Domestic violence: Sensitive treatment of a sensitive topic-Domestic violence: Sensitive treatment of a sensitive topic

Domestic violence: Sensitive treatment of a sensitive topic

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The article by Mark Harris in **CMA Today** (Sep/Oct 2015) discusses the pressing issue of domestic violence (DV) and its recognition as a significant public health concern. High-profile cases involving celebrities have highlighted its presence, but statistics reveal a broader crisis: over 1 in 3 women and 1 in 4 men experience intimate partner violence (IPV) in their lifetimes. The consequences include severe physical and mental health issues, such as chronic pain and mental illnesses like depression and PTSD.<br /><br />To tackle this, recent health care policies have emphasized routine screening. The 2013 U.S. Preventive Services Task Force recommended screening women of childbearing age for IPV, and the Affordable Care Act mandates that new health insurance plans cover IPV screening and counseling at no charge. These moves aim to integrate routine IPV screening and support services into patient care effectively.<br /><br />Routine screening allows health care providers to become trusted resources for patients, encouraging them to seek help when needed. The process may involve exploring patients' feelings of safety and any history of physical or emotional abuse, with screenings usually taking between 2 to 10 minutes.<br /><br />Experts like Dr. Christina Nicolaidis emphasize the importance of a sensitive approach in screening. The process should ensure privacy and be conducted in a nonjudgmental manner to build trust. This trust is crucial, as many victims fear disclosing their abuse due to potential retaliation by their abuser, a point underscored by Donna Merkel, a survivor of an abusive relationship.<br /><br />However, the uptake of routine screening remains low. Successful implementation often depends on organizational commitment and established protocols. Effective strategies include staff training, integrating screening into electronic medical records, and creating a supportive environment.<br /><br />Dr. Nicole Allen highlights the need for a coordinated community response involving various societal sectors to combat domestic violence effectively.<br /><br />In conclusion, health care providers play a vital role in addressing DV through routine screening and creating a supportive and trust-filled environment for disclosure and intervention.

Keywords

domestic violence

public health

intimate partner violence

routine screening

health care policies

U.S. Preventive Services Task Force

Affordable Care Act

patient care

mental health

community response