BEST PRACTICE GUIDANCE FINAL 2011/12 SOUTH GLOUCESTERSHIRE BEST PRACTICE GUIDANCE ON IDENTIFYING AND RESPONDING TO DOMESTIC ABUSE 2011/12 1 BEST PRACTICE GUIDANCE FINAL 2011/12 Document Status: DRAFT FOR CONSULTATION Current Version: Consultation: Publication Date: Review Date: Contact Officers: Final: March 2012 Partnership Against Domestic Abuse: 22nd Feb 2012 March 2012 12 months from date of publication with ongoing feedback via the MARAC Administrator and/or Domestic Charlotte Leason, Domestic & Sexual Violence Coordinator Sophie Jarrett, Violent Crime Technical Administrator South Gloucestershire Council Tel: 01454 868751 [email protected] [email protected] 2 BEST PRACTICE GUIDANCE FINAL 2011/12 CONTENTS Page: 1. Introduction 4 1.1 Definition of Domestic Abuse 1.2 Purpose of the guidance 1.3 Guidance Review 4 5 5 2. Process Flow Charts 6 3. Identifying Domestic Abuse 8 3.1 Routine/selective enquiry 3.2 Signs and Symptoms 3.2.1 signs and symptoms for adults 3.2.2 signs and symptoms for CYP 3.3 Risk Factors 3.4 Asking Questions 8 8 8 9 9 11 4. Responding to Domestic Abuse 13 4.1 Immediate safety actions/measures 4.1.1 Victims Safety 4.1.2 Professional Safety 4.1.3 Immediate referrals 4.1.4 Agency form filling and record keeping 13 13 14 14 15 5. DASH Risk Assessment 16 5.1 When to use the DASH 5.2 How to use the DASH 5.3 Outcome of the DASH 5.4 Revealing the results of the DASH to the victim 5.5 Identifying risks to CYP 16 16 17 17 18 6. Responding to the DASH Risk Assessment 19 6.1 Responding to standard/medium risk cases 6.2 Responding to high risk cases 19 20 7. Guidance on Safety Planning 21 7.1 Safety planning if the victim leaves 7.2 Safety planning if the victim stays 7.3 Safety planning for CYP 21 22 24 8. Key contacts 25 9 Appendices 27 3 BEST PRACTICE GUIDANCE FINAL 2011/12 1. INTRODUCTION The South Gloucestershire Domestic Abuse Partnership advocates a collaborative and consultative approach to the strategic and operational response to domestic abuse, which will hold the involvement and active participation of service-users as a core value. The Partnership maintain that domestic abuse is a fundamental infringement of an individual’s basic human rights and must never be tolerated, further it is our collective responsibility to challenge and appropriately respond to domestic abuse inclusively for the communities we serve. The South Gloucestershire Domestic Abuse Partnership aims to achieve: an increased ‘zero tolerance’ attitude to violence; the implementation of robust initiatives and policies that work to prevent, protect and provide for all individuals and families affected by domestic abuse; and a collaborative effort that acknowledges the intrinsic links with safeguarding children and adults. All of which will ensure an appropriate multi-agency response to domestic abuse that will enable those affected to change their lives so that they may no longer live in fear. 1.1 Definition of Domestic Abuse For the purposes of the South Gloucestershire Partnership Against Domestic Abuse, its Subgroups, the South Gloucestershire Specialist Domestic Violence Court and the Multi-Agency Risk Assessment Conferences; the definition of Domestic Abuse is: “The use, attempt or threat of violence; whether physical, emotional, sexual, psychological or economic, within an intimate and/or family-type relationship. Domestic Abuse forms a pattern of coercive and controlling behaviour”* *Domestic Abuse occurs across society, regardless of age, gender, race, sexuality, wealth and geography. Research shows, however, that it consists mainly of violence by men against women and it is not necessary for partners to have cohabited. The terms ‘domestic abuse’ and ‘domestic violence’ are often both used, and whilst the South Gloucestershire Partnership Against Domestic Abuse will refer to ‘abuse’ it is acknowledged that the terms can be used interchangeably, and both terms refer to the above definition. From 1st December 2010, Avon and Somerset Constabulary will use the following definition of domestic abuse: ‘Any incident of threatening behaviour, violence or abuse (psychological, physical, sexual, financial or emotional) between persons aged 16 or over, who are or have been intimate partners or family members, regardless of gender and sexuality’. Family members are defined as mother, father, son, daughter, brother, sister and grandparents, whether directly related, in-laws or step-family 4 BEST PRACTICE GUIDANCE FINAL 2011/12 1.2 Purpose of the Best Practice Guidance document The purpose of the ‘South Gloucestershire Best Practice Guidance on Identifying and Responding to Domestic Abuse’ document is to: Provide guidance on best practice procedures for identifying cases of Domestic Abuse and responding in the most appropriate way To provide guidance on dealing with domestic abuse cases risk assessed as ‘Standard or Medium’ risk, and to sign post to relevant documentation on dealing with ‘High Risk’ cases. Establish accountability and responsibility amongst practitioners Answer key questions about identifying and responding to cases of Domestic Abuse. The guidance is designed to ensure that practitioners are best placed to respond correctly to cases of Domestic Abuse, and the guidance should be read in conjunction with local and national policies on Safeguarding Adults and Children & Young People, along with the South Gloucestershire MARAC Operating Protocol. The guidance is not aimed to provide an exhaustive list of possibilities for responding to Domestic Abuse, and practitioners should be aware of any procedures that their own agencies hold in dealing with such cases. Note: As of 13th April 2011, the Local Authority holds a statutory obligation to consider conducting a Domestic Homicide Review (should a death occur within South Gloucestershire as a result of Domestic Abuse). This guidance is therefore designed to ensure that all agencies have the opportunity to put actions in place, and ensure that should a review take place you and your agency did all you could. 1.3 Guidance Review This guidance will be reviewed annually from the date of publication by the South Gloucestershire Partnership Against Domestic Abuse. Requests for additions or changes should be made in the first instance to the Domestic and Sexual Violence Coordinator or MARAC Administrator at South Gloucestershire Council, Safer & Stronger Communities Division [email protected] 5 BEST PRACTICE GUIDANCE FINAL 2011/12 2. Process Flowcharts The below charts demonstrate the different recommended processes for dealing with Domestic Abuse: 6 BEST PRACTICE GUIDANCE FINAL 2011/12 7 BEST PRACTICE GUIDANCE FINAL 2011/12 3. Identifying Domestic Abuse If the person you have come into contact with has not openly disclosed Domestic Abuse, but you suspect there may be an issue, you should consider what possible signs or symptoms they are displaying which may indicate that they are experiencing Domestic Abuse. 3.1 Routine/Selective Enquiry It is important that practitioner’s remain aware of the possible signs or risk factors that may indicate that domestic abuse is happening and to remember the dynamics displayed within abusive relationships. This awareness of Domestic Abuse should become part of an everyday working pattern, ensuring that any suspicions or confirmation of abuse are investigated and dealt with appropriately. Practitioners should remember not to be afraid to listen and trust their professional instinct. 3.2 Signs and Symptoms It is impossible to know with some certainty what goes on behind closed doors, but there are many signs and symptoms that can be attributed to Domestic Violence/Abuse that may highlight a cause for concern. It is essential that if you suspect any of the signs or symptoms of Domestic Abuse, that you take them seriously, investigate further and keep accurate records of your enquiry. 3.2.1 Signs and Symptoms for Adults The below list should not be considered as an exhaustive list of the signs and symptoms that a person may portray should they be experiencing Domestic Abuse, but are indicators that may be recognised by professionals in their contact with potential victims. Other behaviours not listed below may be highlighted as a cause for concern and warrant further investigation. Signs and Symptoms that may be displayed by an adult experiencing Domestic Abuse Injuries inconsistent with the explanation Person reluctant to speak in front of partner / family member Partner / family member always speaks on behalf of the person Person appears fearful of partner/family member Person is belittled/humiliated by Partner/family member Low self-esteem / Depression / Mental Health Complaints Substance Misuse – Drugs / Alcohol Pregnancy Frequent appointments for vague symptoms Avoidance tactics – missed appointments, difficult to engage Person received frequent, harassing phone calls from their partner/family member Peron is isolated from family or friends Bruises and injuries in ‘hidden’ areas / hides or minimises injuries Have limited access to money/restrictions on use of money Denial of abuse 8 BEST PRACTICE GUIDANCE FINAL 2011/12 3.2.2 Signs and Symptoms for Children and Young People Children who live with Domestic Abuse face increased risk for their safety and wellbeing and experience great disruption within their lives. The impact of experiencing Domestic Abuse can vary according to the child or young person, and therefore the below list provides examples of behaviours that may be displayed, but it should be acknowledged that other behaviours may be highlighted by children and young people as a cause for concern during your enquiries. Signs and Symptoms that may be displayed by a Child or Young Person experiencing Domestic Abuse Poor reflective functioning Limited capacity to explore & play, Poor emotional regulation Poor conflict resolution skills Increased internalizing symptoms (withdrawn) Externalizing problems (acting-out) Decreased cognitive functioning Issues with social skills Appear anxious and frightened of parent (s) Aggressive or confrontational behaviour Appear concerned for parent (s)/ protective of parent (s) or siblings. Disordered Attachments Hyper-vigilance, hyper-activity & heightened arousal ‘Symptoms’ may be misdiagnosed or wrongly assessed as illness (ADHD, Conduct Disorder, Anxiety, Depression), learning difficulties or naughtiness Lack of school attendance/attainment Low self esteem Distrustful Appear desensitised to certain behaviours Unexplained or frequent illness 3.3 Risk Factors An important aspect of identifying Domestic Abuse is to understand the factors or behaviours that are considered to be of risk to the victim and/or their children. The following list demonstrates the ‘high risk’ factors of Domestic Abuse, which you should remain aware of during your enquiries, and during any safety planning processes you may undertake. If these high risk factors are present, you will need to consider conducting a risk assessment and making onward referrals (see section 4). High Risk Factors of Domestic Abuse Victim Perception The victim is the person who understands the situation to its fullest, and if they therefore feel at risk, it is likely that they are at risk of harm or further abuse. It is also important to consider that some victims may minimise the risk, and therefore your professional judgement will be key to ensuring their safety. Separation When a victim chooses to leave their abusive relationship, or has recently separated their risk level of serious harm or death increases dramatically. The victim may be trying to leave, and the perpetrators reaction to this may increase the risk level. 9 BEST PRACTICE GUIDANCE FINAL 2011/12 Child Contact If no arrangement is in place for child contact, this can be of risk to the victim and the children, as it may be an aggravating factor for further abuse and harassment. The victim may also be putting themselves in danger should they meet the perpetrator for the purposes of child contact. Arrangements for child contact will ideally not involve the victim having to be present during a ‘handover’ period. Stalking Stalking cases should be taken very seriously. You may notice a large number of psychological abuse/behaviours (coercive control and jealous surveillance) happening before any physical violence takes place. Be warned that the physical violence may only take place at the actual homicide event itself. Police should be contacted if there are serious concerns. Pregnancy or New Birth Pregnancy and the months following birth are often when the abuse may begin, or when abuse may escalate in frequency and severity. Child Abuse Escalation Controlling/jealo us behaviour Use of Weapons Threats to Kill/Strangulation Sexual Assault Honour Based Violence Pet Abuse Alcohol and Drugs/Mental Health Suicide/Homicide Children and young people can suffer as a consequence of domestic violence/abuse occurring within their household. They may experience direct physical, sexual or emotional abuse, and/or the abusive impact of witnessing or being aware of abuse to a parent. Abuse may increase in the frequency in which it occurs, or in the severity of the abuse experienced. Controlling or jealous behaviour is often used to control the victim, and may result in the victim being isolated from family/friends, unable to access funds, unable to leave the house (or leave alone) and may have certain behaviours imposed upon them (ways they are expected to behave). This behaviour may also result in the victim believing that the abuse is their fault. This may not always be use of a well known weapon such as a knife/gun etc, it may actually be the use of a household object such as lamp, remote control etc, or even a car (consider dangerous driving to either attempt to harm the victim or as a means of threatening the victim) Threats to kill are an important factor particularly if the victim believes these threats to be true, and should be taken seriously. Strangulation is often considered to be a threat to kill in itself, and also links to the controlling behaviour of the perpetrator. Sexual abuse is often a component of domestic violence/abuse - for example, partners and former partners may use force, threats or intimidation to engage in sexual activity; they may taunt or use degrading treatment related to sexuality, force the use of pornography, or force their partners to have sex with other people. Rape and sexual assault are crimes. “A crime or incident, which has or may have been committed, to protect or defend the honour of the family and/or community". (Definition of Forced marriage unit, Home Office) Abuse of pets can often be a prerequisite for further abuse on a partner/family member. It can also be used by the perpetrator as part of their controlling and coercive behaviour Alcohol/drugs may often play a part in incidents of domestic abuse, but should not be considered a cause of the violence. They may both also be used as another form of control over the victim; by forcing to take substances or withholding substances. Mental health of the victim and perpetrator are also important factors to consider as a possible risk, along with depression. Suicide or threats of suicide from the perpetrator can often be explained as a form of control over the victim. In the victim, this may indicate depression, or lack of ability to cope with the situation any longer. Domestic Homicide is the ultimate risk factor, and one that should be prevented as much as possible by those aware of the other risk factors listed above. Actions taken to protect the safety and wellbeing of the victim and their children are a form of homicide prevention. 10 BEST PRACTICE GUIDANCE FINAL 2011/12 3.4 Asking Questions 3.4.1 A person reports that they have been subject to Domestic Abuse Where a person contacts you or a member of your team to report an incident of domestic abuse, the member of staff taking that initial report should be mindful that this may be the person’s only opportunity to freely report an incident of domestic abuse. The member of staff should, where possible and appropriate interview the person immediately or arrange for a formal interview within 24 hours of the report or the next working day. 3.4.2 You suspect Domestic Abuse Where a member of staff suspects that a person is the victim of Domestic Abuse, though the person hasn’t actually confirmed this, the member of staff should carefully ask probing questions in order to try and ascertain whether their suspicions are correct (ensuring you are happy it is safe to do so and the person is comfortable). If it appears that the person is a victim of Domestic Abuse, they should offer support and advice and follow the steps below: 1. Remember the person may be distressed and it may not be the most appropriate time to get full details, however do try and get as many details as possible. The interview should take place at a safe location for both the victim/survivor and the member of staff. The member of staff should also offer the victim/survivor the chance to talk to a police officer at the same time. 2. Ideally the member of staff should obtain as much information as possible straight away. Staff should be sensitive to the victim/survivor’s feelings and situation, and provide the victim/survivor with the options for venues and time of interview. Victims/survivors should also be provided with information about safe homes, police and other relevant organisations. For details of support and advice agencies see the South Gloucestershire Directory of Domestic Abuse Services 3. At all times staff should be mindful of their own personal safety. The victim/survivor should also be offered the choice of being interviewed by a member of staff of the same sex. At the end of the interview the member of staff should read out the written account and request the interviewee to sign it. The member of staff should then counter-sign the record. The member of staff should take the victim’s/survivors contact details/phone number along 11 BEST PRACTICE GUIDANCE FINAL 2011/12 with details of when it is safe and convenient to make contact with them. If relevant also get authority for police disclosure at this time. It is important you are mindful of procedures already in place within your own agency, and the above should be considered as best practice guidance only. 3.4.3 Appropriate questioning In asking questions it is important that you remain non-judgemental, listen and be aware of your reaction – it is not your place to come up with a solution. Quite often people will deny what is happening, but you have opened a door that they know is a route for support should they need it. People experiencing abuse say they need to be asked – this can be done carefully and sensitively: • How did your injury happen? • Is everything OK? / Are you safe to return to…? • I have seen injuries / behaviours like this before, and that time the person had been hurt by someone – are you sure everything is OK? • T.E.D… Tell me, Explain to me, Describe to me… Think about safety before asking any questions – can anyone over hear you? Do your colleagues know where you are? The perpetrator is in the house… or is present o Don’t ask or don’t continue with your questions o Ask them when / where is safe to talk o Create an opportunity as soon as possible to see them alone, are you with a colleague? Can they distract the perpetrator? The person is denying everything… o You have opened a door… they know you are interested. o Offer some options and leave information if it is safe to do so o Try again another time soon o Are they talking to anyone? Can you work in partnership? It is important to note that you or your agency may have a procedure in place to deal with questioning, and the above are suggestions, not an exhaustive list. It is possible for you to be inventive in your questioning, and come up with other ways to ensure you support the victim. Once the victim has disclosed details of their abuse to you, you are then able to ensure you respond the situation appropriately, and take action to ensure their safety. 12 BEST PRACTICE GUIDANCE FINAL 2011/12 4. Responding to Domestic Abuse 4.1 Immediate Safety Actions/Measures If you have identified a victim of domestic abuse, you need to consider taking immediate safety actions to reduce and manage the risk. Necessary actions will depend on whether you are with the victim and they are safe in the immediate future, or whether they are still in a vulnerable location e.g. with the perpetrator. 4.1.1 Victims Safety Once domestic abuse has been confirmed by the victim, it is important that you take immediate safety actions to ensure the risk to them will be reduced in the short term. It is likely that you will aim to ensure their safety until you are able to meet with them again and put together a full safety plan. The following list provides some examples of the immediate safety actions you may take. Please be aware that this list is not exhaustive, and your agency may have other procedures in place that may secure the victims safety: In an emergency always call the Police on 999. Is the person hurt? Consider if you need to call an ambulance or contact another health care provider. Are there children or vulnerable adults present? Consider if you need to make an onward safeguarding referral (see Appendix 1). Does the person have somewhere safe to stay tonight? o o Can they stay with friends or family? Do they need temporary accommodation? (See the South Gloucestershire Directory of Domestic Abuse Services for information on where to seek refuge provision and emergency accommodation). Has a crime been committed or is it likely a crime will be committed? Contact the Police on 999 or through the non-emergency number 101. Ensure you provide the victim with any emergency contact numbers, including a way of contacting you should they need to. Note: If you work primarily with the perpetrator, meeting with the victim may increase their risk levels. You may therefore need to ensure a referral to specialist services is made so that it can be dealt with appropriately. It is important that you remember that the duty of care remains with you until you appropriately hand the risk to someone else. 13 BEST PRACTICE GUIDANCE FINAL 2011/12 4.1.2 Professional Safety Once you have secured the victims safety, it is also important to consider your own safety, in terms of personal safety and professional safety. The following list provides some examples of what you should consider to ensure your safety. Please be aware that your agency may have its own procedures you may need to follow in the first instance. • • Ensure you inform your line manager or designated safeguarding officer about your concerns and agree a course of action. Ensure your line manager is aware of your involvement, and they are informed of your attendance at any meeting with the victim that may be outside of your office environment. Seek further professional advice as appropriate (See the South Gloucestershire Directory of Domestic Abuse Services for information) Collate and record all necessary information (see section 4.1.4) Make appropriate referrals (see section 4.1.3) Conduct a risk assessment (see section 5 on the DASH) Don’t make promises you can’t keep – remember safeguarding ‘trumps’ confidentiality Don’t make judgements, believe what they are telling you (it is probably not your role to decide what is true) Ask the person what they need to make them safe and how you can help. 4.1.3 Immediate Referrals Once you have addressed all safety measures, it is important that you consider making onward referrals to specialist services. Referrals you make will be dependent on the individual situation, but the list below provides some examples: CAF Children and young people’s services Safeguarding adults Survive Next Link Drug and alcohol services Debt advice Housing support Contact details for making referrals can be found in the South Gloucestershire Directory of Domestic Abuse Services. (Also see appendix 1) Once you have conducted a risk assessment, you should also refer the case to MARAC if the result is ‘high risk’ (see section 5). You may also wish to consider what support the victim may already be receiving, or whether any other agencies are already involved and consider partnership working. It is important that you remember that the duty of care remains with you until you appropriately hand the risk to someone else. 14 BEST PRACTICE GUIDANCE FINAL 2011/12 4.1.4 Agency form filling and record keeping It is very important that you keep accurate records of your involvement. Your agency may have its own record keeping procedures, but the following provides some information on the key pieces of information to record: • • • • • • • • • • • • • • • • Names – who you are concerned about and other relevant parties (perpetrator, children). Date of birth Addresses Contact details – are these safe? Summary of what has happened – try to distinguish between fact and allegation Description of what you have seen – injuries, disruption in the home, damage to property What does the person want? Photographs? Dates and times Who else have you spoken to? What was said? What was agreed? What actions are you going to take or have you already taken? Who are you referring to? Have you done a risk assessment? What was the outcome Have you got consent from the person to refer – if not, on what grounds are you sharing the information? What is your professional judgement Anything else that you consider to be important Remember: it is important that you retain such records in a secure file marked as confidential. You will also need to ensure all relevant colleagues are aware of where the records are kept in the event that they will need to pick up on the case in your absence. 15 BEST PRACTICE GUIDANCE FINAL 2011/12 5. DASH Risk Assessment The South Gloucestershire Partnership Against Domestic Abuse advocate the use of the ACPO DASH (2009) risk assessment tool to determine the level of risk of a domestic abuse case (see Appendix 2) the risk assessment tool can also be downloaded from www.dashriskchecklist.co.uk. The purpose of the ACPO DASH is to give a consistent and practical tool to practitioners working with victims of domestic abuse to help them identify those who are at high risk of harm. The risk factors included in the DASH (2009) are evidence based, drawn from extensive research by leading academics in the field of domestic homicides, ‘near misses’ and lower level incidents. 5.1 When to use the DASH (2009) Risk Assessment Checklist The checklist should be used whenever a professional receives an initial disclosure of domestic abuse. It is designed to be used for those suffering current rather than historic domestic abuse and, ideally, should be used as a rapid response to an incident of domestic abuse. If you are concerned about the risk to a child/children or a vulnerable adult you should make a referral to the appropriate department to ensure that a full assessment of their safety and welfare is made – this may be in addition to or instead of a MARAC referral see (MARAC Operating Protocol) for Safeguarding Children Thresholds Guidance and Appendix 1 for local safeguarding referral pathways. Risk in domestic abuse situations is dynamic and can change very quickly. As and when things change the risk assessment must be re-visited and reviewed. Using an evidence-based risk identification and assessment model always improves the decisions being made. It also increases the likelihood of the victim being responded to appropriately and therefore of correctly addressing the risks they face. 5.2 How to use the DASH (2009) Risk Assessment Checlist The Risk Checklist should be introduced to the victim within the framework of your agency’s: Confidentiality Policy Information Sharing Policy and Protocols MARAC Referral Policy and Protocols Before you begin to ask the questions in the Risk Checklist: Establish how much time the victim has to talk to you? Is it safe to talk now? What are safe contact details? Establish the whereabouts of the perpetrator and children Explain why you are asking these questions and how it relates to the MARAC Whilst you are asking the questions in the Risk Checklist: 16 BEST PRACTICE GUIDANCE FINAL 2011/12 Identify early on who the victim is frightened of – ex partner/partner/family member Use gender neutral terms such as partner/ex-partner. By creating a safe, accessible environment LGBT victims accessing the service will feel able to disclose both domestic abuse and their sexual orientation or gender identity The ACPO DASH consists of 27 questions, written in a specific order to aid completion. Of these 27 questions, 15 relate to ‘High Risk’ indicators. Positive answers to question 8 (stalking) and question 20 (Honour-Based Violence) can also lead to the completion of some additional questions available within the document. In order to get a comprehensive assessment of risk it is important to ask all of the questions. Without this there is a danger that you may overlook something significant in a case, which may result in your response to be inadequate. The checklist can be answered using ticks to signify a yes or no response; practitioners are also encouraged to write additional information that may be relevant. 5.3 Outcome of the DASH (2009) Risk Assessment Checklist Following completion of the Risk Checklist a victim may be assessed as being at ‘Standard’, ‘Medium’ or ‘High’ risk of serious harm. Those cases assessed as ‘High’ risk should be referred to a MARAC; the ‘High Risk’ assessment is determined in the following ways: ‘Visible High Risk’: The number of ‘ticks’ on the DASH Checklist. If you have ticked 14 or more ‘yes’ boxes the case would normally meet the MARAC referral criteria. Professional Judgement: If a professional has serious concerns about a victim’s situation, they should refer the case to MARAC. There will be occasions where the particular context of a case gives rise to serious concerns even if the victim has been unable to disclose the information that might highlight their risk more clearly. This could reflect extreme levels of fear, cultural barriers to disclosure, immigration issues or language barriers, particularly in cases of ‘Honour’-Based Violence. This judgement would be based on the professional’s experience and/or the victim’s perception of their risk even if they do not meet the criteria above. Potential Escalation: There have been 3 or more police callouts to the victim as a result of domestic abuse in the past 12 months. This criterion can be used to identify cases where there is not a positive identification of a majority of risk factors on the list, but where abuse appears to be escalating and where it is appropriate to assess the situation more fully by sharing information at MARAC. It is important to pay particular attention to a practitioner’s professional judgement in all cases. The results from a checklist are not a definitive assessment of risk. They should provide you with a structure to inform your judgement and act as prompts to further questioning, analysis ad risk management whether via a MARAC or in another way. 5.4 Revealing the results of the risk checklist to the victim 17 BEST PRACTICE GUIDANCE FINAL 2011/12 Telling someone that they are at high risk of serious harm or homicide may be frightening and overwhelming for them to hear. It is important that you state what your concerns are by using the answers they gave you and your professional judgement. Equally, identifying that someone is not currently high risk needs to be managed carefully to ensure that the person doesn’t feel that their situation is being minimised and that they don’t feel embarrassed asking for help. Explain that these factors are linked to homicide and serious harm and that if s/he experiences any of them in the future, that they should get back in touch with your service or with the emergency services on 999 in an immediate crisis. For further guidance on how to respond to cases assessed as ‘standard’ or ‘medium’ risk see below section on responding to the DASH. 5.5 Identifying risks to Children with the DASH Risk Assessment Checklist The checklist will provide valuable information about the risks that children are living with but it is not a full risk assessment for children. The presence of children increases the wider risks of domestic abuse and step children are particularly at risk. If risk towards children is highlighted you should consider what referral you need to make to obtain a full assessment of the children’s situation. Practitioners are advised to refer to the South Gloucestershire Safeguarding Children’s Board Threshold Guidance document (see Appendix 1) to inform the type of action to be taken (it may be that a referral to another agency is not required but that the identifying agency is able to take action). A referral to another agency may be indicated to ensure that the children’s welfare is fully assessed. Note: Ideally it is recommended that the DASH risk assessment checklist should be completed with the victim in person. However, it is also possible to complete the risk assessment after a meeting with the victim, using your notes to complete it. 18 BEST PRACTICE GUIDANCE FINAL 2011/12 6. Responding to the DASH Risk Assessment The risk assessment will provide you with 3 possible outcomes of risk: STANDARD No significant current indicators of risk of SERIOUS HARM. MEDIUM There are identifiable indicators of risk of SERIOUS HARM. Offender likely to cause SERIOUS HARM if change in circumstances i.e. failure to take medication, relationship breakdown, substance misuse, if bailed, after court appearance etc). HIGH There are identifiable indicators of risk of SERIOUS HARM. The potential event could happen at any time and the impact would be serious. The result of the risk assessment will provide you with possible actions to undertake in order to respond to the level of risk identified. 6.1 Responding to Standard/Medium risk cases Risk Assessment Outcome Standard Risk Current evidence does not indicate likelihood of causing serious harm. Action to Take Provide the victim with contact details for specialist support agencies (see the South Gloucestershire Directory of Domestic Abuse Services). Ask the victim if they consent to a referral to Victim Support, if yes; make the referral (see the South Gloucestershire Directory of Domestic Abuse Services). Consider the needs of any Children in the household – do you need to complete a CAF or refer to Children’s Social Care? (Appendix 1) Are there any vulnerable adults involved? Do you need to make a Safeguarding referral (Appendix 1) Consider other agencies, which may be a source of support e.g. health professional or substance misuse services and advise victim on how to make contact If appropriate ensure the victim knows how to contact you Advise about Safety Planning (See section 7) Monitor the case 19 BEST PRACTICE GUIDANCE FINAL 2011/12 Risk Assessment Outcome Medium Risk There are identifiable indicators of risk of serious harm. The offender has the potential to cause serious harm but is unlikely to do so unless there is a change in circumstances, for example, failure to take medication, loss of accommodation, relationship breakdown, drug or alcohol misuse. Action to Take AS ABOVE (in line with standard risk actions) plus: Notify the Police Domestic Abuse Investigations Team (DAIT) who will consider a ‘Treat as Urgent’ (TAU) marker to be applied to the address or phone number: Call the police on 101 and ask for the South Gloucestershire DAIT If you have the resources within your agency, consider target hardening the victim’s property. 6.2 Responding to high risk cases Risk Assessment Outcome High Risk There are identifiable indicators of risk of serious harm. The potential event could happen at any time and the impact would be serious. Risk of serious harm (Home Office 2002 and OASys 2006): ‘A risk which is life threatening and/or traumatic, and from which recovery, whether physical or psychological, can be expected to be difficult or impossible’. Action to Take AS ABOVE (in line with standard and medium), plus: Follow the MARAC Operating Protocol and refer to a MARAC panel for consideration. Consider if a referral to the Police Bobby Van to target harden the property is appropriate, if so, contact the Police DAIT team. Seek consent to refer to an Independent Domestic Violence Advisor (IDVA), if yes, contact them at Survive: 0117 9612999 to make a referral Take any actions available to your agency to protect high risk victims. It is important to remember that risk identification and assessment is not a predictive process and there is no existing accurate procedure to calculate or foresee which cases will result in homicide or further assault and harm. Rather identification and risk assessment is based on structured professional judgement and is therefore not fool proof. 20 BEST PRACTICE GUIDANCE FINAL 2011/12 7. Guidance on Safety Planning When working with people who are experiencing domestic abuse it is important to provide options for them and support them to make their own decisions (the exception may arise when agencies, such as the police or social care, take a statutory decision when exercising their power to protect children or under the Mental Capacity Act). Generally it is important that the victim is empowered to make their own decision on whether leaving the abusive relationship is an option for them (many people experiencing domestic abuse may not live with their perpetrator; if they do it may not be appropriate that they leave the household or they may not be in a position to leave the abusive household immediately, either due to emotional or practical reasons). As a professional you need to be aware that separation is understood to be a significant risk factor in domestic abuse so it needs to be managed carefully. It is important to offer advice on how people can keep themselves safe within these households and also what to consider if they do decide to leave. Below are some suggested safety measures for consideration, this list is not exhaustive. 7.1 Safety Planning if the Victim choses to leave If a victim has made the decision to leave the abusive relationship, or is considering this option, it is important that you recognise that the victim may have been thinking of this for some time, and that their decision will not be easy. They may wish to plan how they will go about leaving, but not go through with this immediately. It is therefore important that the victim is aware of the things they should consider during the planning process. THINGS TO CONSIDER IF THE VICTIM IS PLANNING TO LEAVE AN ABUSIVE RELATIONSHIP REMEMBER THE RISK WILL INCREASE Plan to leave when the victims partner will not be around: consider when they are at work, out shopping etc. Money: ensure they have enough money put away in case they need a taxi, bus, train fare quickly. Ensure they have your cheque, savings and giro books, credit cards, current and unpaid bills. Child Benefit / Other Benefit Books: these will have their National Insurance Number, which they will need to make a claim for future benefits. Passport: make sure thy take their children’s passports if they have them. Other Legal, Financial Papers: for example, medical, marriage and birth certificates, rent books, mortgage details. Keys: have an extra set of house, car and office keys made and keep them somewhere safe – can they leave these with a friend or relative? Emergency Addresses and Contact Numbers: school, GP, solicitor, Domestic Violence 21 BEST PRACTICE GUIDANCE FINAL 2011/12 Agencies (small purse-sized directory available), ensure that they are always with them. Medicine and Baby Provisions: prescriptions, glasses, medications, nappies, baby milk, food etc. Clothes: take the essential items and extra clothes for the children Children’s Toys: sometimes it is difficult to carry much but their children may be confused and upset by what is happening and a special toy or comforter can help settle them Personal Items: photographs, diary, jewellery, small items of sentimental value They may need to leave some items with a friend or relative so they can escape quickly. In an emergency it is always better to leave something or everything behind than put themselves and their children’s safety at risk. Once the victim has left the abusive relationship, they may not wish to inform anyone why they have left. If however, they are still at risk, it may be advisable to encourage them to confide in a friend or family member, employer, colleague and even their children’s school. If this victim is still living or staying within the same area, they may need to consider the following options to increase their safety: Encourage them not to place themselves in a vulnerable position, or isolate themselves Encourage them to avoid any places, such as shops, banks, cafes, that they would have previously gone to during their relationship Encourage them to alter their routine as much as possible. Encourage them to try to change any regular appointments they may have that the perpetrator may be aware of. Encourage the victim to take a safer route, or to alter their route and take a different form of transport when approaching or leaving places they cannot avoid. Encourage the victim to inform their children’s school, nursery or child-minder what has happened, and let them know who will be collecting the children, and that they are informed not to release the children into anyone else’s care. 7.2 Safety Planning if the Victim decides to stay in the abusive household The victim may not be ready to leave the abusive relationship. It is important to remember that this does not mean that they are not frightened, but they are simply not ready to break free of the control. As the victim will be returning to the abusive household, it is important to ensure that safety measures are put in place to ensure the victim can keep themselves and their children safe. The below list provides some examples of what you may discuss with the victim to ensure their safety. Your agency may also have other measures that can be put into place to increase safety. Access to Emotional / Practical Support Identify / confirm friends who are safe to confide in Identify professional who can help / support e.g. GP Identify others she/he can safely tell 22 BEST PRACTICE GUIDANCE FINAL 2011/12 Set up emergency code word with relevant people Provide information on emergency help lines/Support agencies Safety in the home (living with or without the perpetrator): E.g. call 999 in an emergency Is there a TAU Marker? If not, speak to the police to see if this is an option (call 101) Would a referral to the Bobby Van be appropriate? Discuss with police on 101. Identify dangerous areas of the house e.g. where there are weapons Safe use of computers, covering your tracks Emergency mobile phone (different to usual and fully charged) Useful phone numbers stored fictitiously Spare set of keys Safe room / bolt hole Injunctions Liaison with Police / DAIT (Call 101) Are there bail conditions? Are breaches happening? Are these being reported? Are professionals aware of bail conditions? Crisis Plan / Emergency Accommodations Plan: (Things to prioritise taking with you if you leave) Safe place (friends / family) Documents e.g. passport, birth certificates, drivers licence Access to money Supply of clothes / toiletries Spare set of keys Transport Important (prescription) medication and glasses Children’s favourite toy Children’s Safety: Contact arrangements Risk of ‘abduction’ Help for children’s wellbeing – other key support people Inform key professionals e.g. social care, school, nursery, health visitor Keeping Safe at Work and in Public Places: Informing employer / college Changing routines (journeys / shops) Privacy and Changing Identity: Options to change name Options to change identity (police) Agreement for on-going contact with agency: Safe contact arrangements Code words Referral to other agencies: (specify) (Consent to share information confirmed with signature) 23 BEST PRACTICE GUIDANCE FINAL 2011/12 7.3 Safety Planning and supporting Children and Young People If you are working with children and young people, you may need to adopt a different approach. The following points are important to note: Find safe and confidential ways of asking children what is really wrong if they are concerned Recognise violence at home as one of the common reasons for problems – in children’s eyes Give them a chance to talk & believe what they say Know what help is available for them and the non-abusing parent Ensuring the safety of the non-abusing parent is the most effective way to protect the child Validate the experience Use appropriate language Do not underestimate the value of listening Be straight and clear In asking a child about their home life it gives the child the chance to: Obtain permission to talk about what has happened at home; Ventilate their pent up feelings about the violence and its effect on their family Receive assurance that it was not their fault Rebuild their self esteem Develop safety plans for the future It is important that the child or young person recognises that a Safety Plan can be useful in an emergency. Encourage them to write key information out and keep it safe so you they can access it when they need to: Their Name and age (and names and ages of brothers and sisters) Their address Their phone number The name of someone they trust to talk to about their worries and their phone number and address Other numbers that are helpful in an emergency: o Safe places to go if there are arguments at home o Local police station details o Call 999 for emergency o Helpline numbers o Childline/NSPCC/Runaway Helpline: 0808 8007070 o Free phone 24 Hour National Domestic Violence Helpline (run in partnership between Women’s Aid and Refuge) - 0808 2000 247 o HomeChoice Duty Team: 01454 865496, Emergency Duty Team (Out of hours only) 01454 615165. 24 BEST PRACTICE GUIDANCE FINAL 2011/12 8. Key Contacts The South Gloucestershire Partnership Against Domestic Abuse (South Gloucestershire Council): For information on the partnership including: The MARAC Operating Protocol MARAC referral forms and information South Gloucestershire Domestic Abuse Directory of Services DASH Risk assessment Contact: Tel: 01454 868751 Email: [email protected] Website: www.southglos.gov.uk South Gloucestershire Domestic Abuse Investigation Team (Police): Contact: Tel: 101 (request the DAIT) Website: www.avonandsomerset.police.uk Safeguarding: Children and Young People: 01454 868008 Safeguarding adults: 01454 868007 Survive: Specialist domestic abuse service for women and children in South Gloucestershire Contact: Tel:0117 961 2999 Website: www.survivedv.org.uk Next Link Specialist domestic abuse service for women and children in South Gloucestershire and Bristol Contact: 0117 925 0680 Website: www.nextlinkhousing.org.uk Housing: South Gloucestershire Council HomeChoice: 01454 865496 Emergency duty team (out of hours): 01454 615165 Email: [email protected] Website: https://homechoice.southglos.gov.uk/ Shelterline: 0808 800 4444 Merlin Housing Society: 01454 821100 MALE: National Men’s advice line: 0808 8010 327 25 BEST PRACTICE GUIDANCE FINAL 2011/12 National 24 Hour Domestic Abuse Helpline: 0808 2000 247 Website: www.womensaid.org.uk www.refuge.org.uk Broken Rainbow (LGBT Specialist service): 0845 260 44 60 Website: www.broken-rainbow.org.uk Victim Support: 0845 45 66 099 For further contact details of agencies, please see The South Gloucestershire Directory of Domestic Abuse Services. 26 BEST PRACTICE GUIDANCE FINAL 2011/12 9. Appendices APPENDIX 1: South Gloucestershire Local Safeguarding Processes If you have concerns about a child that may be being abused, you should: If you have ANY concerns about possible abuse it MUST be reported to the Department for Children and Young People. If your concern is about immediate harm, always call the police on 999, otherwise: The first point of contact is through the Children and Young People Information Service on 01454 86 8008 who will signpost the enquiry to the relevant service. If it is out of office hours then please call the Emergency Duty Team on 01454 615165 or the Public Protection Unit of the police through the police switchboard number: 101 More information is available at: www.sgcyp.org or visit www.swcpp.org.uk More detailed information can be found in the document: What to do if you are worried a child is being abused, 2010 available to download at: https://www.education.gov.uk/publications/standard/publicationDetail/Page1/DFES04320-2006 If you have concerns about an adult that may be being abused, you should: If your concerns are about immediate harm, always call the Police on 999, otherwise: Call South Gloucestershire Council, Customer Service Desk - 01454 868007 To report abuse or a crime where there is no immediate risk call the police on 101 South Gloucestershire Safeguarding Adults Board Alerter Guide, 2011: I:\SAFER & STRONGER\COMMUNITY SAFETY\Safeguarding Adults\Safeguarding Adults Alerter Guide_2011.pdf APPENDIX 2: DASH RISK ASSESSMENT The DASH risk assessment checklist can be found at http://www.dashriskchecklist.co.uk Or you can request it along with the MARAC Operating Protocol from The South Gloucestershire Partnership Against Domestic Abuse on 01454 868751/[email protected] 27
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