Domestic Violence

Rhonda A. Faulkner, PhD and Luis T. Garcia, MD Reviewed 06/2017
 


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 ris...

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

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

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.  ...

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...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×