Date of Award

Spring 5-8-2020

Document Type

DNP Project

Project Team Faculty Member

Dr. Jacquelyn Clement


Depression Screening, Domestic Violence Screening, Implementation of Screening Protocol, Internal Medicine


Depression is a widespread problem in the United States, yet only 35% of sufferers seek help for their symptoms. Additionally, almost 25% of women and 14% of men report experiencing some form of domestic violence. Both of these conditions can impact short-term and long-term health and overall function. Early detection, treatment, services, and support can improve patient outcomes.

This project initiated the use of two standardized screening tools, the PHQ-2 for depression and the PVS for domestic violence, in an internal medicine practice where no formal screening process had been in place. During the 3-month implementation period, patients of the nurse practitioner provider were screened, so that further assessment and interventions could begin. After this period, staff completed a questionnaire regarding the process. Over 150 unique patients had been screened, and patients who screened positive were offered appropriate treatment and referrals. There did seem to be an increase in patients who were discovered to need intervention for depression and/or domestic violence; however this project was not approved to include specific patient results. Staff reported strong positive opinions about the project.

The screening process has continued at this practice for patients seeing the nurse practitioner. Ideally, the two physician providers in the practice will eventually choose to use this with their patients as well. With willing providers, this project should be easily replicated in other practices.

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