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Domestic Abuse Services:

Domestic Abuse Services:. Commissioning Quality & Value. Domestic Abuse: The Effects . Health and wellbeing of victims adversely affected. Closely associated with child abuse and neglect. Impacts social issues eg , homelessness & substance abuse.

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Domestic Abuse Services:

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  1. Domestic Abuse Services: Commissioning Quality & Value

  2. Domestic Abuse: The Effects • Health and wellbeing of victims adversely affected. • Closely associated with child abuse and neglect. • Impacts social issues eg, homelessness & substance abuse. • Cost to tax payer is an estimated £3.9bn pa with high risk domestic abuse representing £2.4bn of this.* * Source: CAADA (2010) ‘Saving lives, saving money: MARACs and high risk domestic abuse’.

  3. A Need for Partnership Working • Challenging issue for commissioners – involves many different policy agendas. • Multi-agency cooperation necessary for effective management. • Public sector is now operating within harsh financial conditions: Necessary to align funding demands to ensure public services offer quality and value for money.

  4. The Landscape for Domestic Abuse Services

  5. Independent Domestic Violence Advisors (IDVAs) • Specialist emotional and practical support for adult victims at the point of crisis. • Engage with and mobilise local agency resources to keep victims and their children safe. • 63% of victims report a total cessation of abuse at case closure with an IDVA.

  6. Multi-Agency Risk Assessment Conferences (MARACs) • Safeguard highest risk cases through co-ordinated information sharing and safety planning by statutory and voluntary sector partners. • The higher and more co-ordinated the number of interventions, the better the service user outcomes. • Recognised for achieving significant improvements in abuse cessation, risk reduction etc.

  7. National Context Over 44,000 adults living with 57,500 children were supported through 260 MARACs and an estimated 500 IDVAs in the twelve months to March 2013. The government part-funds 144 IDVAs and 54 MARAC coordinators as part of its Call to End Violence Against Women and Girls Strategy. National MARAC coverage has now been achieved. There are gaps in IDVA provision across the country . Research shows that a minimum of 650 are needed to effectively support all high risk victims in the UK. As well as failing to meet victims’ needs, this shortfall represents a public cost in social and health services.

  8. National Policy Recent legislative and policy developments have moved domestic abuse up the public agenda: • Updated definition of Domestic Abuse (2013). • Health and Social Care Act establishes local Health and Wellbeing Boards (2012). • Stalking Offence (2012). • Domestic abuse made a strategic priority by Royal College of General Practitioners. • Mandatory Domestic Violence Homicide Reviews (2011). • Dept of Health guidelines for commissioners of health services on violence against women (2011).

  9. CAADA Strategic Recommendation #1 • Fund a minimum of 4 IDVAsand 1 MARAC coordinator for every 100,000 adult females: 100,000 ADULT FEMALES • Helping victims in abusive relationships is a clear public health and social care priority. • High risk services cost an estimated £70M pa. • Investing in this level of provision, £2.90 could be saved in public services for every £1 spent. (Source: A place of greater safety 2012)

  10. CAADA Strategic Recommendation #2 • Locate additional IDVAs in A&E and maternity units: • Victims referred through health agencies are often vulnerable, hard-to-reach groups. Co-located services provide easier access to crucial services eg, drugs & alcohol, mental health etc. • The Bristol Royal Infirmary reported seeing a decrease in re-presentations after funding two IDVAs in A&E. • CAADA estimates show that an extra £6M spent on 150 additional co-located IDVAs could increase the return in every £1 of public money spent from £2.90 to £3.40. (Source: A place of greater safety 2012)

  11. Themis Research Project • Research Objectives: • Who accesses help via hospital-based IDVA services? • How are they different to those accessing help via IDVAs located in other settings? • Summary of Interim Findings (June 2013): • Hospital IDVAs are reaching a more vulnerable group who are younger, experiencing higher severity abuse, and more of whom present with complex needs. • They may reach victims earlier. • They may reach victims who are hidden from other agencies.

  12. CAADA Strategic Recommendation #3 • Fund specialist support for children and young people: • 66% of victims have children - most are under 5 and have lived with abuse most of their lives. • MARACs identified 75,000 children and young people’s cases over 2012. • Increased risk of behavioural problems, emotional trauma and mental health difficulties in adult life.

  13. National Young People’s Violence Advocacy Programme: 2013-15 • Two-year partnership programme involving CAADA, Barnardo’s, Leap Confronting Conflict, the Iranian and Kurdish Women’s Rights Organisation (IKWRO) & the Marie Collins Foundation. • Aimed at helping local areas develop a consistent local response for young people of 13 years and older, who are experiencing a range of intimate partner abuse. • The Department for Education funded programme provides: • Comprehensive free training for a local Young People’s Violence Advocate in each local authority area. • A Young People’s Regional Advisor providing free support to each local authority area. • The first National Young People’s Dataset.

  14. CAADA’s Commissioning Services

  15. Get in touch... Julia Carver, Partnership Development Manager: • 07880 387-036 / commissioning@caada.org.uk • uk.linkedin.com/in/juliacarver/

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