Step Up - Building the Evidence Base for Early Intervention Responses for Children Living With Domestic Abuse

Lead Research Organisation: University of Central Lancashire
Department Name: Sch of Social Work

Abstract

This project aims to improve child protection responses for children and young people living with domestic violence by providing effective early help. It is based on a partnership between researchers at the University of Central Lancashire and lead professionals from children's services and domestic violence services in Blackpool. Domestic violence affects a large minority of children living in the UK. Between 12% to 24% of children and young people will be exposed to domestic violence during childhood and 3% will experience this within the last 12 months (Radford et al, 2013). Domestic violence is four times higher than the national rate in Blackpool and it is estimated that one in every eight children (12%) will have been exposed in the past year. Research has shown that living with domestic violence can have a harmful and lasting impact on children's health, mental health, development and life chances (Stanley, 2011). Children exposed to domestic violence are at greater risk of experiencing abuse or being abusive in their own relationships as adults (Kitzman et al, 2003). Domestic violence is commonly associated with the most complex child protection cases (Munro, 2011) and a recent report concluded that the police response towards victims of domestic violence is 'not good enough' (HMIC, 2014). There were 2,396 calls about domestic violence made to the Blackpool police in 2012-3 where there were children in the household. Domestic violence related calls to the police have reduced recently but referrals of high risk cases to the Multi Agency Risk Assessment Conferences (MARACs) have continued to increase. Currently over 782 children are involved in high risk cases referred to MARAC. Blackpool has three independent domestic violence advocates (CIDVA) dedicated to work with children and young people. Over 300 children are in contact with these services each year (CAADA, 2014). MARACs and advocates however work only with high level risk cases and the local authority has identified a need to provide earlier help to families before abuse escalates to this high risk stage or before children have problems with behaviour or health as result. A new early help service will be set up, led by new Early Help Coordinators (EHCs) based in Sure Start services in two different areas of Blackpool. The service will work with families with children under the age of 16 who are living with 'standard' (rather than 'high') risk domestic violence. The research project will build on and aim to improve existing evidence on early identification, assessment and intervention responses to children living with domestic violence in Blackpool. There will be two comparator sites, where standard risk cases will be responded to as 'business as usual', without the EHC services and their specialist follow up, assessment, referral and response pathways. The research is an ambitious project which depends on good collaboration between Blackpool's children's services and the university research team over a four year period. The researchers will work closely with the new service, providing evidence to inform the development of the project, assessing the process of implementation and, later when the project is established, bringing together evidence on the impact on children and their resilience, the impact on their families and the professionals who work with them. The research will include an evaluation of the costs of the early response model. Case studies will be produced to illustrate the impact of the early response on a child's journey towards safety and resilience. Young people, their families and professionals in Blackpool will be consulted about the design of the early response model and the design and conduct of the research. Findings will be promoted locally, nationally and internationally to share any information that can be used to help children and their families in the future.

Planned Impact

Who will benefit from this research?
The following four groups will benefit from this research - children and their families; professionals who work with them, directly or indirectly, contributing to services in the statutory (police, education, early years, Sure Start, child protection, health, youth justice, probation) or voluntary sector (Women's Aid services, IDVAs, CIDVAs, NSPCC, Respect); policy makers with influence over children's services and responses to families living with domestic violence; academics.

How will they benefit from this research?
Children and their families: It is expected that providing earlier help will prevent the escalation of domestic violence and the subsequent harm that can result for children and their parents. The benefits for children in Blackpool would be substantial in light of the harm known to be caused by living with domestic violence and the currently growing numbers of high risk domestic violence cases involving children coming through to MARACs. Young people and parents may also benefit directly from participation in the research and the opportunity this will provide to have their views heard and to contribute to service development and dissemination of findings. As well as providing child friendly information resources the research team will work with the Blackpool Early Help Coordinators to promote the research findings via fun activities for children, young people and parents at Sure Start centres, community groups and schools.

Professionals: Benefits for professionals are expected from the new knowledge that will emerge from the project and its evaluation. It is hoped that this can be used to inform practice and future service delivery. The greatest benefit for professionals would be findings that indicated children and their families had better outcomes and that the program was efficient and well received by those involved in service delivery. However professionals (and families) would also benefit if the project discovers instead what responses are unhelpful. To ensure that findings are relevant and useable, professionals will also participate in the design, implementation and review of the project as well as contribute to the dissemination of the research findings. The research team will draw on established local fora and networks to promote the findings with professionals. UCLAN is one of the largest social work educators in Europe and the School of Social Work places great value on research informed teaching. We will promote the research findings in teaching of undergraduate, post graduate and post qualifying Social Workers and through training networks such as BASPCAN and Making Research Count. There will be at least two dissemination events targeted at professionals in Blackpool. Members of the research team will draw on national and international networks and organisations to promote the findings widely as set out in the Pathways to Impact attachment.

Policy makers: The findings are likely to be of interest to local and central government and policy makers in organisations such as the police, police and crime commissioners, education sector, health and children's services. If knowledge gained can be used to improve services then the benefits for policy makers will include more efficient services and increased public confidence in key agencies, such as the police or child protection, responses to domestic violence. Outputs from the research will include the case studies which will be helpful tools to present findings in an accessible and meaningful format for policy makers.

Academics: across the disciplines of Social Policy, Social Work and Criminology will benefit from the new knowledge about supporting and building resilience for children and their families and how to engage with vulnerable families. Findings will be disseminated via presentations at major academic conferences and publications in academic journals.

Publications

10 25 50
 
Description This research has generated new knowledge about the implementation of early help responses to safeguard children and families living with domestic abuse. Key findings are:
1. Considerable barriers were observed in the multi-agency context of the MASH for effectively identifying and targeting early help support towards children and families living with domestic abuse. In the area studied, current methods of domestic abuse screening drew heavily from the Domestic Abuse, Stalking and Harassment (DASH) assessment tool, which in practice was used as high risk physical violence incident focused. Examining the history and pattern of referrals assessed initially as 'standard risk' domestic abuse, revealed a wide range of different histories of abuse among the families concerned, various levels of previously assessed and fluctuating risk, with varied levels of ongoing and prior involvement with support services. Many families had needs for more specialist and intensive support beyond the level of 'early help'.
2. Further efforts introduced to screen families for eligibility for early help services (on the basis of the DASH domestic abuse indicators and an initial assessment of children's needs as requiring 'no further action') in the context of data system differences and staff resource constraints were administratively burdensome. Further work could be done to improve the flagging of 'standard risk' domestic abuse notifications from the police in children's services.
3. For almost two thirds of the families assessed as standard risk, the domestic abuse occurred post separation. Post separation abuse was considered to be the responsibility of the family court, outside of the remit of the early help service. It is not known whether or not the families had been involved with the family courts.
4. Although staff with specialist training and experience with working with families living with domestic abuse were involved, the early help service had poor rates for engaging with families who were eligible for the service. Despite the remit to take a 'whole family approach', very limited attention was given towards engaging with men and fathers, whether or not they were perpetrators of domestic abuse. Transience, frequent moves in and out of the area and to different addresses within the area, made it difficult to establish contact with a large minority of families. The victim declining the service offer was another significant barrier to engagement. If the victim did not accept the service offer then the children were unable to access early help support. Options to provide early help to children themselves directly through schools and health services could be further explored.
Exploitation Route Researchers and practitioners could take forward and build on the findings by investigating:
• How to improve multi agency methods of identifying and reaching out to families living with domestic abuse who may benefit from early help support;
• What support is wanted and is effective for children living with ongoing domestic abuse after parents have separated? How can services improve access to support for children in these circumstances?
• How to improve engagement with early help domestic abuse services, especially where the family is geographically transient;
• How individual service sectors and agencies working together can improve direct access to support for children and young people living with domestic abuse. For example, what are effective and appropriate responses for the police to take with children when they attend a household for a 'standard risk' domestic abuse incident between a separated couple?
Sectors Communities and Social Services/Policy,Education,Healthcare,Government, Democracy and Justice

 
Description The research findings have been used by local authority partners to help in the redesign of notification, referral and data recording at the front door for referrals into children's services. The research findings have been used to inform the development of new early help hubs and redesign of MASH processes. This work is ongoing.
First Year Of Impact 2017
Sector Communities and Social Services/Policy,Education,Healthcare,Government, Democracy and Justice
Impact Types Societal

 
Description Use of findings in service development
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Implementation circular/rapid advice/letter to e.g. Ministry of Health
 
Title Data Tracking Study Results 
Description Three anonymised databases were developed. The first stage of the research involved developing and testing the domestic abuse early help service from notifications of 'standard risk' domestic abuse received by the MASH and investigating the pathways of standard risk cases over time. We developed a methodology to track the standard risk pathways using linked data. The second database covered all referrals into the new early help service and was used to identify engagement and outcomes. The third anonymised database covered all no further action referrals to the children's services 'front door' over a three year period which were screened for domestic abuse records and domestic abuse risk factors, repeat referrals and previous agency contact. 
Type Of Material Database/Collection of data 
Year Produced 2018 
Provided To Others? No  
Impact The local authority wanted to use the MASH assessment of 'standard risk' as the early identifier of families living with domestic abuse in order to follow them up and offer the early help service. The Theory of Change for the early help service was based on the assumption that early help for families at lower level risk of domestic abuse would prevent the escalation of abuse to high risk and the greater potential for harm that results. The research team analysed 16,691 vulnerable persons referrals for a two year period within the one local authority area. Just over half 52% of the 9,936 domestic abuse cases had been assessed as 'standard risk'. Retrospective and prospective tracking from one time point by the research team found standard risk to be an unreliable identifier for families in need of early help. Erratic patterns of re-referral, escalation and descalation of risk were found from index cases. A different method to identify families at an earlier stage was developed working in partnership with the local authority using no further action cases referred to children's services. This generated the third database of 2072 no further action cases which were screened for domestic abuse records and for domestic abuse risk factors. On screening by the early help service 81% of the cases were designated as ineligible for early help. 730 of the cases were domestic abuse cases where a decision of no further action had been taken after referral into children's services front door. These cases were tracked subsequently for re-referral rates into children's services. The second database covered anonymised records on 54 families referred into the new early help service where outcomes of the referral were monitored. Overall it was found that neither the MASH nor the children's services data could provide effective and practical screening for early help cases of domestic abuse without amendments to and harmonisation of the methods of flagging, recording and reviewing 'standard risk domestic abuse' or Level 1 to 2 children's needs. 
 
Description Blackpool Council Early Help Services 
Organisation Blackpool Council
Country United Kingdom 
Sector Public 
PI Contribution The research team worked with the local authority at the set up stage of the new early help service helping to develop the Theory of Change for the service. A stakeholder group was established and coordinated by the research team to bring together key people from the multi agency group involved in early help and consult with them about the process of evaluation and research and the use of research findings for service improvement. The research team also provided advice and practical help at key stages of service implementation. Briefings have been provided for stakeholders for use in further service development.
Collaborator Contribution Local authority partners have provided advice, staff time and access to key data sources for the research. The research team have benefited from use of local authority facilities, meeting rooms and access to anonymised data. Services such as the police and children's services have invested staff time in the development of data sharing agreements and in producing anonymised data. Stakeholders have facilitated access to professionals, practitioners and service users for research purposes.
Impact Outcomes are listed in the project report for 2018. The main outcome is use of the research findings for the redesign of early help services for families living with domestic abuse. There are also draft publications that will be submitted to journals. The research has been presented at two events organised by the Early Intervention Foundation in 2014 and 2015, at the Second International Conference on Interpersonal Violence Interventions in Jyväskylä, Finland, June 2017; and at the European Domestic Violence Conference in Porto September 2017, at the ISPCAN congress in Prague, Czech Republic in 2018 and at the Connect Centre Conference in Preston, October 2018. This conference was well attended by Blackpool practitioners working in the field of early help and domestic abuse.
Start Year 2014
 
Description Erasmus PhD student collaboration 
Organisation Istanbul Arel University
Country Turkey 
Sector Academic/University 
PI Contribution PhD student and university lecturer from Istanbul Arel University Turkey was funded by the Erasmus programme and worked with the UCLan research team from September 2017 to January 2018. In this period the post graduate researcher under supervision from Professor Radford received training on data analysis and in conduct of in depth interviews with survivors of domestic abuse.
Collaborator Contribution The PhD researcher helped with analysis of the data on post separation abuse and is currently collaborating on a conference paper for an international conference and for publication in a journal.
Impact A conference paper based on an analysis of the research data was presented by Sinem at the International Family Violence Conference held in New Hampshire USA in 2018. We are currently revising the draft journal article for submission this spring 2019.
Start Year 2017
 
Description EIF Domestic Abuse Evaluation Workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact The Nuffield Foundation, Early Intervention Foundation and ESRC organised an event on the challenges and possibilities of evaluation of domestic abuse services with the aim of sharing knowledge between researchers and partners in services. The event had an invited audience of about 100 people. The UCLan team attended with Blackpool local authority partners and gave a joint presentation on Step Up. There was a discussion about the project design and implementation.. A decision was made to coordinate a small working group to look at methodologies and measures for evaluation in this area of research with a view to moving forward research practice.
Year(s) Of Engagement Activity 2015
 
Description EIF methodology group 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other audiences
Results and Impact A working group was set up by the Early Intervention Foundation in December 2015 to bring together researchers evaluating early intervention domestic abuse services. The purpose of the meeting was to share knowledge about measures of change, particularly appropriate measures of outcomes for children and families. The UCLan research team were invited to take part in this working group and discussed findings from our review of measures of child safety and resilience and the lack of validated measures of resilience and safety that are appropriate to cover the whole of the age range for children from infancy to age 16 years.
Year(s) Of Engagement Activity 2015
 
Description European Domestic Violence Conference 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The UCLan team presented two papers at the European Conference on Domestic Violence in Porto, Portugal 2017. One paper presented findings so far from Step Up and was attended by a mixed international group of about 30 researchers and practitioners. There was a discussion about the findings and interest in methods of information sharing and risk assessment. The second paper was part of a symposium on research challenges presented in studies of domestic abuse. The UCLan team presented a paper on the challenges of transience in seaside towns. This was a visual presentation with photographs of the environment in which the research and the early help project were based. There was considerable interest in how the early help project had approached the difficulties of contacting families ethically, safely and practically.
Year(s) Of Engagement Activity 2017
 
Description International Conference on Interpersonal Violence 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact International conference paper on identification and engagement presented to multi disciplinary group of practitioners, academic researchers and policy makers. The session was attended by approximately 30 people, from organisations across Europe. Discussions focused on the challenges of researching and shifting the focus of services towards earlier intervention for families living with domestic abuse. There was much interest in the findings presented on MASH processes and domestic abuse risk assessment procedures particularly where these approaches are developing in other European nations.
Year(s) Of Engagement Activity 2017
 
Description NSPCC networking event 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact The UCLan research team took part in the NSPCC's Early Help Networking Event in London in February 2017. This was an interactive event where a variety of early intervention research projects were invited to take part in poster presentations detailing their early intervention research. The UCLan team produced a poster on early findings from Step Up and we attended the event and interacted with people who had been invited by the NSPCC to attend.
Year(s) Of Engagement Activity 2017
 
Description Presentation in Symposium at ISPCAN congress, Prague, Czech Republic September 2-5 2018 - New Interventions in Interpersonal Violence and Abuse with Children, Young People and Families. 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact A symposium entitled New Interventions in Interpersonal Violence and Abuse with Children, Young People and Families was presented at the XXII International Society for the Prevention of Child Abuse and Neglect, held in Prague, Czech Republic September 2 -5 2018. The symposium included 4 linked research papers one of which was based on this research entitled What sort of early help might be relevant for children and families living with DV? The symposium was very well attended in the main congress lecture hall with an audience of 100 delegates. The early help research attracted a lot of debate and subsequent questions and interest from practitioner and researcher delegates. There has been subsequent correspondence with early help teams in the UK working on domestic abuse particularly exploring work with all family members, including the abuse perpetrator where the parties are still living together.
Year(s) Of Engagement Activity 2018
URL http://www.ispcan.org
 
Description Presentation of research findings at Connect CEntre for Internatuional Research on Preventing Interpersonal Violence Conference October 2018 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact 120 delegates attended the Connect Centre for International Research on Preventing Interpersonal Violence held at Brockholes Conference Centre in Preston on 3 October 2018. The theme of the conference was 'Building Collaboration and Communication in Domestic Abuse Work'. The research findings from the early help study were presented in a key note address entitled Partnerships for early intervention for children living with domestic abuse : experiences from research in a seaside town. This presentation considered the challenges and benefits of collaborations across different agencies and between researchers and practitioners in building effective early help responses for children and young people living with domestic violence and abuse. Contextual challenges of working in a seaside town - population transience, seasonal fluctuations, multiple occupancy low rental accommodation, - with an impact on identification of, information sharing about and responding to the needs of vulnerable families alongside the challenges of resources are significant barriers to effective partnerships. The presentation considered key messages from this research and international studies about developing accountable and evidence based community partnerships to prevent and respond to the needs of children living with domestic abuse. The conference was well attended by professional delegates working in the region in which the research is based.
Year(s) Of Engagement Activity 2018