Referral patterns and service utilization in a pediatric hospital-wide intimate partner violence program

Intimate Partner Violence: Identification and Response in Pediatric Health Care Settings

“…Two retrospective reviews demonstrate that such screening may identify IPV and facilitate connection to resources. 18,19…”

“…Clinicians may wish to create bidirectional and longitudinal partnerships with community-based IPV agencies to provide support for IPV survivors in clinical settings and offer community-based health care services to IPV survivors. 18,25…”

“…10,27 If one adult is present with a verbal child, an alternate approach to verbal screening may be to use a laminated card with screening questions. 18 The health care team can work together to separate caregivers or the caregiver and child to allow screening to occur.…”

“…Two retrospective reviews demonstrate that such screening may identify IPV and facilitate connection to resources. 18,19 Indicator-Based Assessment Clinicians should screen for IPV when indicators are present, including child trauma symptoms (Table 2), witnessed interactions between caregivers, caregiver injuries, or suboptimal treatment compliance or outcomes. For example, missed appointments or delayed well-child care may result from an abusive partner withholding transportation.…”

“…Clinicians may wish to create bidirectional and longitudinal partnerships with community-based IPV agencies to provide support for IPV survivors in clinical settings and offer communitybased health care services to IPV survivors. 18,25 Providers should be prepared to encounter survivors who decline offered resources. It is important to keep in mind the many barriers to seeking help for IPV and leaving an abusive relationship, such as concerns about the safety of children with an abuser if the nonoffending parent is not present, threats to take away children if attempts to leave are made, financial insecurity, and cultural or religious practices.…”