1. Violence prevention – a public health priority Philip Conaglen Annette Gallimore ScotPHN is hosted by

2. Project Group Project Sponsor – Susan Webb, Acting DPH, NHS Grampian Lead author – Philip Conaglen, CPHM, NHS Lothian Researcher, Annette Gallimore, NHS Lothian Will Linden, Analyst Co-ordinator, Violence Reduction Unit ScotPHN (Phil Mackie, Ann Conacher, Gillian McCartney)

3. WHO Definition, 2002 “The intentional use of physical force of power, threatened or actual, against oneself, another person, or against a group or community that either results in or has a high likelihood of resulting in injury, death, psychological harm, maldevelopment, or deprivation.”

4. Project Framework: Section A - Context Literature Review Policy review and mapping Epidemiological assessment Section B – Preventing and reducing violence Overview of violence Identification of toolkits etc Translating effective interventions into new settings etc

5. Police recorded violent crimes in Scotland (2012-13) Non-sexual crimes of violence7,530 Sexual offences7,693 Common assault60,955 Total (Scottish Govt. (2013) Statistical Bulletin) 76,178 Scottish Community Justice Services estimates of violent crimes identified in 2012-13, 52% not reported

6. Comparison of various police reported violent crimes between 2008–09 and 2012– 13 and percentage change in Scotland 2008–092012–13 % change Homicide13491–32% Attempted murder & serious assault 6,4723,643–43% Robbery2,9631,832–38% Rape and attempted rape9631,462+52% Sexual assault3,2973,008–9% Source: Scottish Government 2013 Statistical Bulletin

7. Shared Causes of Violence at Ecological Levels – Bellis et al (2012) Ecological level Shared causes of violence IndividualRelationshipCommunitySociety Victim of child abuse Poor parenting practices PovertyEconomic inequality Psychological/ personality disorder Marital discord High unemploymentGender inequality Delinquent behaviourViolent parental conflictHigh crime levels Cultural norms that support violence Alcohol consumption/ drug useLow socioeconomic householdLocal illicit drug tradeHigh firearm availability Delinquent peersInadequate victim care services Weak economic safety nets

8. Interventions to address the following forms and contexts of violence Youth violence Intimate partner violence Child abuse Suicide Elder abuse Sexual violence Violence against people with disability Substance use and violence Other forms of violence eg FGM, honour based, stalking, harassment ScotPHN is hosted by

9. InitiativePartner organisationsAimEvaluation Operation PerrygoldPolice ScotlandDedicated patrol of Sauchie area, Clackmannanshire, to tackle youth disorder and prevent violence; to reduce number of complaints of antisocial behaviour; engage with young people and prevent disorder related violence No Active targeting of high risk offenders Police Scotland; Aberdeenshire Council; Community Safety Services; social work; housing; NHS Grampian; Women’s Aid To deliver victim-based interventions whilst the offender is in police custodyUnknown Conflict resolution workshops Police Scotland; Aberdeenshire Council; SACRO SACRO to deliver conflict resolution workshops in two secondary schools identified as "hot spots" for antisocial behaviour. To address challenging behaviour within schools; reduce incidents of bullying; enable young people to understand conflict and how to deal with it appropriately. Unknown Connect ServiceBarnado’s; Aberdeen City Council; Police Scotland Works with young people who are involved in offending and risk taking behaviours, including those who have committed offences relating to violence or at risk from violence No Drugs Action/Quay Service Barnado’s; Action AberdeenTo educate and help prevent violence against female prostitutesUnknown GP gender based violence pilot NHS Greater Glasgow & ClydeTo provide training and support to GP practice staff to support pro-active enquiry on domestic abuse; to improve and speed up access to information and referral into local specialist domestic abuse support services No Gender based violence amongst people with learning disabilities NHS Greater Glasgow & Clyde Mental Health Services; Women’s Support Project Improving identification of experiences of GBV amongst service users with learning disabilities Yes

10. “ My attitude to peace is rather based on the Burmese definition of peace - it really means removing all the negative factors that destroy peace in this world. So peace does not mean just putting an end to violence or to war, but to all other factors that threaten peace, such as discrimination, such as inequality, poverty.” Aung San Suu Kyi

11. Steering Group Lucy DenvirConsultant in Public HealthNHS Tayside Moira PatonHead of Community & Health Improvement Planning NHS Highland Anne ClarkeSenior Manager, Public HealthNHS Ayrshire & Arran Christine GoodallSenior Clinical Lecturer Oral Surgery School of Medicine College of Medical, Veterinary and Life Sciences University of Glasgow Karyn McCluskeyCo-DirectorViolence Reduction Unit Linzie LiddellCommunity Safety UnitScottish Government Katie CosgroveNational Programme ManagerNHS Health Scotland Linda IrvineStrategic Programme Mgr – Mental NHS Lothian Health and Wellbeing Nic AmosHealth Improvement SpecialistNHS Borders Clare CollinCommunity Safety UnitScottish Government Karen McGuiganHealth ImprovementNHS Lanarkshire Lesley JohnstonGBV AdviserNHS Lothian Nigel CalvertConsultant Public Health MedicineNHS Dumfries&Galloway

12. Scottish Public Health Network www.scotphn.net nhs.healthscotland-scotphn@nhs.net