Care planning across the domestic violence and substance use sectors karen bailey
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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

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HARM MINIMISATION + sectors

SAFETY PLANNING

=

CARE PLANNING


Women’s Aid Gold Book

LDAN Online map

DAAT/DV Coordinator - CST



Safety Upon Leaving sectors

Safety Within a Relationship

Safety After Leaving


KEY PRINCIPLES sectors

  • 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…. safe? What works best?”

  • 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 safe? What works best?”

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 drinking/using?

  • 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



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