City Research Online

Abstract

Purpose
Demand for specialist domestic abuse (DA) support services is high, in the United Kingdom (UK) and worldwide, and resource is scarce. The length of time victim-survivors spend in service depends on multiple factors, but what determines whether they successfully complete support, or their case is closed for another reason, is less well understood. The purpose of the current study was to improve understanding of the relationship between length in service, case completion and possible needs and vulnerabilities of specialist service users.

Methods
We analysed Women’s Aid Federation of England’s (WAFE) case management and outcomes management system, On Track, the largest national dataset on domestic abuse. To understand the relationship between time in service and its determinants we used time-to-effect models, estimating likelihood of case closure using Kaplan-Meier plots and Cox-regressions. To further examine the influence of reason for case closure, which we explored as determinants of case completion, a series of multinomial logistic regressions were conducted, controlling for potentially confounding variables. Stakeholders from Women’s Aid and five other third sector organisations input into the study design and interpretation of results.

Results
Most survivors accessing DA services needed community-based services (n = 210,599) and spent an average of just under three months in service. Those who needed more intensive support (e.g. accommodation, refuge) stayed in service for longer on average- 130 days and 115 days, respectively. The survival analysis revealed that cases were less likely to close for people with additional vulnerabilities. Results from the multinomial logistic regressions demonstrated that, for those whose case had been closed, additional vulnerabilities meant they were more likely to have disengaged, had a service-related closure or an unknown reason for case closure.

Conclusions
The limited supply of services impacts on the level of unmet needs for victim-survivors of domestic abuse. If services continue having to do more and more with less, they will be forced into a position of having to trade-off between spending time supporting people to cater to multiple needs and vulnerabilities, and getting people in and out of the door to ensure the slot is available for the next victim-survivor who needs it. It is critical that DA services are resourced adequately to support those with multiple needs and additional vulnerabilities to complete a period of time in service. This is something that should be considered by commissioners of DA services.

Publication Type:	Article
Additional Information:	This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Publisher Keywords:	Domestic abuse, Domestic violence, Specialist services, Service duration, Case closure
Subjects:	H Social Sciences > H Social Sciences (General)
Departments:	School of Policy & Global Affairs School of Policy & Global Affairs > Violence and Society Centre
SWORD Depositor:	Symplectic Administrator

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