Responding to Domestic Abuse as a Health Issue for families with Preschool Children in Bristol

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Responding to Domestic Abuse as a Health Issue
for families with Preschool Children in Bristol
Ruth Dawes Amy Pearson Health Promotion
Specialists, Bristol PCT
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Responding to Domestic Abuse as a health issue
for families with preschool children in Bristol

• Amy Pearson
• Ruth Dawes
• Advanced Practitioners Public Health Domestic
  Abuse

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• Bristol Domestic Abuse Forum definition
• The misuse of physical emotional, sexual or
  financial control by one person over another who
  is or has been in a relationship. This includes
  family members.
• Domestic abuse covers a wide range of
  behaviours and may be actual or threatened.
• Domestic abuse is usually perpetrated by men
  against women, but not exclusively.
• Domestic abuse occurs in all groups and
  sections of society and may be experienced
  differently due to and compounded by race,
  sexuality, disability, age, religion, culture,
  class or mental health.
• (N.B. Children are always affected by
  or living with or witnessing DA)

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• Key Statistics
• One in four women experiences domestic violence
  in their lifetime. (British Crime
  Survey 2006/2007)
• Two women are killed each week by a current or
  former partner (British Crime Survey
  2006/2007)
• Violence against women is the biggest killer of
  women under 45 more than cancer, maleria, war
  and road traffic accidents. (WHO 2005)
• Every year 500 recent victims of domestic
  violence commit suicide (Hard Knock Life, New
  Philanthropy Capital, April 2008)
• In homes where children live, 90 of domestic
  abuse takes place when children are in the same
  or the next room. (DOH 2005)
• The estimated total cost of domestic violence to
  society in monetary terms is 23 billion per
  annum in UK. (Walby, 2004)

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• Who we are?
• HVs on secondment in public health looking at
  domestic abuse (now permanent)
• Why work in Childrens Centres?
• The primary role of Childrens Centre staff is to
  promote the healthy development of young
  children. The effect of domestic abuse on
  children and families is profound. It always
  impacts on children
• How did this project came about?
• Health Visiting experience and Early Years
  Practitioners growing awareness of the impact of
  DA on Children identifying a need for staff
  awareness raising to enable early identification
  
  and intervention

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Background Influences

• Joint Area Review Report
• Domestic Abuse Statistics
• Bristol costs
• Knowledge of the impact on children

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Cost of Domestic Abuse in Bristol

• 200 million!

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• Links between woman abuse and child abuse
• Between 1/5th 2/3rds children known to have
  been abused were also living with Domestic Abuse

Domestic abuse
Child abuse
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Partnership working -Coming together as a
working party

• Agencies-
• Public Health Professionals Bristol PCT
• Health Visitors Bristol PCT
• Domestic Abuse Co-ordinator - Safer Bristol
• Childrens Centre Manager - Bristol Early
  Years
• Social Worker - Children and Young Peoples
  Service
• Barnardos Team leaders - Community Family
  Worker Service
• Focus group-
• Early Years Practitioners from Childrens
  Centres.

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What we brought to the table

• Research
• Key documents
• Resources
• Knowledge skills and experience

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The results

• A toolkit
• Training 2 hr awareness raising session
• Resources leaflets, websites, posters,
  helplines, books etc

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The Pilot

• 4 Childrens Centre sites
• Pre and Post training questionnaires
• Knowledge
• Beliefs
• Attitudes
• Confidence

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Brentry and Henbury Childrens Centre Results
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Southmead Childrens Centre Results
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Bannerman Road Childrens Centre Results
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Fouracres Childrens Centre Results
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Areas for improvement

• Participants appear to still be unsure about
  whether womens behaviour can attract and provoke
  domestic abuse.

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Bristol Rollout

• 27 Childrens Centres
• Nurserys and childminders have joined the
  rollout
• Pool of trainers although changing due to
  health visiting shortage
• Very positive feedback
• Involvement in Childrens Centre development days
  and conferences

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Future

• Childrens Centre Champions
• Regular updates
• Training pool
• Early Intervention training for early years
  practitioners working directly with children
  impacted by DA

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Influences Every Child Matters
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Hurt
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Hope for the future

• Most children will recover competence and
  behavioural functioning once in a safe and secure
  environment. (Humphreys, 2006)

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• Happy
• Secure

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For more information contact

• Ruth Dawes ruth.dawes_at_nhs.net
• Amy Pearson amy.pearson_at_nhs.net

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