A Statewide Survey of Domestic Violence Screening Behaviors Among Pediatricians and Family Physicians

Lapidus, Garry; Cooke, Michelle; Gelven, Erica; Sherman, Keith; Duncan, Mary M.; Banco, Leonard

doi:10.1001/archpedi.156.4.332

Cited by 68 publications

(47 citation statements)

References 25 publications

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“…[27][28][29] The reported barriers One barrier not mentioned in the literature is that children are often with their mothers in the offi ce. Sometimes children accompany their mothers to her medical appointments (8%), and often mothers bring children to their pediatric visits (85%).…”

Section: Introductionmentioning

confidence: 99%

Medical Management of Intimate Partner Violence Considering the Stages of Change: Precontemplation and Contemplation

Zink

Elder

Jacobson

et al. 2004

The Annals of Family Medicine

129

114

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BACKGROUND We undertook a study to understand how women who are victims of intimate partner violence (IPV) want physicians to manage these abusive relationships in the primary care offi ce.METHODS Thirty-two mothers in IPV shelters or support groups in southwestern Ohio were interviewed to explore their abuse experiences and health care encounters retrospectively. The interviews were taped and transcribed. Using thematic analysis techniques, transcripts were read for indications of the stages of change and for participants' desires concerning appropriate physician management.RESULTS Participants believed that physicians should screen women for IPV both on a routine basis and when symptoms indicating possible abuse are present, even if the victim does not disclose the abuse. Screening is an important tool to capture those women early in the process of victimization. When a victim does not recognize her relationship as abusive, participants recommended that physicians raise the issue by asking, but they also warned that doing more may alienate the victim. Participants also encouraged physicians to explore clues that victims might give about the abuse. In later contemplation, victims are willing to disclose the abuse and are exploring options. Physicians were encouraged to affi rm the abuse, know local resources for IPV victims, make appropriate referrals, educate victims about how the abuse affects their health, and document the abuse. Participants identifi ed a variety of internal and external factors that had affected their processes. CONCLUSIONSIn hindsight, IPV victims recommended desired actions from physicians that could help them during early stages of coming to terms with their abusive relationships. Stage-matched interventions may help physicians manage IPV more effectively and avoid overloading the victim with information for which she is not ready. BACKGROUNDI n the primary care offi ce, 11% to 22% of women are currently experiencing physical abuse. [1][2][3] Studies show that intimate partner violence or abuse (IPV) affects the physical and mental health of victims [4][5][6][7][8][9][10][11][12] and of children who witness it. [13][14][15][16][17][18] Because IPV is commonplace and the consequences of IPV are serious, professional organizations recommend that physicians routinely screen the woman alone without her spouse or children. [19][20][21][22][23] The value of screening for IPV when effectiveness has not been proved remains subject to controversy. 24,25 Rhodes and Levinson 26 remind us, however, that physicians will continue to see both men and women who are abused and that the recognition of abuse may infl uence the evaluation of the patient' s complaints as well as the outcomes of care.Studies show that physicians are not screening. [27][28][29] The reported barriers One barrier not mentioned in the literature is that children are often with their mothers in the offi ce. Sometimes children accompany their mothers to her medical appointments (8%), and often mothers bring children to ...

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Section: Introductionmentioning

confidence: 99%

Medical Management of Intimate Partner Violence Considering the Stages of Change: Precontemplation and Contemplation

Zink

Elder

Jacobson

et al. 2004

The Annals of Family Medicine

129

114

View full text Add to dashboard Cite

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“…16 Barriers to screening expressed by physicians include inadequate training, time constraints, and lack of resources to address interpersonal violence. 17 Physicians interviewed as part of a qualitative study attempting to explore these barriers did not believe that intimate partner violence was a medical issue or that finding solutions was within their scope of practice.…”

mentioning

confidence: 99%

Assessment for Intimate Partner Violence: Where Do We Stand?

Janssen

Dascal-Weichhendler²,

McGregor³

2006

The Journal of the American Board of Family Medicine

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“…Ten percent or less of adult providers routinely screen their patients for IPV. [11][12][13][14] Barriers to screening include time constraints, discomfort with the subject, fear of offending the patient, frustration with patient's denial, lack of skills and resources to manage IPV, and the fear of opening "Pandora's box." [15][16][17][18] For these reasons, and because physicians do not think of older women as victims of IPV, screening for IPV rarely occurs with older patients.…”

mentioning

confidence: 99%

Intimate Partner Violence: What Are Physicians' Perceptions?

Zink¹,

Regan²,

Goldenhar³

et al. 2004

The Journal of the American Board of Family Medicine

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Background: Intimate partner violence (IPV) is common in primary care; 11% to 22% of women experienced physical abuse in the past year. Older women experience IPV as well, but it is often undetected. This study examined primary care providers' awareness about IPV in older women, including their screening practices and management.Methods: Interviews and focus groups were conducted with 44 primary care providers. Thematic analysis was used to identify common themes.Results: Providers fell along a continuum of thoroughness for identifying and managing IPV in older women, ranging from suboptimal to thorough identification of IPV and suboptimal to thorough management of the patient. In addition to the barriers commonly reported about IPV screening in younger women, providers described limited understanding of the diagnoses commonly associated with IPV, frustration with older women's unwillingness to disclose problems and ask for help, and limited community services that accommodate older women with IPV. Providers recommended that communities sponsor public awareness campaigns about IPV as a problem for all women and that aging and IPV agencies work together.Conclusions

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A Statewide Survey of Domestic Violence Screening Behaviors Among Pediatricians and Family Physicians

Cited by 68 publications

References 25 publications

Medical Management of Intimate Partner Violence Considering the Stages of Change: Precontemplation and Contemplation

Medical Management of Intimate Partner Violence Considering the Stages of Change: Precontemplation and Contemplation

Assessment for Intimate Partner Violence: Where Do We Stand?

Intimate Partner Violence: What Are Physicians' Perceptions?

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