Starting a non-judgemental conversation with a perpetrator of domestic violence can be a “moral challenge” for GPs
Starting a non-judgemental conversation with a perpetrator of domestic violence can be a “moral challenge” for GPs.
The victims and perpetrators of violence often present together at clinics. To make a proper assessment, GPs first need to separate parties, says Scott Mills, the manager of Family Violence Practice Development at Relationships Australia Victoria.
GPs are trusted in the community and can often create the space to make inquiries.
“[GPs can] then ask … those questions of victims,” says Mr Mills. “How are they feeling? Do they feel safe? Do they feel like their children are safe in the relationship?”
But the challenge is working with perpetrators, he says. “For victims the support line … is often clear. For perpetrators, those non-judgemental questions are just as important.”
The tone of the conversation should be similar to any other conversation a GP might have with a patient, says Mr Mills.
“You might be asking questions around them managing their stress at home. How do they discipline the kids? How do they resolve conflicts at home? Those are simple questions that can elicit more information, building the picture for the GP.”
Once a level of trust has been established, the GP might as more difficult questions such as: Do you think your partner feels safe? Do you think your children feel safe around you?
“You can start digging a little bit deeper,” says Mr Mills.
It can be a moral challenge to create that trusting environment but if a perpetrator feels judged, they are unlikely to go to another referral place to seek support, he says.
[media_embed]https://player.vimeo.com/video/203402721[/media_embed]
In this video, Mr Mills discusses:
– What are the difficulties that GPs face when dealing with family violence?
– How do you deal with other members of the family and the extended family?
– What services are available for the perpetrators of family violence?
– How do you start the conversation with the perpetrators?
– Where can private psychological services be accessed?
