REVA: Responding to the long-term effects of violence and abuse

March 30, 2012

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This study, which is being conducted collaboratively with colleagues from NatCen Social Research, Inequality Agenda and DMSS Consulting, looks at how the long-term effects of violence and abuse on victim-survivors are responded to within the NHS and specialist voluntary sector support services. The research combines three strands of work:

  1. Analysis of the Adult Psychiatric Morbidity Survey
  2. A follow-up study regarding the implementation of RE (Routine Enquiry) about violence and abuse within several NHS Trusts
  3. Developing outcome measures for voluntary and statutory sector services working with victim-survivors of violence and abuse

The objectives of the project are:

  • To identify the prevalence of different types of child and adult abuse and violence and how these cluster together; understand the associations between past abuse and current health, mental health, service use and other factors; and, explore the predictors of revictimisation and resilience.
  • To identify what works in implementing routine exploration of violence and abuse in mental health assessments; how this gets embedded in practice and the impact it has on the experiences of service users.
  • To ascertain how experience of trauma impacts on the use of health and support services across the life course of victim-survivors and what makes mental health and other services helpful/unhelpful.
  • To develop an outcomes tool relevant to services working with victim-survivors in both voluntary sector and NHS settings, which is grounded in user and practice expertise as well as research evidence.

The project has established a Reference Group comprising relevant stakeholders, who provide regular feedback on emerging elements of the study and have had several meetings over the course of the project.