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CONTRA
TO: BOARD OF SUPERVISORS COSTA
FROM: John Sweeten, County Administrator COUNTY
DATE: November 1, 2005
SUBJECT: Domestic Violence Death Review Team Report 2005
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
0
RECOMMENDATION(S):
1. ACCEPT the Contra Costa County Domestic Violence Death Review Team Report, October 2005.
2. ACKNOWLEDGE that the substantive contribution of the County's Domestic Violence Death Review
Team is critical in illuminating the context and impact of Domestic Violence deaths and providing
information to agencies working to eliminate domestic violence.
3. ACKNOWLEDGE that the County's Domestic Violence Death Review Team supports and furthers the
County's "Zero Tolerance for Domestic Violence" initiative, a system designed to ensure progress
toward eliminating domestic/family violence and elder abuse in Contra Costa County.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
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VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A
UNANIMOUS(ABSENT TRUE AND CORRECT COPY OF AN
AY tS: NOES: ACTION TAKEN AND ENTERED
ABSENT: ABSTAIN: ON MINUTES OF THE BOARD OF
SUPERVISORS ON THE DATE SHOWN.
Contact: Devorah Levine 335-1017
ATTESTED
JOHN SWEETEN,CLERKIF -
THE BOARD OF SUPERVISORS
AND COUNTY ADMINISTRATOR
cc: CAO—Devorah Levine
ACAD(via CAO)
Health Services Department,Dr.Dawn Marie Wadle,
Office of the Sheriff,Deborah Knodell
BY DEPUTY
Contra Costa County Domestic Violence Death Review Team
Report
October 2005
History of Domestic Violence Death Review Teams
Domestic Violence Death Review Teams began in the early 1990's, with San Francisco and
Santa Clara Counties doing some of the earliest reviews. Domestic Violence Death Review
Teams (DVDRTs) now exist nationally with each state establishing statutes that mandate or
recommend the formation of DVDRTs. The California Penal Code, sections 11163.3-11163.5,
defines DVDRTs design protocol for our State and addresses a variety of issues related to
participants and confidentiality.
DVDRTs team members have been and continue to be encouraged to participate in statewide
or national DVDRTs trainings and conferences to develop the team's expertise in the death
review process. On June 3, 2005, Solano County Office of Family Violence Prevention & the
California Attorney General's Crime and Violence Prevention Center sponsored regional
training for DVDRTs. Members of our team attended the day long training with one of our
members representing our county as a panel speaker. Members of our team have also
participated in The National Domestic Violence Fatality Review Initiative's annual National
Conference on Domestic Violence Fatality.
Locally and nationally DVDRTs death reviews are not designed to place blame on any agency
but to conduct reviews within, "a culture of safety in which domestic violence deaths are
reviewed through the lens of preventive accountability." (Neil S.Websdale,et al, "Juvenile and Family
Court Journal," Spring 1999, Pages s1-74) Teams seek to employ models familiar in the various
disciplines to review domestic violence deaths thoroughly and honestly. The intent is to
systematically recognize patterns of deficiencies, and support recommendations to strengthen
those areas. The intended result is to ensure such deaths are preventable.
As a team we have found areas throughout the system that have needed strengthening.
Recognizing these areas it has led to recommendations to improve systems to support the
reduction of domestic violence deaths within specific communities
Domestic Violence Death Review Teams are viewed as critical to improving responses to
domestic violence, enhancing collaboration among involved agencies, reducing liability and
saving lives. (Neil S. Websdale, "The Police Chief,"July 2001, p. 65-7s) The work is challenging, time
demanding, and requires the diverse perspectives represented.
Contra Costa County's Domestic Violence Death Review Team
The Contra Costa County Domestic Violence Death Review Team was established in 1998.
Its creation was the product of the joint efforts of Contra Costa Health Services and Contra
CCC DVDRT Report October 2005 Page 1 of 11
Costa Office of the Sheriff. Case reviews began in August 1999,following the development
and implementation of operating protocols. The protocol outlines:
❖ goals,
❖ definitions,
❖ team membership,
❖ confidentiality,
❖ case criteria,
❖ procedures
❖ reports.
The primary goals of the DVDRT are to:
❖ identify potential gaps in service coordination in an effort to improve existing services
delivery and policies.
❖ generate better domestic violence data.
Achievements of these goals will eventually diminish/reduce/prevent not only deaths related to
domestic violence, but future incidents of domestic violence.
In collaboration with Contra Costa Health Services' Community Health Assessment, Planning
and Evaluation Group, a computerized domestic violence death review data base has been
developed for data analysis purposes, Data entry is underway, and it is anticipated that future
reports will benefit from this development.
Contra Costa County's Domestic Violence Death Review Team's first report was published in
November, 2000. It detailed the process of creating the Contra Costa County's Domestic
Violence Death Review Team and developed case reviews from 1997. The second report was
published March, 2003. It contained information from a selection of case files of deaths
occurring from 1998, and 1999. Our 2005 report reviews information from case files not
previously addressed 1997 to 2000. These cases have been extensively reviewed by the multi-
disciplinary team, making case completion a lengthy task,
It should be noted, that case files open to adjudication are not reviewed by the DVDRT due to
the legal sensitivity surrounding an open case..Therefore, case files reviewed are usually-two
to four years old. We currently have one case from 1998, not yet reviewed because it has not
been adjudicated. We have five case files from 2000, which are still under review.
Categorization of Deaths
Basic information on each of the deaths to be reviewed is given to Domestic Violence Death
Review Team members who are then asked to seek further information from their respective
departments or agencies. Deaths are extensively reviewed in meetings and are categorized
into one of five categories:
o Domestic Violence Incident Domestic violence incidents are cases in which the
91 with
death occurred while current or former intimate partners were interacting witn one
another. For example, if one partner killed the other by running over them with a
car, it would be considered a domestic violence incident.
CCC DVDRT Report October 2005 Page 2 of 11
❑ Domestic Violence Related Cases are considered domestic violence related if
the death occurred in the midst of an episode of domestic violence but did not
necessarily involve one partner killing themselves or the other partner. If one
partner killed children of the other partner, or if a police officer was killed while
responding to a domestic violence call, it would be considered a domestic violence
related death.
❑ Domestic Violence Motivated Situations where a person committed suicide
after the break up of a relationship involving domestic violence, or when a former
partner killed their ex-partner's new partner would be considered to be domestic
violence motivated.
❑ Not Proven Domestic Violence The DVDRT reviews cases in which a current
or prior history of domestic violence is documented or suspected, but the link to
the death is not clear. For example, if a person victimized by domestic violence
died of a drug over-dose the death would be considered to be not proven domestic
violence.
❑ Not Domestic Violence In some situations, original suspicions that domestic
violence played a role in a person's death prove to be unfounded after further
information is available. These cases are classified as not domestic violence, and
presumably fall into the same category as the deaths in the county not reviewed
by the team.
Results
Deaths Reviewed from 1997 to 2000
All told, Contra Costa County's DVDRT has reviewed 58 deaths from 1997, 1998, 1999, and
2000. One case from 1998 is pending review because it has not yet been adjudicated. Five
cases from 2000 are still being reviewed. Thirty one deaths were determined to be domestic
violence deaths; 23 domestic violence incidents, 7 domestic violence related, 1 domestic
violence motivated. These 31 deaths involved 26 separate events involving domestic violence.
Of the twenty seven other deaths reviewed, 10 were not proven domestic violence and 17
were not domestic violence. (Table 1) It is likely that some of the ten deaths classified as-not
proven domestic violence would be considered domestic violence cases if further information
were available.
CCC DVDRT Report October 2005 Page 3 of 11
Classification 1997 1998 1999 2000 Total
DV Incident 6 7 8 2 23
DV Related 3 3 1 0 7
DV Motivated 0 1 0 0 1
Not Proven DV 4 0 6 0 10
Not DV 8 3 4 2 17
Total 21 14* 19 4* 1 58 1
Table 1: Classification of Deaths
*not all deaths reviewed for years 1998 and 2000
Of the 31 deaths involving domestic violence, 17 were males, and 14 females. All of the males
were adults. Three of the females were children. Two were killed by their father who then
killed himself, and one was a teen killed by her 18 year old boyfriend. There were 17
homicides, 12 suicides, 1 accidental drowning while being chased by police and 1 natural
death years after a gunshot wound. Thirteen of the 14 females died of homicide, 12 at the
hands of males, and one at the hand of a female intimate partner. One female committed
suicide. Eleven of the 17 males committed suicide, while 4 died of homicide. Three men were
killed by adult women, and one was killed by the adult son of his girlfriend. The natural death
occurred in a man who had been paralyzed by a gunshot wound inflicted by his teenage step
daughter. (Table 2)
Male Female Total
1997 11998 1999 2000 1 Total 1997 1998 1999 2000 Total Grand
males females total
Homicide 2 1 1 0 4 3 4 5 1 13 17
Suicide 2 5 3 1 11 1 0 0 0 1 12
Accidental 1 0 0 0 1 0 0 0 0 0 1
Natural 0 1 0 0 1 0 0 0 0 0 1
Total 5 7 4 1 17 4 4 5 7 14 31
Table 2: Cause of Death by Gender
Caucasians accounted for 13 of the deaths, African Americans 7, Hispanics 6, Southeast
Asians 2, and Filipinos, South Asians and Native Americans 1 each. (Tables 3 and 4)
CCC DVDRT Report October 2005 Page 4 of 11
Ethnicity Male Female Total
African American 4 3 7
Caucasian 8 5 13
Filipino 1 0 1
Hispanic 3 3 6
Native American 0 1 1
South Asian 0 1 1
Southeast Asian 1 1 2
Total 17 14 31
Table 3: Ethnicity of Decedent by Gender
Cause African Caucasian Filipino Hispanic Native South Southeast Total
American American Asian Asian
Homicide 5 6 0 3 1 1 1 17
Suicide 1 6 1 3 0 0 1 12
Accidental 1 0 0 0 0 0 0 1
Natural 0 1 0 0 0 0 0 1
Total 7 13 1 6 1 1 2 31
Table 4: Cause of Death by Ethnicity
Of the 31 deaths determined to be domestic violence deaths, 66% involved firearms. Firearms
were the method of death in 19 deaths, and the method of injury in the natural death due to
complications of domestic violence related injury. They were also the method in events were
someone died and 5 survivors were injured during shootings. Knives were used in 4 deaths,
strangulation by hanging in 2 deaths, other strangulation, suffocation, a car and a nail gun
were the method in one death each. The hangings were both suicides, as was the nail gun
death. (Table 5) Additionally, 71% of the deaths occurred during times of separation (22 of
31). Twelve of these deaths were homicides and 10 were suicides.
Method Homicide Suicide Total*
Car 1 0 1
Firearm 10 9 19
Knife 4 0 4
Nail Gun 0 1 1
Strang ulation/Hang i n 1 2 3
Suffocation 1 0 1
Total 17 10 29
Table 5: Method of Death by Cause of Death*
*Does not include deaths due to natural or accidental causes
Of the 26 domestic violence events accounting for the 31 deaths, there were ten events
involving attempted/completed homicide followed by attempted/completed suicide. In nine of
these cases men were responsible for the deaths; in one case a woman was responsible.
Attempted/completed homicide cases accounted for 15,or nearly half,of the domestic violence
deaths. They also accounted for 5 gunshot wounds to survivors. One case involved homicide
in a nearby county and suicide in Contra Costa County. The total number of deaths
attributable to this episode is not known. It is clear there were at least 2, though only one
CCC DVDRT Report October 2005 Page 5 of 11
occurred in and was reviewed by Contra Costa County's DVDRT. Four cases involved
unsuccessful homicides and successful suicides, accounting for 4 deaths and 3 of the gunshot
injuries to survivors of attempted homicide. Four cases involved a man killing his intimate
partner and then himself, accounting for 6 deaths, Another case claimed three lives, a man
and his two daughters, ages 1 and 3 years old. This man also injured an adult male survivor.
Seven of the nine attempted/completed homicides/suicides clearly occurred during times of
separation. Details of the relationships in the remaining cases were not available.
Some have questioned whether marital status influences domestic violence deaths, Thirteen
of the 26 domestic violence events resulting in deaths involved people married (12 cases) or
formerly married (I case) to the involved intimate partner. Seven homicides, seven suicides,
and 1 natural death occurred among those married. Thirteen of the events involved people
never married to the involved intimate partner. Ten homicides, 5 suicides, and 1 accidental
death occurred among those not married. Children of abused women shot their mothers'
intimate partner in 2 cases, one where the adult intimate partners were married, and one
where they were not. Adults shot children in 3 cases, two where the adult intimate partners
were married, and one where they were not. In two cases fathers shot their biological children,
and in one case a man shot his step-daughter. Our data does not indicate that marital status is
a significant predictor of domestic violence homicide or suicide in Contra Costa County. (Table
6)
Homicide Suicide Accident Natural I Total
Married to 7 7 0 1 15
involved
intimate
partner
Never married 10 5 1 0 16
to involved
intimate
partner
Total 17 12 1 1 31
Table 6: Ever Married to Intimate Partner by Cause of Death
Domestic violence deaths affect people across the life span. Children are injured and
murdered, teenagers shoot adults to protect their mothers, teen relationships involve violence
and sometimes death, and we are never too old to be involved in a domestic violence death. A
5 year old was 'shot by his father, sustaining permanent brain injury. A 15 year old was shot by
her step-father, sustaining serious head injuries. Two girls under 4 were killed. A 15 year old
shot her step father. At least two relationships involved teen girls abused by male partners. In
one case the man drowned while fleeing police after a 911 call was placed because of
domestic violence, in the other case the girl was killed by her partner. It is possible that
violence occurred in other relationships prior to the deaths occurring between 18 and 24,
though that information is not available. Two men over 65 died; one homicide and one suicide.
(Table 7)
CCC DVDRT Report October 2005 Page 6 of 11
Age in years Responsible for Death by Homicide Death by Suicide
Homicide
0-5 2 0
13-1T 2 1 0
18-24 4 5 2
25-40 8 3 4
40-64 3 7 4
>65 0 1 1
Table 7: Age in years by role in domestic violence episode. Those responsible for homicide and
suicide are listed twice,and thus totals differ from others.
Survivors are also impacted by domestic violence deaths. Some have been physically injured.
Four adults were injured in the 5 attempted homicide/successful suicide situations. Two
children suffered gun shot wounds to the head. These people and others also suffer the
psychological trauma of attempted murder. Many witness the homicides and suicides. In our
cases, 7 minor children where left without their mother and 7 without their father. Two children
were left without surviving parents. Surviving parents may be in incarcerated for the death of
the other parent, another loss for children. Adult children and other family members are also
impacted. People lose their children and grandchildren, sisters, brothers, extended family,
friends and colleagues. Often, entire communities are traumatized by domestic violence
deaths.
In one case we reviewed and categorized as "Not Proven Domestic Violence," several
important issues were raised. The incident we reviewed involved a man being killed by police
as he was stabbing his daughter in law. Because these two had not been intimate partners,
we could not categorize it as "Domestic Violence Related," according to our definitions.
However, his wife was forced to watch the stabbing, and there had been prior violence
between the man and his wife, as well as the man and his daughter in law. There had been
prior calls to the police by various neighbors who were aware of the violence, however there
were not full reports generated by these calls. The elders in this Asian immigrant family did not
speak English, and the younger folks were so frightened of and controlled by the eldest man
that they denied anything was going on when officers investigated the neighbors'calls. Aman
died and a woman sustained life threatening and life altering injuries. Child and adult family
members lived with the violence and fear, and witnessed the injury and death. Family violence
occurs in multiple forms and often involves multiple family members. Cultural and language
barriers present challenges in recognizing and intervening in such situations. Intervening when
people seem resistant, or do not know how to ask for help, presents additional challenges.
Domestic violence deaths occur throughout Contra Costa County. Sometimes, people reside in
places different than where the events occur. Antioch had 4 events and 7 deaths. One person
was injured in Wyoming 9 years before his death, and one murder/suicide took 3 lives. Bay
Point had 2 events and deaths. Concord had 4 events, one of a person living in Walnut Creek
who hanged himself outside the Concord Pavilion, and one murder/suicide. Concord lost 4
residents. EI Sobrante had one event and death. Oakley had one event that claimed 2 lives.
Pittsburg had 4 events and 4 deaths. Pleasant Hill had one event and death. Richmond had 3
events and 3 deaths. San Pablo had 4 events and 5 deaths. Walnut Creek had 2 events and
lost 3 residents, including the one who hanged himself at the Concord Pavilion. (Table 8)
CCC DVDRT Report October 2005 Page 7 of 11
City Antioch Bay Concord EI Oakley Pittsburg Pleasant Richmond San Walnut
Point Sobrante Hill Pablo Creek
Number 4 2 4 1 1 4 1 3 1 4 2
Table 8: Number of events resulting in 1 or more domestic violence deaths. One event
occurred in Wyoming 9 years prior to the death in Antioch.
In twenty one of the 26 domestic violence events involving deaths, there was a history of prior
domestic violence between the intimate partners involved. This was revealed by prior police
reports for domestic violence, prior calls to domestic violence service agencies, or interviews of
survivors at the time of the deaths. The 20 events account for 25 deaths. Males were the
perpetrators of domestic violence in 19 of the 20 couples involved. In one case, there
appeared to have been recurrent, mutual domestic violence. Eight of the 10
attempted/completed homicides/suicides involved relationships known to have had violent
histories. In several cases, there was not adequate information to be clear whether prior
domestic violence had occurred or not.
In twelve of the 26 events accounting for the 31 domestic violence deaths, law enforcement or
other domestic violence services had been contacted prior the deaths. The majority (54%)
involved in domestic violence deaths had no known contact with law enforcement regarding
domestic violence or with other domestic violence service agencies. Of the 20 cases with a
known history of domestic violence,just over half(12 of 20, or 60%) had previous contact with
law enforcement or other domestic violence service agencies. In the 12 cases with a known
history of domestic violence and contact with law enforcement or other service agencies, there
were 13 total deaths. Eight men died;4 by suicide, 2 by homicide, and one each by accidental
and natural causes. One homicide was an adult son killing the man who had been violent with
him and his mother, and the other was a man killed by his estranged wife with whom he had a
well documented recurrent, mutually violent relationship. Each had prior charges for abusing
the other. The accidental death was a drowning while fleeing police and the natural causes
was the man shot 9 years prior by his step-daughter for abusing her and her mother. Five
women died, all by homicide at the hands of the men who had previously been violent with
them. Eight of the attempted/completed homicides/suicides involved relationships with a
known history of intimate partner violence. In only 2 cases was there a history of involvement
of law enforcement or other domestic violence services. The other six cases with a known
history of violence had no contact with law enforcement or other domestic violence services,
and account for 10 deaths.
Few deaths involved parties protected or restrained by restraining orders. Of 26 separate
domestic violent episodes that involved at least one death, only five (19%) involved parties
protected or restrained by restraining orders. Three men committed suicide while restrained by
a restraining order,one of whom killed his wife and injured his son prior to killing himself. One
woman killed her ex-husband while she was both protected and restrained by a mutual
CCC DVDRT Report October 2005 Page 8 of 11
restraining order. In 4 of the 5 cases were restraining orders were active at the time of the
domestic violence deaths,the parties had been or were currently married to one another.
9
Conclusions
1. Local statistics are proving true what national data have shown: The most
dangerous time of a relationship is during the time of separation.
2. Firearms were used in the majority of both homicides and suicides in domestic
violence cases.
3. Children remain both direct and indirect victims of domestic violence.
4. The majority of female domestic violence deaths are the result of homicide by
males. The majority of male domestic violence deaths are the result of suicide.
More males die than females in domestic violence events in Contra Costa County.
5. Domestic violence deaths are not confined to any specific region of Contra Costa
County.
6. Domestic violence deaths are not confined to any specific ethnic/cultural group in
Contra Costa County.
7. The majority of people involved in incidents reviewed are not known to have
sought services from public or private domestic violence service agencies.
8. A majority of deaths involved individuals who were neither protected nor restrained
by restraining orders.
9. Marital status does not influence the risk of domestic violence death in Contra
Costa County.
10. Domestic Violence can be challenging to recognize, particularly if those involved
are resistant to intervention.
Recommendations
1. Recognizing that separation is a critical time, all persons working with individuals
involved in violent relationships need to be aware of the potential for lethality and
promote the development of a safety plan which may include:
a. Emergency protective orders and/or restraining orders.
b. Alternative housing and/or shelter.
c. Appropriate referrals for all family members.
2. When restraining orders are in place and/or arrests occur,firearms should be
confiscated whenever possible.
3. The safety and welfare of children should be considered, assessed and
documented in all domestic violence incidents.
4. First responders should document the presence of children, assess the safety and
welfare of the children, and interview children in all domestic violence incidents.
5. Community outreach and education regarding domestic violence must reflect the
cultural/ethnic diversity of Contra Costa County. Services must also reflect this
diversity.
6. The countywide use of the Domestic Violence Report/Supplemental by law
enforcement agencies and centralized computer data entry by the Sheriff's
CCC DVDRT Report October 2005 Page 9 of 11
Department has improved significantly and is essential for agencies dealing with
domestic violence. This data base must be maintained,
7. Government and private agencies must continue to develop and implement
methods for identifying and coding cases involving domestic violence.
8. Multidisciplinary efforts to address domestic violence treatment and intervention
should continue and be further enhanced, including,though not limited to,
enhanced coordination and exchange of information between Child Death Review
Team and Domestic Violence Death Review Team,
9. We recognize the value of the services provided by public and private agencies
and encourage referral to and collaboration with these agencies by all involved
with individuals involved in violent relationships. These agencies provide services
that are essential for preventing domestic violence deaths, and require on going
fiscal and political support,
CCC DVDRT Report October 2005 Page 10 of 11
Attachment 1
Death Review Team Members
Wil Broom
Probation Department
Christine Dean
Coroner's Office
Nettie DelRio
OB-GYN Clinic, Kaiser Richmond
Deborah Knodell, Co-Chair
Office of the Sheriff
Susan Moore
Contra Costa Crisis Center
Debi Moss
Employment&Human Services Department
Children and Family Services
Martha Rosenberg
Superior Court
Laura Smith McKenna
Community Member
Joseph Surges
Concord Police Department
Sharon Turner
STAND!Against Domestic Violence
Dawn Marie Wadle, Co-Chair
Family Physician
Richmond Health Center, Contra Costa Health Services
100 38th Street, Richmond,CA 94805
Clinic: 510-231-1200
Voice Mail: 510-231-1337
Pager: 925-603-4080
Email: dwadixe-earth link.net
Jon Yamaguchi
District Attorney's Office
CCC DVDRT Report October 2005 Page 11 of 11