trauma. Violations resulting from violence affect all levels of human functioning: the cognitive sphere, appetite, sleep, leads to lasting personality changes, etc., as well as the violence experienced in childhood affects the whole subsequent life of a person. Thus, the main aim of the assignment is to explore a scenario, when a young woman became a victim of domestic violence and asked hospital social workers within the emergency department to help her.

The Scenario to Discuss in This Assignment

Unfortunately, the problem of violence against women exists everywhere. According to Crain & Koehn (2012), it is a gender sign that causes a woman to be a victim of various types of violence (physical, sexual, psychological, economic, etc.) in almost all countries of the world. The population often does not recognize the problem. In many cases, women ignore different possibilities to solve their problem owing to the lack of information on how to proceed and where to get help.

Identifying a chosen scenario, it can be said that Samantha is a young self-employment woman, who experienced different manifestations of domestic violence in everyday life. She turned for help to emergency department because she believed that she had become a victim of domestic violence, claiming that it was psychological, physical and sexual violence. She has realized that her boyfriend deliberately provokes scandals to beat her, take the money she earned. Moreover, in the morning, he kicked her out of the apartment into the street to achieve her obedience and suppress her will. Samantha looks very nervous and scared, her speech is steep and crumpled, and it seems that the woman is afraid of people, hiding her emotions and feelings deep inside her heart.

How to Help a Victim of Domestic Violence

The first step is to calm the woman and gather all the necessary information about her identity, asking different questions, which may help to assess her physical and mental state, as well as to understand her financial concerns, and find available measures to support her. This is important to do by the reason that urgent psychological assistance to victims of violence is a difficult task, because people who have been and / or subjected to violence are in a difficult psycho-emotional state, feel shame, guilt, often denying the fact of violence, keeping the incident secret (especially if it is a family situation). According to Keeling & Wormer (2012), the states of mind, which victims of domestic violence often experience, may be characterized by experiences of horror, over-vigilance, feelings of hopelessness and powerlessness, physiological and mental stress, internal discomfort, sleep disturbances, intrusive memories, suicidal thoughts. In such a way, the first step is to assess all the important parameters for the purpose to become sure that this young woman perceives reality adequately.

Skills to Use in the Process of Communication with a Victim of Domestic Violence

It seems that the most important Shulman’s helping communication skills include elaborating and holding to focus skills, skills in pointing out obstacles, as well as sessional ending skills. To explain, elaboration skills include active listening, questioning and containment, and these skills may help to get all the necessary information about the victim. The holding to focus skills may help to concentrate attention on the victim’s problem, while skills in pointing obstacles are important to explore taboo areas in the less traumatic way. Finally, sessional ending skills include the necessity to make sure that a victim is ready to act, understands the information properly and ready to identify next steps to overcome her problem.

Moreover, it is important to remember that urgent psychological assistance to victims of domestic violence should be aimed at stabilizing their current mental and physiological state and restoring the safety of their livelihoods. It is important to remember that urgent care does not involve deep psychological research, experimentation, etc.

Confidentiality Concerns

In crisis work with victims of violence, the main goal is to reduce and eliminate traumatic experiences, feelings of inferiority, to form an adequate self-esteem. At this stage, it is important to enable the victim to experience the complex feelings that have arisen in the situation and to assure the patient of the confidentiality of this visit to the emergency department. It is important to implement skills in sharing data for the purpose to convince a victim of domestic violence that she is in a safe place, and her family union built on emotional and physical violence destroys her self-esteem, leads to anxiety and depression, makes her feel a presence of helplessness and loneliness. This is a painful condition that cannot be continued, and the main step towards liberation is to recognize the presence of violence in her situation, and ask for a placement in a battered women’s shelter (because Samantha has no place to go), and discuss the perspectives of notification of law enforcement. Only by realizing an existence of the problem, a victim gets a chance to get help.

Cultural Humility

Domestic violence can occur in couples of any age, nationality, economic or social level. In a case of working with a person of different culture, it is important to be attentive to the victim’s cultural beliefs and inner feelings. Many victims of violence are worried about the possible reaction of society, and therefore do not talk about what happened. In such a way, it is necessary to show that you believe a person and are ready to help. Moreover, knowing specifics of different cultures, as well as overcoming language problems, it is restricted to condemn the victim and make some comments on how to proceed. It is important to listen carefully, and do not ask a person to talk about the details of what happened or to expect some standard behavior from the victim: someone may behave aggressively or, on the contrary, cry a lot: all victims react in their own way.


We have explored different issues associated with domestic violence and have explored different ways, which may help a social worker to help the victim of domestic violence, exploring a specific scenario for this purpose. The main problem of a person facing domestic violence is the search for refuge. A person is looking for a seemingly safe place, and emergency department is considered a good decision. However, the role of a social worker is to analyze a situation, coordinate all the activities in the way to help a person, to provide all the necessary information about possible ways to stop violence, showing a person the way to get a break in a shelter for the purpose to start a new life. Moreover, when studying the problem of domestic violence, it is necessary to take into account the fact that the peculiarity of this problem is that it affects the most private side of human life. Indeed, the family is influenced not only by the norms of modern law, but also by the established social norms, traditions, religious influence and stereotyped perception, or rather, the lack of perception of family violence against a woman as a negative social phenomenon. Thus, it is important to reanimate self-esteem of a victim and remind this person that to live in a safe environment, without beatings and humiliation, as well as without psychological and economic pressing, is the right of everyone.


Crain, M., & Koehn, C. (2012). “The Essence of Hope in Domestic Violence Support Work: A Hermeneutic-Phenomenological Inquiry.” Journal of Mental Health Counseling, 34(2).

Keeling, J., & Wormer, K. (2012). “Social Worker Interventions in Situations of Domestic Violence: What We Can Learn from Survivors’ Personal Narratives?” British Journal of Social Work, 42.

The terms offer and acceptance. (2016, May 17). Retrieved from

[Accessed: November 26, 2021]

"The terms offer and acceptance.", 17 May 2016.

[Accessed: November 26, 2021] (2016) The terms offer and acceptance [Online].
Available at:

[Accessed: November 26, 2021]

"The terms offer and acceptance.", 17 May 2016

[Accessed: November 26, 2021]

"The terms offer and acceptance.", 17 May 2016

[Accessed: November 26, 2021]

"The terms offer and acceptance.", 17 May 2016

[Accessed: November 26, 2021]

"The terms offer and acceptance.", 17 May 2016

[Accessed: November 26, 2021]
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