The USPSTF found inadequate evidence to determine the harms of screening or interventions for IPV. The U.S. Preventive Services Task Force recommends screening all female patients of childbearing age for IPV. Assessing Safety and Risk in Families Affected by Domestic WebThe Relationship Assessment Tool is a screening tool for intimate partner violence (IPV). This series is coordinated by Joanna Drowos, DO, contributing editor. WebThe Danger Assessment is a widely validated tool that determines the level of danger an abused woman has of being killed by an intimate partner. See the Clinical Considerations section for more information on effective ongoing support services for IPV and for information on IPV in men. Improving domestic violence data collection practices will more accurately reflect the prevalence of domestic violence, its case characteristics, and service utilization. See permissionsforcopyrightquestions and/or permission requests. %PDF-1.6 % Most studies included only women who could be separated from their partners during screening, during the intervention, or both so that screening and the intervention could be delivered in private. Identifying Opportunities to Improve Intimate Partner Violence Screening in a Primary Care System(PDF - 186 KB) However, based on the evidence from 3 studies,1820 effective interventions generally included ongoing support services that focused on counseling and home visits, addressed multiple risk factors (not just IPV), or included parenting support for new mothers. 1. 4 0 obj Copyright 2023 American Academy of Family Physicians. hXmo6+`,z3PKvE. Table 1 lists short- and long-term health outcomes in women who are abused.2,11,12 IPV affects pregnancy outcomes and reproductive health, leading to higher rates of miscarriage, preterm labor, and low-birth-weight infants.11 Health care costs and decreased productivity are significantly increased in survivors of abuse, amounting to an estimated $2.3 to $8.3 billion per year in the United States.6 Long-term consequences of IPV are more common in female survivors than in male survivors.4, Children living in homes where they witness IPV have the same risk of significant long-term physical and mental health problems as children who have been abused themselves.13,14 Children witnessing IPV can have increased health care costs and hospitalization rates, higher risk of being in an abusive relationship as an adult, lower immunization rates, posttraumatic stress disorder, school-related problems, and substance abuse.13, In 2013, the U.S. Preventive Services Task Force (USPSTF) began recommending routine screening for IPV in all female patients of childbearing age. No tension, some tension, a lot of tension? endstream endobj startxref The USPSTF indicates that current screening tools for IPV are sensitive and specific, that screening and intervention decrease abuse and harm to patients, and that there is a low risk of negative effects from screening.15,16, A 2014 Cochrane review contradicts the USPSTF and found insufficient evidence that routine screening improves outcomes. 1331: Domestic Violence - Lethality Assessments Do you ever feel frightened about what your partner says or does? Although all women of reproductive age are at potential risk for IPV and should be screened, a variety of factors increase risk of IPV, such as exposure to violence as a child, young age, unemployment, substance abuse, marital difficulties, and economic hardships.13 However, the USPSTF did not identify any risk assessment tools that predict greater likelihood of IPV in populations with these risk factors.
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