Improving Domestic Violence Screening and Follow-Up in a Community Health Clinic

Purpose: To implement an improved DV screening and follow-up protocol at a suburban community health clinic that is consistently used by staff with appropriate female patients as well as to assess provider/staff barriers to this. Methods: The project was completed at a community health clinic and in...

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Bibliographic Details
Main Authors: Katherine Collins, Silviya Kochuparambil Sebastian, Gwyneth Franck
Format: Article
Language:English
Published: SAGE Publishing 2023-07-01
Series:Journal of Primary Care & Community Health
Online Access:https://doi.org/10.1177/21501319231189074
Description
Summary:Purpose: To implement an improved DV screening and follow-up protocol at a suburban community health clinic that is consistently used by staff with appropriate female patients as well as to assess provider/staff barriers to this. Methods: The project was completed at a community health clinic and included 2 presentations: the first to outline current practices as well as the intervention plan at the pre-intervention time point and then to review results of the intervention and elicit feedback post intervention. Provider/staff barrier surveys were completed at both time points. The intervention consisted of completion of the HITS DV screening tool on all appropriate female patients and a system-level algorithm-based follow-up care plan for positive cases. Results: Eligible patient screening increased by 3.1% and patients screening positive increased from 0 to 1 from baseline to intervention. Average scores on the barrier surveys improved for all questions and improved significantly for 3 of the questions. The algorithm implemented was utilized for the positive screening. Conclusions: Use of a DV screening tool, that has shown good concurrent and construct validity in the literature, a system-level algorithm for follow-up care and addressing provider/staff barriers to screening and follow-up are essential components of a successful DV screening and follow-up program.
ISSN:2150-1327