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Domestic Violence

Rhonda A. Faulkner, PhD and Luis T. Garcia, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Domestic violence (DV) is the behavior in any relationship that is used to gain or maintain power and control over an intimate partner.

  • May include physical, sexual, and/or emotional ...

DIAGNOSIS

  • DV is often underdiagnosed, with only 10–12% of physicians conducting routine screening.

  • Although prevalence of DV in primary care settings is 7–50%, <15% are screened.

  • Pregnancy increases ...

TREATMENT

  • Treatment includes initial diagnosis; ongoing medical care; emotional support, counseling, and patient education regarding the DV cycle; referrals to community and supportive services as nee...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • Schedule prompt follow-up appointment.

  • Inquire about what has happened since last visit.

  • Review medical records and ask about past episodes to convey concern for th...

REFERENCES

1
1 U.S. Preventive Services Task Force. Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults: Screening. Rockville, MD: Agency for Healthcare Research and Quality; 2013.
2
2 S...

ADDITIONAL READING

  • Hamberger LK, Rhodes K, Brown J. Screening and intervention for intimate partner violence in healthcare settings: creating sustainable system-level programs. J Womens Health (Larchm...

CODES

ICD10

  • T74.91XA Unspecified adult maltreatment, confirmed, initial encounter

  • T74.11XA Adult physical abuse, confirmed, initial encounter

  • T74.31XA Adult psychological abuse, confirmed, initial encoun...

CLINICAL PEARLS

  • Display resource materials in the office (e.g., posting abuse awareness posters/National DV Hotline, 1-800-799-SAFE, in both English and Spanish, in all exam rooms and restrooms).

  • Given...

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