April 17, 2014
When considering integrating domestic violence assessment and response into healthcare visits, providers and domestic violence advocates often raise valid concerns about mandatory reporting and confidentiality. However, with a clear understanding of the law, clinical protocols that address how to respond to disclosures, and strong partnerships with local DV programs, health settings can safely and effectively incorporate conversations about abuse into their clinical practice.
Disclose the limits of confidentiality with patients
Describe the California domestic violence mandatory reporting law
Implement a trauma-informed response when a patient discloses domestic violence that requires a report
Identify local resources for providers, advocates, and patients to address additional questions about mandatory reporting and confidentiality
Erica Monasterio, MN, FNP-BC is a Clinical Professor on faculty in the Division of Adolescent and Young Adult Medicine, Department of Pediatrics and the Department of Family Health Care in the School of Nursing at the University of California, San Francisco since 1997. She is the Nurse Faculty in the Leadership Education in Adolescent Health (LEAH) Program and the coordinator of the Nursing Leadership in Adolescent and Young Adult Health (NLAYAH) Program. Ms. Monasterio has over 27 years of clinical experience working with youth and families in primary care, both at UCSF and in the San Francisco Department of Public Health, and is the co-founder of the Cole Street Youth Clinic, part of the San Francisco Department of Public Health’s Community Health Network.