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Michigan Domestic Violence Screening for Referral to Mediation

State:
Michigan
Control #:
MI-MC-282
Format:
PDF
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Description

This Domestic Violence Screening for Referral to Mediation is an official document from the Michigan State Court Administration Office, and it complies with all applicable state and Federal codes and statutes. USLF updates all state and Federal forms as is required by state and Federal statutes and law.

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FAQ

Strategies for identifying intimate partner violence include asking relevant questions in patient histories, screening during periodic health examinations, and case finding in patients with suggestive signs or symptoms. Discussion needs to occur confidentially.

I am writing to inform you that the school and I are in disagreement concerning (BRIEFLY state what the disagreement is about). We have been unsuccessful in resolving this dispute, and I am requesting mediation so that we may resolve our differences. I would like the mediation to be done as soon as possible.

USPSTF Recommendation: Screen women of childbearing age for intimate partner violence (IPV), such as domestic violence (DV), and provide or refer women who screen positive to intervention services. This recommendation applies to women who do not have signs or symptoms of abuse.

Mediation is a non-binding and generally voluntary form of alternative dispute resolution. If a court sends you to mediation, it can require that you mediate in good faith. However, they cannot and will not require that you settle your case.Both parties can, however, walk away from the mediation at any time.

The HARK is a four question, self-reported screening tool that represents different components of IPV including emotional, sexual, and physical abuse.

Mediation is a private, informal process in which the parties are assisted by one or more neutral third parties in their efforts towards settlement. By comparison to negotiation, the new and distinguishing feature here is the addition of a neutral third party who aids those in dispute towards settlement.

Domestic violence refers to violent behaviour between current or former intimate partners typically where one partner tries to exert power and control over the other, usually through fear. It can include physical, sexual, emotional, social, verbal, spiritual and economic abuse.

Universal Screening: In this brief, universal screening is defined as a clinician screening every female patient through age 64 for domestic violence, as opposed to only screening certain patients because of risk factors or warning signs.

To find a private mediator you can: contact the Alternative Dispute Resolution Programs and Services on the Law Society NSW website. contact a Registered Mediation Accreditation Body and ask for details of mediators registered with them. For more information go to the Mediator Standards Board.

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Michigan Domestic Violence Screening for Referral to Mediation