Transcript Care planning across the domestic violence and substance misuse

Care planning across the domestic
violence and substance use sectors
Karen Bailey
HARM MINIMISATION
+
SAFETY PLANNING
=
CARE PLANNING
• Use knowledge and resources that already
exist
• Named contacts/visits/joint care planning
Women’s Aid Gold Book
LDAN Online map
DAAT/DV Coordinator - CST
Aliens are coming to London…
Safety Upon Leaving
Safety Within a
Relationship
Safety After Leaving
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KEY PRINCIPLES
Keep the responsibility for the abuse explicitly
with the perpetrator
Provide consistency and continuity
Never assume you know what is best for victims;
they know their situation and the risks better
than you do
Recognise that victims will already be employing
safety strategies, though they may not name
them
Do not suggest or support anything that colludes
with the abuse
• “What do you currently do to keep you and your children safe? What
works best?”
• “Who can you tell about the violence who will not tell your
partner/ex-partner?”
• “Do you have important phone numbers available e.g. family,
friends, refuges, police?”
• “If you left, where could you go?”
• “Do you ever suspect when your partner is going to be violent?” E.g.
after drinking, when he gets paid, after relatives visit”
• “Can you (and children) go elsewhere?”
• “Which part of the house do you feel safest in?” “Which is most
dangerous?”
• ”Can you begin to save any money independently of your partner?”
• “Can you find ways to attend the drug/alcohol service without your
partner finding out?”
DONT FORGET….
• Positive things in life (activities; strengths
or how to access activities to improve self
confidence; self esteem)
• Children’s safety planning
SAFETY AND SUBSTANCE USE
Drug and alcohol assessments – ongoing;
build up trust
Substance use can affect ability to assess
severity of danger
Environment where using substances
Previous bad experiences with services
• How will they implement their safety plan if they
are drinking/using?
• What provisions are made for children when
using/drinking or when the violence happens?
• General parenting when using substances
• Consideration of how a survivor’s drinking/using
may impact on their ability to protect themselves
• Response survivors may receive from
services/police etc. when they make calls under
the influence of alcohol/drugs
• Discussing partner’s substance use
• The location of where a survivor goes to use/drink – how
does this impact on safety?
• Discussion of harm minimisation around drug use (inc
HIV and Hep B&C prevention)
• If considering leaving – where will they get supply of
drugs – do they need emergency prescribing?
• It is also empowering for a survivor to realise that their
abuser wants them to continue in their dependency to
substances and to plan for such interference with their
treatment
• Vulnerability/safety when entering new relationships due
to drinking/drug use
[email protected]
0207 785 3862
www.avaproject.org.uk
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