A new statewide initiative aims to help connect domestic-violence survivors with medical providers, with a focus on treating traumatic brain injury.

Rachel Ramirez, founder the Ohio Domestic Violence Network's Center on Partner-Inflicted Brain Injury, said survivors often experience severe violence aimed directly at the head, neck and face. But there's been a longstanding gap in accessing the right medical services when individuals come into shelters.

She said $5.12 million dollars in funding will be used to pay for medical services.

"To pay for health care that people are not able to get reimbursed through other means, through Medicaid or insurance. We want to investigate the possibilities of working with occupational therapy to help with brain-injury rehabilitation," Ramirez said.

The three-year project in collaboration with the Ohio Association of Community Health Centers will cover four to six areas of the state. According to data from the Ohio Domestic Violence Network, the state suffered 112 domestic violence-related fatalities between June 2021 and June 2022. More than twenty of those killed were children.

Ramirez said advocates are also working on developing a statewide virtual and call-in center known as the Care Health Connection.

"That will be a place where domestic-violence programs and survivors can also talk to an advocate when they have health-related needs to help them get better connected to either telehealth services, behavioral-health services or other health services in their community," she said.

Emily Kulow, director of mobile advocacy and meaningful access at the Ohio Domestic Violence Network, said the goal is to eliminate barriers that prevent survivors from seeking help, and then providing a holistic approach once a connection has been made.

"So checking in with the survivor about what's going on with their housing, what's going on with their health care. When was the last time they were even seen by a doctor," she said.

According to the National Center for Health Research, women who experience domestic abuse are more likely to suffer from diabetes, asthma, lower back pain, headaches and other chronic conditions.

In Ohio, the effects of domestic violence continue to devastate families.

The Ohio Domestic Violence Network released its ninth annual fatality report, which revealed 114 people, including 15 children, lost their lives to domestic violence in the past year, including incidents where victims were shot, strangled or beaten, often while trying to leave their abuser.

Lisa DeGeeter, senior director of policy and prevention for the Ohio Domestic Violence Network, said many victims were seeking help.

"We continue to see victims, particularly parents, reach out for help to protect themselves and their children and not receive what is needed to save their lives," DeGeeter explained. "The victims were leaving, they were reporting, filing charges, requesting protection orders but it wasn't enough to stop the violence."

Despite protective measures, 72% of cases involved victims who had prior interaction with the justice system. Critics argued current resources and interventions are insufficient to prevent violence escalation, fueling debates about Ohio's legal framework for protecting survivors.

Advocates said Ohio's younger population is also deeply affected. The report showed 79 children lost a parent to domestic violence, with at least 33 children present during the fatal incidents.

Maria York, policy director for the Ohio Domestic Violence Network, highlighted the profound effects on children who not only lose their caregiver but also a sense of security and normalcy.

"We don't want this to be the new normal," York urged. "After COVID, we had 131 fatalities, it seems like this is the new normal of just having these triple-digit homicides with domestic violence."

The report showed domestic violence fatalities have not returned to pre-pandemic levels and more than two-thirds of the cases involve firearms. York called on law enforcement, policymakers and community leaders to collaborate to address the issue.

Groups are warning an Idaho city's decision to declare itself a non-sanctuary city could have far-reaching implications.

The repercussions are still being felt from the decision by the city of Eagle, near Boise, in July.

Sanctuary cities limit their cooperation with the federal government on immigration laws. The Eagle resolution said the city will not provide services for people who are undocumented. It could be especially harmful for vulnerable community members, such as those who have experienced domestic violence or sexual abuse.

Sarah Sheehan, a clinician with the Women's and Children's Alliance in Boise, said the resolution could prevent people from getting support.

"It can create a lot of fear of seeking help from community services in non-sanctuary cities," Sheehan explained.

The Eagle city council passed the resolution on a consent agenda without public comment. It said the goal of the resolution is "maintaining the safety, well-being, and resources of its residents." Critics are urging the council to rescind it.

Some states have banned the ability for cities to declare themselves sanctuary cities, such as Florida, but a declaration of non-sanctuary status is rare. In February, Mesa County, Colorado declared itself a non-sanctuary county.

Nisha Newton, social change communications associate for the Idaho Coalition Against Sexual and Domestic Violence, said harms from the resolution could spread beyond Eagle.

"I'm just worried that this decision is going to embolden other discriminatory practices or empower other discriminatory policies throughout the state that we won't necessarily be able to catch up with as service providers and advocates," Newton noted.

Newton added people need to stand up for each other and the resolution is the wrong tactic if the goal really is to keep people safe.

"It requires all of us to build safer communities," Newton emphasized. "Our safety and our wellness doesn't come off the backs of other people being oppressed and other people being denied services."

Across the state, Ohio's domestic violence prevention programs are improving their services for human trafficking survivors.

A $1.8 million grant from the Ohio Department of Public Safety will help 32 shelters provide human trafficking training and expand case managers.

Shelley Marsh, deputy director of the Ohio Domestic Violence Network, said it will better serve the needs of individuals who may not realize what has happened to them.

"A lot of human trafficking survivors either may not know or understand that they've been trafficked," Marsh explained. "And/or don't maybe have the language to explain to someone when they are seeking services that they are a victim or survivor of human trafficking."

Marsh pointed out the grooming tactics used by traffickers normalize abuse and exploitation to the point many survivors report believing their experiences are just "how the world operates." A study by the Polaris Project of 457 trafficking survivors found 37% were trafficked by a close family member or guardian.

Marsh added the funding will also help shelters meet the needs of individuals coping with high levels of trauma.

"We also know that mental health and substance use is also not only a component of domestic and intimate partner violence and sexual violence," Marsh noted. "But certainly a significant component of human trafficking as well."

Marsh added advocates are working to increase awareness about how all interpersonal and gender-based violence is connected.

"These victimizations, while all have distinct, unique qualities, they also have a lot of intersectional issues that really need sort of holistic approaches and holistic service delivery," Marsh emphasized.

According to the Ohio Attorney General's Office, signs of possible human trafficking include a person not having their own identification documents or money, being in the presence of an overtly controlling male or female friend, and showing signs of mental, emotional or physical abuse.

To report suspected trafficking, call the National Human Trafficking Hotline at 833-373-7888.