How Health Care Providers Can Fight Against Intimate Partner Violence

By Lisa James, Director of Health, and Vedalyn DeGuzman, Program Specialist, Futures Without Violence

Domestic violence, also known as intimate partner violence (IPV), is a health care problem of epidemic proportions. Nearly one in four women in the U.S. have experienced severe physical violence by an intimate partner in her lifetime.¹ Furthermore, a study found that women who talked to their healthcare provider about the abuse were four times more likely to use an intervention.²

In February of 2013, the U.S. Preventive Services Task Force issued new recommendations to support screening and response to IPV — recommending that health plans provide the service. Also, new guidelines in the Affordable Care Act (ACA) which ensure that select U.S. health plans will now cover annual screening and counseling for lifetime exposure to IPV, provide the opportunity to reach thousands more women and children with preventative messages and improve the health and safety of current victims of abuse.

Health care providers are in a unique position to help victims who seek routine or emergency care. However, health care providers often miss this golden opportunity to help a victim because they are not trained to screen patients for abuse. Simply by routinely screening patients for abuse and providing them with information about harm reduction strategies and referrals, we can make an enormous difference for victims and their children. In some cases, we can save lives by addressing both the acute and the immediate consequences of IPV as well as the chronic long term health conditions associated with a history of abuse.

The new health policies offer opportunities for deeper collaborations and coalition building between health providers and domestic/sexual violence advocates, and the potential for better outcomes for women. They may also likely lead to increased demands for training, coalition building and referrals over time. Millions of women, covered by employer-sponsored insurance, the new Insurance Marketplace, and Medicaid will be eligible to receive these services.

To learn more about screening in the health care setting, please view the Health Cares About IPV: Intimate Partner Violence Screening and Counseling Online Toolkit or call the National Health Resource Center on Domestic Violence at 1-415-678-5500, or e-mail: health@futureswithoutviolence.org.


¹ Black, Michele C., Kathleen C. Basile, Matthew J. Breiding, Sharon G. Smith, Mikel L. Walters, Melissa T. Merrick, Jieru Chen, and Mark R. Stevens. (2011). The National Intimate Partner and Sexual Violence Survey: 2010 Summary Report. Atlanta: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention. http://www.cdc.gov/violenceprevention/pdf/nisvs_executive_summary-a.pdf

² McCloskey LA, Lichter E, Williams C, Gerber M, Wittenberg E, Ganz M. (2006). Assessing Intimate Partner Violence in Health Care Settings Leads to Women’s Receipt of Interventions and Improved Health. Public Health Reporter. 121(4):435-444.

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Lisa James is Director of Health Care Programs at Futures Without Violence (FWV). Ms. James has collaborated with health care providers, domestic violence experts and health policy makers across the U.S. to develop statewide health care responses to domestic violence through training, health policy reform and public education. Ms. James has also worked with FWV’s international program, collaborating with leaders from non-governmental and health care organizations in Russia, Mexico, India and China to build the capacity of health systems, providers and community members to identify and help victims in reproductive health settings. Ms. James has a Master’s Degree in Women’s Studies from the University College Dublin, Ireland and a Bachelors Degree in Humanities from San Francisco State University, California.

Vedalyn DeGuzman is the Program Specialist of Health Care Programs at Futures Without Violence. Vedalyn works on several health care initiatives including the National Conference on Health and Domestic Violence which is attended by over 1,000 participants. Other initiatives involve providers from varied health settings including national educational activities with major health associations–specifically coordinating the National Health Collaborative on Violence and Abuse, a collaborative of over 25 leading national professional health associations.