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Addressing Intimate Partner Violence Within the Healthcare System

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Handbook of Interpersonal Violence and Abuse Across the Lifespan

Abstract

This chapter focuses on intimate partner violence (IPV) as addressed by the healthcare system. IPV is associated with numerous physical and mental health outcomes that require survivors and perpetrators to seek medical attention more frequently than others. As such, healthcare systems, such as primary care, emergency departments, and other medical subspecialties, are often the first point of contact for IPV survivors. Further, the reduced sense of stigma and increased privacy afforded by health settings uniquely positions the healthcare system as a safe space for IPV inquiry, detection, and early prevention and intervention efforts. Yet, both lifetime and current experiences of IPV victimization are often underreported by survivors and overlooked by providers in healthcare settings. While many have called for better training of individual healthcare providers, more recently, healthcare systems have been tasked with systematically recognizing and responding to IPV in a coordinated fashion. Consequently, this chapter will review: (i) primary and second-hand exposure to IPV and its consequential effects on health, (ii) healthcare utilization and economic impacts associated with IPV, (iii) best practice recommendations for screening for IPV as well as for clinical responses following disclosure within healthcare settings, (iv) barriers to implementing screening in the current healthcare system, (v) evidence related to patients’ responses to screening, (vi) five proposed models of system level change and (vii) current efforts to move beyond screening toward universal prevention and intervention practices. Finally, this chapter will describe current models and proposed pathways to IPV prevention and intervention via coordinated, evidence-based, involvement throughout the healthcare system.

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Author information

Authors and Affiliations

  1. Department of Psychological Sciences, University of North-Carolina Charlotte, Charlotte, NC, USA

    Jennifer Langhinrichsen-Rohling

  2. Clinical and Counseling Psychology Program, University of South Alabama, Mobile, AL, USA

    Mallory Schneider

  3. Department of Community Mental Health Nursing, University of South Alabama, Mobile, AL, USA

    Candice Selwyn

  4. Clinical and Counseling Psychology Program, University of South Alabama, Mobile, AL, USA

    Emma Lathan

  5. University of South Alabama, Mobile, AL, USA

    Lameace Sayegh

  6. Department of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, WI, USA

    L. Kevin Hamberger

Authors
  1. Jennifer Langhinrichsen-Rohling
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  2. Mallory Schneider
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  3. Candice Selwyn
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  4. Emma Lathan
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  5. Lameace Sayegh
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  6. L. Kevin Hamberger
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Correspondence to Jennifer Langhinrichsen-Rohling .

Editor information

Editors and Affiliations

  1. Institute on Violence, Abuse and Trauma, Alliant International University, San Diego, CA, USA

    Robert Geffner

  2. School of Health and Human Sciences, University of North Carolina at Greensbo, Greensboro, NC, USA

    Jacquelyn W. White

  3. Dept of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, WI, USA

    L. Kevin Hamberger

  4. Department of Psychology, Northern Illinois University, DeKalb, IL, USA

    Alan Rosenbaum

  5. Ethelyn R. Strong School of Social Work, Norfolk State University, Norfolk, VA, USA

    Viola Vaughan-Eden

  6. Education and Research, Zero Abuse Project, St. Paul, MN, USA

    Victor I. Vieth

Section Editor information

  1. Consultant, Alexandria, VA, USA

    Glenna Tinney

  2. College of Arts and Sciences - Society, Culture, and Language, University of South Florida - St. Petersburg, St. Petersburg, Florida, USA

    Shelly M. Wagers

  3. University of North Carolina- Charlotte, Charlotte, NC, USA

    Jennifer Langhinrichsen-Rohling

  4. Medical College of Wisconsin, Milwaukee, WI, USA

    L. Kevin Hamberger

  5. Northern Illinois University, DeKalb, IL, USA

    Alan Rosenbaum

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Langhinrichsen-Rohling, J., Schneider, M., Selwyn, C., Lathan, E., Sayegh, L., Hamberger, L.K. (2020). Addressing Intimate Partner Violence Within the Healthcare System. In: Geffner, R., White, J.W., Hamberger, L.K., Rosenbaum, A., Vaughan-Eden, V., Vieth, V.I. (eds) Handbook of Interpersonal Violence and Abuse Across the Lifespan. Springer, Cham. https://doi.org/10.1007/978-3-319-62122-7_153-1

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