Domestic violence. Do you know when and how to intervene?

Physicians must be alert to the possibility of abuse within the family and home. They should be well prepared to help victims begin the transition to a safer environment. An awareness of the prevalence of abuse and a high index of suspicion are the most effective clinical tools for assisting victims of domestic violence. In addition, physicians need to be familiar with reporting laws in their states. Comprehensive management includes not only treatment but also investigation of injuries, reporting of suspected abuse, referral to appropriate community agencies for violence management or counseling, and addressing underlying chemical dependency or mental disorders. Close follow-up is critical to both detection and prevention. Physicians are obliged not only to treat individuals but also to support social policies that reduce family violence.