Samenvatting

In the Netherlands, police can request a physical examination of victims of domestic violence. These examinations can be either carried out by the physician who has treated the victim, or, alternatively, by a forensic physician. From a medico-legal point of view, an examination by a forensic physician has several advantages, as forensic physicians are independent and trained in examining victims of violence and reporting to the police. The aim of the current study was to (1) describe the structure of forensic services for victims of domestic violence in the Netherlands, (2) establish with whom the police request physical examinations of victims (forensic physician vs. physicians who have treated the victim), (3) explore the underlying reasons for the choice made and (4) elaborate how the current cooperation of police and forensic physicians can be improved in favour of victims of domestic violence. For this purpose, interviews were carried out with police professionals and forensic physicians throughout the country. The results demonstrated that victims can access forensic services almost exclusively on referral by the police. Furthermore, the police in most cases request physical examinations from physicians who have treated the victim and not from forensic physicians. Reasons for referring victims to treating physicians instead of forensic physicians are costs and lack of information on forensic services. Reports provided by treating physicians are criticized by the police for being illegible, incomprehensible, and lacking information on aspects which are of importance for the legal procedure. In short, the legal position of victims could be strengthened by requesting physical examinations from forensic physicians instead from treating physicians. A major obstacle to change is a lack of funding. Furthermore, forensic services for victims of domestic violence in the Netherlands could be improved if victims could access forensic services without referral of the police.