Integrating Routine Inquiry about Domestic Violence into Daily Practice

Warshaw, Carole; Alpert, Elaine J.

doi:10.7326/0003-4819-131-8-199910190-00012

Cited by 15 publications

(11 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Such screening is important because health care settings are the only places that many victims seek help 39. Moreover, the identification of domestic violence is clinically important because violence is prevalent and its presentation varied, and it may influence the evaluation of presenting complaints as well as the outcomes of care 9,10. Screening can have other advantages as well, such as reducing the stigma associated with being a victim of domestic violence and promoting access to needed services 21.…”

Section: Discussionmentioning

confidence: 99%

“…Medical visits are seen by many experts as a missed opportunity for identifying domestic violence,7–10 and there is concern that health care providers may anticipate abuse among poor, young, nonwhite patients and focus screening on these groups when data indicate that domestic violence cuts across all population subgroups 1,2,11–13. Routine screening for a history of domestic violence is recommended by many experts 7–10 and by the American Medical Association,14 the American College of Obstetrics and Gynecologists,15 the Surgeon General,16 and others.…”

Section: Introductionmentioning

confidence: 99%

“…Routine screening for a history of domestic violence is recommended by many experts 7–10 and by the American Medical Association,14 the American College of Obstetrics and Gynecologists,15 the Surgeon General,16 and others. There are no rigorous studies of the effectiveness and risks of health care provider screening and intervention regarding domestic violence, and thus no true evidence-based guidelines 17–20.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Screening for Domestic Violence Among Adult Women in the United States

et al. 2007

View full text Add to dashboard Cite

BACKGROUND: Domestic violence is a problem frequently encountered in health care settings and a risk factor for physical and mental health problems. OBJECTIVE:To provide nationally representative estimates of rates of domestic violence screening among women, to identify predictors of screening, and to describe settings where women are screened. DESIGN AND PARTICIPANTS:We examined 4,821 women over the age of 18 from the second wave of Healthcare for Communities, a nationally representative household telephone survey conducted in 2000-2001.MEASUREMENTS: Self-reports concerning whether the respondent was ever asked about domestic or family violence by any health care provider. RESULTS:Only 7% (95% CI, 6%-8%) of women reported they were ever asked about domestic violence or family violence by a health care professional. Of women who were asked about abuse, nearly half (46%) were asked in a primary care setting, and 24% were asked in a specialty mental health setting. Women with risk factors for domestic violence were more likely to report being asked about it by a health care professional, but rates were still low. CONCLUSIONS: Self-reported rates of screening for domestic violence are low even among women at higher risk for abuse. These findings reinforce the importance of developing training and raising awareness of domestic violence and its health implications. This is especially true in primary care and mental health specialty settings.KEY WORDS: domestic violence; intimate partner violence; screening.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Screening for Domestic Violence Among Adult Women in the United States

et al. 2007

View full text Add to dashboard Cite

show abstract

“…Some suggest using the term "routine inquiry" rather than "screening" to accentuate that the goal "is not identification of disease but the provision of information, support, and a safe atmosphere for discussing abuse…." 16 Direct inquiry about IPV victimization to an entire population of patients (all women or all women and men) dramatically increases identification of patients exposed to IPV( 88,[89][90][91][92][93][94][95] ) over the prevalence found with screening only those patients the health-care provider "suspects" are IPV exposed. Studies of different screening methods from the use of patient questionnaires to computer touch screens yield differing rates of IPV prevalence.…”

Section: Controversy Over Ipv "Screening" and Rationale For Addressinmentioning

confidence: 99%

“…9 Advocates, activists, community leaders, and public health officials have highlighted the preventable nature of this epidemic, set goals for the reduction of IPV, and called on the medical community and others to contribute to ending IPV. [10][11][12][13][14][15][16][17][18][19] Much of the health-care literature on IPV focuses on women IPV victims, including expert advice and national guidelines on addressing IPV victimization in women in the health-care setting. [20][21][22][23][24][25] Health-care research on IPV and men, though, is quite limited.…”

Section: Introductionmentioning

confidence: 99%

Addressing Intimate Partner Violence with Male Patients: A Review and Introduction of Pilot Guidelines

Kimberg

2008

J GEN INTERN MED

View full text Add to dashboard Cite

Intimate partner violence (IPV) is a common and devastating problem affecting the health of women, men, and children. Most health-care research focuses on the effects of IPV on women and children and addressing IPV with women in the health-care setting. Less is known about addressing IPV with men in the health-care setting. This article reviews the challenges in interpreting research on IPV in men, its prevalence and health effects in men, and the arguments for addressing IPV with men in the health-care setting. It introduces pilot guidelines that are based on the existing literature and expert opinion.KEY WORDS: intimate partner violence; domestic violence; victimization; perpetration; battering; men.

show abstract

Beyond assessment: Examining providers’ responses to disclosures of violence

Sutherland

Fontenot

Fantasia

2014

Journal of the American Association of Nurse Practitioners

View full text Add to dashboard Cite

Purpose Intimate partner violence (IPV) and sexual assault (SA) are significant public health issues. In spite of gains made in research and support for screening, little is known about how healthcare providers respond to disclosures of violence. The purpose of this analysis was to examine providers’ documented responses to women's disclosure of IPV or SA. Data sources This qualitative analysis of healthcare providers’ responses to the disclosure of violence was part of a larger retrospective review of 2000 medical records from four family planning clinics in the northeastern United States. Conclusions Findings from this analysis reveal that although screening for IPV and past experiences of violence is consistent, providers’ responses to disclosures of violence are often inconsistent. The majority of documented responses to the disclosure of violence (81.5%) were only descriptive in nature and 13% of the medical records contained no documentation of the violence. Implications for practice As universal violence assessment has increased, providers need to be aware of not only how to screen for violence, but how to respond in a way that is helpful, sincere, nonjudgmental, and legally adequate. This will require providers to move beyond a description of violence toward a response that is action‐oriented and includes safety planning and referrals.

show abstract

Integrating Routine Inquiry about Domestic Violence into Daily Practice

Cited by 15 publications

References 12 publications

Screening for Domestic Violence Among Adult Women in the United States

Screening for Domestic Violence Among Adult Women in the United States

Addressing Intimate Partner Violence with Male Patients: A Review and Introduction of Pilot Guidelines

Beyond assessment: Examining providers’ responses to disclosures of violence

Contact Info

Product

Resources

About