Utilizing RADAR* in Rotations
Because it can be overwhelming to deal with all of the issues associated with working with clients experiencing domestic violence, protocols have been developed to assist mental health and other health care professionals. The protocol chosen for this training is referred to as RADAR—Routine Screening, Ask Direct Questions, Documentation, Assessing Patient Safety, Review Options and Referrals. Following this protocol will enable mental health staff to effectively screen, assess, and intervene with patients.

• Routine Screening
  Develop routine screening tools for all clients to identify those experiencing domestic violence. Use stickers, color codes, or stamps on client records to remind you.
   
• Ask Direct Questions
  Recognize that while many victims may not volunteer information about their abuse, they often will report abuse if asked. Mental Health Staff can help relieve clients’ discomfort by framing questions in such a way that the client knows she is not alone, that her abuse is being taken seriously, that the staff is knowledgeable about domestic violence, and that assistance can and will be given.
   
• Documentation
  Documentation of the results of screening tools, assessments, and referrals is critical to the treatment of clients experiencing domestic violence. Photographs of injuries is also an important type of documentation.
   
• Assess Client Safety
  Mental health staff can easily incorporate questions assessing safety in their contact with clients. Additionally, client safety cards can be distributed to clients to assist them in developing a safety plan.
   
• Review Client Options and Referrals
  Before discharging a client, go over her options and discuss and appropriate referrals. If time does not allow this, make sure the client is referred to a hotline or given the number of the local domestic violence shelter.

* Massachusetts Medical Society, 1992