Despite the documented need and obvious preventive benefit to patients for health care systems, providers frequently do not consistently incorporate violence prevention screening into their practice. Citing limited time with patients and high case loads; lack of reimbursement for such service, as well as believing that violence prevention skills are beyond their level of expertise, many practitioners limit their care to the presenting physical symptom(s) and not the serious implications of repeated victimization of patients. Within the current context of health care provision, even motivated practitioners have several barriers to engaging in prevention services.