Text for Domestic Violence Pocket Card

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DV screening

Ask:

"We don't know if it is a problem for you,

but many women we see in the Emergency Department

are having trouble with violence in their relationship.

I routinely ask my patients about domestic violence.

May I ask you some questions about that?

Within the last year, have you been hit, kicked, punched

or otherwise hurt by someone you know? If so, by whom?

Do you feel safe in your current relationship?

Is there anyone from a prior relationship

who is making you feel unsafe now?

Assess:

Have there been threats of homicide or suicide?

Are there weapons present? Are you in danger now?

Advocate:

Social Service Infoline card

CT Coalition Against Domestic Violence 1 888 774 2900

Messages to Patient:

· She is not alone · No one has the right to hurt her

· DV is not her fault · DV is against the law

· Help is available and you can help her contact services