Title: Barnardos Domestic Violence Risk Assessment Model.
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2Barnardos Domestic Violence Risk Assessment
Model.
- Presenter
- Vivienne Springer - Barnardos LEaSE
- E-Mail Vivienne.springer_at_barnardos.org.uk
-
- Tel 020 8981 4924
3- Purpose of the Project
- To roll out across London (initially) this model
monitor and evaluate its effectiveness in the
practice - of Safeguarding children.
4Purpose of the presentation
- To introduce the Domestic Violence Risk
Assessment Model.
5Anticipated Outcomes
- Too have introduced all to the DV Risk
Identification Matrix which is the key risk
assessment tool contained in the new LSCB
Procedures Safeguarding Children Abused through
Domestic Violence and - Gentle comparison of this tool to your current
DV risk assessment tool.
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7A Working Definition of Domestic Violence
- Domestic violence is defined by the Home Office
as - Any incident of threatening behaviour, violence
or abuse (psychological, physical, sexual,
financial or emotional) between adults who are or
have been intimate partners or family members,
regardless of gender or sexuality. - The main characteristic of domestic violence is
that the behaviour is intentional and is
calculated to exercise power and control within a
relationship. - Domestic violence occurs across society
regardless of age, gender, race, sexuality,
wealth and geography.
8Putting in Context Key Influencing Documents
- Every Child Matters (2004)
- Every Child Matters HM Government Information
Sharing Guidance (October 2008) - Government Guidance Safeguarding Children A
summary of the joint Chief Inspectors Report on
Arrangements to Safeguard Children (govt.2006a) - Responding to Domestic Abuse A handbook for
health Professionals (DOH 2005) - London Safeguarding Board Procedures
Safeguarding Children Abused through Domestic
Abuse
9Key facts about domestic violence(See
appendix 3 in LSCB Procedures)
10Some facts
- 2 women are murdered every week at the hands of
their partner - It is estimated that 1 in 4 women experience DV
during their lifetime - Up to 75 cases subject of a Child Protection
Plan involved DV - Women are at greatest risk of being killed at the
point of separation. 76 of DV homicide occurs
after separation - 30 of DV begins or escalates during pregnancy
and - Women in BMER communities are more vulnerable.
11LESSONS FROM SERIOUS CASE REVIEWS IN LONDON
- DV contributory factor in 56 cases reviewed
- Services frequently failed children and their
mothers - Failure to share information
- Lack of holistic approach
- Over optimism, and an absence of clear risk
focus and - Lack of clear framework for inter-agency working
in area of DV.
12Domestic Violence and Children
- The issue of children living with domestic
violence is now recognised as a matter for
concern in its own right by both government and
key childrens services agencies. - The link between child physical abuse and
domestic violence is high, with estimates ranging
between 30 to 66 depending upon the study. In
2002, nearly three quarters of children subject
of a child protection plan) lived in households
where domestic violence occurs. - All the five key outcomes for children identified
in Every Child Matters can be adversely affected
for a child living with domestic violence and
abuse the impact on every aspect of a childs
life. The impact of domestic violence and abuse
on an individual child will vary according to the
childs resilience and the strengths and
weaknesses of their particular circumstances. - Safeguarding Children Abused through Domestic
Violence - www.londonscb.gov.uk March 2008
13Every Child Matters Framework for Assessment
Domestic Abuse impacts on at least 80 of
factors in assessing childs developmental needs,
parenting capacity and family and environmental
factors
Basic care
Health
Ensuring Safety
Education
Emotional Behavioural needs
Emotional Warmth
The Child Safeguarding and Promoting
Their Welfare
Identity
Childs Developmental Needs
Parenting Capacity
Stimulation
Family Social Relationships
Social Presentation
Guidance Boundaries
Stability
Self Care Skills
Family Environmental Factors
Community Resources
Familys Social Integration
Income
Wider Family
Family History Functioning
Employment
Housing
14BMER groups
- 65 of children subject to serious case reviews
were from a Minority Ethnic community - (Safeguarding Children Review of London case
reviews 2007) - 60.6 of domestic violence homicides during
2005-2006 were BMER women. - Of the 33 homicides 27 were female and out of
these 20 were from BMER communities. - (Metropolitan Police , Operation Umbra)
- Average age of Victim of forced marriages is
between 16-20 yrs. 30 of their cases are minors
some as young as 10 yrs old. - (Forced Marriage Unit June 2007)
15What are the barriers for BMER victims? These
barriers can increase victim vulnerability and
can be risk factors
- Uncertain immigration status
- No recourse to public funds
- Language/literacy barriers
- Lack of information regarding rights
- Housing issues
- Community/faith honour
- Cultural issues (ie. FGM, Forced Marriages)
Social Exclusion and - Racism
- Pathway to Justice Rights of Women 2007
16Problems and Pitfalls in Child Protection. How
can we assess the risk to children from Domestic
Violence?
- Key change in the Childrens Act (1989) (2004)
and the Adoption and Childrens Act (2002)
amended to extend the definition of harm 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. - Domestic abuse directly invokes child protection
concerns Section 47 (applying to children who
may be at risk of significant harm) and section
17 (applying to children who may be in need under
part lll of Childrens Act (1989) (2004)
17Problems and Pitfalls in Child Protection. How
can we assess the risk to children from Domestic
Violence ?
- Pitfall failing to see domestic abuse as a
process we still tend to respond at an incident
level and we see it as an adult problem so we
lose focus on its impact on child - Research suggests that women usually experience
an average of 35 - incidents before reporting it to the police.
Yearnshire (1997) - Problem not clearly connecting domestic abuse
with concerns regarding abusive
father/father-figure, parenting capacity/role
modelling and impact on mothers parenting
capacity.
18Problems and Pitfalls in Child Protection. How
can we assess the risk to children from Domestic
Violence?
- Pitfall not making strong enough connections
between domestic abuse with other interacting
risk factors substance misuse mental health of
parents and child direct physical, emotional and
sexual abuse of child family and environmental
factors i.e. neglect, limited parenting capacity
disruptive childhood experiences of parents - Problem have difficulties with interagency
information sharing regarding domestic abuse
19Problems and Pitfalls in Child Protection. How
can we assess the risk to children from Domestic
Abuse?
- Pitfall professionals acceptance of abusers
and victims minimising of abuse risks
families who are difficult to engage/initiate
change leads to Worker Paralysis increased
risk child - Pitfall not having a clear enough' threshold
levels of intervention for child who lives with
domestic abuse who is child in need requiring
CAF
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21Domestic Violence Risk Assessment Model (DVRAM)
22Background of the model
- The Domestic Violence Risk Assessment Model
(DVRAM) was developed by Barnardos Northern
Ireland and originated from Ontario, Canada. - This model has been adapted and developed by
Maddie Bell and Joan McGovern from Barnardos
Northern Ireland. -
- Implemented with Social Care Trusts in Northern
Ireland over a 5 year period-2003- 2008
23Background of the model cont
- Model has been piloted with 3 London Boroughs
2007-2008 and model is now a key component
within London Safeguarding procedure
Safeguarding Children Abused through Domestic
Violence. - A growing number of Boroughs are now requesting
information about implementing the model - The Matrix has been designed to work in
conjunction with CAF, SPECSS, MARAC and MASRAM
24The Models Aim
- Aim
- To help children and young people stay safe and
healthy and to increase the competence of social
care professionals and multi-agency staff when
dealing with domestic violence through training
and mentoring.
25Models Objectives
- Objectives are
- To assist staff to identify risks to children
from domestic violence - To assist staff in decisions whether a case
presents as in need of a safeguarding response or
family support - To help staff to make appropriate intervention
for children, non-abusing parent and perpetrators - To provide a specific domestic violence risk
assessment format within initial and core
assessments.
26Model cont
- The model includes a system of threshold scales
of risk factors, protective factors and potential
vulnerabilities to enable the analysis of risks
to children from domestic violence. - The model promotes safeguarding of children who
experience domestic violence and is ideally
implemented from a multi-agency perspective.
27PRINCIPLES OF THE MODEL
- Protecting children is the first priority
- Protecting the non-abusing parent, usually the
mother which helps protect the child - Providing supportive resources
- Perpetrators are responsible for their abusive
behaviour and - Respecting the non-abusing parents right to
direct their life without placing children at
increase risk of further abuse.
28Tools
- Multi-agency risk identification matrix
- Domestic Violence Initial assessment
- Domestic Violence Core assessment for social
work staff - Safety planning interventions with women and
children/young people.
29INTERACTING RISK FACTORS AND DOMESTIC ABUSE
- Substance misuse
- Mental health of abuser/victim
- Neglect-parenting capacity
- Families who are difficult to engage
(avoidance/resistant, disengage, frequent moves) - Personnel vulnerabilities of parents
abusive/disruptive childhood/young parents - Family lifestyle/community issues and
- Stresses within family-low income, financial
problems, bereavement, illness, disability.
30Interacting risk factors
- Importance of understanding parental psychology
- Importance of historical context and a dynamic,
analytical assessment (not incident driven) and - Consider dynamics of engagement with
professionals (resistance, uncooperative).
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32Using the Domestic Violence Risk
Identification Matrix
33-
-
- Barnardos Multi-agency Domestic Violence Risk
Identification Matrix in the LSCG Procedures - A multi-agency assessment framework which
assesses the level of risk to a child/young
person who is experiencing domestic violence in
their family using a four levels threshold scale
matrix (section 9.2) - It also assesses the level of risk to the
mother-incorporating adult focussed risk factors
from SPECSS and MARAC (section 9) - It identifies the nature and level of the
perpetrator's violence and abuse (supports
Section 9-1-4) - It indicates the level of intervention required
to support and safeguard children and in doing so
also can be use to protect mother ( section 9.2) - It begins to examine the impact of the domestic
violence on the child and mother ( section 8 and
9) -
-
34Safeguarding Children Abused through Domestic
Violence- LSCB Procedures
- Section 9- Assessment and Intervention
- 9-1-Information gathering and disclosure
- 9-1-4 Professional becomes aware of DV in
family-gain more information - Section 9.2 Assessing the risk of harm to a child
- Section 9.3 Factors which increased
vulnerability/risk and appropriate interventions
35Safeguarding Children Abused through Domestic
Violence-LSCB Procedures
- Section 9-4
- Thresholds, Interventions and CAF
- Four threshold scales which
- indicate the degree of
- seriousness for the child/ren, by a cluster of
incidents/ - circumstances.
36Multi-Agency Risk Identification Threshold Scales
- Threshold 1- Risk as moderate Children and
families with additional needs Completion of a
CAF single practitioner offering targeted
support - Threshold 2 Risk as Moderate to serious
child/ren and families with additional needs
Completion of a CAF Lead Practitioner
integrated support. - Threshold 3 Serious Child/ren and family in
need Section 17 Initial assessment and family
support - Threshold 4 Severe Child/ren in need of
safeguarding Section 47 enquiry Core
assessment - Factors are grouped into three categories
- Evidence of domestic abuse
- Risk Factors/Potential vulnerabilities
- Protective factors
37Assessing the risk of harm to a child
- Based on the information indicating that
domestic violence is taking place within a
family. The professional/worker should look
across the whole matrix and tick the
description/s of the incidents / circumstances
which correspond best to the information
available at the time. This is likely to mean
Ticking several descriptions. - The scale headings at the top of each
section indicate the degree of seriousness of
each cluster of incidents / circumstances (e.g.
scale 1 moderate risk of harm). - (Section 9.2.3)
- Each scale has categories to assist
professionals to think through whether the
information is about the - Evidence of domestic violence
- Characteristics of the child or situation which
are additional risk factors /potential
vulnerabilities and - Characteristics of the child or situation which
are protective factors.
38London Safeguarding procedures for Risk
Identification Matrix
- Each threshold scale has categories to assist the
professional to think - through the information they have
- Evidence of domestic violence- this is the most
significant determinate of the scales attention
to severity, frequency, pattern and duration of
domestic violent incident. - Characteristics of the child or situation which
are additional risk factors/potential
vulnerabilities these are factors that may
increase the risk to children. - Characteristics of the child or situation which
are protective factors. Professionals should keep
in mind that protective factors may help to
mitigate risk factors and potential
vulnerabilities. - .
39Factors that increase vulnerability/ level of
risk to child
- Duration of the domestic violence incident
- Severity of the domestic violence and abuse
- Age of children and age range of children within
the family Children Under 12 months including an
unborn child-even if the child was not present,
any single incident of DV will fall within scale
4-Section 47 Enquiry-Referral to LA childrens
social care - Children or a mother with special needs-( mother
may be a vulnerable adult-consult POVA) - Interlinking risk factors/cluster effect
substance misuse, mental health issues,
neglect/parenting issues, age and age disparities
of mother/father/father figure - Vulnerable history of both women and abuser
- Child/ren or mothers from a BMER community
- Child/ren being physically and sexually abused
and - Child/ren may be perpetrating abuse towards other
family members.
40- Establish whether there are any children in the
household and how many. Make an assessment of
their needs. - Pay attention to age range of children in the
family children under 7 increases risk as they
have limited self protection strategies. High
percentage of children under 5 are emotionally
abused and physically harmed when domestic abuse
occurs serious case reviews research -
- (Barnardos domestic abuse risk assessment
- M. Bell and J. McGovern 2003)
41WHY?
- Young children have none or extremely limited
self-protection strategies and they seek out
mothers comfort when anxious/upset - they are
often caught up or come down into the DV
incident. - Older children can develop short-term coping
strategies that may keep them safe in the short
term but all children suffer from potential or
actual emotional abuse. - All children who experience DV in their families
are exposed to hostile/tense family environments,
AND they can directly witness, intervene or be
directly physically abused or sexually abused - Child who summons help are at increased risk as
they may be punished by abuser for calling in
professional help
42MPS Six High Risk Factors SPECSS (adult focussed
risk assessment)
- Separation (child contact) - If I cant have
her, then no-one can Women are particularly at
risk within the first two months of leaving and
incidents can happen as a result of issues around
child contact or disputes over custody (URHC,
2001) - Pregnancy/new birth- 30 of domestic violence
starts or intensifies in pregnancy. Domestic
violence is associated with increases in rates of
miscarriage, low birth weight, premature birth,
foetal injury and foetal death (Mezey, 1997). - Escalation the attacks becoming worse and
happening more often - Previous domestic violence
is the most effective indicator that further
domestic violence will occur. Thirsty-five per
cent of households have a second incident within
five weeks of the first (Walby Myhill, 2000),
and the severity of violence tends to escalate
after each incident.
43SPECSS cont.
- Cultural awareness / isolation Issues which can
compound a mothers difficulties include cultural
factors such as bringing shame upon family when
reporting incidents, terminating relationships or
not consenting to marriage difficulty speaking /
reading English insecure immigration status
difficulty or reluctance in accessing services
(inc. alternative accommodation) and social
isolation resulting from same sex relationships,
disability, mental health or substance abuse and
not working outside the home. - Stalking - Stalking commonly occurs after the
relationship, although it can occur before the
relationship ends (McFarlane, Campbell, Wilt,
Sachs, Ulrich Xu, 1999). Stalkers are more
likely to be violent if they have had an intimate
relationship with the woman. - Sexual assault - Women who are sexually assaulted
are subjected to more serious injury. One in
twelve of all reported domestic sexual offenders
were considered to be very high risk and
potentially dangerous offenders (URHC 2002). - "Understanding and Responding to Hate Crime"
(URHC)
44Identification Matrix complementary to good
practice in Safeguarding Children
- The Matrix identifies the risks to mothers and
their children and enhances the use of SPECSS,
MARAC and MASRAM processes. - The Matrix supports the process of completing
Harrows DV risk form, and Safety Planning and - The Matrix supports Harrows Domestic Violence
model of Intervention.
45Risk Matrix-Indications for level of Agency
Intervention
- Section 9-4-1
- Scale 1 moderate risk of harm to child/ren
identified- complete CAF - on each child in household -targeted support from
a single agency. -
- If the mother does not consent to the completion
of a CAF - this raises - the threshold to next level-consult with
safeguarding children's adviser - and consider discussing the situation with LA
social care. - CAF planning must include safety planning for
the child/ren and mother- section 14. Safety
planning. -
- Referr the abuser to an accredited perpetrator
programme. -
- Follow up-CAF plans
46Risk Matrix-Indications for level of Agency
Intervention
- Scale 2 moderate to serious risk of harm to
child/ren identified- - Family support interventions co-ordinated by a
lead professional and integrated support from
lead agency -domestic violence agency - If the mother does not consent to the completion
of CAF this raises the threshold-make
notification or referral to social care. - CAF planning must include safety planning for the
child/ren and mother section 14. Safety planning - Referr the abuser to accredited perpetrator
programme - Follow up CAF plans.
47Risk Matrix-Indications for level of Agency
Intervention
- Scale 3 assesses the domestic violence as
serious- referral into Social Care under Section
17 as protective factors are limited, child/ren
may be suffering significant harm and may
require a section 47 intervention. - LA social care initiate safety planning for the
child/ren and mother. - Consider referring the family to the MARAC
process (appendix 6). If not referred to MARAC-LA
social care should follow-up to ensure the abuser
is engaged with services.
48Risk Matrix-Indications for level of Agency
Intervention
- Scale 4 initiate child protection
procedures-severe risk of harm to the child/ren
identified Increased concern for child/ren well-
being due to contributory risk factors,
protection factors are extremely limited
threshold of significant harm is reached
Referr to social care section 47- in line with
section 6-Referral and Assessment in the London
Child Protection Procedures - Refer to MARAC
- Safety planning with child/ren and mother
49Responding to Domestic Violence where there are
no children in the household
- Established if woman is a vulnerable adult refer
to POVA procedures - Use risk identification matrix to assess the
level of risk of harm to woman - Refer the woman to local DV agency if risk of
harm is at threshold 3 consider making a referral
into the MARAC process and threshold 4 make
referral to MARAC
50Decision making in Case Planning Safeguarding
Family Support
- Risk identification threshold scales provide a
consistent framework to identify and direct an
assessment of childs needs and and rate the
level of risk posed to that child. They also
identify risk level to the childs mother. - Risk identification threshold scales enabled
consistent decisions on case clarification CAF-
targeted support/single practitioner or Lead
agency or Referral to Children Services section
47 or section 17. - Increased awareness of risks to children and
their mothers and informed decision making.
51BARNARDOS DOMESTIC VIOLENCE Risk Assessment
Model
- OUTCOMES
- Increased staff awareness and understanding of
the dynamics of DV and the risks it poses for
children, young people and victims - An improvement in Social workers ability to
respond more effectively to domestic violence and
assess risks to children and young people - Increased safety measures for children and young
people in families where domestic violence occurs - Non-abusing parent will be more aware of the
risks posed by domestic violence which can enable
the non-abusing parent to keep themselves and
their children safer. - More accurate risk assessments within core and
initial assessment processes - More children will be identified requiring
support. - Children/ YP and the non-abusive parent will
learn skills to keep themselves safe - Parallel domestic violence risk assessment
process alongside adult risk assessment model
matches up with MAR,C SPECSS and CAADA
assessment.
52BARNARDOS DOMESTIC VIOLENCE Risk Assessment
Model
- Benefits for agency and staff
- More comprehensive assessment of families
- Provides a consistent framework to assessing
level of risk - Increase safeguarding of children with greater
informed decision making. - Greater focus on the needs of children and
victims - Offers holistic support to families
- Greater support to staff dealing with domestic
violence cases - It enhances the assessment process within CAF as
a specific risk assessment tool. - It supports the Governments objective within
Every Child Matters - Maintains the focus of domestic violence as a
main concern within the assessment framework
without marginalising any other significant
concern
53High risk factors and domestic violence within
the Matrix are built on
- References /Influential Research Practice
Consultancy - Victim Focussed Risk Factors
- Guidance on Investigating Domestic Violence 2005
produced on behalf of the Association of Chief
Police Officers by the National Centre for Police
Excellence - MPS Metropolitan Police Service Risk Assessment
Model for Domestic Violence - These factors are based on research and analysis
conducted by the Understanding and Responding to
Hate Crime Team, 2001 and on SARA (Spousal
Assault Risk Assessment) developed by R.Kropp - SARA (Spousal Assault Risk Assessment ) developed
by R.Kropp - Cardiff police Domestic Abuse Report Womans
Initial Risk Assessment-MARAC - SPECSS, CUSSCAAM and CAADA
- MARAC - Multi-Agency Risk Assessment Conference
- CAADA - Co-ordinated Action Against Domestic
Abuse - SPECSS - MPS Risk Assessment Model for Domestic
Violence Cases
54References /Influential Research Practice
Consultancy
- Child Focussed Risk Factors
- Evidence based practice NI and London (
Barnet)- - application of risk assessment threshold scales
to over 150 social - work cases.
- Serious Case Review Research UK June 2007-M.
Brandon and London Serious Case Reviews 2007 - M. Calder. Consultancy on domestic violence risk
factors within ethnic minority groups - C. Bell. Towards an empirical basis for Domestic
Violence Risk Assessment. In Assessment in
Kinship Care, by Talbot, C Calder, M (2006) - CAF common assessment framework
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56Lifelong Learning UK
- The Further Education and Teachers
Qualifications - (England) Regulations 2007. These regulations
require all - new teachers appointed from 1 September 2007 to
hold - or acquire within a specified period of time
- A Preparing to Teach in the Lifelong Learning
Sector (PTLLS) award (or its equivalent), which
is a minimum threshold licence to teach for all
who have an element of teaching in their role,
irrespective of job title.
57Barnardos Domestic Violence Risk Assessment
Model - Accredited Trainer for Trainers
Programme-
- An accredited programme for those responsible for
the provision of the DVRAM training. - This programme has been developed to meet the
needs of both full-time trainers and/or
experienced practitioners for whom training is an
integral part of their role.
58Course aim
- To enable workers who are involved in
Safeguarding children who are abused through
Domestic Violence training to develop skills and
knowledge in order to identify, plan, deliver and
evaluate training.
59Course structure
- Training for trainers consists of a taught
programme with a follow-up day and an assessment
process route (see below). Alternatively,
candidates who do not require accreditation and
license may apply to attend the taught programme
only. - The length of the course is 10 days.
60Assessment process
- Candidates for the 7303 Level 3 Preparing to
Teach in the Lifelong Learning Sector
Barnardos DVRAM will be required to demonstrate
their training competence against a number of
standards covering all aspects of the training
and the DVRAM . Candidates are required to
prepare and submit a personal portfolio, which
will include the assessors report on their
observed delivery of training. - Dates - March 2009
- Cost - TBC
61DVRAM Core Assessment Tool for social care staff
undertaking section 17 and section 47 Enquires
62Importing the Northern Ireland DVRAM Core
Assessment model
63Core Assessment Tool within Integrated
Childrens System
- Section 17 Initial assessment will include
domestic abuse triggers under family
environmental factors-threshold level 3 - Use of Case planning or Strategy Meeting to
manage level of risk and decision to implement
core assessment domestic violence nine areas
assessment tool- Threshold level 3 cases where
direct phyiscal abuse of children is suspected
but not confirmed - Section 47 Abuse of child confirmed core
assessment domestic violence nine areas
assessment tool implemented-Threshold level 4
64Domestic Violence Core Assessment Nine
assessment areas
- Assess the nature of the violence
- Assess risks to the children posed by the
perpetrator - Assess the risk of life-threatening abuse
- Assess the perpetrators pattern of assault and
coercive behaviours. - Assess the impact of the violence on the children
- Assess the impact of the abuse on the woman
- Assess the impact of the abuse on parenting roles
- Assess protective factors
- Assess the outcome of the womans past help
seeking
65Safety Interventions with Women and
Children/Young People A Parallel Process
66Safety Planning- steps with woman
- 1. Personnel safety when he is threatening or
being violent. - 2. Personnel safety when preparing to leave.
- 3. Personnel safety when you are no longer living
with with your abusive partner. - 4. Personnel safety and your emotional health.
67Safety Steps
- 5. Personnel safety when you are working/in
public. - 6. Personnel safety when you are using
alcohol/drugs. - 7. Personnel safety with orders of protection.
- 8. Personnel safety and my children.
68Safety Planning with Children 5yrs to 12 yrs
69Childrens Safety Steps
- Sometimes things are OK in my family but
sometimes my parents fight and my dad hurts my
mum.
70Childrens Safety Steps
- 2. I can keep myself safe when dad hurts mum
by staying in my bedroom
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72Childrens Safety Steps
- Keeping myself safe
- by staying out of dad and mums fights
73An a assessment tool
- Which can support families who experience
domestic violence - mothers are made aware of the risks the abuse is
posing for her and her children - safety planning takes place with the mother and
her children in a parallel process during the
section 17 section 47 enquiry - during these processes social workers are skilled
up so they can easily undertake safety planning
with child when they talk to the child during the
section 17 47 enquiry - for multi-agency staff it will support women
and their children because staff being more aware
of the risks domestic violence pose for children
and women and enable more effective decision
making , co-ordinated and supportive
interventions.