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©2012 Presentation by Vickie M. Faine


Source: Powers, L. E., Hughes, R.B., & Lund, E. M. (2009, September). Interpersonal Violence and Women With
Disabilities: A Research Update. Harrisburg, PA: VAWnet, a project of the National Resource Center on Domestic
Violence/Pennsylvania Coalition Against Domestic Violence. Retrieved January 21, 2012 from: http://www.vawnet.org
According to recent studies, physical and
sexual violence are more prevalent among
women with disabilities than abled bodied
women¹, with increased severity², in multiple
forms³, and longer duration⁴

1.Brownridge, 2006; Martin et al., 2006; Powers et al., 2002; Smith, 2008
2. Brownridge, 2006; Nannini, 2006; Nosek et al., 2001b
3. Curry et al., 2004; Martin et al., 2006; Nosek et al., 2001a
4. Nosek et al., 2001b




                                                                            2
Studies have revealed:
  Among 200 women with disabilities, 67%
   had lifetime physical abuse experiences and
   53% had lifetime sexual abuse experiences
    (Powers, et al., 2002)

   In 2001, disabled bodied women compared
    to abled bodied women had a 40% more
    chance of experiencing domestic violence
    (Brownridge, 2006)




                                                 3
   In 2005, disabled bodied women experienced
    four times more sexual assault than abled
    bodied women (Martin et al., 2006)
   Among 305 diverse disabled bodied and deaf
    women, 68% reported
    physical, sexual, emotional, and disability
    related abuse in 2008 (Curry et al., 2009)




                                                  4
   Among 213 diverse disabled bodied women
    who participated in a study of abuse and
    safety planning awareness program, 65%
    reported a lifetime experience of physical
    abuse, 44.9% reported a lifetime experience
    of sexual abuse (Hughes, Robinson-Whelen, Legerski, Gabrielli, & Lund, 2009)




                                                                                   5
   Among 213 diverse disabled bodied women
    who participated in a study of abuse and
    safety planning awareness program, 65%
    reported a lifetime experience of physical
    abuse, 44.9% reported a lifetime experience
    of sexual abuse (Hughes, Robinson-Whelen, Legerski, Gabrielli, & Lund, 2009)




                                                                                   6
   Among 200 women with mobility disabilities,
    and mobility and intellectual disabilities:
     30% reported that interpersonal violence prevented
      them from keeping employment
     61% reported that it prevented independent living
     64% revealed that it prevented them from caring for
      their health and well-being
    (Powers et al., 2002)




                                                            7
   Contributing factors of violence: younger
    aged, more educated, less mobility, higher
    levels of social isolation and depression
    among 84% of disabled bodied women in
    2005 ( an unusual finding based on very
    highly educated participants) (Nosek et al., 2006)




                                                         8
   Among 14 women with disabilities, factors
    that contributed to the continuation of abuse
    in their relationships were: alcohol and
    drugs, poor education, untreated mental
    health problems (Hughes, et al., 2009)




                                                    9
   Among 7,027 female participants the rate of
    violence between disabled bodied women and
    abled bodied women was relative to
    patriarchal domination and sexual behavior of
    perpetrators¹
   Disabled bodied women and deaf women with
    controlling abusers were likely to experience
    multiple forms of violence compared to such
    women with non-controlling abusers²
1. Brownridge, 2006
2. Curry, et al., 2009




                                                    10
   Embarrassment
    No trusted person to talk to about abuse
    Fear of not being believed
    Fear of losing independence
    Fear of losing family or friends
    Fear of retaliation
(Curry et al., 2009; Powers et al., 2002; Saxton et al., 2001)




                                                                 11
   Shortage of, and low pay and benefits for
    providers
   Lack of interpersonal violence education for
    women with disabilities and their providers
   Lack of emergency back-up providers
                                             (Powers et al., 2002)

Other Common Barriers:
 Fear of losing help from and dependence on
  perpetrator for essential daily living care and
  provisions
                                 (Copel, 2006; Curry et al., 2009)

                                                                     12
   Women with disabilities are still a large
         underserved population in domestic violence
         and sexual assault programs¹, even though
         such programs are working to increase
         accessibility to services²
1.       Chang et al., 2003
2.       Barile, 2002; Grossman & Lundy, 2008; Nannini, 2006; Nosek & Hughes, 2002




                                                                                     13
Due to various definitions of disability and
interpersonal violence among various studies,
different methods used for recruitment and
participation of participants, interpretation of
such research is complex.




                                                   14
   Use literature-based definitions to
    differentiate terminology, i.e.
    emotional, physical, sexual, and disability
    types of abuse
   Administer measures that are appropriate and
    disability sensitive
   Use population-based sampling




                                                   15
   Understand legal requirements for reporting
    incidents of women (people) with disabilities
   Funding to allow for a true representative
    study of violence against women (people)
    with disabilities




                                                    16
   Research that focus on disabled and deaf
    survivors of diverse ethnicity, race, genders
    and sexual orientations should be top
    priorities
   Very little research has focused on ethically
    and racially diverse women with disabilities
    survivors of violence
     Lack of disabled and ethnic researchers involved in
      this topic




                                                            17
continued
  Such multiple identities oftentimes compound
   barriers to services, especially due to:
   Lack of culturally competent staff
   Such women's experiences of oppression based on
    those multiple identities
   Language barriers
   Varied cultural definitions of norms relative
    disability and violence




                                                      18
   Evaluation of current general population
    programs for responsiveness to
    disabled/deaf women, and degree of
    compliance with the American with
    Disabilities Act, and types of program
    interventions




                                               19
   Community-based programs for women with
    disabilities that also address common
    domestic violence problems of able-bodied
    women and co-occurring issues such as post
    traumatic stress and substance use
   Such programs reflect principles of: self-
    management, feminist psychology,
    independent living movement philosophy that
    promotes and encourages autonomy, control
    of one's live, decision making, full community
    participation


                                                     20
   Women with disabilities are at a higher risk for
    domestic violence than able-bodied women
   They deal with common and unique forms of
    violence, and types of abusers
   There is a greater need for research in this area
    to replicate studies and validate previous
    research, especially in the area of
    ethnicity, race, and other genders
   Evaluation of existing programs allow for
    solutions to barriers, for determination
    effectiveness of services and modalities to meet
    the needs of abuse education and safety planning


                                                        21
   Barile, M. (2002). Individual-systemic violence: Disabled women's standpoint. Journal of
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   Brown, H., Stein, J., & Turk, V. (1995). The sexual abuse of adults with learning disabilities:
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   Copel, L. C. (2006). Partner abuse in physically disabled women: A proposed model for
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                                                                                                            22
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                                                                                                     23
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                                                                                                              24
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                                                                                                       25
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                                                                                26
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                                                                                                     27
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                                                                                                                 28
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                                                                                                                  29
   Powers, L. E., Renker, P., Robinson-Whelen, S., Oschwald, M., Hughes, R. B., Swank, P, &
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    disabilities. Unpublished manuscript.




                                                                                                       30

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Internship presentation women with disabilities

  • 1. ©2012 Presentation by Vickie M. Faine Source: Powers, L. E., Hughes, R.B., & Lund, E. M. (2009, September). Interpersonal Violence and Women With Disabilities: A Research Update. Harrisburg, PA: VAWnet, a project of the National Resource Center on Domestic Violence/Pennsylvania Coalition Against Domestic Violence. Retrieved January 21, 2012 from: http://www.vawnet.org
  • 2. According to recent studies, physical and sexual violence are more prevalent among women with disabilities than abled bodied women¹, with increased severity², in multiple forms³, and longer duration⁴ 1.Brownridge, 2006; Martin et al., 2006; Powers et al., 2002; Smith, 2008 2. Brownridge, 2006; Nannini, 2006; Nosek et al., 2001b 3. Curry et al., 2004; Martin et al., 2006; Nosek et al., 2001a 4. Nosek et al., 2001b 2
  • 3. Studies have revealed:  Among 200 women with disabilities, 67% had lifetime physical abuse experiences and 53% had lifetime sexual abuse experiences (Powers, et al., 2002)  In 2001, disabled bodied women compared to abled bodied women had a 40% more chance of experiencing domestic violence (Brownridge, 2006) 3
  • 4. In 2005, disabled bodied women experienced four times more sexual assault than abled bodied women (Martin et al., 2006)  Among 305 diverse disabled bodied and deaf women, 68% reported physical, sexual, emotional, and disability related abuse in 2008 (Curry et al., 2009) 4
  • 5. Among 213 diverse disabled bodied women who participated in a study of abuse and safety planning awareness program, 65% reported a lifetime experience of physical abuse, 44.9% reported a lifetime experience of sexual abuse (Hughes, Robinson-Whelen, Legerski, Gabrielli, & Lund, 2009) 5
  • 6. Among 213 diverse disabled bodied women who participated in a study of abuse and safety planning awareness program, 65% reported a lifetime experience of physical abuse, 44.9% reported a lifetime experience of sexual abuse (Hughes, Robinson-Whelen, Legerski, Gabrielli, & Lund, 2009) 6
  • 7. Among 200 women with mobility disabilities, and mobility and intellectual disabilities:  30% reported that interpersonal violence prevented them from keeping employment  61% reported that it prevented independent living  64% revealed that it prevented them from caring for their health and well-being (Powers et al., 2002) 7
  • 8. Contributing factors of violence: younger aged, more educated, less mobility, higher levels of social isolation and depression among 84% of disabled bodied women in 2005 ( an unusual finding based on very highly educated participants) (Nosek et al., 2006) 8
  • 9. Among 14 women with disabilities, factors that contributed to the continuation of abuse in their relationships were: alcohol and drugs, poor education, untreated mental health problems (Hughes, et al., 2009) 9
  • 10. Among 7,027 female participants the rate of violence between disabled bodied women and abled bodied women was relative to patriarchal domination and sexual behavior of perpetrators¹  Disabled bodied women and deaf women with controlling abusers were likely to experience multiple forms of violence compared to such women with non-controlling abusers² 1. Brownridge, 2006 2. Curry, et al., 2009 10
  • 11. Embarrassment  No trusted person to talk to about abuse  Fear of not being believed  Fear of losing independence  Fear of losing family or friends  Fear of retaliation (Curry et al., 2009; Powers et al., 2002; Saxton et al., 2001) 11
  • 12. Shortage of, and low pay and benefits for providers  Lack of interpersonal violence education for women with disabilities and their providers  Lack of emergency back-up providers (Powers et al., 2002) Other Common Barriers:  Fear of losing help from and dependence on perpetrator for essential daily living care and provisions (Copel, 2006; Curry et al., 2009) 12
  • 13. Women with disabilities are still a large underserved population in domestic violence and sexual assault programs¹, even though such programs are working to increase accessibility to services² 1. Chang et al., 2003 2. Barile, 2002; Grossman & Lundy, 2008; Nannini, 2006; Nosek & Hughes, 2002 13
  • 14. Due to various definitions of disability and interpersonal violence among various studies, different methods used for recruitment and participation of participants, interpretation of such research is complex. 14
  • 15. Use literature-based definitions to differentiate terminology, i.e. emotional, physical, sexual, and disability types of abuse  Administer measures that are appropriate and disability sensitive  Use population-based sampling 15
  • 16. Understand legal requirements for reporting incidents of women (people) with disabilities  Funding to allow for a true representative study of violence against women (people) with disabilities 16
  • 17. Research that focus on disabled and deaf survivors of diverse ethnicity, race, genders and sexual orientations should be top priorities  Very little research has focused on ethically and racially diverse women with disabilities survivors of violence  Lack of disabled and ethnic researchers involved in this topic 17
  • 18. continued  Such multiple identities oftentimes compound barriers to services, especially due to:  Lack of culturally competent staff  Such women's experiences of oppression based on those multiple identities  Language barriers  Varied cultural definitions of norms relative disability and violence 18
  • 19. Evaluation of current general population programs for responsiveness to disabled/deaf women, and degree of compliance with the American with Disabilities Act, and types of program interventions 19
  • 20. Community-based programs for women with disabilities that also address common domestic violence problems of able-bodied women and co-occurring issues such as post traumatic stress and substance use  Such programs reflect principles of: self- management, feminist psychology, independent living movement philosophy that promotes and encourages autonomy, control of one's live, decision making, full community participation 20
  • 21. Women with disabilities are at a higher risk for domestic violence than able-bodied women  They deal with common and unique forms of violence, and types of abusers  There is a greater need for research in this area to replicate studies and validate previous research, especially in the area of ethnicity, race, and other genders  Evaluation of existing programs allow for solutions to barriers, for determination effectiveness of services and modalities to meet the needs of abuse education and safety planning 21
  • 22. Barile, M. (2002). Individual-systemic violence: Disabled women's standpoint. Journal of International Women's Studies, 4 (1), 1-14.  Brown, H., Stein, J., & Turk, V. (1995). The sexual abuse of adults with learning disabilities: Report of a second two-year incidence survey. Mental Handicap Research, 8 (1), 3-24.  Brownridge, D. A. (2006). Partner violence against women with disabilities. Violence Against Women, 12 (9), 805-822.  Chang, J., Martin, S., Moracco, K., Dulli, L., Scandlin, D., Loucks-Sorrel, M., et al. (2003) Helping women with disabilities and domestic violence: Strategies, limitations and challenges of domestic violence programs and services. Journal of Women's Health, 12 (7), 699-708.  Cohen, M. M., Forte, T., DuMont, J., Hyman, I., & Romans, S. (2006). Adding insult to injury: Intimate partner violence among women and men reporting activity limitations. Annals of Epidemiology, 16, 644-651.  Copel, L. C. (2006). Partner abuse in physically disabled women: A proposed model for understanding intimate partner violence. Perspectives in Psychiatric Care, 42 (2), 114-129. 22
  • 23. Cramer, E., & Plummer, S. (2009). People of color with disabilities: Intersectionality as a framework for analyzing intimate partner violence in social, historical, and political contexts. Journal of Aggression, Maltreatment & Trauma, 18 (2), 162-181.  Curry, M. A., Powers, L. E., & Oschwald, M. (2004). Development of an abuse screening tool for women with disabilities. Journal of Aggression, Maltreatment, and Trauma, 8 (4), 123-141.  Curry, M. A., Powers, L. E., Oschwald, M., & Saxton, M. (2004). Development and testing of an abuse screening tool for women with disabilities. Journal of Aggression, Maltreatment and Trauma, 8 (4), 123-141.  Curry, M. A., Renker, P., Hughes, R. B., Robinson-Whelen, S., Oschwald, M. M., Swank, P. & Powers, L. E. (2009). Development of measures of abuse among women with disabilities and the characteristics of their perpetrators.Violence Against Women, 15 (9), 1001-1025 .  Gilson, S. F., DePoy, E., & Cramer, E. P. (2001). Linking the assessment of self-reported functional capacity with abuse experiences of women with disabilities. Violence against Women, 7 (4), 418-431.  Grossman, S. F., & Lundy M. (2008). Double jeopardy: A comparison of persons with and without disabilities who were victims of sexual abuse and/or sexual assault. Journal of Social Work in Disability and Rehabilitation , 7 (1), 19-46. 23
  • 24. Hassouneh-Phillips, D., McNeff, E., Powers, L. E., & Curry, M. (2005). Invalidation: A central process underlying maltreatment of women with disabilities. Women and Health, 41 (1), 33-50.  Hughes, C. M., & Abramson, W. (2000). Stop the violence, break the silence: A training guide: Building bridges between domestic violence and sexual assault agencies, disability service agencies, people with disabilities, families, and caregivers. Austin, TX: SafePlace.  Hughes, R. B. (2005). Violence against women with disabilities: Urgent call for action. The Community Psychologist, 38 , 28-30.  Hughes, R. B. (2006). Achieving effective health promotion for women with disabilities. Family & Community Health, 29 (1), 44S-51S.  Hughes, R. B., Nosek, M. A., Howland, C., Groff, J. Y., & Mullen, P. D. (2003). Health promotion workshop for women with physical disabilities: A pilot study. Rehabilitation Psychology, 48 (3), 182- 188.  Hughes, R. B., Robinson-Whelen, S., Legerski, J., Gabrielli, J., & Lund, E. (2009). Demographic, disability, and psychosocial correlates of interpersonal violence against women with disabilities. Manuscript in preparation. 24
  • 25. Hughes, R. B., Robinson-Whelen, S., Taylor, H. B., & Hall, J. W. (2006). Stress self-management: An intervention for women with physical disabilities. Women's Health Issues, 16 (6), 389-399.  Hughes, R. B., Robinson-Whelen, S., Taylor, H. B., Peterson, N. J., & Nosek, M. A. (2005). Characteristics of depressed and nondepressed women with physical disabilities. Archives of Physical Medicine and Rehabilitation, 8(3), 473-479.  Hughes, R. B., Swedlend, N., Petersen, N. J., & Nosek, M. A. (2001). Depression and women with spinal cord injury.Topics in Spinal Cord Injury Rehabilitation, 7 (1), 16-24.  Hughes, R. B., Taylor, H. B., Robinson-Whelen, S., & Nosek, M. A. (2005). Stress and women with physical disabilities: Identifying correlates. Women's Health Issues, 15 (1), 14-20.  Hughes, R. B., Taylor, H. B., Robinson-Whelen, S., Swedlend, N., & Nosek, M. A. (2004). Enhancing self-esteem in women with physical disabilities. Rehabilitation Psychology, 1 (4), 295-302.  Kitchin, R. M. (2000). The researched opinions on research: Disabled people and disability research. Disability and Society, 15 (1), 25-48. 25
  • 26. Lightfoot, E., & Williams, O. (2009a). Critical issues in researching domestic violence among people of color with disabilities. Journal of Aggression, Maltreatment & Trauma, 18 (2), 200-219.  Lightfoot, E., & Williams, O. (2009b). The intersection of disability, diversity, and domestic violence: Results of national focus groups. Journal of Aggression, Maltreatment & Trauma, 18 (2), 133-152.  Marchetti, A. G., & McCartney, J. R. (1990). Abuse of persons with mental retardation: Characteristics of the abused, the abusers, and the informers. Mental Retardation, 28 (6), 367-371.  Martin, S., Ray, N., Sotres- Alvarez, D., Kupper, L., Moracco, K., Dickens, P., Scandlin, D., et al. (2006). Physical and sexual assault of women with disabilities. Violence Against Women, 12, 823-837.  McFarlane, J., Hughes, R. B., Nosek, M. A., Groff, J. Y., Swedlend, N., & Dolan Mullen, P. (2001). Abuse assessment screen-disability (AAS-D): Measuring frequency, type, and perpetrator of abuse toward women with physical disabilities. Journal of Womens Health and Gender Based Medicine, 10 (9), 861-866.  Nannini, A. (2006). Sexual assault patterns among women with and without disabilities seeking survivor services.Women's Health Issues, 16 (6), 372-379. 26
  • 27. National Center for Injury Prevention and Control (NCIPC). (2006). Cost of intimate partner violence against women in the United States. Atlanta, GA: Centers for Disease Control & Prevention.  National Coalition Against Domestic Violence. (2007). Comparison of VAWA 1994, VAWA 2000 and VAWA 2005 Reauthorization Bill. Retrieved on May 21, 2009, from http://www.ncadv.org/files/VAWA_94_00_05.pdf.  National Council on Independent Living (2006). Resolution on violence and abuse of people with disabilities. Washington, DC: National Council on Independent Living.  Nosek, M. A., Foley, C. C., Hughes, R. B., & Howland, C. A. (2001a). Vulnerabilities for abuse toward women with disabilities. Special Issue. Sexuality and Disability, 19 (3), 177-189.  Nosek, M. A., & Howland, C. A. (1998). Abuse and women with disabilities. Harrisburg, PA: VAWnet. Retrieved May 20, 2009, from http://new.vawnet.org/Assoc_Files_VAWnet/AR_disab.pdf  Nosek, M. A., Howland, C., & Hughes, R. B. (2001b). The investigation of abuse and women with disabilities: Going beyond assumptions. Violence Against Women, 7 (4), 477-499. 27
  • 28. Nosek, M. A., Howland, C., Rintala, D. H., Young, M. E., & Chanpong, G. F. (2001c). National study of women with physical disabilities: Final report. Sexuality & Disability, 19 (1), 36.  Nosek, M. A., & Hughes, R. B. (2002). Violence Against women with physical disabilities: Findings from studies conducted by the Center for Research on Women with Disabilities at Baylor College of Medicine, 1992-2002.Houston: Baylor College of Medicine, Center for Research on Women with Disabilities.  Nosek, M. A., Hughes, R. B., Swedlund, N., Taylor, H. B., & Swank, P. (2003). Self-esteem and women with disabilities. Social Science Medicine, 56 (8), 1737-1747.  Nosek, M. A., Hughes, R. B., Taylor, H. B., & Howland, C. (2004). Violence against women with disabilitieis: The role of physicians in filling the treatment gap. In S. L. Welner, & F. Haseltine (Eds.), Welner's guide to the care of women with disabilities (pp. 333-345). Philadelphia, PA: Lippincott Williams & Wilkins.  Nosek, M. A., Hughes, R. B., Taylor, H. B., & Taylor, P. (2006). Disability, psychosocial, and demographic characteristics of abused women with physical disabilities. Violence Against Women, 12 (9), 838-850.  Oktay, J. S., & Tompkins, C. J. (2004). Personal assistance providers' mistreatment of disabled adults. Health Social Work, 29, 177ñ188. 28
  • 29. O'Toole, C. (2000). The View from Below: Developing a Knowledge Base About an Unknown Population. Sexuality & Disability, 18 (3), 207-224.  O'Toole, C., & Brown, A. (2003). No Reflection in the Mirror: Challenges for Disabled Lesbians Accessing Mental Health Services. Journal of Lesbian Studies, 7 (1), 35.  Oschwald, M., Renker, P., Hughes, R. B., Arthur, A., Powers, L. E., & Curry, M. A. (2009). Development of an accessible audio computer-assisted s self-interview (A-CASI) to screen for abuse and provide safety strategies for women with disabilities. Journal of Interpersonal Violence, 24 (6), 1014-1035.  Pepper, A., Hughes, R. B., Robinson-Whelen, S., & Legerski, J. (2009, April 24). Preventing violence against women with disabilities: A pilot study. Presentation at the symposium: Intimate partner violence: Understanding the complexities of experience. 89 th Annual Convention of the Western Psychological Association, Portland, OR.  Powers, L. E., Curry, M. A., McNeff, E., Saxton, M., Powers, J., & Oschwald, M. M. (2008). End the Silence: A survey of the abuse experiences of men with disabilities. Journal of Rehabilitation, 7 (4), 41-53.  Powers, L. E., Curry, M. A., Oschwald, M., Maley, S., Eckels, K., & Saxton, M. (2002). Barriers and strategies in addressing abuse within personal assistance relationships: A Survey of disabled women's experiences. Journal of Rehabilitation, 68 (1), 4-13. 29
  • 30. Powers, L. E., Renker, P., Robinson-Whelen, S., Oschwald, M., Hughes, R. B., Swank, P, & Curry, M. A. (2009). Interpersonal violence and safety promoting behaviors of women with disabilities. Violence Against Women, 15 (9),1040-1069.  Robinson-Whelen, S., Hughes, R. B., Taylor, H. B., Hall, J. W., & Rehm, L. P. (2007). Depression self-management program for rural women with physical disabilities. Rehabilitation Psychology, 52 (3), 254-262.  Saxton, M., Curry, M. A., Powers, L. E., Maley, S., Eckels, K., & Gross, J. (2001). ""Bring my scooter so I can leave you"": A study of disabled women handling abuse by personal assistance providers. Violence Against Women, 7 (4), 393-417.  Saxton, M., McNeff, E., Powers, L. E., Curry, M. A., Limont, M., & Benson, J. (2006). We are all little John Waynes: A study of disabled men's experiences of abuse by personal assistants. The Journal of Rehabilitation, 72 (4), 3-13.  Smith, D. L. (2008). Disability, gender and intimate partner violence: Relationships from the behavioral risk factor surveillance system. Sexuality and Disability, 26 (1), 15-28.  Taylor, H. B., Hughes, R. B., Mastel-Smith, B., Howland, C. A., Colvard, M. & Nosek, M. A. (2002). Violence prevention: Piloting a safety planning program for women with disabilities. Unpublished manuscript. 30