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Roberts, Hazel 
ORCID: 0000-0001-5950-077X, Livesey, Louise ORCID: 0000-0003-4571-8676 and Jenks, Rebecca
(2020)
An Evaluation of the Gloucestershire Domestic Abuse Health Early Identification Pilot Project: Hospital Independent Domestic Violence Advisors and General Practice Development Work.
Project Report.
University of Gloucestershire.
(Unpublished)
Abstract
Other studies have identified that HIDVAs may reach more vulnerable victims hidden from other agencies at an earlier stage than other interventions (SafeLives 2013). Both GP surgeries and hospitals are places where domestic abuse can be detected and victims supported. From their tracking of over 50,000 domestic abuse cases, SafeLives (2016) found that 46% of victims had visited their GP in the 12 months before identification. The Crime Survey England and Wales (2014/5) found that 32% of victims experiencing domestic abuse had sought medical assistance due to the abuse. Hospital settings are often used in the immediate aftermath of a crisis (severe physical assault, self-harm, suicide or addiction issues) and as such a place from which support to address or leave abusive partners can be given. This report evaluates the Domestic Abuse Health Early Intervention Pilot in Gloucestershire which provides two Hospital Independent Domestic Violence Advisors (HIDVAs) and two GP Development Workers (GPDWs). The HIDVAs and the GPDWs aim to: Promote awareness of domestic abuse in a range of health settings Ensure that front line health professionals are confident in identifying and responding to domestic abuse Prevent escalation of risk for domestic abuse victims and their families by identifying, and addressing domestic abuse in health settings at the earliest possible opportunity Reduce longer term health related costs associated with domestic abuse through prevention and early intervention Gather data on the prevalence and cost of domestic abuse in health settings Support the embedding of the domestic abuse care pathway within health settings, To embed domestic abuse training into all relevant health staff training programmes. The evaluation considered the following four questions: What is the impact of the Domestic Abuse Health Early Identification Pilot on healthcare staff awareness of domestic abuse and their domestic abuse reporting and referral practices? What is the impact of the Domestic Abuse Health Early Identification Pilot on the profile of clients referred? Has there been any change in the use of health and other services by patients affected by Domestic Abuse since the implementation of the Domestic Abuse Health Early Identification Pilot? What has been the impact of the Domestic Abuse Health Early Identification Pilot on patient’s awareness of domestic abuse and perceptions of their safety and wellbeing?
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