It is a screening tool and not a diagnostic tool and does need more detailed follow up for suspected at risk clients. There is always the possibility of a false negative test as well, so clinical judgment is critical.
The tool is effective for creating self-awareness, as well as for research. It is been used in six continents, and translated into multiple languages. Examples of usage: State Agencies, Healthcare Settings, Court System, Hospitals, Nursing Students, books and publications. States that use this tool are: Alaska, Oregon, California, Pennsylvania, Wisconsin and New Jersey, among others. The US Preventive Services Task Force (USPSTF), has recommended DV/IPV screening, level B, for routine use in all women of childbearing age. Scientific evidence supports screening. The USPSTF recommendation is new as of January 2013. New England Journal of Medicine, Nov. 29, 2012 recommended the HITS. Intimate-Partner Violence — What Physicians Can Do.
The HITS Screening Tool for Domestic Violence.
• November 29, 2012
• Liebschutz J.M. and Rothman E.F.
• N Engl J Med 2012; 367:2071-2073
Cycles of violence affect families placing children, elders, and pets at risk often requiring DCF and related agency involvement. It is crucial to align systems and referrals, as they are needed.
There is also a smart phone app for free download that I believe can help many and it is known as R3. It also contains referral sources and disclaimers, and uses the HITS tool. It can be used by women who are possible victims or by professionals and it was developed in collaboration with our local hospital, FL Hospital, Harbor House of Central FL, our DV shelter, and Echo Interaction Group, Justecho.com.
The HITS tool is Copyrighted in 2005 by Kevin Sherin MD. This evidence based screening tool can be purchased for a nominal fee, structured based on the type of organization or category.
Kevin Sherin MD