Chapter C: Practice Guidance - Working with Families Affected by Domestic Abuse |
This guidance was endorsed by Peterborough Safeguarding Children Board on 7 August 2007 and revised December 2008.
This guidance is currently being reviewed.
Contents
- Introduction
- Purpose
- First Principles
- Referrals to Children’s Social Care Services
- The Child Protection Conference
- The Role of the Police
- The Role of the Advocacy Service
- The Role of Housing Departments
- The Role of Health
- The Role of Education - Schools and Early Years
- The Role of the National Probation Service
- The Role of Children and Families Court Advisory Support Service (CAFCASS)
- Child Support Agency
- The Role of the Voluntary Sector
- The Role of the Vulnerable Adults Service
- Other Useful Contacts
1. Introduction
| 1.1 | Definition and Context:It is recognised that there are currently a number of definitions of domestic violence. However, the agencies signed up to this document recognise that: Domestic violence is any incident of threatening behaviour, violence or abuse (physical, psychological, sexual, financial or emotional) between adults who are or have been intimate partners or family members, regardless of gender or sexuality. It can also include violence perpetrated by a son, daughter or any other person who has a close or blood relationship with the victim and be violence inflicted on, or witnessed by children. (Home Office, 2005) Within the context of this document, the terms domestic abuse and domestic violence will be used interchangeably. |
| 1.2 | Most reported cases of domestic abuse involve the abuse of women by men, although abuse does occur in same sex relationships and men can also be victims. Information currently shows that 77% of victims are women and 23% are men (British Crime Survey 2002). |
| 1.3 | Domestic Violence is one indicator of risk of harm to children. Prolonged and/or regular exposure to domestic violence can have a serious impact on a child(ren)'s development and emotional well-being, despite the best efforts of the non-abusing parent to protect the child(ren). This can include seeing or hearing the ill-treatment of others. Children experiencing domestic violence are seen as children in need and a referral to Children's Social Care Services must be considered. |
| 1.4 | Everyone working with women and children should be alert to the possible inter-relationship between domestic violence and the abuse and neglect of children. Where there is evidence of domestic violence, the implications for any children in the household should be considered, including the possibility that the children may themselves be subject to violence or other harm. Conversely, where it is believed that a child(ren) is being abused, workers should be alert to the possibility of domestic violence within the family. |
| 1.5 | Domestic violence episodes can begin or escalate during pregnancy. Domestic violence can pose a threat to an unborn child(ren), because assaults on pregnant women frequently involve punches or kicks directed to the abdomen, risking injury to both mother and unborn child(ren). |
| 1.6 | Violence and/or threats of violence may continue after separation. Research suggests that victims maybe at greater risk when preparing or attempting to leave, or through contact arrangements. |
| 1.7 | Domestic abuse may have an impact on everyone who comes into contact with the family including workers who may feel threatened or fearful. Supervision is vital to ensure workers keep a child focus and are aware of the potential for minimising or having an over-optimistic view of the potential for change. |
| 1.8 | It is important that there is a multi-agency approach to safeguarding children who are at risk as a result of domestic abuse as outlined in the PSCB safeguarding Inter-Agency Procedures (Nov 06) |
2. Purpose
| 2.1 | The purpose of this guidance is to:-
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3. First Principles
3.1 The Child’s Safety is Paramount
There may be occasions when the child’s needs are in conflict with the wishes of the abused victim. Protecting the child/ren is paramount. Workers should always consider whether threats might be being made to the victim by the abuser.
3.2 Working in Partnership with Parents
Where possible workers should engage with both the non abused victim and the abuser, whilst recognising that the safety of the child/ren and victim is paramount. It is often the case that the support offered to the non-abusing parent is important in protecting both them and their child/ren from further harm. Families experiencing domestic abuse should feel supported and not judged.
3.3 Diversity and Equality
Domestic abuse affects people regardless of their age, gender, race, ethnicity, sexuality, nationality, disability or social class. Survivors of domestic abuse may face many forms of discrimination, and assessments/ services should take account of the needs of each individual, recognising the difficulty that some have in coming forward. When English is not the first language an independent interpreter should be used.
3.4 Confidentiality
A woman’s safety and that of her child/ren can depend on the confidentiality of the services offered to her. The dangers associated with breaches of confidentiality in situations of domestic abuse can be extreme. No personal information should be shared without her consent unless the local authority has initiated a Section 47 Enquiry. In this case agencies may have to share information regarding the adults in order to protect the child/ren see Recognising and Responding to Concerns about the Welfare of a Child Procedure: Practice Guidance on Information Sharing.
3.5 Prevention and Joint Working
Raising awareness about domestic abuse and its effects is a first step towards its prevention. All workers need to be alert to the signs of domestic abuse and consult with colleagues if they have concerns. Joint planning and assessment should take place using the Common Assessment Framework.
3.6 Staff Development and Safety
Working with such complex situations requires high levels of skills. Managers should ensure that workers can access the training provided by Peterborough Domestic Violence Forum and provide the environment for workers to explore the impact of working in these situations. Agency guidelines should be followed in order to protect worker. (There is local guidance for working with hostile, non-compliant clients and those who use disguised compliance.)
4. Referrals to Children’s Social Care Services
| 4.1 | Chapter 3 of the PSCB Safeguarding Inter-Agency Procedures set out the process of referral and initial assessment. The definition of harm from the Adoption and Children Act 2002 has been extended to include 'impairment suffered from seeing or hearing the ill-treatment of another'. Therefore, if Children's Social Care Services are aware of incidents of domestic violence, there is a duty to assess whether a child is suffering, or is likely to suffer, significant harm as a result of living in a household where domestic violence is present. Assessment of thresholds will follow guidance in the PSCB Inter-agency Procedures. |
| 4.2 | Incidents of domestic abuse where children are present will often involve the Police or the Emergency Duty Team and either the perpetrator or the victim and child/ren may leave the home. The referral should be made via the Referral and Assessment Team. The Duty Manager will make a decision about the most appropriate response. (There are also local protocols in place where the Police will inform the Safeguarding Specialist Nurse, where the children involved are under 5 or if a child/ren has sustained an injury, and the Head Teacher of the school where the child/ren attend. The available information and risk factors known will be considerable such as:
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| 4.3 | It should be remembered that the effects on children will be variable and will depend upon a range of factors including:
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| 4.4 | If there is a decision of no further action, as a minimum the victim should be given a domestic abuse leaflet outlining sources of support such as Help lines, Refuges, and Citizens Advice Bureau. |
| 4.5 | If a decision is taken to undertake an initial assessment care must be taken when contacting the victim. The referrer may be able to advise on the safest way of making contact. |
| 4.6 | Consideration may be given to initiating a Section 47 Enquiry if:-
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| 4.7 | Interventions in situations of domestic violence need to take account of the evidence that children can suffer serious long term damage through living in a household where domestic violence and abuse is taking place, even though they have never themselves been directly harmed. This evidence is reflected in the extension of the legal definition of harm from January 2005 (S.120 Adoption and Children Act 2002) to include "impairment suffered from seeing or hearing the ill treatment of another" - particularly in the home, even though they themselves have not been directly assaulted or abused. |
| 4.8 | The most effective intervention for ensuring safe and positive outcomes for children living with domestic violence is usually to plan a package of support that incorporates;
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| 4.9 | When planning interventions, account should be taken of a study of 29 child homicides occurring in England and Wales as a result of contact arrangements with a violent parent. This found that, despite the involvement of statutory services with most of the families, children were often not spoken to or assessed and domestic violence was viewed as an 'adult problem,' rather than a child protection issue. With regard to the 3 of 13 families, contact orders had been granted to very violent fathers either, against professional advice, without waiting for professional advice or without requesting professional advice. |
| 4.10 | Local Authorities are increasingly contacted by people seeking support who are experiencing domestic abuse who have no recourse to public funds. An assessment of need is carried out and assistance provided under Section 17 if this is deemed to be necessary. |
| 4.11 | No Recourse to Public Funds Network, is a network of local authorities focusing on the statutory response to destitute people from abroad who have no recourse to public funds and who are starting to develop guidance on children and families. See Islington website |
5. The Child Protection Conference
| 5.1 | Child Protection Conferences Procedures sets out the purpose, timing and arrangements for Child Protection Conferences. |
| 5.2 | A risk assessment should be undertaken to assess the risk to either the child/ren or victim if the abuser is to be invited present to the Child Protection Conference. The procedure set out in Child Protection Conferences allows for the exclusion of a parent/carer if “there is a strong risk of abuse or intimidation by a family member or, subsequent to, the conference, towards a child or anyone else”. (see Child Protection Conference Procedures paragraph 5.28) |
6. The Role of the Police
| 6.1 | The police are often the first point of contact with families where domestic abuse takes place. Officers must be alert to the fact that this may be the first contact a victim has had with the police or other agency in relation to abuse. It is vital that officers recognise that this may be the first time that the individual has felt able to share very private, humiliating information with others. A sensitive, non-judgemental approach must be demonstrated. |
| 6.2 | Officers attending incidents of domestic abuse must comply with current force policy.
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| 6.3 | When responding to incidents of domestic abuse the police must ascertain if there are any children living in the household, even if no children were present at the incident, or if the victim is pregnant. |
| 6.4 | If there are children living in the household the police will:
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| 6.5 | If the police have specific concerns about the safety or welfare of a child, they will make a referral about their concerns to Children’s Social Care Services. |
| 6.6 | All reports of domestic abuse will be monitored by the domestic abuse officer(s) who will give appropriate advice to investigating officers and ensure that all positive avenues are explored in relation to police matters. |
7. The Role of the Advocacy Service
| 7.1 | In Peterborough there is a team of Advocates for high-risk victims of Domestic Violence who work closely with the Police. They offer victims support, including the chance to follow the Freedom Programme, a series of sessions which aim to fortify victims against recurrence of Domestic Violence, and which can help them to break the cycle of violence. This programme is only appropriate in cases where the perpetrator has left the family home. |
| 7.2 | The Domestic Violence Advocates play a pivotal role in feeding back relevant information to other agencies, whilst maintaining the confidence and trust of victims and their children.
The Domestic Violence Advocates may be contacted via the Domestic Violence Co-ordinator. |
8. The Role of Housing Departments
| 8.1 | General references to housing law and policy relating to victims of domestic violence follow. Local policies and priorities may differ. |
| 8.2 | Many victims do not leave their violent partner because they believe there is nowhere else to go. They may also return to violent partners due to inadequate housing arrangements. There are, in fact, several options available:
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| 8.3 | Councils have a duty to arrange housing for anyone who is homeless and is in priority need and is not intentionally homeless (Housing act 1996, Part VII, as amended by Homelessness Act 2002). They also have a duty to advise/assist the homeless and provide temporary accommodation. Homelessness applies:
Priority need which may apply in the domestic abuse context:
Councils sometimes accept that single women fleeing violence are in priority need if they are vulnerable. |
| 8.4 | The Code of Guidance on Homelessness states that local authorities should respond sympathetically to situations where abuse has not yet occurred, but it is feared. If a woman is living in a refuge, she should be treated as homeless. If she has gone to stay with friends or relatives, she may still be regarded as homeless. |
| 8.5 | Where a local authority has reason to believe the victim may be homeless and may have a priority need, they have a duty to offer temporary accommodation whilst investigating the case. Homeless victims are entitled to apply to any council, irrespective of any local connection. The council may refer the victim to an authority where there has been a previous connection. However, such a referral should not be made if a move to that area would renew the risk of domestic abuse. |
| 8.6 | Professionals should advise victims to record the violence experienced before going to the Housing Department or in the event of literacy difficulty assist the victim to do this, as it may be difficult to remember details in an interview. If victims have supporting evidence such as a social worker’s/doctor’s report or letter, an occupation order, an injunction or a Police report, they should take these with them when applying to the Housing Department. |
9. The Role of Health
| 9.1 | Domestic abuse has a substantial impact on the health and welfare of adults and children. As well as affecting their physical and emotional wellbeing, it can result in the loss of their home, independence, self-esteem and freedom. In some cases it can even result in the loss of life. Domestic abuse often starts or escalates during pregnancy. Domestic abuse has been linked to suicide attempts and can lead to some victims becoming reliant on drugs and alcohol in order to cope. |
| 9.2 | Research shows that health care services are often the first point of contact for people living with domestic abuse. Therefore it is vital for health professionals to be sensitive to clues and indications which might suggest domestic abuse. It is also vital that they routinely ask about domestic abuse. Whilst clients may be reluctant to disclose what is happening to them, often they are hoping that someone will realise something is wrong and ask them about it. |
| 9.3 | If health professionals, including GPs and Accident and Emergency (A & E) staff, become aware of domestic abuse within a family they should listen to the victim and take them seriously. The safety of any child/ren in the household and the implications of domestic abuse for them should be discussed. Any injuries should be logged, photographed if possible (A & E may have this facility), and questions asked about how they were received. When asking about domestic abuse, it is important for health professionals to see the victim alone. This may sometimes be difficult without arousing the suspicions of a partner, but it can be stressed that this is routine practice, or a reason can be found to divert the partner elsewhere. In maternity services, there is an increasing emphasis on seeing the woman and partner together, and the requirement to see the woman on her own may undermine this principle. However, health professionals should understand the importance of seeing the woman alone at least once. |
| 9.4 | Living with domestic abuse also has a psychological impact on those involved, and mental ill health can result. In mental health assessments it is important to differentiate between information given by someone who is genuinely describing a partner’s mental distress, and by one who is trying to control the partner by defining their behaviour as ‘mad’. The subject’s own views must be sought and interpreting services used when necessary to gain this perspective. Where abuse is disclosed this must be taken seriously and acted upon. |
| 9.5 | Where children are in the household, the health professional should establish how/where the children are and how they are affected. The need to safeguard the welfare of the child/ren is paramount. The emotional impact on children may be difficult to assess but may manifest as adjustment problems, resulting in e.g. withdrawal, depression, anxiety, problem behaviour, parent-child conflict, low self-esteem, attachment problems. Where children are involved, the parent/carer should be informed that the matter will be discussed with the Named Nurse Child Protection and if the children are considered to be suffering - or are likely to suffer Significant Harm, a referral will need to be made to Social Care. |
| 9.6 | It is important that all relevant staff have up to date information about support services available for victims and their children. This information should be available in a variety of ways, not just in writing. Providing information may be the MOST a health professional can do. Health professionals must remember not to make choices for victims of domestic abuse, but to empower them to make their own informed choices and decisions. |
| 9.7 | Health is represented on the MARAC (Multi-Agency Risk Assessment Conference) which meets monthly. Information on children to be discussed is gathered and shared with the meeting and information and or agreed actions fed back to schools as appropriate. |
| 9.8 | A Domestic Violence Information Sharing Protocol has been established so that health professionals can be made aware when a domestic violence incident has occurred in the household where there is a child/children under the age of 5 or a pregnant woman. Police will send information about domestic violence incidents to the Named Nurse Safeguarding Children who will then forward to the appropriate health visitor/midwife. This will allow health professionals to be especially vigilant in reporting any further concerns to Social Care. |
10. The Role of Education Schools and Early Years
| 10.1 | Children are often the hidden victims of domestic abuse. School staff are in the unique position of having daily contact with children and their parent(s)/carer(s) which provides them with the opportunity to look out for signs which could indicate that domestic abuse might be taking place. The importance of teaching children about the hidden nature of domestic abuse and its unacceptability is widely recognised as an essential way of helping children to seek and then receive appropriate help. |
| 10.2 | Staff in Early Years settings need to be aware of the extremely high vulnerability of the children/young people in their care. Staff should record concerns on a daily basis, if appropriate/necessary, according to PSCB guidance. Details recorded could relate to:
Staff should record pre-existing injuries in the normal way. |
| 10.3 | Peterborough Primary and Special Schools also have access to 'Staying Safe' a personal safety programme for use in PHSE, which can be used to cover domestic abuse issues. |
| 10.4 | Additionally many Peterborough schools have had the benefit of a new programme called "Respectful Relationships" which is a joint project run by Women's Aid and NSPCC and delivered to years 5 and 6. The programme has been very successfully evaluated and has a lengthy waiting list. |
| 10.5 | School staff have received information about the impact of domestic abuse on the lives of children in all child protection training delivered by the Education Child Protection Service and by local safeguarding trainers. This has received additional emphasis since "seeing or hearing the ill treatment of another" has been added to the definition of emotional abuse. All staff are clear about the signs to look out for, the procedures for recording concerns in school and passing information to the designated person. |
| 10.6 | Education is represented on the MARAC (Multi-Agency Risk Assessment Conference) which meets monthly. Information on children to be discussed is gathered and shared with the meeting and information and or agreed actions fed back to schools as appropriate. |
| 10.7 | A Domestic Violence Information Sharing Protocol has been established so that schools can be made aware when a domestic violence incident has occurred in the household of a child on their roll. Police will send information about domestic violence incidents to the Head Teacher. This will allow school staff to be understanding of any unusual behaviour and given that domestic violence is an important indicator of other forms of abuse they will be especially vigilant in reporting any further concerns to Social Care. |
| 10.8 | Where there are concerns or nagging doubts about a child, school staff will closely monitor their behaviour and make time to listen when needed. After 3 concerns or nagging doubts have been recorded for a child the designated teacher is advised to consult with their Attendance Welfare Officer regarding the need for possible action. Advice can also be sought from an Attendance Welfare Officer during term time through the Child Welfare Line (tel: 01733 863661; term time only between the hours of 12.30 p.m. and 4.30 p.m.). If there are clear indications that the child is at risk of significant harm a referral will be made to Children's Social Care Services, Referral and Assessment, as per PSCB Inter-agency Safeguarding Procedures (paragraph 2.28) |
| 10.9 | Parent(s)/carer(s) who report domestic abuse to staff in schools should be encouraged to seek help through the Police, Children's Social Care Services or voluntary groups (i.e. Women's Aid). The Peterborough Domestic Violence Forum has produced an information sheet giving details of useful contact telephone numbers to give to those who disclose that they are the victims of domestic abuse. It is important to respect the wishes of any parent/carer who does not want to seek any help or support. However, if there are concerns about safeguarding the child/ren then the parent/carer should be made aware that a referral will be made to Children's Social Care Services. |
| 10.10 | There are particular issues around confidentiality and sensitivity, which are specific to domestic abuse. All school staff should be made aware of these issues. For example, if the parent/carer and their child/ren are placed in a refuge as a result of domestic abuse, the address details will need to remain confidential. These details should not be disclosed to any member of staff other than the Head Teacher or the designated person (for emergency contact purposes) and should be kept in a secure place. When a child/ren transfer to a new school it is important that the name and location of the new school is kept confidential. Where possible, a child/ren's records should be passed on to the new school via the Attendance Welfare Officer. Further advice can be sought from the Attendance Welfare Officer allocated to the school. |
11. The Role of the National Probation Service
| 11.1 | The National Probation Service (NPS) works with both perpetrators and victims of domestic abuse and staff are involved in local Domestic Abuse Forums. The Cambridgeshire Probation Area runs the Integrated Domestic Abuse Perpetrators programme (IDAP) in Peterborough and elsewhere. This includes staffing the Women’s Safety Worker role and arranging Risk Meetings on a regular basis. The Area supports the Multi Agency Risk Assessment Conference system (MARAC) and provides a Chair and other resources as well as meeting its commitments to ensure the attendance of the relevant Managers. |
| 11.2 | A new initiative has resulted in the launch of Practice Guidance in relation to Domestic Abuse on the Cambridgeshire Probation intranet system, available to all staff. |
| 11.3 | The Cambridgeshire Probation Area supports and works within the Specialist Domestic Court. |
| 11.4 | Court reports take into account the protection of the victim and may include the proposal that sentences include requirements covering prohibited contact with victims or restricting entry into a clearly defined geographical area. Any relevant requirement within a Community Sentence will be enforced to protect victims. Supervision of Community Sentences for offences of domestic abuse is subject to compliance and enforcement according to Probation National Standards. |
| 11.5 | At present perpetrators of domestic abuse are identified at the point where a pre sentence report is requested. Such offenders are not usually suitable for general offending behaviour accredited programmes, requiring the more specific IDAP programme. |
| 11.6 | Offenders who have served a custodial sentence (over 12 months for adults and all offenders under 21) are released subject to Licence. The release plan has to take into account location and consider the views of victims, as well as ensuring the risk of further serious harm and re-offending is reduced. |
| 11.7 | Probation Approved Premises (hostels) are potentially available where residency as a condition of an order or Licence may reduce the risk of serious harm or reduce the rate of re-offending. In some circumstances victim concerns might result in a condition to reside at Approved Premises. |
| 11.8 | Internal Policies and Training for Safeguarding Children will include reference to the relevance of Domestic Abuse. |
| 11.9 | Data Collection in relation to the incidence of Domestic Abuse on the Probation caseload, the use of specialist assessments as appropriate and the numbers being offered and completing IDAP programmes will be monitored by Senior Management. Following an internal restructure, clear lead responsibility for Domestic Abuse is to be located within the Offender Management Function of the Peterborough Service, with responsibility ultimately resting with the Assistant Chief Officer. |
12. The Role of Children and Families Court Advisory Support Service (CAFCASS)
| 12.1 | The duty of CAFCASS to safeguard children is set out in the Children Act 1989, the Criminal Justice and Court Services Act 2000, the Adoption and Children Act 2002 and the Children and Adoption Act 2006. |
| 12.2 | From January 2005 the legal definition of harm to children was extended to include the harm children suffer witnessing the ill treatment of another. This amendment, contained in Section 120 of the Adoption and Children Act 2002, was in response to evidence that children can suffer serious long-term damage through living in a household where domestic abuse and abuse is taking place |
| 12.3 | The CAFCASS Domestic Abuse policy has now been incorporated into the Safeguarding Framework. There is a Domestic Abuse toolkit available for use by practitioners |
| 12.4 | In Private Law (Section 8) applications arrangements should always be made to ask parties separately about domestic abuse before any joint interview; this will be in privacy at the first meeting or interview. In public law, it will be in the early stage of the case but may not be at the first meeting |
| 12.5 | Family Court Advisers must routinely be alert to the possibility of domestic abuse in all private and public law family proceedings, even when it has not been alleged. |
| 12.6 | CAFCASS practitioners will ensure that allegations of domestic abuse are taken seriously and receive an appropriate and proportionate response by way of an assessment of risk. If the allegations of domestic abuse are such that a child could be in imminent danger from a violent parent, the immediate and urgent priority is to secure the safety of the child. |
13. Child Support Agency
| 13.1 | Women who have experienced domestic abuse should sign the declaration form sent by the Child Support Agency, stating why they should not be required to apply for maintenance from their partner. They may have to undergo an interview with a member of staff from the Agency but they should not be put under pressure to reveal information about a violent partner. |
14. The Role of the Voluntary Sector
| 14.1 | Voluntary organisations play a vital role in offering services to women and children who are living with or attempting to leave situations where there is domestic abuse. It is important that the work these organisations contribute is recognised by other agencies. Voluntary organisations may need to refer to Social Care and be guided by their internal procedure. |
| 14.2 | Peterborough Women’s Aid (PWA) offers refuge accommodation and outreach provision in Peterborough. They are linked to the national refuge network via affiliation with Women’s Aid Federation of England (WAFE).
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| 14.3 | All women living in refuge are charged weekly rent. They must also pay a weekly charge to cover the cost of their personal consumption of electricity, gas, water etc. For most women living in the refuge, their rent is covered by Housing Benefit and they pay their weekly personal charge from their own benefits. However, women who work and women with no recourse to public funds may not be entitled to Housing Benefit. PWA workers can offer advice on any options open to them and women should not be discouraged from apply for refuge for this reason. |
| 14.4 |
PRCCG - 01733 843383 (Mon-Fri, office hours/24 hour answerphone) Victim Support (via national victim care unit) - 0845 3899523 CAB - 08444 994120 Bridgegate - 01733 314551 Drinksense - 01733 555532 GLADCA - 01733 566343 |
| 14.5 | PDVF is a partnership of voluntary and statutory agencies that work together to provide effective and holistic services to people affected by domestic abuse. The Forum is involved in a range of initiatives, including developing policies and guidelines, delivering training, raising awareness about domestic abuse and support services and undertaking research. PDVF is proactive in bringing domestic abuse issues to the forefront across a range of services and agencies. The PDVF Co-ordinator can be contacted by professionals for advice and information on 01733 453487 - Mon-Fri, 9am-5pm. or by email at sue.chapman@peterborough.gov.uk |
15. The Role of the Vulnerable Adults Service
| 15.1 | A vulnerable adult is defined in 'No Secrets' as: 'a person aged 18 years or over, who is in receipt of or may be in need of community care services by reason of 'mental or other disability, age or illness and who is or may be unable to take care of him or herself, or unable to protect him or herself against significant harm or exploitation'. For the purpose of this guidance "community care services" will be taken to include all care services provided in any setting or context. |
| 15.2 | Abuse is defined in 'No Secrets' as the 'violation of an individual's human or civil rights by any other person or persons'. Abuse may consist of a single act or repeated acts. It may be physical, verbal or psychological, an act of neglect or an omission to act, or it may occur when a vulnerable person is persuaded to enter into a financial or sexual transaction to which he or she has not consented, or cannot consent. It may also occur through deliberate targeting or grooming of vulnerable people and may be carried out by individuals or groups of individuals. Abuse can occur in any relationship and may result in significant harm to, or exploitation of, the person subjected to it. |
| 15.3 | Abuse may occur in any setting for example where a vulnerable person:
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| 15.4 | A consensus has emerged identifying the following main different forms of abuse:
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| 15.5 | Abusive behaviour may be part of the accepted custom and culture within an organisation or an individual member of staff, or particular group of staff may carry it out. The key risk factors for institutional abuse are:
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| 15.6 | Significant harmDefinition - Can be taken to include not only ill treatment (including sexual abuse and forms of ill treatment which are not physical), but also the impairment of, or an avoidable deterioration in, physical or mental health; and the impairment of physical, intellectual, emotional, social or behavioural development. (Source: 'Who Decides', Lord Chancellor's Department 1997). |
| 15.7 | The process of assessing significant harm will include consideration of the following factors:
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| 15.8 | If the assessment indicates that there are sufficient indicators of significant harm to the vulnerable adult, it is then necessary to evaluate if intervention is in the best interests of the vulnerable adult and/or in the public interest. Any or all types of abuse may be perpetrated as the result of deliberate intent, negligence or ignorance. |
16. Other Useful Contacts
| National Centre for Domestic Violence |
| T: 08709 220704 |
| Emergency Helpline |
| T: 0800 9 702070 |
| Mankind (Male Victims of Abuse) |
| T: 01823 334244 |
| Respect (Male Perpetrators Helpline) |
| T: 0845 122 8609 |
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