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New South Wales Public Health Bulletin New South Wales Public Health Bulletin Society
Supporting public health practice in New South Wales
RESEARCH ARTICLE

The NSW Health routine screening for domestic violence program

Joanne M. Spangaro
+ Author Affiliations
- Author Affiliations

A School of Public Health and Community Medicine, University of New South Wales

B Email: j.spangaro@student.unsw.edu.au

NSW Public Health Bulletin 18(6) 86-89 https://doi.org/10.1071/NB07063
Published: 25 July 2007

Abstract

Routine questioning of women about abuse by their intimate partner has been progressively introduced in NSW in antenatal, early childhood, alcohol and other drug and mental health services since 2001. This was done because of the serious health consequences of domestic violence and the low identification rate of abuse by health services. Following a pilot that found strong support from female patients, this strategy is now well established in NSW public health services. Recent data indicate that approximately 10 000 women a month are asked these questions and that 7.3% of them report experiences of physical abuse or fear caused by their partner or ex-partner within the past 12 months.


Acknowledgements

The input of Gwen Cosier, Primary Health and Community Partnerships Branch, NSW Department of Health who has produced each of the three one-month data snapshot reports is acknowledged. Thanks also go to Professor Anthony Zwi and Dr Ros Poulos, project supervisors, for their input. Funding for the current project is provided by the Australian Research Council and NSW Health.


References


[1] VicHealth. The health costs of violence: measuring the burden of disease caused by intimate partner violence. Department of Human Services, Victoria 2004.

[2] Access Economics. The cost of domestic violence to the Australian economy: Part 1. Canberra: Office of the Status of Women, Commonwealth of Australia, 2004.

[3] Flitcraft A,  Hadley S,  Hendricks-Matthews S,  McLeer S,  Warshaw C. American Medical Association Diagnostic and Treatment Guidelines on Domestic Violence Arch Fam Med 1992; 1 39–47.
Crossref | GoogleScholarGoogle Scholar | PubMed |

[4] NSW Department of Health. Domestic violence: policy discussion paper. Sydney: NSW Health, 1999.

[5] Irwin J, Waugh F. Unless they’re asked: routine screening for domestic violence in NSW Health – an evaluation report of the pilot project. Sydney: NSW Health, 2001.

[6] NSW Department of Health. Policy and procedures for identifying and responding to domestic violence. Sydney: NSW Health, 2003.

[7] Waalen J. Screening for intimate partner violence by health care providers: Barriers and interventions. Am J Prev Med 2000; 19(4): 230–7.
Crossref | GoogleScholarGoogle Scholar | PubMed |

[8] Stayton C,  Duncan M. Mutable influences on intimate partner abuse screening in health care settings: a synthesis of the literature. Trauma Violence Abuse 2005; 6(4): 271–85.
Crossref | GoogleScholarGoogle Scholar | PubMed |

[9] Thompson R. Identification and management of domestic violence: a randomized trial. Am J Prev Med 2000; 19(4): 253–63.
Crossref | GoogleScholarGoogle Scholar | PubMed |

[10] McLeer S,  Anwar AR,  Herman S,  Maquiling K. Education is not enough: a system failure in protecting battered women. Ann Emerg Med 1989; 18 651–3.
Crossref | GoogleScholarGoogle Scholar | PubMed |

[11] Campbell J,  Coben JH,  McLoughlin E,  Dearwater S,  Nah G,  Glass N,  Lee D,  Durborow N. An evaluation of a system-change training model to improve emergency department response to battered women. Acad Emerg Med 2001; 8 131–8.
PubMed |

[12] Mezey G,  Bacchus L,  Haworth A,  Bewley S. Midwives perceptions and experiences of routine enquiry for domestic violence Br J Obstet Gynaecol 2003; 110 744–52.


[13] Preliminary data – Primary Health and Community Partnerships Branch, NSW Department of Health, January 2007.

[14] NSW Department of Health. Routine screening for domestic violence program: snapshot report 2. Sydney: NSW Health, 2005.

[15] NSW Department of Health. Routine screening for domestic violence program: snapshot report 1. Sydney: NSW Department of Health, 2004.

[16] Mouzos J, Makkai T. Women’s experiences of male violence: findings from the Australian component of the International Violence Against Women Survey (IVAWS) in Research and Public Policy Series, No 56. Canberra: Australian Institute of Criminology, 2004.

[17] Ramsay J,  Richardson J,  Carter YH,  Davidson LL,  Feder G. Should health professionals screen women for domestic violence? systematic review. BMJ 2002; 325 314–26.
Crossref | GoogleScholarGoogle Scholar | PubMed |

[18] Wathen N,  Macmillan H,  Canadian Taskforce on Preventive Health Care . Prevention of violence against women: recommendation statement from the Canadian Task Force on Preventive Health Care. CMAJ 2003; 169(6): 582–4.
PubMed |

[19] Nelson H,  Nygren P,  McInerney Y,  Klein J. Screening women and elderly adults for family and intimate partner violence: a review of the evidence for the US Preventive Services Taskforce. Ann Intern Med 2004; 140(5): 387–96.
PubMed |

[20] Lachs M. Screening for family violence: what’s an evidence based doctor to do? Ann Intern Med 2004; 140(5): 399–400.
PubMed |

[21] Hegarty K, Feder G, Ramsay J. Identification of intimate partner abuse in health care settings: should health professionals be screening? Chapter 5. In: Roberts G, Hegarty K, Feder G, editors. Intimate partner abuse and health professionals: new approaches to domestic violence. London: Elsevier Churchill Livingstone, 2006.

[22] Rodriguez MA,  Bauer HM,  McLoughlin E,  Grumbach K. Screening and Intervention for Intimate Partner Abuse: Practices and Attitudes of Primary Care Physicians. JAMA 1999; 282(5): 468–74.
Crossref | GoogleScholarGoogle Scholar | PubMed |

[23] Taket A,  Wathen CN,  MacMillan H. Should health professionals screen all women for domestic violence? PLoS Med 2004; 1 e4.
Crossref | GoogleScholarGoogle Scholar | PubMed |

[24] McFarlane J,  Groff JY,  O’Brien JA,  Watson K. Secondary prevention of intimate partner violence Nurs Res 2006; 55(1): 52–61.
Crossref | GoogleScholarGoogle Scholar | PubMed |

[25] Taket A,  Nurse J,  Smith K,  Watson J,  Shakespeare J,  Lavis V,  Cosgrove K,  Mulley K,  Feder G. Routinely asking women about domestic violence in health settings. BMJ 2003; 327 673–6.
Crossref | GoogleScholarGoogle Scholar | PubMed |

[26] Janssen P,  Hagit D-W,  McGregor M. Assessment for Intimate Partner Violence: Where Do We Stand? J Am Board Fam Med 2006; 19 413–5.
PubMed |