Multi agency approach to Domestic Abuse (WS52)


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An overview of the work of West Lothian’s Domestic and Sexual Abuse Team’s multi agency approach to Domestic Abuse. Including innovations developed by the team – court advocacy for women, support for victims who have experienced rape/sexual assault and preventative education programmes for schools.
Contributor: West Lothian Council

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  • Seconded from Open SecretAdult Survivors of CSA and DAArt Therapy Group - weekly at Howden Park CentreSurgeriesCraigshill Bathgate Howden 35 open cases Around 60% of mental health service users have been physically and/or sexually abused as children.Key points Q5: Between 35% and 73% of women who have been abused experience depression or anxiety disorders; this is at least three times greater than the general population (Golding JM, 1999).Q6: 70% of women psychiatric inpatients and 80% of those in secure settings have histories of physical or sexual abuse (Phillips & Kelly, 2000; DoH, 2002).Q7: (Walby S, 2004). Figures identified through UK death statistics. Also:- one third of all female suicide attempts can be attributed to current or past experience of domestic abuse (Stark and Flitcraft,1996; Mullender Audrey, 1996)- women who have been abused are five times more likely to attempt suicide [ref?].Q8: Self-harm is an indirect health outcome of GBV: women who deliberately self-harm are 75 times more likely to report physical and/or verbal abuse from a partner than women who do not harm themselves (Emergency Medical Journal,2004)- one third of women attending emergency departments for self-harmwere DA survivors [ref?].Q9: figures for black women and women from minority ethic groups are even higher - eg 50% of women of Asian origin who have attempted suicide or self-harm are DA survivors (Chantler K et al, 2000)Key points Q2a and 2b: There is a bi-directional relationship between substance misuse and experience of domestic abuse:- women who experience domestic abuse are more likely to have a drug/alcohol problem; and- women with drug/alcohol problems are more likely to experience violence and/or abuse (Stella Project, 2004; Stark and Flitcraft, 1996).Q3: In 2001/02, 1033 drug users were interviewed as part of the Drug Outcome Research in Scotland (DORIS) study. Of the 715 male drug users who took part, 50 (6.9%) reported having been sexually abused and of the 318 female drug users, 35.5% reported being sexually abused. (McKeganey, Neale and Robertson, 2005) Q4: Alcohol does not cause domestic abuse, but:- a British Crime Survey Review found 44% of offenders were under the influence of alcohol - survivors may use alcohol to help them cope with pain, fear, guilt, stigma, fear, isolation, shame etc. Read et al, 2005Keeping women safe within their own homes –Projects in Commission on Women Offenders (2012) Services should not be within the Criminal Justice ServiceReport recognised high proportion of women with substance abuse, mental health and abuse issuesApprox 30% of children with imprisoned parents will develop physical and mental health problems , and there is a higher risk of these children ending up in prison.Short term prison sentences have little or no impact on re-offending with 70% of women re –offenders who received a prison sentence of 3 months or less reconvicted of an offence within 2 years.
  • Gender basedRepeat victimisation is common.89% of those suffering 4 or more incidents are women. Domestic violence accounts for 16%of homelessness acceptances
  • Intimidation, Isolation and HumiliationThe attempt to dominate one’s partner and to exert control over the relationship domination that is manifested in the use of a wide range of power and control tactics including violenceJohnson uses the phrase ‘situational couple violence’ to refer to a fight. The fight may be verbal or physical but two people engage in the behaviour. It is not about one person controlling the other. Both men and women may engage in this behaviour. Participants may have service users for whom this is part of their lives.Johnson uses ‘violent resistance’ to refer to acts primarily perpetrated by women who are experiencing domestic abuse and who use violence in order to defend themselves or her children. The critical defining pattern of violent resistance is that the woman is violent but not controlling but she is faced with a partner who is both violent and controlling.It can be hard to establish who is doing what to whom in a relationship, and this typology helps focus on motivation and context rather than solely on the physical violence.The context within which abuse takes places is one of fear. If the women is fearful, she is experiencing domestic abuse.
  • High risk perpetratorsCases due to appear at court
  • Multi agency approach to Domestic Abuse (WS52)

    1. 1. Domestic and Sexual Assault Team Presented by Susan Lawson-ManagerSusan McInally-Snr Women’s Worker
    2. 2. Staff Team Line managed by Children and Families Group ManagerMangerWomen’s Workers• 2 x Specialised Court Advocacy Worker (Fixed Term-2 years)• 1 x Mental Health/Minority Population (Permanent)• 1 x Sexual violence/Substance misuse (Permanent)• 1x Duty/Generic (Fixed Term -1 year)• 1 x Housing/Employability (Fixed Term -3 years)- Lisa Project• 1 x Women involved in Criminal Justice System (Fixed Term -3 years)-Almond Project Children’s Workers• 1x C&F Social Worker (Fixed term - 3 years )• 3x Children’s Workers ( 2 Permanent, 1 Fixed Term- 1 year)Others• 1x Counsellor (Fixed Term- 1 year)• 0.3fte admin (Fixed Term -1 year)• 1x Admin (Permanent)
    3. 3. What do we do?• Provide support to Victims of DA going through the DAC process• Work with women who have experienced Domestic Abuse and/or Rape/Sexual Abuse• Work with women involved in the Criminal Justice System• Work with children who have experienced domestic abuse• Counsellor-works with adult survivors of childhood sexual and /or domestic abuse• Multi Agency Work -DASG, MAT&C group and SV group
    4. 4. • The most important point to remember about domestic violence is that this is not about a fight , a single or occasional incident-although these do happen and may in themselves constitute criminal offences. Domestic violence is an ongoing pattern of violence and abuse often described as violence within a pattern of coercive control. It is a situation of repeated victimisation where the victim is vulnerable precisely because in the majority of cases she shares her home with the attacker and has feelings of loyalty or even love towards him.’(Kelly 2000)
    5. 5. Typology of Violence Michael P Johnson (2008)• Intimate Terrorism• Situational Couple Violence• Violent Resistance
    6. 6. Older People• Zink et al. (2003) concluded from a qualitative study with women over 55 years old that “Older women victims have difficulty initiatingdiscussions about IPV with their providers.Providers are encouraged to identify signals ofpotential abuse and to create privacy with allpatients to discuss difficult issues ... and to beknowledgeable about appropriate referrals”
    7. 7. Older PeopleSocial stereotyping that perceives older people/disabled people as non-sexual can preventdetection of sexual abuse.It is estimated that as many as half a millionolder people are victims of domestic abuse inthe UK, although only a minority of cases will berecorded. Quoted in (accessed May 2007)
    8. 8. Specialist Court Advocacy Worker• Contacts complainer prior to alleged perp appearing in court• Custody, Intermediate Diet, Trial Diet or Bail Review• Complainers views relayed to Fiscal
    9. 9. Rape and Sexual AssaultWoman’s Experience
    10. 10. Schoolwork• D.A Awareness raising programme-1400 S2pupils• 7 Secondary Schools• Piloted Sexual Violence programme S5 - Linlithgow Academy COZ and the police
    11. 11. Sexual bullying S5 -Evaluations• Total number students 112• Did you find the session interesting Yes – 100 No- 12• What did you enjoy most – (examples of feedback)• Video• Discussion• new words learned• Friendly banter!• Group work• learnt new information• being able to have an opinion• facts on harassment• Talks from the police• Discussing points which are generally not openly discussed.• Do you feel you would have benefited from having the sessions earlier? Yes 65 No 47
    12. 12. Children’s Work•• Individual support to children and young people is tailored to suit their age, ability, awareness and individual needs and circumstances. It is available to children and young people in the community. It generally involves safety planning and looking at feelings & emotions, anger & aggression and other relevant topics and can use mediums such as art, games and other opportunities according to each individual child and her or his preferences.• Group work is targeted at 5 to 7year olds, 7-9 year olds and 9 to 11 year olds. The programme includes feelings/emotions, anger/aggression, safety and other topics.• Generally when children are 3 years or less, support to the mother/main carer is considered to benefit the child in a more sustainable way than just individualised attention to the child. This can include work with the mother on play, routines, safety, emotional security and other factors.
    13. 13. Children’s referrals 2011/2012• Referrals – Qt 1-15, Qt 2-15, Qt 3-20, Qt 4-32 Total -82• Case Load 10-12 children Average 12-18 weeks
    14. 14. DASG• Social Work C & F• Social Work Criminal Justice• Health Visitor• Midwifery• L&B Police• Education-primary and secondary• WLDAS• Housing• DASAT
    15. 15. T and C Group High Risk Perp AND DAC cases• Fiscal or VIA• L&B Police• Housing• Criminal Justice• DASAT
    16. 16. Contact DetailsDomestic and Sexual Assault Team(D.A.S.A.T.) West Lothian Civic Centre Howden South Road Livingston EH54 6FF 01506 281055
    17. 17. Questions