Routine Screening for Intimate Partner Violence in an Obstetrics and Gynecology Clinic

Scholle, Sarah Hudson; Buranosky, Raquel; Hanusa, Barbara H.; Ranieri, LeeAnn; Dowd, Kate; Valappil, Benita

doi:10.2105/ajph.93.7.1070

Cited by 24 publications

(13 citation statements)

References 16 publications

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“…[25][26][27][28][29] In addition, having a system-wide approach for managing IPV victims with on-site or easily accessible IPV referrals, like the Kaiser system, improves IPV management by providers. 30 One site that was part of a network of clinics, discussed the ease of managing their patients with alcohol problems because they had an on-site alcohol counselor.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…29,30 Addressing barriers and improving screening, counseling, and referral practices require attention to multiple levels within the healthcare delivery system to create a safe, trusting environment for patients. 31 Strategies include provider education, 29,[32][33][34] patient support and engagement, policies and protocols for clinical settings, [34][35][36][37] collaboration with IPV advocates, as well as environmental cues, reminders within the electronic health record (EHR), and quality incentives integrated into clinic flow. 34,38 Studies are needed on how to implement clinical guidelines for IPV screening and assessment, with attention to barriers and strategies to increase the efficiency and effectiveness of screening, counseling, and referral processes.…”

Section: Introductionmentioning

confidence: 99%

Integrating Intimate Partner Violence Assessment and Intervention into Healthcare in the United States: A Systems Approach

Miller

McCaw

Humphreys

et al. 2015

Journal of Women's Health

147

111

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The Institute of Medicine, United States Preventive Services Task Force (USPSTF), and national healthcare organizations recommend screening and counseling for intimate partner violence (IPV) within the US healthcare setting. The Affordable Care Act includes screening and brief counseling for IPV as part of required free preventive services for women. Thus, IPV screening and counseling must be implemented safely and effectively throughout the healthcare delivery system. Health professional education is one strategy for increasing screening and counseling in healthcare settings, but studies on improving screening and counseling for other health conditions highlight the critical role of making changes within the healthcare delivery system to drive desired improvements in clinician screening practices and health outcomes.This article outlines a systems approach to the implementation of IPV screening and counseling, with a focus on integrated health and advocacy service delivery to support identification and interventions, use of electronic health record (EHR) tools, and cross-sector partnerships. Practice and policy recommendations include (1) ensuring staff and clinician training in effective, client-centered IPV assessment that connects patients to support and services regardless of disclosure; (2) supporting enhancement of EHRs to prompt appropriate clinical care for IPV and facilitate capturing more detailed and standardized IPV data; and (3) integrating IPV care into quality and meaningful use measures. Research directions include studies across various health settings and populations, development of quality measures and patient-centered outcomes, and tests of multilevel approaches to improve the uptake and consistent implementation of evidence-informed IPV screening and counseling guidelines.

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“…Some of the most commonly noted obstacles include the lack of empirically supported screening instruments and validated methods for identifying and treating patients, unclear system policies for reporting and managing family violence, uncertainties about the legal/professional requirements, questions regarding the efficacy of mandatory reporting and protective services agencies to address family violence problems, the paucity of on-site multidisciplinary collaborative relationships and accessible referral resources for consultation and patient follow-up, and the absence of private areas conducive to discussing sensitive family violence issues. 14,22,30,32,36,45,57,[60][61][62][63][64] …”

Section: Scope Of Practice Concernsmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9][10][11][12] However, the precise epidemiology of family violence has been complex to establish due, in part, to patient underreporting and inconsistent detection efforts by health professionals. 13,14 For instance, despite the general consensus that family Moreover, estimates on the epidemiology of family violence are complicated by the comorbidity among different subtypes, such as the noted relationship between intimate partner violence and child abuse. 17,18 Nevertheless, prevalence estimates suggest, for example, that 25-30% of women have been physically victimized by an intimate partner, 11,19,20 that nearly 20% of men seeking emergency medical services in urban areas are intimate/family violence victims, 21 that about 1 million child abuse cases are identified annually, 20 and that more than 1.5 million elders are mistreated annually, 22 with a predicted upsurge in rates as "baby boomers" age.…”

Section: Introductionmentioning

confidence: 99%

How Much Health Promotion and Disease Prevention Is Enough? Should Chiropractic Colleges Focus on Efficacy Training in Screening for Family Violence?

Terre

Pfefer

2006

Journal of Chiropractic Education

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Introduction:Although family violence has been identified as a major public health issue, it has received little attention in the chiropractic literature. Accordingly, this article provides a conceptual overview on family violence, discusses the role of chiropractors in its detection, and raises several issues germane to chiropractic education that deserve further attention in future chiropractic publications. Methods: A selective review of the empirical literature on family violence was conducted with a focus on issues relevant to chiropractic training and professional identity. Results: Extrapolating from the research, several models for medical training and continuing education have been proposed that emphasize a multidisciplinary, developmental approach to infusing knowledge, skill building, and mentored practice experiences into professional education experiences. Conclusion: As chiropractors become more mainstream portal-of-entry providers, there is a clear need to translate the didactics of family violence into the clinical setting. Clinical education may provide students the opportunity to master basic competencies for managing challenging family violence problems. The clinical environment may be appropriate for inculcating skills commensurate with those of other primary care providers. Yet, the extent to which training priorities and approaches extrapolated from other health care disciplines should be accepted wholesale by the chiropractic profession merits further discussion, including issues around the professional identity of chiropractic, the impact of accreditation standards and practice guidelines on actual professional practice behaviors, and the possible limits and unintended consequences associated with expanding the traditional chiropractic scope of practice from a specialty to a primary care profession.

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Routine Screening for Intimate Partner Violence in an Obstetrics and Gynecology Clinic

Cited by 24 publications

References 16 publications

Intimate Partner Violence: What Are Physicians' Perceptions?

Intimate Partner Violence: What Are Physicians' Perceptions?

Integrating Intimate Partner Violence Assessment and Intervention into Healthcare in the United States: A Systems Approach

How Much Health Promotion and Disease Prevention Is Enough? Should Chiropractic Colleges Focus on Efficacy Training in Screening for Family Violence?

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