Clinical Preventive Service Recommendation

Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults

The AAFP recommends that clinicians screen women of childbearing age for intimate partner violence (IPV), such as domestic violence, and provide or refer women who screen positive to intervention services. This recommendation applies to women who do not have signs or symptoms of abuse. (2013)


(Grade: B recommendation)
Grade Definition:http://www.uspreventiveservicestaskforce.org/draftrec2.htm(www.uspreventiveservicestaskforce.org)
Clinical Considerations: http://www.uspreventiveservicestaskforce.org/uspstf12/ipvelderfinalrs.htm(www.uspreventiveservicestaskforce.org)

The AAFP concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening all elderly and vulnerable adults (physically or mentally dysfunctional) for abuse and neglect. (2013)

(Grade: I statement)
Grade Definition: http://www.uspreventiveservicestaskforce.org/draftrec2.htm(www.uspreventiveservicestaskforce.org)
Clinical Considerations:http://www.uspreventiveservicestaskforce.org/uspstf12/ipvelderfinalrs.htm(www.uspreventiveservicestaskforce.org)

These recommendations are provided only as assistance for physicians making clinical decisions regarding the care of their patients. As such, they cannot substitute for the individual judgment brought to each clinical situation by the patient's family physician. As with all clinical reference resources, they reflect the best understanding of the science of medicine at the time of publication, but they should be used with the clear understanding that continued research may result in new knowledge and recommendations. These recommendations are only one element in the complex process of improving the health of America. To be effective, the recommendations must be implemented.