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Although not required, all health care providers should be trained on domestic violence. The training should include an understanding of the dynamics of domestic violence, assessment tools, appropriate interview and intervention skills, and an adequate knowledge of domestic violence resources in the community, as outlined in the  Guiding Principles, 3.a. In addition, health care providers should receive training on relevant state laws and regulations, their organization's domestic violence protocol and job-specific duties, the health consequences of domestic violence, identification of clinical indicators, basic safety planning, medical record documentation, and how to make appropriate referrals. Training should be comprehensive and ongoing.

b.With the appropriate releases of information, health care providers should coordinate a victim's care both  internally and externally with other systems the victim may be involved with including domestic violence services, mental health, substance abuse, law enforcement, etc.

Case management and coordination is key to the success of victims in developing and implementing effective safety plans. Health care facility administrators and directors should develop and support efforts that facilitate coordination of services for victims.

c.Hospitals, diagnostic and treatment centers, and emergency services must develop and implement written polices and procedures for identifying and treating domestic violence. All other health care facilities, provider organizations, health care delivery systems and subsystems should also develop, implement, and regularly update comprehensive written policies, protocols, and standards of care that outline an effective response to domestic violence victims.

The New York State Department of Health Regulatory Code 751.5 requires hospitals and Diagnostic and Treatment Centers to develop and implement written policies and procedures on the identification and treatment of domestic violence. Section 405.9 requires emergency services to develop and implement policies and procedures"which provide for the management of cases of suspected or confirmed domestic violence victims."While not required by Regulatory Codes, other health care facilities, provider organizations, and health care delivery systems should also develop and implement such policies and procedures.

To the fullest extent possible, such policies/protocols should be developed in consultation with local domestic

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