Factors that influence clinicians' assessment and management of family violence.
OBJECTIVE
High rates of family violence and low rates of detection, report, and therapeutic intervention by health professionals are well documented. This study was undertaken to determine what factors influence clinicians' decision making about identifying abuse and intervening with victims.


METHODS
Survey data about clinicians' experiences with and attitudes toward family violence were gathered by mailed questionnaire from a random sample of practicing clinicians in six disciplines (n = 1521).


RESULTS
Data showed similarities within and wide differences among three groups of subjects: dentists/dental hygienists, nurses/physicians, and psychologists/social workers. Overall, a third of subjects reported having received no educational content on child, spouse, or elder abuse in their professional training programs. Subjects with education on the topic more commonly suspected abuse in their patients than those without; among all subjects, spouse abuse was suspected more often than child abuse while elder abuse was suspected infrequently. Significant numbers of subjects did not view themselves as responsible for dealing with problems of family violence. Subjects indicated low confidence in and low compliance with mandatory reporting laws.


CONCLUSIONS
There is a need for educators to expand curricula on family violence and for legislators to reexamine mandatory reporting laws.
Tilden
V P
VP
Oregon Health Sciences University, Portland 97201.
Schmidt
T A
TA
Limandri
B J
BJ
Chiodo
G T
GT
Garland
M J
MJ
Loveless
P A
PA
D000293:Adolescent; D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D002648:Child; D002649:Child Abuse / Q000175:diagnosis; D004552:Elder Abuse / Q000175:diagnosis; D005190:Family / Q000523:psychology*; D005260:Female; D006282:Health Personnel / Q000193:education / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D015205:Northwestern United States; D012494:Sampling Studies; D013179:Spouse Abuse / Q000175:diagnosis; D011795:Surveys and Questionnaires; D014754:Violence / Q000517:prevention & control