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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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

Care planning across the domestic violence and substance use sectors

Karen Bailey


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

HARM MINIMISATION +

SAFETY PLANNING

=

CARE PLANNING


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

  • 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

Aliens are coming to London…


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

Safety Upon Leaving

Safety Within a Relationship

Safety After Leaving


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

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


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

  • “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?”


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

DONT FORGET….

  • Positive things in life (activities; strengths or how to access activities to improve self confidence; self esteem)

  • Children’s safety planning


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

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


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

  • 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


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

  • 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


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

[email protected]

0207 785 3862

www.avaproject.org.uk

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