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Prevention of violence

B A Elliott1

  • 1Department of Behavioral Sciences, School of Medicine, University of Minnesota, Duluth.

Primary Care
|June 1, 1993
PubMed
Summary

Primary care physicians can prevent family violence by integrating prevention strategies into routine visits across the family life cycle. This approach addresses risks from partnership to elder abuse, positioning physicians as key resources.

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Area of Science:

  • Family Medicine
  • Public Health
  • Preventive Medicine

Background:

  • Family violence is a significant public health issue with risks spanning the entire family life cycle.
  • Primary care physicians have ongoing relationships with families, offering a unique opportunity for intervention.
  • Current preventive strategies may not fully address the dynamic nature of family violence risks over time.

Purpose of the Study:

  • To outline a framework for primary and secondary prevention of family violence within primary care settings.
  • To demonstrate how utilizing the family life cycle (FLC) can create a developmentally appropriate prevention system.
  • To emphasize the role of primary care physicians as trusted advisors in violence prevention.

Main Methods:

  • Integrating anticipatory guidance on family violence into annual physician visits.
  • Structuring preventive efforts according to the distinct phases of the family life cycle (e.g., Coupling, Pregnancy, Older Children, Aging Families).
  • Utilizing regular discussions to raise awareness, assess risk, and make referrals for violence prevention.

Main Results:

  • A developmentally tailored prevention system can be created by aligning interventions with the family life cycle.
  • Physicians can identify and address risks of partner violence, child neglect/abuse, and elder abuse throughout a family's lifespan.
  • Consistent physician engagement increases family awareness and facilitates access to preventive resources.

Conclusions:

  • Primary care physicians are optimally positioned to implement comprehensive family violence prevention strategies.
  • The family life cycle model provides a practical framework for addressing violence prevention across all stages of family development.
  • Routine integration of violence prevention discussions by physicians can significantly impact public health outcomes.

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