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Domestic Violence

Rhonda A. Faulkner, PhD, Alyssa Jeanne Vest Hart, DO and Radhika Agarwal, MD Reviewed 06/2022
 


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.

  • The U.S. Preventive Services Task Force (USPSTF) in 2013 issued guidelines recommending that clinician...

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 occurred since last visit.

  • DV often requires multiple interventions over time before it is resolved.

PATIENT EDUCATION

REFERENCES

1
U.S. Preventive Services Task Force. Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults: Screening ...

ADDITIONAL READING

Lee ASD, McDonald LR, Will S, et al. Improving Provider Readiness for Intimate Partner Violence Screening. Worldviews Evid Based Nurs. 2019 Jun;16(3):204-210. ...

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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