MODEL PROTOCOL FOR ADDRESSING DOMESTIC VIOLENCE

It is critical in any clinical setting to develop protocols that assist and support staff when caring for victims of domestic violence. A protocol enables the staff to respond to domestic violence in a comprehensive and consistent manner. Any protocol should include screening, identification/assessment, treatment, documentation, safety planning, discharge planning, and referral. A protocol can be comprehensive or brief, but it should adequately provide the staff with a blueprint for preparing for and responding effectively and efficiently to patients experiencing domestic violence.

The minimal elements that should be included are:

1. Definitions: Include types of abuse and the persons who are covered by the protocol; elder abuse and child abuse may be addressed separately.
2. Principles: Include the institution’s philosophy about and commitment to addressing domestic violence.
3. Identification and assessment procedures: Specify who is to conduct the assessment, the screening tools and procedures to be used, and how ensure safety and confidentiality will be ensured.
4. Intervention procedures: Include interviewing strategies, safety assessment, planning, and discharge instructions. Addenda should address educational materials.
5. State reporting requirements: Clarify the law. Include reporting procedures and forms, as required. Define who is responsible for making the report.
6. Confidentiality: Clarify privacy laws and ensure that the disclosure of health information serves to improve the health and safety of the victim.
7. Collection of evidence and photographs: Include procedures for collection, storage, and release of evidence; include procedures for taking photos and utilizing release forms.
8. Medical record documentation: Clarify what information is to be included in the medical record.
9. Referral and follow-up: Include instructions for resources, how to make referrals, domestic violence programs, and other community agencies. Update phone numbers regularly. Include instructions for victims to have at least one follow-up appointment.
10. Staff education plan: Describe ongoing training for all staff.
    (Futures Without Violence, 2016)