What do I do when they disclose? Responding to intimate partner violence and coercive control in primary care

Abstract

Background Intimate partner violence (IPV), particularly coercive control by a partner, is prevalent in Australia as well as worldwide, and survivors present commonly with a range of symptoms to general practitioners (GPs). It is recommended for GPs to take a case-finding approach to identify survivors of IPV and it is important for GPs to know how to appropriately respond to disclosures. Objective This article outlines how to respond generally to disclosures in general practice using the World Health Organization ‘LIVES’ framework (Listen, Inquire about needs, Validate, Enhance safety and offer Support). We focus on enhancing safety responses to adult survivors of IPV and children affected by IPV. Discussion It is recommended for GPs to inquire about concerns, use validating statements and undertake regular risk assessment and safety planning for survivors and their children. Offers of appropriate referrals and ongoing support should be in the context of providing choice, control and advocacy.