Tags

Type your tag names separated by a space and hit enter

Intimate partner violence: counseling, community resources, and legal issues for IPV victims and perpetrators.
FP Essent. 2013 Sep; 412:18-23.FE

Abstract

The family physician's office is a potentially safe place to discuss intimate partner violence (IPV). RADAR (Remember to ask routinely, Ask directly [in private], Document findings, Assess safety, Review options) is a tool for identifying and responding to IPV. Physicians should ask permission to document abuse, consider using a body map, and ensure confidentiality. They should also assess immediate safety by asking about weapons in the home, children's safety, and the likelihood that the perpetrator will harm him- or herself or others. Federal privacy laws require physicians to inform patients about health information disclosure. Because mandatory reporting varies by state, physicians should communicate clearly the office's responsibilities. Interventions are based on an advocacy model that requires appropriate training and establishment of links to community-based resources. Brief advocacy includes providing information cards, whereas intensive intervention includes IPV education, danger assessment, prevention options, safety planning, and community referrals. The Stages of Change Model may help physicians understand a patient's readiness and ability to make a change. For the IPV survivor who has left an abusive partner, physicians should be aware of the challenges of safety, health, legal, and financial issues; protection orders are a possible safety strategy. The most common intervention for perpetrators is a batterer intervention program. Couples counseling by family physicians is contraindicated.

Authors+Show Affiliations

Chen PH
University of Medicine and Dentistry of New Jersey-New Jersey Medical School, 183 South Orange Avenue BHSB-E1557, Newark, NJ 07103, chenpi@umdnj.edu.
Jacobs A
No affiliation info available
Rovi SL
No affiliation info available

MeSH

Battered WomenCommunity Health ServicesConfidentialityCounselingDocumentationFemaleHumansMandatory ReportingMass ScreeningPatient Education as TopicPatient SafetyRisk AssessmentSpouse Abuse

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24053261

Citation

Chen, Ping-Hsin, et al. "Intimate Partner Violence: Counseling, Community Resources, and Legal Issues for IPV Victims and Perpetrators." FP Essentials, vol. 412, 2013, pp. 18-23.
Chen PH, Jacobs A, Rovi SL. Intimate partner violence: counseling, community resources, and legal issues for IPV victims and perpetrators. FP Essent. 2013;412:18-23.
Chen, P. H., Jacobs, A., & Rovi, S. L. (2013). Intimate partner violence: counseling, community resources, and legal issues for IPV victims and perpetrators. FP Essentials, 412, 18-23.
Chen PH, Jacobs A, Rovi SL. Intimate Partner Violence: Counseling, Community Resources, and Legal Issues for IPV Victims and Perpetrators. FP Essent. 2013;412:18-23. PubMed PMID: 24053261.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intimate partner violence: counseling, community resources, and legal issues for IPV victims and perpetrators. AU - Chen,Ping-Hsin, AU - Jacobs,Abbie, AU - Rovi,Susan L D, PY - 2013/9/24/entrez PY - 2013/9/24/pubmed PY - 2013/12/19/medline SP - 18 EP - 23 JF - FP essentials JO - FP Essent VL - 412 N2 - The family physician's office is a potentially safe place to discuss intimate partner violence (IPV). RADAR (Remember to ask routinely, Ask directly [in private], Document findings, Assess safety, Review options) is a tool for identifying and responding to IPV. Physicians should ask permission to document abuse, consider using a body map, and ensure confidentiality. They should also assess immediate safety by asking about weapons in the home, children's safety, and the likelihood that the perpetrator will harm him- or herself or others. Federal privacy laws require physicians to inform patients about health information disclosure. Because mandatory reporting varies by state, physicians should communicate clearly the office's responsibilities. Interventions are based on an advocacy model that requires appropriate training and establishment of links to community-based resources. Brief advocacy includes providing information cards, whereas intensive intervention includes IPV education, danger assessment, prevention options, safety planning, and community referrals. The Stages of Change Model may help physicians understand a patient's readiness and ability to make a change. For the IPV survivor who has left an abusive partner, physicians should be aware of the challenges of safety, health, legal, and financial issues; protection orders are a possible safety strategy. The most common intervention for perpetrators is a batterer intervention program. Couples counseling by family physicians is contraindicated. SN - 2159-3000 UR - https://www.unboundmedicine.com/medline/citation/24053261/Intimate_partner_violence:_counseling_community_resources_and_legal_issues_for_IPV_victims_and_perpetrators_ L2 - https://www.who.int/reproductivehealth/publications/cancers/a92126/en/ DB - PRIME DP - Unbound Medicine ER -