Letters to the Editor

Screening for Domestic Violence



FREE PREVIEW Log in or buy this issue to read the full article. AAFP members and paid subscribers get free access to all articles. Subscribe now.


FREE PREVIEW Subscribe or buy this issue. AAFP members and paid subscribers get free access to all articles.

Am Fam Physician. 2000 Nov 1;62(9):1965-1967.

to the editor: While I commend Drs. Nicolette and Nuovo for their in-depth editorial entitled “Reframing Our Approach to Domestic Violence: The Cyclic Batterer Syndrome,”1 it simply missed its mark. Let's face it folks, we are missing the forest for the trees here. We all know that it is a well documented fact that 90 percent of America's physicians are not even asking the question. Until we step up to the plate and take serious ownership of a universal domestic violence screening program, we will never improve our miserable performance in this public health crisis.

We cannot complicate the process, or make it more cumbersome than it already is, for the physician in the trenches. Simply put, “RADAR”2 (http://www.ultranet.com/biz/NewStandard/projects/DomVio/radar.HTML), a screening tool created by the Massachusetts College of Emergency Physicians and sponsored by such organizations as Physicians for Social Responsibility and Physicians for a Violence-Free Society, and their educational initiative “DOCumentation,” is on target and easy to implement. It simplifies a complicated intervention problem for all of us. Quite frankly, it is, and should continue to be, the standard bearer for health care domestic violence screening, identification, safety assessment and referral.

I challenge our state Academies, the American Academy of Family Physicians, the American College of Emergency Physicians, the American Academy of Obstetrics and Gynecology and the American Medical Association to adopt and implement this program. A famous author once said, “we cannot change everything that we face, but we will not change anything unless we face it.”

1. Nocolette J, Nuovo J. Reframing our approach to domestic violence: the cyclic batterer syndrome [Editorial]. Am Fam Physician. 1999;60:2498–501.

2. RADAR. Massachusetts College of Emergency Physicians. Retrieved August 17, 2000, from the World Wide Web: http://www.ultranet.com/biz/NewStandard/projects/DomVio/radar.HTML.

editor's note: This letter was sent to the authors of “Reframing our Approach to Domestic Violence: The Cyclic Batterer Syndrome,” who declined to reply.

 

Send letters to Kenneth W. Lin, MD, MPH, Associate Deputy Editor for AFP Online, e-mail: afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680.

Please include your complete address, e-mail address, and telephone number. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors.

Letters submitted for publication in AFP must not be submitted to any other publication. Possible conflicts of interest must be disclosed at time of submission. Submission of a letter will be construed as granting the American Academy of Family Physicians permission to publish the letter in any of its publications in any form. The editors may edit letters to meet style and space requirements.


Copyright © 2000 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. 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. Contact afpserv@aafp.org for copyright questions and/or permission requests.

Want to use this article elsewhere? Get Permissions


Article Tools

  • Print page
  • Share this page
  • AFP CME Quiz

Information From Industry

Navigate this Article