Screening for intimate partner violence by health care providersBarriers and interventions

Waalen, Jill; Goodwin, Mary; Spitz, Alison M.; Petersen, Ruth; Saltzman, Linda E.

doi:10.1016/s0749-3797(00)00229-4

Cited by 393 publications

(325 citation statements)

References 32 publications

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“…Although several obstacles exist for intimate partner violence screening in the ED, including fear of offending the patient, patient nondisclosure, 14 lack of resources, 15 lack of education of medical personnel, lack of specific treatment protocols, time constraints, and lack of support staff (eg, social workers), 16 our research demonstrates that universal intimate partner violence screening in the ED is possible and resulted in utilization of resources and safety measures. Moreover, in this large cohort of screened patients there was no evidence of any harm related to intimate partner violence screening and referral.…”

Section: Discussionmentioning

confidence: 82%

Does Screening in the Emergency Department Hurt or Help Victims of Intimate Partner Violence?

Houry

Kaslow

Kemball

et al. 2008

Annals of Emergency Medicine

108

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Study objective: Recent systematic reviews have noted a lack of evidence that screening for intimate partner violence does more good than harm. We assess whether patients screened for intimate partner violence on a computer kiosk in the emergency department (ED) experienced any adverse events during or subsequent to the ED visit and whether computer kiosk identification and referral of intimate partner violence in the ED setting resulted in safety behaviors or contact with referrals.Methods: We conducted a prospective, observational study in which a convenience sample of male and female ED patients triaged to the waiting room who screened positive (on a computer kiosk-based questionnaire) for intimate partner violence in the past year were provided with resources and information and invited to participate in a series of follow-up interviews. At 1-week and 3-month follow-up visits, we assessed intimate partner violence, safety issues, and use of resources. In addition, to obtain an objective measure of safety, we assessed the number of violence-related 911 calls to participant addresses within a call district 6 months before and 6 months after the index ED visit.Results: Of the 2,134 participants in a relationship in the last year, 548 (25.7%) screened positive for intimate partner violence. No safety issues, such as calling security or a partner's interference with the screening, occurred during the ED visit for any patient who disclosed intimate partner violence. Of the 216 intimate partner violence victims interviewed in person and 65 contacted by telephone 1 week later, no intimate partner violence victims reported any injuries or increased intimate partner violence resulting from participating in the study. For the sample in the local police district, there was no increase in the number of intimate partner violence victims who called 911 in the 6 months after the ED visit. Finally, 35% (n131) reported they had contacted community resources during the 3-month follow-up period.Conclusion: Among patients screening positive for intimate partner violence, there were no identified adverse events related to screening, and many had contacted community resources. Study objective: Recent systematic reviews have noted a lack of evidence that screening for intimate partner violence does more good than harm. We assess whether patients screened for intimate partner violence on a computer kiosk in the emergency department (ED) experienced any adverse events during or subsequent to the ED visit and whether computer kiosk identification and referral of intimate partner violence in the ED setting resulted in safety behaviors or contact with referrals. Comments Postprint version. Published inMethods: We conducted a prospective, observational study in which a convenience sample of male and female ED patients triaged to the waiting room who screened positive (on a computer kioskbased questionnaire) for intimate partner violence in the past year were provided with resources and information and invited to participate in a ...

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Section: Discussionmentioning

confidence: 82%

Does Screening in the Emergency Department Hurt or Help Victims of Intimate Partner Violence?

Houry

Kaslow

Kemball

et al. 2008

Annals of Emergency Medicine

108

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“…Although healthcare use is common among women who experience IPV and several professional medical organizations have recently begun to endorse screening and counseling for physical IPV, [45][46][47][48][49][50][51][52] healthcare providers have demonstrated reluctance to carry out such screening and counseling. [53][54][55] Common reasons for this include the perception that IPV is rare, lack of confidence and discomfort in asking about physical abuse, and feeling powerless to do anything about IPV. Assessment tools for IPV screening currently are available from such organizations as the American College of Obstetricians and Gynecologists, 46 the American Medical Association, 56 the Family Violence Prevention Fund, 57 and American Academy of Family Physicians.…”

Section: Resultsmentioning

confidence: 99%

Preventive Healthcare Use, Smoking, and Alcohol Use among Rhode Island Women Experiencing Intimate Partner Violence

Lemon

Verhoek-Oftedahl

Donnelly

2002

Journal of Women's Health & Gender-Based Medicine

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“…However, HCPs face many barriers, largely fueled by lack of education, in routinely identifying and providing assistance to these women (Yeung et al 2012, Sprague et al 2012. Multiple educational programs have been developed to help HCPs ask women about IPV and assist women experiencing IPV; however, substantial variation in program content and effectiveness has created challenges in drawing conclusions (Davidson et al 2001, Waalen et al 2000, Zaher, Keogh, and Ratnapalan 2014.…”

Section: And 83 Billion Dollars In the Us (Center For Disease Contromentioning

confidence: 99%

A scoping review of intimate partner violence educational programs for health care professionals

et al. 2018

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Background: Multiple intimate partner violence (IPV) educational programs have been developed for health care professionals (HCPs); however, program content and effectiveness vary substantially. The purpose of this scoping review was to identify and synthesize the literature evaluating IPV education programs for HCPs to identify key areas for potential evidence-based recommendations and focus future research priorities. Methods: We conducted a systematic literature search using broad eligibility criteria to identify studies published between January 2000 and July 2015 that evaluated the effectiveness of IPV education programs in health care settings. All potentially eligible references were screened independently by two reviewers. Data extraction was completed independently by two reviewers for all eligible studies. Descriptive statistics were used to summarize all data. Results: We identified 65 eligible studies, 55% of which reported positive program effectiveness. Effective programs often reported the use of online training components, delivery by an IPV educator/ expert or physician/surgeon, the inclusion of a treatment protocol and resources for patients and HCPs, and included more than five training sessions lasting no more than one hours each.Conclusions: Our results demonstrate that IPV educational programs are heterogeneous and that a wide variety of methodologies have been used to evaluate their effectiveness.

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Screening for intimate partner violence by health care providersBarriers and interventions

Cited by 393 publications

References 32 publications

Does Screening in the Emergency Department Hurt or Help Victims of Intimate Partner Violence?

Does Screening in the Emergency Department Hurt or Help Victims of Intimate Partner Violence?

Preventive Healthcare Use, Smoking, and Alcohol Use among Rhode Island Women Experiencing Intimate Partner Violence

A scoping review of intimate partner violence educational programs for health care professionals

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