Physicians Not Prepared to Address Male Violence Perpetrators.

Family medicine physicians feel underprepared to serve patients whom they know are perpetrators of intimate partner violence (IPV), particularly if they also provide care to the victim, according to a study in the Journal of American Board of Family Medicine co-authored by a School of Public Health researcher.

IPV is a serious, preventable public health problem that affects millions of Americans. The term “intimate partner violence” describes physical, sexual, or psychological harm by a current or former partner or spouse. It can occur among heterosexual or same-sex couples and does not require sexual intimacy.

Researchers from the Schools of Medicine and Public Health and Boston Medical Center conducted a qualitative study that involved interviewing primary care physicians (from the Department of Family Medicine) who reported experiences with male patients known to have perpetrated IPV. The majority of the physicians in the study reported learning that their male patients were perpetrating intimate partner violence because the female victim, who was also their patient, disclosed the abuse, although a number of physicians reported that the men disclosed their own behavior in order to get help. These physicians described feeling unprepared to intervene when male perpetrators of IPV requested help in addressing their abusive behavior.

“Our findings that physicians lack training to intervene with perpetrators of IPV is consistent with recent research that has shown that only 23 percent of family medicine residency training programs include any training at all regarding how to respond to IPV perpetrators,” said corresponding author Brian Penti, assistant professor of family medicine at MED and a family medicine physician at BMC.

According to the authors, despite the prevalence of IPV and its impact on victims and their children, the healthcare system has largely avoided addressing the men who perpetrate IPV. They said further research is needed to better identify perpetrators of IPV and to develop effective interventions that can be provided in the primary care setting.

Emily Rothman, associate professor of community health sciences, was a co-author on the study.

Funding was provided by an AHRQ Training Grant in Health Services Research for Vulnerable Populations.