Factors that influence clinicians' assessment and management of family violence

Datos Bibliográficos

ID11029435
AutoresVirginia P Tilden (0000-0001-8111-6766, Oregon Health & Science University), Thomas Schmidt (0000-0003-4389-2080), T A Schmidt, Barbara J Limandri (Oregon Health & Science University), G T Chiodo (Oregon Health & Science University), M J Garland, Michael Garland (0000-0001-6093-7602, Oregon Health & Science University), P A Loveless, Peggy Loveless (Oregon Health & Science University)
Año1994
Volumen84
Número4
Páginas628-633
Fecha de publicación1994-04-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAmerican Journal of Public Health (JOURNAL)
Identificadores de la revistaISSN: 0090-0036 • E-ISSN: 1541-0048
EditorialAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.84.4.628
PMID8154568
OpenAlexW2079284458
IdiomaEN
Citas recibidas41
Referencias citadas31

OBJECTIVES. High rates of family violence and low rates of detection, report, and therapeutic intervention by health professionals are well documented. This study was undertaken to determine what factors influence clinicians' decision making about identifying abuse and intervening with victims. METHODS. Survey data about clinicians' experiences with and attitudes toward family violence were gathered by mailed questionnaire from a random sample of practicing clinicians in six disciplines (n = 1521). RESULTS. Data showed similarities within and wide differences among three groups of subjects: dentists/dental hygienists, nurses/physicians, and psychologists/social workers. Overall, a third of subjects reported having received no educational content on child, spouse, or elder abuse in their professional training programs. Subjects with education on the topic more commonly suspected abuse in their patients than those without; among all subjects, spouse abuse was suspected more often than child abuse while elder abuse was suspected infrequently. Significant numbers of subjects did not view themselves as responsible for dealing with problems of family violence. Subjects indicated low confidence in and low compliance with mandatory reporting laws. CONCLUSIONS. There is a need for educators to expand curricula on family violence and for legislators to reexamine mandatory reporting laws

Child abuse · Curriculum · Domestic violence · Family medicine · Injury prevention · Intervention (counseling) · Medical emergency · Occupational safety and health · Poison control · Psychiatry · Spouse · Suicide prevention · Child Abuse and Trauma · Clinical Psychology · Elder Abuse and Neglect · Intimate Partner and Family Violence · Medicine · Psychology