Addressing Caregiver Intimate Partner Violence in the Pediatric Emergency Department

Cheyenne Smith1, Ashlee Murray2

  • 1Resident, Department of Pediatrics,Children's Hospital of Philadelphia, Philadelphia, PA.

PubMed

Insights

Intimate partner violence (IPV) affects 1 in 4 children, impacting their health. Pediatric emergency departments can improve identification and support for families experiencing IPV through universal education and trauma-informed care.

Area of Science:

  • Pediatrics
  • Public Health
  • Social Science

Background:

  • Caregiver intimate partner violence (IPV) is a significant public health issue, with approximately 25% of children exposed to family violence.
  • Exposure to IPV is linked to adverse physical, emotional, and cognitive developmental outcomes in children.
  • Pediatric emergency departments (EDs) serve as crucial settings for identifying and intervening in cases of caregiver IPV due to frequent healthcare utilization by affected families.

Purpose of the Study:

  • To explore the prevalence of caregiver intimate partner violence (IPV) in pediatric settings.
  • To identify best practices for the identification, trauma-informed care, documentation, and resource provision for caregiver IPV within pediatric emergency departments (EDs).
  • To advocate for universal education strategies to normalize conversations and enhance support access for caregivers affected by IPV.

Main Methods:

  • Review of current literature and clinical guidelines on caregiver IPV in pediatric emergency settings.
  • Exploration of the prevalence and impact of IPV on child health outcomes.
  • Analysis of best practices for screening, intervention, and resource allocation in pediatric EDs.
  • Highlighting the American Academy of Pediatrics-endorsed universal education approach.

Main Results:

  • Caregiver IPV is prevalent, necessitating proactive identification and intervention strategies in pediatric EDs.
  • Universal education, providing IPV resources to all caregivers, is an effective method to normalize discussions and increase support access.
  • Implementing trauma-informed care, thorough documentation, and resource provision are key components of effective intervention.

Conclusions:

  • Pediatric emergency departments are vital for addressing caregiver IPV and mitigating its impact on child well-being.
  • Universal education and trauma-informed care are essential strategies for enhancing IPV identification and intervention in pediatric EDs.
  • Continued efforts are crucial to improve the response to caregiver IPV within the pediatric healthcare system to address this widespread public health concern.

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