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Stella Project Toolkit 2007

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Stella Project Toolkit 2007 ACKNOWLEDGEMENTS The second edition of the toolkit has been produced with the support of many organisations and practitioners who have generously donated their time and/or contributions to ensure that the new edition is comprehensive and reflective of the new developments in the field. In particular we would like to thank the following: • Adelaide McKenzie at New Roots • Annette Flemming at Aquarius • Casey Marie at Respect • Claire Colley at the nia project • Claire Sibson at the London Borough of Lewisham • Cordelia Mayfied at the Women’s Alcohol Service (ARP) • Eddy Brittain at Ealing DAAT • Fozhia Raja at Ethnic Alcohol Counselling Hounslow • Francis Potter at Domestic Violence Intervention Project (DVIP) • James Rowland at the LGBT Domestic Abuse Forum • Jean Nicol at the Department of Health • Jennifer Holly at Women’s Aid Federation England • Laura Juett at the Greater London Authority • Lynne Hannah at HIT • Mary Longley at Camden PCT © Stella Project i • Niamh Eastwood at Release • Nicola Saunders and Michelle Robson at Drug and Alcohol Services for London (DASL) • Nikki Cambell, Samina Yaqub and Dawn Richards at Solace (formerly Camden Women’s Aid) • Patricia Blackford at Eaves Housing for Women • Phil Price at the Domestic Violence Intervention Project • Sarah Galvani at the University of Birmingham • Shenna Pitt and Chandni Tanna at Newham Action Against Domestic Violence (NAADV) • Sue Atkinson at the Greater London Alcohol and Drugs Alliance (GLADA) • All the team at the Greater London Domestic Violence Project ii © Stella Project Foreword Since its launch in 2002 the Stella Project has worked emphatically to improve understanding and practice across the domestic violence and alcohol and drug sectors in London. The first edition of this unique toolkit was published in 2004 to address concerns about the lack of consistent thinking and response to these complex issues. It provided basic information, advice and sample documents for practitioners and service managers to enable them to respond to people using their services safely and appropriately. When it was first published the toolkit was widely welcomed and demand for it has remained constant. Since then there has been increased awareness of the links between domestic violence and substance misuse and much progress in the development of collaborative and integrated service provision. This progress is matched by a commitment across the sectors for continued improvements. I am pleased that the Stella Project has been able to update the toolkit and offer more guidance and examples of what works and I am especially pleased that much of this is based on first hand experience of agencies taking on this innovative work. This updated edition features more examples of assessment forms and guidance on risk management as well as guidance on working with perpetrators in drug/alcohol treatment and supporting children living with parental substance misuse and domestic violence. You will also find more examples of policies and strategic partnership working which can be emulated within your own agency and local area. I commend those working to address these complex issues and am sure that this updated toolkit will provide essential guidance and support that will ultimately increase the safety of survivors and their children. Prof Sue Atkinson FFPH CBE Chair, Greater London Alcohol and Drugs Alliance (GLADA) © Stella Project iii Contents Page ACKNOWLEDGEMENTS i FOREWORD iii SECTION ONE: INTRODUCTION 1. Background 9 1.1 How the Stella Project began 9 1.2 The toolkit 11 2. Overview 12 2.1 Who should use this toolkit? 12 2.2 How to use the toolkit 12 2.3 What is the purpose of this toolkit? 13 3. Overview of current provision 14 3.1 Current provision 14 3.2 Similarities in the client groups 14 3.3 Working together 15 4. Making the links 16 4.1 Perpetrators and drug and alcohol use: are they responsible for the violence? 16 4.2 Survivors and substance use: are they causing or simply coping with violence? 16 4.3 Facts and statistics 18 5. Key information for both sectors 20 5.1 For domestic violence workers 20 5.2 For drug and alcohol workers 21 6. Key messages 22 7. Minimum standards 23 © Stella Project Contents 1 Page Page SECTION TWO: DRUGS AND ALCOHOL – theory and 4. Drug and alcohol services 90 practice guidance for the domestic violence sector 4.1 Different types of drug and alcohol services 90 1. Basic drug and alcohol information 27 4.2 Theories and interventions underpinning the 1.1 Definitions 27 substance misuse sector 92 1.2 Types of substances 27 1.3 Facts and statistics 43 5. Information for practitioners delivering domestic violence perpetrator programmes 94 2. Legal issues 45 5.1 Statistics and information 95 2.1 Controlled drugs 46 5.2 How to ask about drug/alcohol use 97 2.2 Production, supply or use of drugs on premises 47 5.3 What to do when you identify a perpetrator 2.3 Closure of premises 48 with problematic substance use 98 2.4 Paraphernalia 49 2.5 Frequently asked questions 49 SECTION THREE: DOMESTIC VIOLENCE – theory and 2.6 Drugs policy 53 practice guidance for the substance misuse sector 1. Domestic violence information 103 3. Working with survivors experiencing problematic 1.1 Definition 103 substance use 55 1.2 Statistics 103 3.1 Facts and statistics 57 1.3 Domestic violence ‘Power and Control Wheel’ 105 3.2 Practice issues 59 1.4 Why stay in an abusive relationship? 106 3.2.1 Providing information 59 3.2.2 Screening 61 2. Criminal justice issues 107 3.2.3 Assessment 65 2.1 Criminal law 107 3.2.4 Documentation for client files 68 2.2 Civil law 110 3.2.5 Risk 70 2.3 Key pieces of legislation 112 3.2.6 Crisis intervention and emergency drug/alcohol support 72 3. Working with drug and alcohol users experiencing 3.2.7 Safety issues and safety planning 73 domestic violence 114 3.2.8 HIV and Hepatitis 77 3.1 Important things to remember 115 3.3 Strategies for change 80 3.2 If a survivor approaches you for help 115 3.3.1 Giving survivors choices 80 3.3 Asking about domestic violence – survivor/victim 120 3.3.2 Cycle of Change model 82 3.4 Documentation for client files 125 3.3.3 Minimum standards 85 3.5 Responding to domestic violence – survivor/victim 126 3.3.4 Inter-agency working and referrals 85 3.6 Risk assessment and management 127 3.4 Summary and key messages 86 3.6.1 Assessing risk 127 3.6.2 Multi-Agency Risk Assessment Conferences Case Study – Jenny 88 (MARACs) 130 3.6.3 Information sharing 133 3.6.4 Safety planning with survivors and children 133 2 © Stella Project Contents © Stella Project Contents 3 Page Page 4. Domestic violence service provision 139 1.7.2 Services which support children around parental 4.1 Refuges 139 substance misuse 193 4.1.1 Refuges in London accepting problematic 1.7.3 Websites 194 substance users 141 1.8 Recognising diversity when supporting children 195 4.2 Advocacy, outreach and counselling services 145 1.9 Child protection and legal responsibilities 196 1.10 Government legislation and policy framework 198 Case Study - Liz 147 1.11 Contacts for parental substance misuse workers in London 201 5. Working with domestic violence perpetrators within drug/alcohol services 148 Case Study – Mende and her children 202 5.1 Facts and statistics 150 5.2 Key messages 151 2. Mental health, substance use and domestic violence 206 5.3 Practice issues 155 2.1 Key messages 206 5.3.1 Routine questioning 155 2.2 Domestic violence and mental health 207 5.3.2 What to do if your client is perpetrating 2.3 Substance use and mental health 208 domestic violence 157 2.4 What you can do 209 5.3.3 Safety and basic risk assessment 159 2.5 Accessing support 209 5.3.4 Information sharing 162 5.3.5 Recording information 164 3. Equalities and diversity issues 211 5.3.6 Referrals to perpetrator programmes 164 3.1 Legislation 211 3.1.1 Human Rights Act 211 Case Study – Shawn and Angie 167 3.1.2 Gender Equality Duty 212 3.2 Addressing diversity issues 213 SECTION FOUR: ISSUES FOR BOTH SECTORS 3.2.1 General guidelines 213 1. Supporting children living with parental substance 3.2.2 Supporting disabled survivors 214 misuse and domestic violence 173 3.2.3 Developing culturally specific services – 1.1 Key messages 175 New Roots 215 1.2 Facts and statistics 175 3.2.4 Working with Lesbian, Gay, Bisexual and 1.3 The overlap between domestic violence, Transgender communities – LGBT Domestic parental substance misuse and child abuse 176 Abuse Forum 216 1.4 Protective factors and building resilience 3.2.5 Supporting male survivors 221 in children 180 3.3 Guidelines for working with interpreters 222 1.5 Guidance for drug/alcohol agencies 182 1.5.1 Practice guidance 182 4. Partnership working 224 1.5.2 Child contact 186 4.1 Forming partnerships 224 1.5.3 Couples and network therapies 187 4.2 Informal methods of building partnerships 227 1.6 Guidance for domestic violence agencies 189 4.3 Formal methods of partnership building 228 1.7 Specialist services and resources for children 192 4.4 Finding partners 231 1.7.1 Domestic violence specific 192 4.5 Challenges in partnerships 236 4 © Stella Project Contents © Stella Project Contents 5 Page Page 5. Supporting staff 238 11. Stella Project practice standards for substance misuse agencies 305 6. User consultation 240 7. Working at a strategic level – guidance for 12.
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