IRIS – IDENTIFICATION AND REFERRAL TO IMPROVE SAFETY ACHIEVING MORE TOGETHER TOWARDS A SAFER SOUTH WALES IRIS – IDENTIFICATION AND REFERRAL TO IMPROVE SAFETY Addressing the health and wellbeing of victims and survivors of domestic abuse and violence.

Domestic Abuse prevalence South Wales Police 2016-17 34,133 domestic abuse incidents 14,290 domestic abuse related crimes 9,351 victims of domestic abuse related crime A third of all ‘violence with injury’ was domestic abuse related (34.9%) A total of 3,081 high risk Multi-Agency Risk Assessment Conferences (MARAC) were held A total of 4,191 children were involved in high risk MARAC cases Health Services and Domestic Abuse what the research tells us Low referral rate from partners, including health Evidence shows it can take 5 years for a high risk victim of DVA to find effective help (CAADA 2012) 80% of victims state if they were asked they would prefer to disclose in a health setting The most likely settings that women will be seen on their own are within health services Victims and survivors often state they “wanted to be asked”.

Enhancing health and wellbeing through co-production – IRIS - Cardiff and the Vale and Cwm Taf University Heath Boards The South Wales Police and Crime Commissioner funds collaborative working between the Third Sector, University Health Boards and General Practice teams to: Enable the early identification of patients who are or have experienced domestic violence or abuse through targeted tiered training to all practice staff, and providing a pathway to a single point of contact for advocacy and referral to specialist services. ASK & ACT. Through: Increase awareness within General Practice teams Enhanced ability to identify indicators of domestic abuse Increased confidence of GP’s Increase awareness within GP practice teams Improved record keeping and information sharing

Supporting those with the greatest health need, making the best use of all skills and resources Resources per 25 surgeries: 1 – Advocate / Educator (Third sector specialist provider) 1 – Clinical Lead (UHB) Now: GP’s and teams report feeling more confident to ASK & ACT More GP’s are routinely asking patients about domestic violence and abuse More patients referred are receiving advocacy and access to support Referrals being received for the majority of surgeries that have had training Patients able to disclose at the earliest opportunity

Aim: To improve the health and wellbeing of victims and survivors of domestic violence and abuse Outcome 1 – Better access to support and services Earlier: Engagement when experiencing DVA. Access to interventions, risk assessment, support services Opportunities for recovery work. Outcome 2 - Modify future help seeking behaviour   Patients/clients feel listened to and valued Support is: Client-led and tailor-made. Many clients have disclosed the support has been life-changing Support plans target physical and mental health needs Patients going on to receive psychological therapy. Outcome 3 -Improve physical and mental health Reduction in GP appointments (some surgeries Clinical tools (Trauma Symptom Inventory) have evidenced the mental effectiveness of referral through IRIS.

IRIS impact IRIS in Cardiff and the Vale, 2 years on: IRIS across Cwm Taff region, 1 year on:  26/26 surgeries trained 24/25 surgeries “IRIS aware” 359 health professionals trained 212 female, 9 male referrals (prior to IRIS average 5 per year) 140 first time disclosures 35/43 surgeries trained 22 surgeries “IRIS aware” 399 health professionals trained 169 patients referred to IRIS service (prior to IRIS 0 referrals) 59 first time disclosures