‘Whole family’ interventions for families living with domestic violence and abuse (DVA) are emerging and some international practice examples are available. This study reports a process evaluation of a pilot delivered in Northern England that aimed to work with all members of families experiencing DVA. The evaluation involved analysis of detailed accounts of practice from learning logs and case workbooks as well as interviews with practitioners and family members. The voluntary nature of families’ involvement with the pilot, together with an explicit service philosophy of ‘meeting families where they are at’ appeared successful in engaging families. Pilot staff worked flexibly, seeing family members together and separately, but there was evidence of lower levels of confidence in work with perpetrators. Co-work enabled skills to be transferred to other professionals and social workers increased their use of risk assessment tools in DVA cases. However, there was uncertainty as to whether interagency communication improved across local agencies, and joint protocols and tools were slow to develop. This study is one of the first evaluations of ‘whole family’ interventions in DVA, and it illustrates how, when additional resources and organisational support are made available, a non-blaming approach that families find engaging can be developed.
Health and social care professionals are constantly exhorted to work collaboratively. This book reports on research which examines interprofessional work with families in which mothers have a mental health problem and where there are also concerns about child protection.
Breakdowns in interprofessional collaboration, issues of risk and relevant resources are all addressed. Mothers’ views and experiences are contrasted with professional perspectives.
Child protection and mental health services:
· reports on a survey of 500 practitioners working in health, social services and the voluntary sector;
· presents data from in-depth interviews with mothers with severe mental health problems;
· identifies weaknesses in interprofessional coordination in this area of work;
· suggests a new model for work with families where mental health problems and child protection concerns co-exist.
All those involved in child protection or mental health work with families will find this book a stimulating read. This book will be of interest to practitioners, managers and policy makers as well as students studying health and social care.
Refuges or shelters have been central to UK domestic violence service provision since the 1970s. In 2013, UK policy transformed teenagers into primary service users of domestic violence refuges. Digital technology is central to teenagers’ lives but moving to a refuge can cause serious disruption in this respect.
The study was undertaken in 20 refuges in England. Repeat qualitative interviews with 20 young people aged 13–18 and single interviews with refuge staff explored teenagers’ experiences of refuge life. Access to digital technology emerged as a central theme for this group of young people.
Teenagers described difficulties in accessing digital technology and the internet in refuges and this impacted on their education, support networks and leisure. Restrictions concerning online access in refuges were attributed to safety concerns and resource shortfalls. This study found that restrictions on internet access lacked consistency across refuges and were underpinned by protectionist attitudes towards teenagers. Refuges need to seek a balance between risk and protectionism and identify opportunities to use digital technologies to increase the safety and support available to teenagers.
Qualitative interviews with 91 young people aged 13–18 in Bulgaria, Cyprus, England, Italy and Norway explored their experiences of intimate partner violence and abuse (IPVA). Some young women experienced extensive offline sexual pressure and young women were substantially more negatively affected by IPVA than young men. The data revealed that online space has created new mechanisms of control and surveillance that can intensify the impact of offline abuse. Analysing the data in the light of existing theories of cultural violence and coercive control, we explore both the normalising influence of prevailing heteronormative models of femininity and masculinity as well as young people’s agency to resist such normalisation.
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.
This chapter explores theoretical work and research on mothers’ mental health and its impact on children. It examines the ways in which the mental health needs of mothers are conceptualised within health and social care. Mothering is simultaneously identified as a prime site of origin for women’s mental health problems and a key determinant of children’s mental health. While the successful exercise of parenting skills and the intimate relationships that mothers experience with their children can be a source of satisfaction and pride, in the context of mothers with mental health needs, research has tended to focus on adverse outcomes. Positive outcomes for parents with mental health problems and their children are rarely noted.
This chapter examines the service configurations of the main agencies delivering services to mothers with mental health needs and their children and discusses recent organizational developments in order to establish the extent to which these services are equipped to respond to the needs of such families. It outlines the policy in which mental health professionals and child care workers deliver services. It also examines the role of voluntary organisations in providing services for mothers with mental health needs as this sector has been the source of some innovative projects.
This chapter considers the research evidence on interprofessional collaboration and communication, in particular that which relates to work in child protection and mental health services. Inquiries into homicide have also contributed to a widespread perception that the effectiveness of both child care and mental health services is impeded by problems in interprofessional communication and coordination. The chapter also looks at the very limited body of work covering coordination and communication between adult mental health and child care services.
This chapter outlines the methodology used for the research and reports on the pilot study completed in 1997. Funding for the project came from a number of sources, including the University of Hull, a NHS trust and a health authority. The study was fuelled by a desire to understand the response of a range of health and social care agencies to two contrasting sets of needs in families. The study explored the nature of serious mental health problems in mothers whose children were on the child protection register, and examined the extent to which different professionals worked together to meet the family’s needs.