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Domestic and Sexual Violence (DV/SV), The Impact on Health, and the Patient Safety Card Approach to Integrated Education, Assessment, and Response

On-Demand Webinar

Estimated Time to Complete this Educational Activity

This self-directed course consists of three sessions that can be taken all in one sitting or one at a time.  Each video, with post-activity quiz and evaluation, should take 1-hour to complete.


There is no fee for this program.


Please review all of the information on this page before registering to begin the course.


Release Date: December 14, 2017

Expiration Date: December 13, 2020

Revised: December 2, 2019 to include ASWB and APA CE credits

Media Format(s)

Online streaming videos, case presentations, and online quizzes.

Course Description

In 2013, the US Preventive Services Task Force released a statement recommending universal screening, assessment and intervention for Intimate Partner Violence (IPV) for women of childbearing age, is a requirement for JHACO, and a GPRA measure. However, the way in which screening occurs and the education and response that surrounds screening or assessment substantively affects how effective it is at reducing health and safety risks associated with abuse. Screening for IPV is often impersonal, does not allow for patient privacy, and interventions are not introduced unless the patient discloses; ineffective given the context in which screening often occurs. Training members of the health care team in methods of screening and assessment of IPV is needed in order to create meaningful, more effective, evidence-based, and culturally appropriate practices for IPV screening, assessment, and intervention. The complete course consists of the following three sessions:


Part 1: The Dynamics of DSV & Reproductive Coercion and Its Impacts on Health & Health Care (1 credit/1.0 contact hour)

Part 2: Creating a Safe Environment for Patients & Using the Patient Safety Card Approach for Integrated Education & Assessment (1 credit/1.0 contact hour)                                                       

Part 3: Responding to Patients with Support, Harm Reduction, and Resources (1 credit/1.0 contact hour)         

Course Objectives/Outcomes

At the conclusion of this online activity, participants will be able to:

  1. Examine the adverse effects of domestic and sexual violence (DSV) and reproductive coercion on health and healthcare to initiate a supportive provider response.   
  2. Create a safe environment for patients by combining the use of integrated education and screening with the evidence-based, culturally appropriate patient safety card approach.
  3. Apply trauma-informed methods that reduce harm, provide sensitive support and timely referral in managing DSV patients.

This recorded training series were originally produced by the Alaska Native Epidemiology Center with technical assistance and presentation from ANTHC's Telehealth Dept., the Alaska Network on Domestic Violence and Sexual Assault (ANDVSA), the State of Alaska Family Violence Prevention Project, the Alaska Native Medical Center, and Alaska CARES.

Target Audience

Physicians, Physician Assistants, Nurse Practitioners, Nurses, Social Workers, Psychologists, Counselors, and other members of the healthcare team.


  • Laura Avellaneda-Cruz, LMSW
  • Elsie Boudreau, LMSW
  • Linda Chamberlain, PhD, MPH
  • Daniel Hartman, MD
  • Ariel Herman, BA
  • Marah Gotcsik, MD
  • Heather Palmer, CNM, WHNP
  • Quenna Szafran, RN

Instructions to Register/Enroll

Click the Event Registration button at the top of the page to enroll for CE.  You may need to create an account if this is your first time participating in an IHS online course.

Instructions for Obtaining CE Credit

To earn CE credit, you must:

  1. View each of the videos in its entirety.  Partial credit is not available.
  2. Complete the quiz at the end of each video. You will have two attempts to achieve a passing grade of 75% or higher.
  3. Complete the online course evaluation.
  4. Upon successful completion of both the quiz and evaluation, you will be able print your certificate.



In support of improving patient care, IHS Clinical Support Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Designation Statements


This activity was planned by and for the health care team, and learners will receive up to 3.0 Interprofessional Continuing Education (IPCE) credits for learning and change.


The IHS Clinical Support Center designates this enduring material for a maximum of 3 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.



This activity is designated up to 3.0 contact hours.

Social Workers


As a Jointly Accredited Organization, the Indian Health Service Clinical Support Center is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit.  The IHS Clinical Support Center maintains responsibility for this course. Social workers completing this course receive up to 3.0 continuing education credits.



Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP) and the IHS Clinical Support Center. The IHS Clinical Support Center maintains responsibility for the content of the program.  Psychologists completing this course receive up to 3.0 continuing education credits.

Accreditation applies solely to this educational activity and does not imply approval or endorsement of any commercial product, services or processes by the CSC, IHS, the federal government, or the accrediting bodies.



Disclosure Statement:  As a jointly accredited provider of continuing education, the IHS Clinical Support Center must ensure balance, independence, objectivity, and scientific rigor in its educational activities. Course directors/coordinators, planning committee members, faculty, reviewers and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty will also disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. All those who are in a position to control the content of this educational activity have completed the disclosure process and have indicated that they do not have any relevant financial relationships or affiliations with any manufacturers or commercial products to disclose.


There is no commercial interest support for this educational activity.

Adobe Connect First Time Users

The IHS uses Adobe Connect for online meetings.


If you have never attended an Adobe Connect meeting before, please test your connection before the session. http://ihs.adobeconnect.com/common/help/en/support/meeting_test.htm

Hardware Requirements

You must have a computer with broadband Internet access. If you have trouble viewing this training on-line, check your system to make sure you have the appropriate hardware and software.  Adobe Connect only requires that you have an internet connection, a web browser, and Adobe Flash Player.  Adobe Connect supports nearly any operating system including Windows, Macintosh, Linux, and Solaris, as well as the most widely used browsers including Internet Explorer, Firefox, Safari, and Chrome.

-1.4 GHz Intel Pentium 4 or faster processor (or equivalent)
-Windows 10, 8.1 (32-bit/64-bit), Windows 7 (32-bit/64-bit)
-512 MB of RAM (1 GB recommended)
-Microsoft Internet Explorer 11 or later, Windows Edge browser, Mozilla Firefox, and Google Chrome

Mac OS
-1.83 GHz Intel Core Dueo or faster processor
-512 MB of RAM (1 GB recommended)
-Mac OS X 10.9, 10.10, 10.11, 10.12 and 10.13
-Mozilla Firefox, Apple Safari, Google Chrome

-Ubuntu 14.04, 16.04; Red Hat Enterprise Linux 6
-No application support is available for Linux. Users on Linux can attend meetings in the browser.
-Google Chrome
-Adobe Flash Player 23.0

-Google Android 4.4 or later OR Apple iOS: iOS 8.1.2 or later

Internet Speed Requirements

Bandwidth: 512Kbps for participants, meeting attendees, and end users of Adobe Connect applications.

Connection: DSL/cable (wired connection recommended) for Adobe Connect presenters, administrators, trainers, and event and meeting hosts.

Privacy Policies

Before you begin the training, you can review the IHS Privacy Policy (https://www.ihs.gov/privacypolicy/). 


You can also review the Survey Monkey Privacy Policy for details on how user information submitted in the evaluation is protected. http://www.surveymonkey.com/mp/policy/privacy-policy/ 

Questions and Technical Assistance

Email IHSTele-Education@ihs.gov if you have questions or need assistance registering.


If you encounter an error, please send the specific error message or a screenshot of the issue to help solve your issue quickly.

Tele-Education Archive

All live webinars are recorded for those unable to join them real-time. Recordings in the archive are for information purposes and do not have credits attached. You can access previous recordings at: https://www.ihs.gov/teleeducation/webinar-archives/


To view upcoming live, TBHCE hosted webinars, please visit: https://www.ihs.gov/teleeducation/webinars/

Tele-Education LISTSERV