Behavioral health conditions are common in the United States (U.S.). Nearly 59 million adults, or 25% of Americans, had a mental illness or substance use disorder in the previous year. This population has high rates of lifetime trauma. Indeed, trauma is an “almost universal experience” for people with behavioral health disorders. Intimate partner violence (IPV) is a concerning public health issue not just for those with mental illness and addiction, but across the entire population. The purpose of this project was to pilot implementation of universal IPV screenings for women within primary care visits. Insights from the project were used to develop recommendations for practice changes to better address the issue of IPV.