In Victoria, intimate partner violence is the leading contributor to death, disability and illness in women aged 15 to 44.
While some men experience family violence, it is women and children who are most affected. Often people in a violent or abusive relationship want to talk about the issue but are unsure who to tell, what to say or how to bring it up.
Starting the conversation can be challenging, but health professionals are well-placed to identify and respond to family violence. With the right tools and supports, you can help empower women to break the silence and seek safety.
How GPs and health professionals can start the conversation about family violence
Asking is the first step.
Let your patient know that they can speak openly to you about their concerns, and that they are in a safe and confidential environment.
Questions could include:
- Is there anything else going on in your life that you’d like to talk about?
- Are your friends and family aware of what’s going on?
- Are you feeling frightened?
- Are you worried about your children’s safety?
Take any available opportunity to raise the subject and ask the question. Try to ensure that patients feel comfortable and safe talking to you. They might also feel comfortable talking to another staff member.
Family Violence Quality Improvement (QI) Project 2021
Now more than ever, general practice plays a vital role in caring for people experiencing family violence.
International researchers have estimated that a full-time GP sees up to five women per week experiencing underlying intimate partner violence. This may or may not be identified by the GP.
Research has also found that there is a spike in family violence during major crises and disasters. Annual crime statistics suggest Victoria’s COVID-19 stay-at-home restrictions may have driven record-high family violence rates.
Practices that complete the project will receive a $3000 incentive payment.
WEAVE provides targeted family violence education to general practice. It’s the outcome of a world-first trial, led by GP Professor Kelsey Hegarty, on the effectiveness of GP intervention in improving health outcomes for women and children experiencing family violence.
We’re working with the University of Melbourne to provide this program to general practices in the region. The below video captures why identifying family violence needs to be embedded into best practice when working with children and families.
Education and training
Several organisations offer education and training on identifying and responding to family violence. Subscribe to our fortnightly newsletter for information about upcoming sessions.
- Visit the RACGP website to access online training modules.
- 1800RESPECT has a number of free webinars, with topics ranging from improving cultural understanding in Aboriginal and Torres Strait Islander communities, to violence against women and children, and understanding LGBTIQ domestic and family violence.
Community of Practice: Family Violence
Our Family Violence Community of Practice brings together professionals from general practice, mental health and drug and alcohol services, hospitals and the family violence sector. This new series of annual events will foster interdisciplinary and cross-sector learning and pathway development. Read more about the first sessions on our website.
Webinar: the shadow pandemic of family violence
Watch our webinar held in November 2020 on the critical role of general practice in responding to the shadow pandemic of family violence.
Resources for health professionals
- Sunshine City Medical Centre: Domestic violence waiting room slides
- HealthPathways Melbourne: Login to HealthPathways Melbourne for information about intimate partner violence, family violence, and patient disclosures of experiences of intimate partner violence. Request access here.
- Northern Integrated Family Violence Services: Overcoming barriers (CALD resource)
- RACGP: RACGP Whitebook
- Domestic Violence Resource Centre Victoria: Identifying and responding to family violence – a guide for general practitioners
- Women’s Health in the West: Family violence support for Aboriginal and Torres Strait Islander women
- Inner North Western Primary Care Partnership: Identifying and responding to family violence
Resources for patients
- Domestic Violence Resource Centre Victoria: printed booklets, pamphlets, posters and wallet cards available to download or order
- Northern Integrated Family Violence Services: multi-language family violence posters
- Women’s Health in the West: free Family violence services help card (available in multiple languages), Family violence crisis outreach service – brochure and Resources page, where you can order a wide range of fact sheets, brochures and reports
Services for people in our region experiencing family violence
Please note this is not an exhaustive list. GPs and health professionals can refer to HealthPathways Melbourne for more clinical and referral advice.
Family violence response centre (24-hour, 7-day crisis line). Usually crisis counselling, referral, support and advocacy, contact point for women’s refuges, referral to other short-term crisis accommodation
1800 015 188
The Orange Door
The Orange Door welcomes everyone, regardless of migration status. You can seek help or support if you are a migrant or a refugee or do not have permanent residency.
1800 319 355
Services, programs and responses to issues of family violence in culturally and linguistically diverse communities. inTouch develop and implement a number of culturally sensitive and holistic models for the provision of services to both victims and perpetrators of family violence.
1800 755 988
Djirra (formerly Aboriginal Family Violence Legal Service)
Provides culturally safe and accessible services to Aboriginal and Torres Strait Islander people seeking support.
1800 105 303
Elizabeth Morgan House Aboriginal Women’s Service
Provides specialist family violence support to Aboriginal and Torres Strait Islander women and their children who are currently experiencing or have experienced family violence.
(03) 9482 5744
Perinatal Anxiety & Depression Australia (PANDA)
Supports women, men and families across Australia affected by anxiety and depression during pregnancy and in the first year of parenthood.
1300 726 306
GPs, psychiatrists and paediatricians can refer eligible people including children and teenagers to North Western Melbourne Primary Health Network’s free CAREinMIND mental health services. Referrals are assessed and triaged, based on a person’s clinical needs, then allocated to an appropriate, experienced mental health practitioner.
Northern Integrated Family Violence Services Partnership (NIFVS)
NIFVS provide workers with an understanding of the family violence system in the northern metropolitan region. It offers an introduction presentation, interviews with service providers and links to resources to help improve responses to family violence.
Seniors Rights Victoria
A free and confidential telephone and advisory service aimed to help prevent elder abuse and safeguard the rights, dignity and independence of senior Victorians.
1300 368 821
Switchboard – Rainbow Door
A free specialist LGBTIQA+ (Lesbian, Gay, Bisexual, Transgender and Gender Diverse, Intersex, Queer, Asexual, BrotherBoys, SisterGirls) helpline providing information, support, and referral to all LGBTIQA+ Victorians, their friends and family.
1800 729 367
Australian Psychological Society
Private counsellors and psychologists.