WebThe AHTST is a survivor-centered, trauma-informed, and culturally appropriate intervention tool that draws from evidence- based practices and lessons learned from available screening instruments used by public health professionals in the fields of human trafficking, domestic violence, sexual assault, and HIV screening. y'pU~Ukj All women of reproductive age are at potential risk of IPV and should be screened. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. The Rural Health Information Hub The following instruments accurately detect IPV in the past year among adult women: Humiliation, Afraid, Rape, Kick (HARK); Hurt, Insult, Threaten, Scream (HITS); ExtendedHurt, Insult, Threaten, Scream (E-HITS); Partner Violence Screen (PVS); and Woman Abuse Screening Tool (WAST). x,M56]kHU+E]KDiM U.S. Department of Health & Human Services, Agency for Healthcare Research and Quality (2015), National Health Resource Center on Domestic Violence 1060 0 obj <>stream Although most physicians feel they should screen patients for IPV, only a small percentage actually do so, largely because they feel uncomfortable having such conversations.17,22, Physicians should begin by explaining why they are asking about IPV, whether it be part of screening at a wellness visit or in response to specific physical or mental health issues. The USPSTF found inadequate evidence to determine the harms of screening or interventions for IPV. Studies that included only brief interventions and provided information about referral options were generally ineffective. Integrating Intimate Partner Violence Assessment and Intervention Into Healthcare in the United States: A Systems Approach (PDF - 381 KB) Miller, McCaw, Humphreys, & Mitchell (2015) ica_zU@x^m|2YqedV0pb\;;ZS{\`Bz\t% \6p`=j1p6y+bab.pM] \C Several screening instruments can be used to screen women for IPV in the past year, such as the following: Humiliation, Afraid, Rape, Kick (HARK); Hurt/Insult/Threaten/Scream (HITS); ExtendedHurt/Insult/Threaten/Scream (E-HITS); Partner Violence Screen (PVS); and Woman Abuse Screening Tool (WAST). LH\K\5s-2m8ZQ}U!. Effective interventions generally included ongoing support services that focused on counseling and home visits, addressed multiple risk factors (not just IPV), or included parenting support for new mothers. The term elder abuse refers to acts whereby a trusted person (e.g., a caregiver) causes or creates risk of harm to an older adult.12 According to the Centers for Disease Control and Prevention, an older adult is considered to be 60 years or older.12 The legal definition of vulnerable adult varies by state but is generally defined as a person who is or may be mistreated and who, because of age, disability, or both, is unable to protect him or herself.3 Types of abuse that apply to older or vulnerable adults include physical abuse, sexual abuse, emotional or psychological abuse, neglect, abandonment, and financial or material exploitation.