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

March 30, 2012


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.