Domestic Violence And Abuse Services Research Articles

Integration of religious beliefs and faith-based resources in domestic violence services to migrant and ethnic minority communities: A scoping review

Domestic violence and abuse (DVA) is a problem that cuts across borders and communities. There is an urgency for domestic violence service providers in multicultural societies like the United Kingdom (UK) to adapt to the diverse backgrounds of victims, survivors and perpetrators to design and provide appropriate support services and interventions. Religious beliefs are an integral part of many people’s lives and identities, while religious mediators often serve as a first point of reference for victimized parties to turn to, with both positive and negative impacts. It is currently unclear to what extent religious sensibilities are being addressed in DVA services, or how best to engage with religious beliefs and faith-based resources effectively. Recognizing this, we conducted a scoping review to identify existing approaches and practices for integrating religious beliefs and faith-based resources in domestic violence services. The review that had an international scope was conducted in English and included 30 publications. The synthesis of the evidence pointed to numerous approaches and efforts in integrating religious beliefs and faith-based resources in DVA services, differences and tensions in generalist and community-based responses, and the need for various measures in DVA services to cater to multicultural populations.

Trauma informed mental health support; qualitative evaluation findings from one voluntary and community sector programme for women experiencing DVA

In the context of on-going high rates of domestic abuse in England, the voluntary and community sector increasingly provides specialist domestic violence and abuse (DVA) services to support women in local community settings. This article discusses a qualitative evaluation of one programme, working to support females with mental health needs. A locally based support programme worked with women in one city in England over a two-year period; 34 service users, and eight professionals contributed to interviews and focus groups in support of the evaluation. Our framework analysis identified key themes using survivor voice in respect of the importance of trauma-informed support, adding to the evidence base about effective recovery work in the voluntary and community sector. The defining features of trauma-informed support, safety, trust, choice, collaboration and empowerment were evident in the service model, which led to positive outcomes for survivors who engaged with the programme. The model of provision discussed here is transferrable beyond the voluntary and community sector. Learning from the programme suggests that DVA services can focus on the mental health needs of survivors, using trauma-informed support to enhance recovery.

The nature of domestic violence experienced by Black and minoritised women and specialist service provision during the COVID-19 pandemic: practitioner perspectives in England and Wales

Our article seeks to understand the contours of what has been termed a ‘dual pandemic’ in the UK: twin crises of increasing domestic violence and abuse (DVA) alongside the spread of COVID-19, both of which have disproportionately affected Black and minoritised communities. Our article draws upon the perspectives of 26 practitioners who provide specialist DVA services for Black and minoritised women and girls in England and Wales. Based on interviews with these practitioners, we explore the nature and patterns of the DVA which their Black and minoritised women clients experienced during the pandemic. Our findings highlight the pandemic-related risks and challenges that lead to specific manifestations of DVA within Black and minoritised communities and reveal the practice and policy landscape of the ‘by and for’ DVA sector during the pandemic and beyond.

Adapting domestic abuse training to remote delivery during the COVID-19 pandemic: a qualitative study of views from general practice and support services.

Identifying and responding to patients affected by domestic violence and abuse (DVA) is vital in primary care. There may have been a rise in the reporting of DVA cases during the COVID-19 pandemic and associated lockdown measures. Concurrently general practice adopted remote working that extended to training and education. IRIS (Identification and Referral to Improve Safety) is an example of an evidence-based UK healthcare training support and referral programme, focusing on DVA. IRIS transitioned to remote delivery during the pandemic. To understand the adaptations and impact of remote DVA training in IRIS-trained general practices by exploring perspectives of those delivering and receiving training. Qualitative interviews and observation of remote training of general practice teams in England were undertaken. Semi-structured interviews were conducted with 21 participants (three practice managers, three reception and administrative staff, eight general practice clinicians, and seven specialist DVA staff), alongside observation of eight remote training sessions. Analysis was conducted using a framework approach. Remote DVA training in UK general practice widened access to learners. However, it may have reduced learner engagement compared with face-to-face training and may challenge safeguarding of remote learners who are domestic abuse survivors. DVA training is integral to the partnership between general practice and specialist DVA services, and reduced engagement risks weakening this partnership. The authors recommend a hybrid DVA training model for general practice, including remote information delivery alongside a structured face-to-face element. This has broader relevance for other specialist services providing training and education in primary care.

Police Recognition of Gender Issues in Relation to Intimate Partner Domestic Violence and Abuse in Greece

Abstract The aim of the research was to understand the perceptions and beliefs of police officers who work and support victims of intimate partner domestic violence and abuse (DVA) and evaluate the way it is recorded. A sample was collected from eight police departments in Greece. The head of each police department was approached by the researcher and asked to distribute a structured questionnaire to front-line police officers who work with DVA victims. In total 358 police officers completed the questionnaire. Overall, nearly twice as many police officers referred to female victims (n = 170) compared to male victims (n = 83) of DVA. The police officers indicated that female victims usually suffered from severe physical violence/GBH (43%) and psychological abuse (27%), whereas male victims were most likely to disclose minor physical injuries and verbal abuse (49%) and less psychological violence (10%). An arrest was the most common response for both female and male victims (51% and 60%, respectively). Police participants indicated that offenders against males were more likely to be charged (28%) but less likely to be convicted (4%), whereas the opposite was reported for offenders of female victims (14% and 13%, respectively). If the offender was known to the police, the opinion was they were less likely to be prosecuted. Police respondents reported no significant differences for female and male victims as to causal factors and reasons for NOT reporting DVA. These were discrimination (31%), few DVA services (23%), intimidation (15%), shame and stigma of media reports (14%), lack of community support (6%), and personal reasons (9%).

Comparing Abuse Profiles, Contexts, and Outcomes of Help-Seeking Victims of Domestic Violence: Part III—LGBT Clients

The present study represents the third part of an exploration into the demographic characteristics, context, and outcomes of abuse and outcomes of service engagement for users of specialist Domestic Violence and Abuse (DVA) services in the United Kingdom (UK; parts I and II respectively). It delivers on a commitment made in those parts to provide an examination of LGBT clients (including in comparison to the cisgender, heterosexual, or “cishet” clients examined in parts I & II, hereby known as “non-LGBT”). The current study utilized a large-scale quantitative data set of 35,882 clients presenting to specialist DVA services within the UK between 2007 and 2017, including 34,815 non-LGBT and 1,067 LGBT clients. Several areas of similarity between the two subsamples were identified, including some of the types of abuse reported, referral routes, and outcomes upon exit from services. Significant differences was also found. For example, the LGBT subsample was found to be significantly more likely to present to services with substance use and mental health issues (including self-harm) and was also more likely to have their case progressed by the Crown Prosecution Service (CPS). The findings are discussed along with recommendations for future research and practice, centered around the provision of gender and sexuality-inclusive provision, which acknowledges differential risks of LGBT clients, and how these reflect their experiences as a “minority” population (i.e., so-called “minority stress”).

An analysis of minoritisation in domestic homicide reviews in England and Wales

This article considers how minoritisation features in Domestic Homicide Reviews (DHRs) in England and Wales and identifies critical learning in relation to addressing minoritisation. Five themes were identified: i) the invisibility of race, culture and ethnicity; ii) perceptions and experiences of services; iii) use of stereotypes and the culturalisation of domestic violence and abuse (DVA); iv) lack of interpreters; and v) DHR recommendations. Our analysis illustrates that statutory sector services should strengthen their responses to Black and minoritised victims by ensuring proper recording of cultural background is used to inform practice; engage professionally trained interpreters with an awareness of DVA; resist framing DVA as endemic to minoritised cultures; and enhance trust and confidence in public services within minoritised communities. The best examples of DHRs challenged service narratives and usually sought expertise from a specialist Black/minoritised DVA service or community organisation (frequently minoritised women's rights organisations).

Experience of specialist DVA provision under COVID-19: listening to service user voices to shape future practice

In the context of high rates of domestic violence and abuse (DVA) during the pandemic, specialist DVA services have been required to adapt rapidly to continue to deliver essential support to women and children in both refuges and the community. This study examines service users’ experiences and views of DVA service provision under COVID-19 and discusses implications for future practice. Data are drawn from a wider evaluation of DVA services in five sites in England. Fifty-seven semi-structured interviews and five focus groups were conducted with 70 female survivors and seven children accessing DVA services during the pandemic. Analysis identified key themes in respect of the influence of COVID-19 on the experience of service delivery. COVID-19 restrictions had both positive and negative implications for service users. Remote support reduced face-to-face contact with services, but consistent communication counteracted isolation. Digital practices offered effective means of providing individual and group support, but there were concerns that not all children were able to access online support. Digital support offered convenience and control for survivors but could lack privacy and opportunities for relationship-building. The pivot to remote delivery suggests directions where DVA services can expand the range and nature of future service provision.

A hospital-based independent domestic violence advisor service: demand and response during the Covid-19 pandemic

Background and aimRecent UK policy has focussed on improving support for victims of domestic violence and abuse (DVA), in healthcare settings. DVA victims attending hospital are often at highest risk of harm, yet DVA support in hospitals has been inadequate. A targeted service supporting high risk DVA victims, was implemented at a hospital Trust in North West England. The service was provided by Independent Domestic Violence Advisors (IDVAs). This paper assesses the activity in the hospital-based IDVA service during the COVID-19 pandemicand addresses the research questions: What was the demand for the service? How did the service respond? What facilitated this response?MethodsA mixed-methods study was undertaken. Quantitative data on referrals to the service were examined using simple descriptive statistics and compared to other DVA services. Semi-structured interviews were undertaken with IDVAs and other hospital staff involved with the service and the data subjected to thematic analysis.ResultsThe quantitative analysis showed that referrals dropped at the start of lockdown, then increased and continued to rise; the qualitative findings reiterated this pattern. Referrals came from a range of departments across the Trust, with the majority from A&E. Pre-pandemic, the population supported by the service included higher proportions of males and people aged 40 and over than at other IDVA services; this continued during the pandemic. The qualitative findings indicated a flexible response during the pandemic, enabled by strong working relationships and by using workarounds.ConclusionsThe hospital-based IDVAs provided an efficient, flexible serviceduring the COVID-19 pandemic. Referrals increased during the first lockdown and subsequent relaxing of restrictions. Locating the IDVAs within a team working across the organisation, and building good working relationships facilitated an effective disclosure and referral route, which endured through social restrictions. The IDVAs supported high-risk victims who may otherwise not have been identified in traditional community-based DVA settings during the pandemic. Hospital-based IDVA services can broaden access by supporting vulnerable, at risk populations whose needs may not be identified at other services.

The use of technology to support children and young people experiencing domestic violence and abuse during the COVID-19 pandemic: a failure modes and effects analysis

Technology is an ever-increasing part of most people’s lives and it has been crucial for the delivery of support by domestic violence and abuse (DVA) services during the COVID-19 pandemic. Paradoxically, this same technology has provided perpetrators with new and growing opportunities to continue or escalate their abusive behaviours. This article draws on the experiences of a specialist DVA service for children and young people (CYP) in the United Kingdom reflecting on the use of technology in service delivery during the COVID-19 pandemic. We applied a safety systems approach – a failure modes and analysis (FMEA) to analyse the nature and impacts of service responses. The FMEA shed light on the risks within the environment in which children and young people engage with remote, digital-enabled support. Practitioners, for example, have been unable to determine potential ‘lurking’, whereby other people, including the abusive parent or partner, are present within the room, but out of sight. The FMEA generated 13 ‘corrective actions’ that will be helpful to specialist practitioners supporting children and young people experiencing DVA and to operational managers modifying current services and designing those for the future.

Impact of the first national COVID-19 lockdown on referral of women experiencing domestic violence and abuse in England and Wales

BackgroundThe lockdown periods to curb COVID-19 transmission have made it harder for survivors of domestic violence and abuse (DVA) to disclose abuse and access support services. Our study describes the impact of the first COVID-19 wave and the associated national lockdown in England and Wales on the referrals from general practice to the Identification and Referral to Improve Safety (IRIS) DVA programme. We compare this to the change in referrals in the same months in the previous year, during the school holidays in the 3 years preceding the pandemic and the period just after the first COVID-19 wave. School holiday periods were chosen as a comparator, since families, including the perpetrator, are together, affecting access to services.MethodsWe used anonymised data on daily referrals received by the IRIS DVA service in 33 areas from general practices over the period April 2017–September 2020. Interrupted-time series and non-linear regression were used to quantify the impact of the first national lockdown in March–June 2020 comparing analogous months the year before, and the impact of school holidays (01/04/2017–30/09/2020) on number of referrals, reporting Incidence Rate Ratio (IRR), 95% confidence intervals and p-values.ResultsThe first national lockdown in 2020 led to reduced number of referrals to DVA services (27%, 95%CI = (21,34%)) compared to the period before and after, and 19% fewer referrals compared to the same period in the year before. A reduction in the number of referrals was also evident during the school holidays with the highest reduction in referrals during the winter 2019 pre-pandemic school holiday (44%, 95%CI = (32,54%)) followed by the effect from the summer of 2020 school holidays (20%, 95%CI = (10,30%)). There was also a smaller reduction (13–15%) in referrals during the longer summer holidays 2017–2019; and some reduction (5–16%) during the shorter spring holidays 2017–2019.ConclusionsWe show that the COVID-19 lockdown in 2020 led to decline in referrals to DVA services. Our findings suggest an association between decline in referrals to DVA services for women experiencing DVA and prolonged periods of systemic closure proxied here by both the first COVID-19 national lockdown or school holidays. This highlights the need for future planning to provide adequate access and support for people experiencing DVA during future national lockdowns and during the school holidays.

Comparing the Demographic Characteristics, and Reported Abuse Type, Contexts and Outcomes of Help-Seeking Heterosexual Male and Female Victims of Domestic Violence: Part I – Who Presents to Specialist Services?

Despite longstanding investigation into the experiences and needs of female victims of domestic violence and abuse (DVA), and a burgeoning literature on abused men, information on service engagement by both of these groups is limited, particularly in direct comparison. This is in part due to a lack of large-scale quantitative data on victim needs upon presentation to services. The current study presents the first of a two-part examination of data collected from specialist DVA services in the UK supporting predominantly high-risk clients between 2007 and 2017. Case data from a total of 34,815 clients (858 men and 33,957 women) was assessed across five key areas: demographic characteristics, routes of referral into service, context of abuse, reported abuse type, and outcomes and risk factors of abuse. Clients tended to be white, with men being older on average. Men and women had similar referral routes, but men were more likely to have a disability of some kind and women were more likely to have children living/visiting the home. Men were more likely to report physical abuse than women, whilst women were more likely to report sexual abuse and harassment/stalking. There were no significant differences in the frequency of reporting jealous/controlling behaviours. Results also showed that women were more likely to have attempted to leave, and to call the police, with men more likely to suffer from alcohol/drug problems and reporting poorer physical health. However, it should be noted that almost all such differences had small effect sizes, suggesting greater similarity between male and female clients than difference. Results are discussed in the context of the importance of recognising both the shared and unique risk factors of client groups upon presentation to services.

Detection of Domestic Violence and Abuse by Community Mental Health Teams Using the BRAVE Intervention: A Multicenter, Cluster Randomized Controlled Trial.

Despite increased prevalence of domestic violence and abuse (DVA), victimization through DVA often remains undetected in mental health care. To estimate the effectiveness of a system provider level training intervention by comparing the detection and referral rates of DVA of intervention community mental health (CMH) teams with rates in control CMH teams. We also aimed to determine whether improvements in knowledge, skills and attitudes to DVA were greater in clinicians working in intervention CMH teams than those working in control teams. We conducted a cluster randomized controlled trial in two urban areas of the Netherlands. Detection and referral rates were assessed at baseline and at 6 and 12 months after the start of the intervention. DVA knowledge, skills and attitudes were assessed using a survey at baseline and at 6 and 12 months after start of the intervention. Electronic patient files were used to identify detected and referred cases of DVA. Outcomes were compared between the intervention and control teams using a generalized linear mixed model. During the 12-month follow-up, detection and referral rates did not differ between the intervention and control teams. However, improvements in knowledge, skills and attitude during that follow-up period were greater in intervention teams than in control teams: β 3.21 (95% CI 1.18-4.60). Our trial showed that a training program on DVA knowledge and skills in CMH teams can increase knowledge and attitude towards DVA. However, our intervention does not appear to increase the detection or referral rates of DVA in patients with a severe mental illness. A low detection rate of DVA remains a major problem. Interventions with more obligatory elements and a focus on improving communication between CMH teams and DVA services are recommended.

‘A life barely half lived’: domestic abuse and sexual violence practitioners’ experiences and perceptions of providing care to survivors of non-physical abuse within intimate partner relationships

Non-physically abusive acts (underpinned by coercive control) are more prevalent than physical or sexual violence within intimate partner relationships. Yet, little is known about survivors’ help-seeking journeys or the efficacy of existing services in addressing this need. We present findings from a survey of UK-based domestic violence and abuse (DVA) and sexual violence (SV) practitioners (n = 279) exploring experiences of providing care to women with histories of non-physical abuse. Our findings suggest that survivors often seek help for non-physical abuse from specialist DVA and SV services, but wider professional agencies often overlook the severity of this experience of abuse in the absence of physical or sexual violence. The impacts of non-physical abuse on survivors’ health and wellbeing are severe and there are multiple barriers to support, particularly within the criminal justice system. Our findings highlight the urgent need to increase public and professional awareness of non-physical abuse and its consequences for training of wider agencies (for example, police, child protection, legal services) and for sustainable funding that increases long-term support options for survivors and their children.

‘Being together really helped’: Australian transgender and non-binary people and their animal companions living through violence and marginalisation

This article explores the intersections of human and animal lives in the context of violence and marginalisation. It draws on two studies, the first involving a sub-sample of 23 open-ended survey responses completed by transgender and non-binary (TNB) people taken from a larger study exploring the intersections of animal- and human-directed violence, and the second involving eight interviews with TNB people focused on the meaning of animal companionship. Together, the findings suggest that animal companionship can be a protective factor for TNB people experiencing marginalisation and/or distress, whether in the context of domestic violence and abuse (DVA) or in the context of other forms of intra- or inter-personal points or adversity. The findings suggest that animal companions can provide TNB people with comfort and non-judgemental emotional interactions in the face of DVA and other life stressors. However, the risk of violence directed towards animals must also be considered. The article concludes with discussion of the implications for DVA service provision and research.

Implementation of the Identification and Referral to Improve Safety programme for patients with experience of domestic violence and abuse: A theory-based mixed-method process evaluation.

Identification and Referral to Improve Safety (IRIS) is a training and support programme to improve the response to domestic violence and abuse (DVA) in general practice. Following a pragmatic cluster‐randomised trial, IRIS has been implemented in over 30 administrative localities in the UK. The trial and local evaluations of the IRIS implementation showed an increase in referrals from general practice to third sector DVA services with a variation in the referral rates within and across practices. Using Normalisation Process Theory (NPT), we aimed to understand the reasons for such variability by identifying factors that influenced the implementation of IRIS in the National Health Service (NHS). We conducted a mixed‐method process evaluation which included: (a) a case study (100 hr of participant observation, 19 interviews); (b) a survey (n = 118); (c) qualitative analysis of free‐text comments from the survey; (d) qualitative interviews (n = 8); (e) document review (n = 44). Data were collected from NHS and third sector staff across five London boroughs from August 2015 to December 2017, analysed descriptively and thematically and triangulated using the NPT constructs coherence, cognitive participation, collection action and reflexive monitoring. The survey showed wide variation in the extent to which practice staff saw IRIS as a normal part of their daily work. Qualitative data and documents illuminated drivers of DVA work, implementation barriers and suggested solutions. The drivers were related to individual professional's characteristics and relationships. The barriers were linked to the differing sense‐making and legitimisation of DVA work and differing contexts between the NHS and third sector. Solutions were adaptations to IRIS relative to these contextual differences. The suggested solutions can be used to update IRIS commissioning guidance, training for trainers and training for general practice. The updates should reflect the importance of ongoing support of IRIS from practice leads and commissioners, extended funding periods for IRIS and continuity of the IRIS team.

Improving the healthcare response to domestic violence and abuse in sexual health clinics: feasibility study of a training, support and referral intervention

ObjectivesSexual health and gynaecological problems are the most consistent and largest physical health differences between abused and non-abused female populations. Sexual health services are well placed to identify and support...

Intersectionality and adolescent domestic violence and abuse: addressing “classed sexism” and improving service provision

Purpose The purpose of this paper is to explore agency pathways and the management of risk for economically disadvantaged adolescent victims and perpetrators of domestic violence and abuse (DVA). In spite of recent national and international initiatives to raise the profile of this issue, significant gaps within DVA services exist within an urban district situated in the North West of England, UK. The study aims to present qualitative data gathered from service-users and service managers who have knowledge of referral pathways within the district. The paper also aims to examine the discursive relationships between the context, the intersectional significance of age, gender and class and the high levels of risk for survivors and perpetrators. Design/methodology/approach A purposive sampling strategy utilises phenomenology to explore participants lived experience of DVA. The study seeks to unite phenomenology and hermeneutics to help develop an understanding of adolescent DVA and participant’s experiences of available services. Knowledge of these experiences was garnered through shared narratives. Findings Through privileging the experiences and knowledge of survivors and practitioners, this study found current DVA service provision for survivors and perpetrators is limited and practitioner interventions can be oppressive without adequate training. These limitations are clearly at odds with national and international efforts to prevent violence against women and girls. This paper highlights significant risks for adolescent survivors and suggests ways in which targeted support might be improved. The findings conclude that central government and local councils might confront the impact of intersecting oppressions by addressing “classed sexism” in early intervention and educational strategies to effect lasting change. Research limitations/implications Although the study is limited by a lack of participation from perpetrators, the data reveals worrying levels of risk, a reduction in funding pathways and a need for training for all statutory professionals. Additionally, another possible limitation of this study is that terms such as class, gender and heterosexuality were not defined by participants. Practical implications The paper considers the macroeconomic legacy of neoliberalism, suggesting that investing in early educational approaches, young person focused programmes and appropriate “classed sexism” training for statutory services is crucial for minimising risk. Social implications To understand the experience of DVA, the intersections of class, gender and age warrants further consideration, particularly in light of claims that socio-economic and ethnic marginalisation has the potential to increase the risk of exposure to interpersonal violence. Originality/value This original research project prioritises participant knowledge and expertise in the hope of minimising risks for adolescent survivors and perpetrators of domestic violence (DVA). This paper privileges the voices and lived experiences of survivors and professionals who have expertise in DVA.

Help-seeking amongst women survivors of domestic violence: a qualitative study of pathways towards formal and informal support.

Informal and formal support for women experiencing domestic violence and abuse (DVA) can improve safety and health outcomes. There has been little qualitative work on the role of both pathways to support and women's experiences of disclosing their experience of DVA in different contexts. This qualitative study used repeat interviews with women survivors of DVA to explore their pathways to support and their experiences of barriers and facilitators to disclosure and help-seeking. Thirty-one women seeking help from specialist DVA agencies in the UK were interviewed twice over 5months. Women recounted long journeys of ambivalence, often only disclosing abuse after leaving the perpetrator. Access to specialist support rarely came via general practitioners, despite high levels of consulting for anxious and depressed feelings, and was more often facilitated by police or housing agencies following a crisis such as assault. Informal disclosure only led to specialist help if the family member or friend themselves had experience or knowledge of DVA. Women experiencing DVA need earlier access to specialized DVA services. Many women needed an 'enabler' to facilitate access, but once this contact was made, disclosure to other professionals or to family and friends was legitimized in the eyes of the women. Safely accessible publicity about DVA services and an appropriate response from social and health-care professionals should be promoted, including support for women disclosing DVA to take action on the information they receive about services.