Increasing Physician Inquiry for Intimate Partner Violence in a Family Medicine Setting: Placing a Screening Prompt on the Patient Record

Intimate Partner Violence Victimization Among Women Veterans: Health, Health Care Service Use, and Opportunities for Intervention

“…Based on our research and best practices in the field (Family Violence Prevention Fund, 2004), we recommend that VA clinical practices receive training in identifying, assessing, and addressing IPV among the patient population; have a protocol for documentation of IPV disclosure to facilitate ongoing and coordinated care; and utilize the Patient-Aligned Care Team and women veterans program manager programs to meet patients' IPVrelated health and social service needs and coordinate varied services. A prompt in the medical record for providers to inquire about IPV would likely increase providers' attention to the issue (Hamberger, Guse, Patel, & Griffin, 2010). Future research should focus on identifying the IPV-related service needs of women veterans and the development, implementation, and evaluation of VHA-based intervention programs to meet these needs.…”

Getting Routine Intimate Partner Violence Screening Right: Implementation Strategies Used in Veterans Health Administration (VHA) Primary Care

“…13,30 These 5 strategies are also concordant with strategies used to complement providers' IPV education as noted in prior literature (eg, having an onsite clinician to provide follow-up services, involving executive board or stakeholder groups, and eliciting staff feedback). [21][22][23][24]26,27 Although late-adopting sites had not used these strategies at the time of this study's data collection, it is possible that these sites eventually used one or more of these strategies as their implementation efforts continued. Additional site-specific barriers likely contributed to the selection of strategies at different sites.…”

“…19 In addition, there are common logistical barriers such as time constraints, competing priorities within visits, and lack of referral options for counseling or support services. 13,16,18,20 Additional implementation strategies used to promote IPV screening include (1) giving providers screening guidelines or protocols, 19 (2) placing screening prompts for providers in patients' health records 21 or changing the record system to provide reminders in patients' health records, [22][23][24][25] (3) having a designated victim advocate onsite, 19 (4) involving executive boards 24 or stakeholder groups, 26 and (5) soliciting feedback from staff and other clinic representatives. 26,27 However, it is unclear from the literature how effective each of these strategies is on their own or when used in combination.…”

Screening and Intervention for Intimate Partner Violence in Healthcare Settings: Creating Sustainable System-Level Programs

“…31,32 This would involve incorporating IPV screening within broader systems-level changes. 16,[32][33][34] Research has shown that by making changes at the system level, dramatic increases in IPV screening can be realized when these changes are paired with the presence of in-house IPV-victim advocates. [34][35][36][37][38] Comprehensive reviews have also demonstrated the importance of system-level change and support to facilitate IPV screening and intervention.…”

“…16,[32][33][34] Research has shown that by making changes at the system level, dramatic increases in IPV screening can be realized when these changes are paired with the presence of in-house IPV-victim advocates. [34][35][36][37][38] Comprehensive reviews have also demonstrated the importance of system-level change and support to facilitate IPV screening and intervention. 37,38 This suggests that in order to reach the goal of the IOM, both screening and high-quality long-term IPV services will need to be paired at the point of care.…”