Intimate partner violence victimization: identification and response in primary care.
In the United States more than 1 out of 3 women experiences lifetime intimate partner violence (IPV) victimization. Short screening instruments such as HITS or the AAS can identify IPV victimization. Nonjudgmental statements that validate an IPV victim's experience should be followed by safety assessment and planning. Intervention includes referral to services, treatment of associated health conditions, mandatory reporting if required, and documentation. Counseling has been shown to reduce IPV victimization. Clinical guidelines recommend IPV screening for all or most women, and providing or referring victims to intervention. The Affordable Care Act will increase coverage of screening and counseling for IPV victims.
Department of Family Medicine, University of Michigan, 1150 West Medical Center Drive, M7300 Med Sci I, Ann Arbor, MI 48109-5625, USA; Department of Emergency Medicine, Institute for Healthcare Policy and Innovation, University of Michigan Injury Center, 2800 Plymouth Road, Suite B10-G080, Ann Arbor, MI 48109-2800, USA. Electronic address: vijaysin@umich.edu.
Vijay
V
Singh
Department of Family Medicine, University of Michigan, 1150 West Medical Center Drive, M7300 Med Sci I, Ann Arbor, MI 48109-5625, USA; Department of Family Medicine, University of Michigan, 200 Arnet Street, Suite 200, Ypsilanti, MI 48109-1213, USA.
Ketti
K
Petersen
Department of Health Management and Policy, School of Public Health, University of Michigan, 1415 Washington Heights, M3533 SPH II, Ann Arbor, MI 48109-2029, USA.
Simone Rauscher
SR
Singh
D003219:Confidentiality; D019548:Crime Victims / Q000523:psychology; D057286:Electronic Health Records / Q000458:organization & administration; D005260:Female; D006801:Humans; D008403:Mass Screening / Q000458:organization & administration*; D008603:Mental Health / Q000706:statistics & numerical data; D018802:Patient-Centered Care / Q000458:organization & administration; D017410:Practice Guidelines as Topic; D015995:Prevalence; D011320:Primary Health Care / Q000458:organization & administration*; D013179:Spouse Abuse / Q000175:diagnosis* / Q000523:psychology / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000453:epidemiology; D014481:United States
Assessment; Documentation; Domestic violence; Intervention; Intimate partner violence; Screening; Victimization