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SafeLives’ public health approach to ending domestic abuse

Our public health approach to ending domestic abuse

To end domestic abuse, we need to look at the whole picture, seeing and responding to the whole person and linked adverse experiences, and to all family members. 

SafeLives works with local areas to operationalise our public health approach to ending domestic abuse, based on the four steps endorsed by the World Health Organisation. Our team of practice experts supports local areas with systems change, developing an understanding of their culture and local connections.  

We work with local authorities, Police and Crime Commissioners, Clinical Commissioning groups and other multi-agency partners to undertake a whole system review through the lens of the whole family, identifying opportunities for improving risk led response, early intervention, and prevention of domestic abuse. This includes a systems-wide assessment of the current local landscape, consulting with service users and providers to understand opportunities, strengths, and gaps.  

We co-create solutions through delivery of workshops based on the understanding of the system and we make recommendations for improvement, enhancing existing work and supporting areas to be ‘Domestic Abuse Bill’ ready. 

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Our team 

The practice team in SafeLives bring together a wealth of domestic abuse and multi-agency experience including housing, health, social care, safeguarding and youth work. We use our knowledge, experience, and research capabilities to support and advise areas in developing a whole family, systems wide approach in preventing and responding to domestic abuse. Key to the success of our work is embedding the voice of survivors and taking an evidenced based approach. We build what we do in areas by understanding in depth what is happening, through both qualitative and quantitative data; identifying opportunities and strengths; then co-creating with key stakeholders’ solutions which are based on what works.     

Click here to read more about the SafeLives Practice Team.

Contact us:

To discuss our Public Health Approach to Ending Domestic Abuse, please contact: 

Janine Roderick, Head of Practice, info@safelives.org.uk 

“We must talk about it more - in the media, in places of work, normalise it without accepting it and helping people have the courage on the outside to challenge it. If we can fundamentally change attitudes around drink driving and smoking - surely we can start to raise awareness and address domestic abuse in the same way. If survivors, children and young people get behind this - we can change the future.”  

- Survivor

Our journey 

  • 2004 Focus on a high risk framework: developing Idva and Marac, scaling up across the UK, supporting over 290 Maracs and training over 3000 Idvas and 300 Idaas  
  • 2014 Refocus on ‘whole family’ approach: developing Drive, One Front Door and all the way to local ‘Beacon’ sites of comprehensive best practice 
  • 2018 New ‘Whole Picture’ strategy, looking at the whole person and linked adverse experiences and all family members, through multi-agency cultural and systems change 
  • 2020 and into the future: building on our journey and delivering a whole picture approach to ending domestic abuse  

The whole family, siloed by the system. 

Our research, data, interventions and survivor feedback, has shown how local systems fail to understand the whole picture of a family affected by domestic abuse.  

  • Many individuals and families experiencing domestic abuse have multiple needs and many are ‘hidden’ from services
  • 87% of survivors in our Whole Lives survey had told multiple people about their experience of abuse, yet only 31% had managed to reach specialist support and this was most commonly through a self-referral route  
  • 85% of victims of domestic abuse seek help five times on average before they get effective support 
  • 23% of young people exposed to domestic abuse are also demonstrating harmful behaviour, 61% against the mother
  • On average, older victims experience abuse for twice as long before accessing help as those aged under 61
  • Around 30% of children in households supported by an Idva (a specialist domestic abuse professional) were not known to children’s services 
  • At the time they start school at least one child in every classroom will have been living with domestic abuse since they were born  
  • Young victims are exposed to other risks – 29% to child sexual exploitation and 15% to gang violence  
  • Currently only 1% of perpetrators of domestic abuse receive any specialist intervention to be challenged or change their behaviour 

“All professionals need to be informed about how to work with those affected by domestic abuse, and the perpetrators. It is not a specialist area of work – it is the bread and butter for everyone who works with families in all capacities. It is not a standalone issue – people need to understand how it relates to all other areas of people’s lives in complex ways.” 

- Survivor

Contact us:

To discuss our Public Health Approach to Ending Domestic Abuse, please contact: 

Janine Roderick, Head of Practice, info@safelives.org.uk