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The Welsh Government's Supporting People programme
- Author:
- AUDITOR GENERAL FOR WALES
- Publisher:
- Wales Audit Office
- Publication year:
- 2017
- Pagination:
- 82
- Place of publication:
- Cardiff
Examines whether the Welsh Government has put in place effective arrangements to manage the Supporting People Programme and ensure it is delivering high-quality and appropriately-targeted services. The Programme provides grant funding to local authorities to deliver directly, or through third-party providers, housing-related support services, which are intended to help vulnerable people to live as independently as possible. The report finds that the Welsh Government has made a significant investment in the Supporting People Programme since its inception in 2003, both through direct funding for the Programme and the time and resources spent reviewing Programme delivery arrangements. However, it concludes that, despite some strengthening of arrangements, action taken to address some longstanding concerns about the Programme’s design and delivery has not always been effective. Progress in some key areas has been slow, including in establishing a comprehensive and reliable understanding of the Programme’s impact. There are also inconsistencies in the way the Programme is being managed at a local and regional level, due in part to inadequate Welsh Government guidance. (Edited publisher abstract)
Fathers’ perspectives regarding their children’s exposure to intimate partner violence
- Authors:
- BOURASSA C., et al
- Journal article citation:
- Journal of Public Child Welfare, 11(3), 2017, pp.261-278.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Children exposed to intimate partner violence are at high risk for mental health and behavioural problems. Numerous studies have examined mothers’ perceptions about the influence of exposure to violence on their children; few studies have examined the views of violent fathers. This study sought to identify how fathers, participating in batterer intervention programmes (BIP), perceive consequences of their violence on their children and how they protect and mitigate the destructive effects of their violence on their children. Semi-structured interviews were conducted with 21 fathers, with a qualitative approach for analysis. The findings highlight the need for specific intervention for fathers. (Publisher abstract)
Individual, group and organised experiential expertise in recovery from intimate partner violence and mental health problems in Finland
- Authors:
- HOKKANEN Liisa, et al
- Journal article citation:
- British Journal of Social Work, 47(4), 2017, p.1147–1165.
- Publisher:
- Oxford University Press
This paper examines recovery from intimate partner violence and mental health problems through the perspective of experiential expertise (EE). The aim is to investigate the formation of EE in the context of empowerment-oriented recovery in non-governmental organisations (NGOs). This triangulated study includes both quantitative and qualitative data. The quantitative part was acquired through a survey on people with personal experience of mental health problems (N = 133) and the qualitative part was collected from a development project including sixty female victims of intimate partner violence and nine professionals who worked with the women. First, the data were analysed separately through statistical analysis and hermeneutic close reading. Second, a triangulated synthesis was made. There are three types of EE: individual, group and organised. These provide a basis for personal and social empowerment. EE consists of emotional and influential ways of acting, which enable renewed action as well as the reformation of a self-image. The authors' findings indicate that the relation between EE and recovery is reciprocal and mutually beneficial. It is argued that especially group and organised EE should be integrated more firmly into social work practices, preventive social policy and structural social work. (Edited publisher abstract)
Physical health conditions and intimate partner violence perpetration among offenders with alcohol use diagnoses
- Authors:
- CRANE Cory A., EASTON Caroline J.
- Journal article citation:
- Journal of Interpersonal Violence, 32(11), 2017, p.1678–1691.
- Publisher:
- Sage
Intimate partner violence (IPV) is prevalent among samples with diagnosed alcohol use disorders (AUDs), but few studies have evaluated the factors that account for this increased risk, and none have systematically evaluated the risk posed by comorbid physical health conditions. The present study evaluated the likelihood of perpetrating IPV among alcohol diagnosed offenders with medical health problems relative to healthy counterparts. Physical health and partner violence data provided by 655 criminal offenders with AUDs diagnosed during a court-ordered substance abuse evaluation were examined. One third of participants (35.3%) endorsed a physical health condition, and 46.4% reported perpetrating physical IPV. The odds of perpetrating IPV among participants with a physical health condition were 2.29 times larger than among healthy participants. Specific conditions emerged as risk factors for IPV, including brain injury, cardiac issues, chronic pain, liver issues, gastrointestinal symptoms, hepatitis, and recent injury. Findings highlight the importance of identifying and managing physical health conditions that may complicate IPV treatment efforts. Integrated behavioural and medical health treatment approaches may increase treatment compliance and reduce the risk of future partner violence among offenders with co-occurring issues, such as mental illness, addiction, and physical health conditions. (Edited publisher abstract)
Adverse childhood experiences among immigrants to the United States
- Authors:
- VAUGHN Michael G., et al
- Journal article citation:
- Journal of Interpersonal Violence, 32(10), 2017, p.1543–1564.
- Publisher:
- Sage
A growing number of studies have examined the “immigrant paradox” with respect to health behaviours in the United States. However, little research attention has been afforded to the study of adverse childhood experiences (ACE; neglect, physical and sexual abuse, and witnessing violence) among immigrants in the United States. The present study, using Waves I and II data from the National Epidemiologic Survey of Alcohol and Related Conditions (NESARC), aims to address these gaps by comparing forms of ACE of first- and second-generation immigrants with native-born American adults in the United States. The authors also examined the latent structure of ACE among immigrants and conducted analyses to assess the psychiatric correlates of identified latent classes. With the exception of neglect, the prevalence of ACE was markedly higher among native-born Americans and second-generation immigrants compared with first-generation immigrants. Four latent classes were identified—limited adverse experience (n = 3,497), emotional and physical abuse (n = 1,262), family violence (n = 358), and global adversity (n = 246). The latter three classes evinced greater likelihood of being diagnosed with a mood, anxiety, personality, and substance use disorder, and to report violent and non-violent antisocial behaviour. Consistent with prior research examining the associations between the immigrant paradox and health outcomes, results suggest that first-generation immigrants to the United States are less likely to have experienced physical and sexual abuse and witness domestic violence. However, likely due to cultural circumstances, first-generation immigrants were more likely to report experiences that are deemed neglectful by Western standards. (Edited publisher abstract)
Norfolk SCR Case R
- Author:
- LADBURY Briony
- Publisher:
- Norfolk Safeguarding Children Board
- Publication year:
- 2017
- Pagination:
- 70
- Place of publication:
- Norwich
A serious case review of Child R, aged 10 months who sustained serious injuries in May 2015 that were judged to be the result of deliberate harm. Several agencies had been working with the family in the preceding months. The review identified themes that applied to more than one organisation, which included: engagement with fathers; child-centred assessment and planning; interagency communication and collaboration; thresholds; alcohol, domestic abuse and mental health; and supervision and management oversight. Findings include that: agencies did not put enough effort into engaging with Child R’s parents; there was an over reliance by professional on what they were being told by family members; gaps in inter-professional communication and information sharing; confusion between partners about the application of Norfolk Safeguarding Children Board thresholds; and that the combined risk factors of alcohol, domestic abuse and mental health were not given sufficient emphasis. (Edited publisher abstract)
Care and support in Wales: national population assessment report
- Author:
- SOCIAL CARE WALES
- Publisher:
- Social Care Wales
- Publication year:
- 2017
- Pagination:
- 72
- Place of publication:
- Cardiff
This interactive report provides a summary of the seven regional population assessment reports to identify the care and support needs of people, their families and carers, outline what is available to meet people’s needs and what else needs to be done. The report looks at the care and support needs of the following groups: carers who need support; children and young people; health and physical disability; learning disability and autism; mental health; older people; sensory impairment; domestic abuse and sexual violence. It also outlines how the assessments link to the Social Services and Well-being (Wales) Act 2014 and draws together the common issues and pressures identified by the assessments. These include addressing loneliness and isolation, supporting independence, and building resilience in individuals and communities. The final section provides a summary of cross cutting themes that can result in people needing care and support. (Edited publisher abstract)
Understanding the whole family: the role of families in the lives of people with severe and multiple disadvantage
- Authors:
- GOOD Frances, MARRIOTT Christina
- Publisher:
- Revolving Doors Agency
- Publication year:
- 2017
- Pagination:
- 42
- Place of publication:
- London
This literature review looks at the role of families in supporting and inhibiting positive outcomes for individuals with severe and multiple disadvantage. It is the third in a series of reviews on severe and multiple disadvantage funded by the Lankelly Chase Foundation. The paper uses a life-course approach, exploring the role of the family in prevention and early intervention; intervention and treatment; and the maintenance of recovery. It focuses on five areas of disadvantage: criminal behaviour, substance misuse, mental illness, homelessness and domestic violence and abuse. It refers to examples of interventions throughout. The review highlights both positive and negative contributions of families for those recovering from severe and multiple disadvantage. For some individuals families support and unconditional love was seen as critical in sustaining recovery and protecting them from further risk. For others, families were seen as contributing to criminal behaviours and addiction due to punitive and mistrustful attitudes which could leave individuals isolated. There is also additional risk of a cyclical effect of one family member facing SMD disadvantage, impacting the development of disadvantages in the life of another family member. The review highlights the need for the negative influences a family can have on an individual facing SMD to be considered in the formation of policy and practice and for services to look at the multiplicity of issues individuals face. (Edited publisher abstract)
Mapping the maze: services for women experiencing multiple disadvantage in England and Wales
- Publishers:
- Agenda, AVA
- Publication year:
- 2017
- Pagination:
- 47
- Place of publication:
- London
The report of the Mapping the Maze project, set up to map specialist support available for women affected by substance use, mental ill-health, homelessness and offending and highlight gaps in provision. The report also provides a model of good practice for working with women affected by substance use, mental ill-health, homelessness and offending. The model has four broad components: organisational ethos, safe and enabling environment, approach to working and organisational practice: It was developed through the results a literature review, consultation with women accessing services and consultation with professionals who deliver or campaign for specialist interventions for women. Key findings from the study include: the belief amongst women that specialist women’s services are the best way to meet their needs, that good services are often about the culture of the service and the staff rather than any one specific element of service design, and that specialist services for women experiencing disadvantage are under-resourced. Recommendations from the project for government, commissioners and service providers are set out in the final section. These include the need for a cross-government approach and funding stream for women experiencing multiple disadvantage and joined-up funding across local areas to deliver improved support for women experiencing multiple disadvantage. (Edited publisher abstract)
An evaluation of the Refuge Access for All project
- Authors:
- AVA, WOMEN'S AID
- Publishers:
- AVA, Solace Women's Aid
- Publication year:
- 2017
- Pagination:
- 59
- Place of publication:
- London
An evaluation of Solace Women’s Aid’s Refuge ‘Access for All Project’ in five London Boroughs, using qualitative and quantitative data from service users, managers and staff. The project aimed to improve access to, and the outcomes for, women and children in refuges with mental health and/or substance use issues who have experienced domestic abuse. A key aspect was the creation of a Psychologically Informed Environment (PIE) across Solace refuges, which included improving mental health training for staff and the provision of play therapy for children. The evaluation found that the project led to an increase in the understanding and confidence of staff in dealing with mental ill health and substance use issues and an increase in staff expectations of the support they could expect to receive from Solace for themselves. It also resulted in a reduction in the number and proportion of service users turned away because their mental health needs could not be met and received positive feedback from residents. The report provides lessons for Solace Women’s Aid, commissioners, policy makers and other providers. (Edited publisher abstract)