Intimate Partner Violence Screening and Counseling: An Introductory Session for Health Care Professionals

Publication ID Published Volume
10622 September 5, 2017 13

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Abstract

Introduction: Intimate partner violence is a serious public health concern in the United States. Despite recommendations that physicians should routinely screen their patients, research has shown that lack of specific training has resulted in many health care professionals feeling unable to adequately perform this difficult but vital task. Though many educational resources exist to teach intimate partner violence screening, they often lack specific guidance on how to navigate this difficult conversation. In addition, they often lack formal teaching on how to counsel and refer patients who are victims of intimate partner violence. Methods: This unique module, intended for a small-group setting of four to eight students, contains an intimate partner violence checklist with sample language that covers both screening and counseling using a motivational interviewing framework. Additional materials include a checklist companion for tips on how to navigate the conversation, two cases for role-play, a facilitator guide, and an objective structured clinical encounter case and assessment rubric. Results: This module was given to 260 second-year medical students at the Warren Alpert Medical School between 2015 and 2017 and was rated highly by almost 90% of students. Discussion: After completing this module, learners will be able to appropriately screen for intimate partner violence as well as counsel and refer patients who have screened positive. By implementing this module, educators can increase the number of health care professionals able to broach this difficult conversation with patients who may be in need of help and may otherwise go unaided.

Citation

Schrier MW, Rougas SC, Schrier EW, Elisseou S, Warrier S. Intimate partner violence screening and counseling: an introductory session for health care professionals. MedEdPORTAL Publications. 2017;13:10622. https://doi.org/10.15766/mep_2374-8265.10622

Educational Objectives

By the end of this session, learners will be able to:

  1. Recognize signs and symptoms of intimate partner violence.
  2. Utilize interview techniques to screen patients for intimate partner violence.
  3. Navigate potential roadblocks during the patient interview, such as denial and resistance to change, using the motivational interviewing framework.
  4. Identify resources to support victims of intimate partner violence.

Keywords

  • Intimate Partner Violence, Clinical Skills Training, Motivational Interviewing, Counseling

References

  1. Breiding MJ, Smith SG, Basile KC, Walters ML, Chen J, Merrick MT. Prevalence and characteristics of sexual violence, stalking, and intimate partner violence victimization—National Intimate Partner and Sexual Violence Survey, United States, 2011. MMWR CDC Surveill Summ. 2014;63(8):1-18.

  2. Cronholm PF, Fogarty CT, Ambuel B, Harrison SL. Intimate partner violence. Am Fam Physician. 2011;83(10):1165-1172.

  3. Eckhardt CI, Murphy CM, Whitaker DJ, Sprunger J, Dykstra R, Woodard K. The effectiveness of intervention programs for perpetrators and victims of intimate partner violence. Partner Abuse. 2013;4(2):196-231. https://doi.org/10.1891/1946-6560.4.2.196

  4. Edwardsen EA, Morse DS, Frankel RM. Structured practice opportunities with a mnemonic affect medical student interviewing skills for intimate partner violence. Teach Learn Med. 2006;18(1):62-68. https://doi.org/10.1207/s15328015tlm1801_13

  5. Gilbert L, Shaw SA, Goddard-Eckrich D, et al. Project WINGS (Women Initiating New Goals of Safety): a randomised controlled trial of a screening, brief intervention and referral to treatment (SBIRT) service to identify and address intimate partner violence victimisation among substance‐using women receiving community supervision. Crim Behav Ment Health. 2015;25(4):314-329. https://doi.org/10.1002/cbm.1979

  6. Jonassen JA, Mazor K, Sefton L. Identification of factors that influence the likelihood of screening for domestic violence by medical students and residents. Acad Med. 2001;76(5):529. https://doi.org/10.1097/00001888-200105000-00065

  7. Jung D, Kavanagh M, Joyce B, Lucia V, Afonso N. Novice health care students learn intimate partner violence communication skills through standardized patient encounters. MedEdPORTAL Publications. 2015;11:9977. https://doi.org/10.15766/mep_2374-8265.9977

  8. Klevens J, Sadowski LS, Kee R, Garcia D. Does screening or providing information on resources for intimate partner violence increase women’s knowledge? Findings from a randomized controlled trial. J Womens Health Issues Care. 2015;4(2):181. https://doi.org/10.4172/2325-9795.1000181

  9. Moyer VA; for U.S. Preventive Services Task Force. Screening for intimate partner violence and abuse of elderly and vulnerable adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2013;158(6):478-486. https://doi.org/10.7326/0003-4819-158-6-201303190-00588

  10. Pais S, Laskey A, Graves A, Griffith D, Fife R, Litzelman D. Family violence interactive experience. MedEdPORTAL Publications. 2009;5:7890. https://doi.org/10.15766/mep_2374-8265.7890

  11. Rhodes KV, Rodgers M, Sommers M, et al. Brief motivational intervention for intimate partner violence and heavy drinking in the emergency department: a randomized clinical trial. JAMA. 2015;314(5):466-477. https://doi.org/10.1001/jama.2015.8369

  12. Rivas C, Ramsay J, Sadowski L, et al. Advocacy interventions to reduce or eliminate violence and promote the physical and psychosocial well-being of women who experience intimate partner abuse. Cochrane Database Syst Rev. 2015;(12):CD005043. https://doi.org/10.1002/14651858.CD005043.pub3

  13. Safety planning. Domestic Violence Resource Center website. http://www.dvrc-or.org/safety-planning/

  14. Sherin KM, Sinacore JM, Li XQ, Zitter RE, Shakil A. HITS: a short domestic violence screening tool for use in a family practice setting. Fam Med. 1998;30(7):508-512.

  15. Sprague S, Madden K, Simunovic N, et al. Barriers to screening for intimate partner violence. Women Health. 2012;52(6):587-605. https://doi.org/10.1080/03630242.2012.690840

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