- East Riding of Yorkshire, UK
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... 418 :: Anna Ludvigsen and Sara Scott ... between dietary habits, gender and socioeconomic status, with a higher proportion of disadvantaged children consuming a less healthy diet and engaging in unhealthy snacking (Bunting and Freeman... more
... 418 :: Anna Ludvigsen and Sara Scott ... between dietary habits, gender and socioeconomic status, with a higher proportion of disadvantaged children consuming a less healthy diet and engaging in unhealthy snacking (Bunting and Freeman 1999; Sweeting and West 2005). ...
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Background There are high prevalence rates of violent and abusive experience in both the childhoods and adult lives of mental health service users. Histories of childhood sexual and physical abuse amongst women service users are... more
Background There are high prevalence rates of violent and abusive experience in both the childhoods and adult lives of mental health service users. Histories of childhood sexual and physical abuse amongst women service users are particularly well documented. The ‘Responding effectively to violence and abuse’ (REVA) study, on which this presentation is based, has also found that people who suffer violence and abuse are much more likely to have a mental disorder, self-harm or attempt suicide than those with little or no experience of this kind (Scott et al, 2013). Yet disclosing experiences …
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In 2006 the Department of Health introduced routine enquiry about peoples’ experience of violence and abuse as part of adult mental health assessments. This was in response to evidence that such experience was a significant aspect of the... more
In 2006 the Department of Health introduced routine enquiry about peoples’ experience of violence and abuse as part of adult mental health assessments. This was in response to evidence that such experience was a significant aspect of the histories and difficulties of many service users. This research extends the evidence base by showing how mental illness is linked with experience of abuse and violence. It is based on a representative community-based sample rather than a patient population and examines experiences of both women and men across the life course.
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This evaluation makes clear that services can achieve positive outcomes for young people, often against tremendous odds.The report highlights the success of specialist services in meeting the needs of a particularly vulnerable group of... more
This evaluation makes clear that services can achieve positive outcomes for young people, often against tremendous odds.The report highlights the success of specialist services in meeting the needs of a particularly vulnerable group of young people. It also demonstrates the benefits of partnership working. young people.evaluation makes clear that services can achieve positive outcomes for young people, often against tremendous odds.The report highlights the success of specialist services in meeting the needs of a particularly vulnerable group of young people. It also demonstrates the benefits of partnership working. By working together we can reduce the risk of sexual exploitation for young people.
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We would like to thank the children, parents and play workers who participated in this evaluation and made it possible. We would also like to thank Nellie Maan and colleagues at Better Play, Caroline Thom and colleagues at PATH and Issy... more
We would like to thank the children, parents and play workers who participated in this evaluation and made it possible. We would also like to thank Nellie Maan and colleagues at Better Play, Caroline Thom and colleagues at PATH and Issy Cole-Hamilton and colleagues at the Children’s Play Council for their advice, co-
(Co-ordinator of the EU Project)
Research Interests: United Kingdom and London
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Freely available but copyright notice states "No part of this report, including images, may be reproduced or stored on an authorised retrieval system, or transmitted in any form or by any means, without prior permission of the... more
Freely available but copyright notice states "No part of this report, including images, may be reproduced or stored on an authorised retrieval system, or transmitted in any form or by any means, without prior permission of the publisher." So passing metadata and link only without full text file.
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The Department of Health publication, Commissioning services for women and children who have experienced violence or abuse – a guide for health commissioners, clearly acknowledges that ‘victims of violence or abuse tend to use health... more
The Department of Health publication, Commissioning services for women and children who have experienced violence or abuse – a guide for health commissioners, clearly acknowledges that ‘victims of violence or abuse tend to use health services more than average’ and that this is ‘despite often finding it hard to access services’ (Golding and Duggal, 2011: 22). The guidance goes on to state that it is precisely because of this that ‘it is in the NHS interest to identify these women and children, provide opportunities for them to disclose, and provide services [..] to help them improve their physical and mental health’ (ibid). The policy that has been implemented to support this process is known as ‘routine enquiry’ (RE). Since 2003 it has been Department of Health policy that all adult service users should be asked about experiences of violence and abuse in mental health assessments. However, asking about experiences of abuse and violence is not enough. To be effective the policy of r...
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There are high prevalence rates of violent and abusive experience in both the childhoods and adult lives of mental health service users. Histories of childhood sexual and physical abuse amongst women service users are particularly well... more
There are high prevalence rates of violent and abusive experience in both the childhoods and adult lives of mental health service users. Histories of childhood sexual and physical abuse amongst women service users are particularly well documented. Although many of the samples in studies are small, figures of over 50% are not unusual (Palmer et al, 1992; Bryer et al, 1987; Walker and James, 1992; Wurr and Partridge, 1996). In secure settings this figure is even higher (Bland et al, 1999). Studies of severe domestic violence among psychiatric in-patients report lifetime prevalence ranging from 30% to 60% (Golding, 1999; Howard et al. 2010). The REVA study, on which this briefing is based, has also found that people who suffer violence and abuse are much more likely to have a mental disorder, self-harm or attempt suicide than those with little or no experience of this kind (Scott et al, 2013). Given the prevalence of experiences of abuse among users of adult mental health services it i...
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The long-term consequences of violence and abuse can only be addressed if appropriate services for survivors are available. Many such services are located within the voluntary sector, and the fact that they are oversubscribed indicates a... more
The long-term consequences of violence and abuse can only be addressed if appropriate services for survivors are available. Many such services are located within the voluntary sector, and the fact that they are oversubscribed indicates a high level of demand, but there is limited robust evidence as to whether, how and why they work. Third sector organisations need to demonstrate their effectiveness, particularly in the context of competitive commissioning (Harlock, 2013). However, cuts to already under-resourced services in the violence against women and girls (VAWG) sector have made it difficult for many, especially smaller services, to develop meaningful measurement frameworks or to fully engage in commissioning processes (Callanan et al., 2012; Women’s Aid & Imkaan, 2014). The lack of standardised sector-specific outcome measures also means that services may be required to conduct multiple monitoring exercises for a variety of different funding streams, with none fully reflecting...
A quarter of the population have experience of violence and abuse in their lives. Such experiences are major and under-acknowledged factors shaping people’s mental health and service needs. Public services are required to respond to both... more
A quarter of the population have experience of violence and abuse in their lives. Such experiences are major and under-acknowledged factors shaping people’s mental health and service needs. Public services are required to respond to both the needs of people with mental health problems, and those who have experienced abuse and violence. Our research highlights the strong links between the two – and the necessity for services to address these links if they are to respond effectively to clients’ needs.
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Purpose Threatening or obscene messaging is repeated, unwanted texts, emails, letters or cards experienced by the recipient as threatening or obscene, and causing fear, alarm or distress. It is rarely examined as an aspect of intimate... more
Purpose Threatening or obscene messaging is repeated, unwanted texts, emails, letters or cards experienced by the recipient as threatening or obscene, and causing fear, alarm or distress. It is rarely examined as an aspect of intimate partner violence. We describe the prevalence of exposure to threatening/obscene messaging from a current or ex-partner; characteristics of victims; and associations with other forms of violence and abuse, mental disorder, self-harm, and suicidality. Methods Cross-sectional probability-sample survey of the general population in England aged 16 + . Multivariable regression modelling tested associations between receipt of threatening/obscene messaging and current common mental disorder, past-year self-harm and suicidality. Results Threatening/obscene messages were received from a current/ex-partner by 6.6% (95%CI: 5.9–7.3) of adults who had been in a relationship; 1.7% received these in the past year. Victims were more likely to be female, under 35, singl...
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The relationships between research, policy and practice in improving the mental and emotional well-being of looked after children are complex. There is a growing body of research that demonstrates that children in state care (or ‘looked... more
The relationships between research, policy and practice in improving the mental and emotional well-being of looked after children are complex. There is a growing body of research that demonstrates that children in state care (or ‘looked after children’) are particularly vulnerable in terms of poor health and mental health outcomes. The current health and social care policy context is in the midst of tremendous change. Within this ‘modernisation agenda’ the mental health of looked after children has received welcome attention, and this in turn has stimulated a major expansion in specialist mental health services for looked after children across the UK. However, despite what we know about some of the problems looked after children face, we know very little about what is effective. Although the available evidence from research now gives a stronger indication about prevalence and identifiable risk factors for morbidity (or co-morbidity), it does little to assist in identifying what inte...
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Since 2003 it has been Department of Health policy that all adult service users should be asked about experiences of violence and abuse in mental health assessments. However, by 2006 it was apparent that mental health provider trusts were... more
Since 2003 it has been Department of Health policy that all adult service users should be asked about experiences of violence and abuse in mental health assessments. However, by 2006 it was apparent that mental health provider trusts were not generally implementing the policy and a two-year initiative was launched to pilot an approach to introducing routine enquiry and embedding it in clinical practice. The pilot involved a total of 15 trusts and its evaluation identified key lessons for effective implementation of routine enquiry in all trusts. In 2012 the Department of Health funded follow-up research on responding effectively to the needs of survivors of violence and abuse to include case-studies of four of the original pilot trusts to implement routine enquiry (the REVA study). This guidance is based on findings from this study.
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Feminism can claim with considerable justification to have been the point of origin for contemporary concern over child sexual abuse. In Frigga Haug's article for Feminist Theory (Haug, 2001) questions are raised about the role of... more
Feminism can claim with considerable justification to have been the point of origin for contemporary concern over child sexual abuse. In Frigga Haug's article for Feminist Theory (Haug, 2001) questions are raised about the role of feminism 20 years on in relation to the explosion of medical, legal and popular discourses which explain, denounce, identify instances of, causes of, effective responses to sexual abuse. Has feminist knowledge about the impact of abuse on survivors evolved into just another discourse in the 'history of sexuality', eliciting and moulding the stories told by, and about, psychiatric patients and drug users, children in care and women in prison? How can we judge whether feminist interventions, training for social workers and police officers, campaigns for law reform or therapeutic programmes retain any liberatory potential? Is it possible to disentangle some distinctively feminist knowledge and practice from other discursive practices in the field, or do we merely struggle like Foucauldian flies unable to escape a web of power which is partly of our own making?
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This article is concerned with the relationship between research, policy and service development. It outlines some of the findings of a two-year research study exploring the extent of, and responses to, the service needs of young people... more
This article is concerned with the relationship between research, policy and service development. It outlines some of the findings of a two-year research study exploring the extent of, and responses to, the service needs of young people at risk of sexual exploitation in London. The study is described as a case study in conducting policy-relevant research into a ‘hidden’ social problem. Some challenges of such research are identified. In particular, we discuss our utilisation of the Multiple Indicator Method as a means of estimating a ‘hard to count’ population. Copyright © 2006 John Wiley & Sons, Ltd.
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ABSTRACT The provision of mental health services to women has come sharply into focus for providers of secure psychiatric services in the UK. Women's services are being developed in response to the known risks of mixed-sex... more
ABSTRACT The provision of mental health services to women has come sharply into focus for providers of secure psychiatric services in the UK. Women's services are being developed in response to the known risks of mixed-sex provision, and a growing appreciation of the ways that women in secure services can be further disadvantaged by their minority status. Our intention here is to present evidence and reflections to help inform this development. The evidence is drawn from our recent work in this field, which includes carrying out a review of local mental health services for 'difficult' women, and developing and piloting a national training programme for staff working with women in secure services. The reflections we offer are informed by the conviction that taking social inequalities into account is central to making sense of women's mental health difficulties, and improving service responses to women's needs. While there are signs that many mental health workers in secure services are beginning to share these convictions, the challenge now is to provide the necessary authorization, training and support that will enable them to translate these understandings into empowerment practice with women.
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Sociological responses to the increase in recent years of psychiatric reports of multiple personality (latterly redefined as Dissociative Identity Disorder) have focused upon its discursive production as a diagnostic category. Drawing on... more
Sociological responses to the increase in recent years of psychiatric reports of multiple personality (latterly redefined as Dissociative Identity Disorder) have focused upon its discursive production as a diagnostic category. Drawing on life-history interviews with survivors of extreme childhood abuse - some of whom defined themselves as having ‘multiple personalities’ - this paper suggests that an adequate sociological account needs to combine analysis of the popular and clinical discourses of dissociation/multiplicity, with an understanding of the relationship between these and particular individual auto/biographies. The production of a narrative of fragmented subjectivity is considered as an active engagement with previously denied and silenced autobiographical experience and with the dominant contemporary discourse that allows for the episodic denial of self-reflexive selfhood. In the light of DID diagnoses being largely applied to/adopted by women, questions are raised con-cerning the possible impact of the adoption of a multiple identity on individual integrity and autonomy.
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This paper summarizes the calls received on a national helpline promoted after the screening of a television programme on ritual abuse in the Dispatches series on Channel 4 in February 1992. The helpline was organized by the educational... more
This paper summarizes the calls received on a national helpline promoted after the screening of a television programme on ritual abuse in the Dispatches series on Channel 4 in February 1992. The helpline was organized by the educational charity Broadcasting Support Services. The helpline dealt with 191 calls of which nearly half concerned ritual abuse. Thirty-nine per cent of all calls were from current victims or survivors of ritual abuse.
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This book aims to provide an accessible summary of research evidence to
inform practice for children and young people affected by child sexual exploitation
(CSE).
inform practice for children and young people affected by child sexual exploitation
(CSE).