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Domestic violence and abuse (DVA) is a problem that cuts across borders and communities. There is an urgency for domestic violence service providers in multicultural societies like the United Kingdom (UK) to adapt to the diverse backgrounds of victims, survivors and perpetrators to design and provide appropriate support services and interventions. Religious beliefs are an integral part of many people's lives and identities, while religious mediators often serve as a first point of reference for victimized parties to turn to, with both positive and negative impacts. It is currently unclear to what extent religious sensibilities are being addressed in DVA services, or how best to engage with religious beliefs and faith-based resources effectively. Recognizing this, we conducted a scoping review to identify existing approaches and practices for integrating religious beliefs and faith-based resources in domestic violence services. The review that had an international scope was conducted in English and included 30 publications. The synthesis of the evidence pointed to numerous approaches and efforts in integrating religious beliefs and faith-based resources in DVA services, differences and tensions in generalist and community-based responses, and the need for various measures in DVA services to cater to multicultural populations.

AbstractPurposeWe undertake a critical analysis of UK longitudinal and repeated cross-sectional population surveys which ask about experiences of intimate partner violence and abuse (IPVA).MethodSeven relevant UK representative population-based surveys which ask about IPVA among adults and/or young people (16–17 years old) were identified. We critically engage with the questionnaires to analyse the strengths and limitations of existing UK data on IPVA.ResultsSeveral limitations in UK surveys are identified. Many questions still show a bias, partly historical, towards collecting more data about physical abuse. Few surveys ask about financial abuse, abuse post-separation or through child contact, or through technologies, though improvements are under way. Surveys still seek to count incidents of abuse, instead of enquiring about the impact of abusive behaviours on victims. Ethnicity and other demographic variables are not always adequately captured (or accessible to data users), making it difficult to explore aspects of inequality. Potentially useful comparisons within the UK are difficult to undertake given the increasingly divergent questionnaires used in different UK nations.ConclusionsWe discuss how future iterations of existing surveys or new surveys can improve with regards to how questions about IPVA are asked. Given that surveys across geographical contexts often suffer similar weaknesses, our findings will be relevant for IPVA survey methodology beyond the UK context.

People with mental health problems are more likely to be victims of domestic violence than the general population. This book gives practical guidance on how mental health professionals can identify and respond to domestic violence experienced by their patients. It covers the prevalence of domestic violence, its association with mental health problems and the current evidence base on effective interventions to reduce abuse and improve mental health. It includes liaison with other agencies, such as social care, the police and the domestic violence sector, and gives information on relevant medico-legal issues in order to prepare professionals to present evidence in court. Comprehensive resource for mental health professionals. Practical advice on how to help those affected by domestic violence. Written by international experts on this major public health problem

Partner abuse (PA) is common among young people, but is often missed by professionals working in health, social care, education and the criminal justice system. This paper explores the types of PA experienced by young people and links with sexual health to see whether there are factors which indicate greater vulnerability to abuse.
Young people aged 16 to 20 from across the UK (n=1,754) completed an online survey in 2010–11. We report experience of emotional, physical and sexual partner abuse and model the associations with demographic and sexual health variables in bivariate analysis using logistic regression.
A third of participants reported one or more types of PA within the previous three months, regardless of gender of partner. PA was significantly associated with sexually transmitted infection (Odds Ratios 1.6 and 2.9 for young women and young men respectively), regretted sex (OR 2.7 and 1.9), distress or worry about sex life (OR 2.7 and 4.6), sexual problems, numbers of sexual partners (OR 1.2 for each additional partner), and sexual health service use (for young men) (OR=1.9).
These 'indicators' may be noticed by professionals who work with young people, and can act as prompts to ask about partner abuse.

Abstract
Purpose
Young people (YP) are at greater risk of experiencing intimate partner violence and abuse (IPVA), with high prevalence rates at 18–25 years and potentially severe short and long-term health and social impacts. YP often view adult support services as not for them and more research is needed to understand effective responses to IPVA among different groups.

Methods
Semi-structured interviews alongside Life History Calendars were undertaken to explore 18 young peoples' (18–25 years) experiences of community and service level responses to their IPVA between 2019–2020. Thematic analysis and case studies were carried out.

Results
Participant accounts commonly described what did or did not help within: education; primary care physicians and maternity services; third sector or non-government support organisations; and counselling and support workers. YP wanted clearer information on identifying abuse from a younger age in schools and better access and signposting to specialist services. They benefited the most from equal power dynamics in relationships with professionals where they were supported to make their own decisions.

Conclusions
Professionals in all sectors (including schools) need IPVA trauma-informed training that encourages equal power dynamics, with a clear understanding of and access to referral pathways, to be able to respond to the needs of YP experiencing IPVA.

Domestic violence (DV) against women is a widespread violation of human rights. Adoption of effective interventions to address DV by health systems may fail if there is no readiness among organizations, institutions, providers and communities. There is, however, a research gap in our understanding of health systems' readiness to respond to DV. This article describes the use of a health system's readiness assessment to identify system obstacles to enable successful implementation of a primary health-care (PHC) intervention to address DV in the occupied Palestinian Territory (oPT). This article describes a case study where qualitative methods were used, namely 23 interviews with PHC providers and key informants, one stakeholder meeting with 19 stakeholders, two health facility observations and a document review of legal and policy materials on DV in oPT. We present data on seven dimensions of health systems. Our findings highlight the partial readiness of health systems and services to adopt a new DV intervention. Gaps were identified in: governance (no DV legislation), financial resources (no public funding and limited staff and infrastructure) and information systems (no uniform system), co-ordination (disjointed referral network) and to some extent around the values system (tension between patriarchal views on DV and more gender equal norms). Additional service-level barriers included unclear leadership structure at district level, uncertain roles for front-line staff, limited staff protection and the lack of a private space for identification and counselling. Findings also pointed to concrete actions in each system dimension that were important for effective delivery. This is the first study to use an adapted framework to assess health system readiness (HSR) for implementing an intervention to address DV in low- and middle-income countries. More research is needed on HSR to inform effective implementation and scale up of health-care-based DV interventions.

Domestic violence (DV) against women is a widespread violation of human rights. Adoption of effective interventions to address DV by health systems may fail if there is no readiness among organizations, institutions, providers and communities. There is, however, a research gap in our understanding of health systems' readiness to respond to DV. This article describes the use of a health system's readiness assessment to identify system obstacles to enable successful implementation of a primary health-care (PHC) intervention to address DV in the occupied Palestinian Territory (oPT). This article describes a case study where qualitative methods were used, namely 23 interviews with PHC providers and key informants, one stakeholder meeting with 19 stakeholders, two health facility observations and a document review of legal and policy materials on DV in oPT. We present data on seven dimensions of health systems. Our findings highlight the partial readiness of health systems and services to adopt a new DV intervention. Gaps were identified in: governance (no DV legislation), financial resources (no public funding and limited staff and infrastructure) and information systems (no uniform system), co-ordination (disjointed referral network) and to some extent around the values system (tension between patriarchal views on DV and more gender equal norms). Additional service-level barriers included unclear leadership structure at district level, uncertain roles for front-line staff, limited staff protection and the lack of a private space for identification and counselling. Findings also pointed to concrete actions in each system dimension that were important for effective delivery. This is the first study to use an adapted framework to assess health system readiness (HSR) for implementing an intervention to address DV in low- and middle-income countries. More research is needed on HSR to inform effective implementation and scale up of health-care-based DV interventions.

BACKGROUND: Intimate partner violence (IPV) damages individuals, their children, communities, and the wider economic and social fabric of society. Some governments and professional organisations recommend screening all women for IPV rather than asking only women with symptoms (case‐finding). Here, we examine the evidence for whether screening benefits women and has no deleterious effects. OBJECTIVES: To assess the effectiveness of screening for IPV conducted within healthcare settings on identification, referral, re‐exposure to violence, and health outcomes for women, and to determine if screening causes any harm. SEARCH METHODS: On 17 February 2015, we searched CENTRAL, Ovid MEDLINE, Embase, CINAHL, six other databases, and two trial registers. We also searched the reference lists of included articles and the websites of relevant organisations. SELECTION CRITERIA: Randomised or quasi‐randomised controlled trials assessing the effectiveness of IPV screening where healthcare professionals either directly screened women face‐to‐face or were informed of the results of screening questionnaires, as compared with usual care (which could include screening that did not involve a healthcare professional). DATA COLLECTION AND ANALYSIS: Two authors independently assessed the risk of bias in the trials and undertook data extraction. For binary outcomes, we calculated a standardised estimation of the odds ratio (OR). For continuous data, either a mean difference (MD) or standardised mean difference (SMD) was calculated. All are presented with a 95% confidence interval (CI). MAIN RESULTS: We included 13 trials that recruited 14,959 women from diverse healthcare settings (antenatal clinics, women's health clinics, emergency departments, primary care) predominantly located in high‐income countries and urban settings. The majority of studies minimised selection bias; performance bias was the greatest threat to validity. The overall quality of the body of evidence was low to moderate, mainly due to heterogeneity, risk of bias, ...

AbstractNormalisation Process Theory (NPT), used nationally and internationally to explore implementation within health services research, is used for the first time within policing to understand profound policy implementation failure and to generate broader discussion of policy implementation theory. The policy in question (Police to Primary Care [P2PC]) was an intervention designed to notify GPs when women are assessed by police as at high risk of future domestic abuse. Designed to improve interagency communication, it took place amidst radical organisational change.Using qualitative interviews with domestic abuse specialist and frontline officers, this paper addresses how NPT helps to explain the (non)implementation of P2PC, how such an analysis differs from other policy implementation approaches, and what this means for our understandings of policy implementation more broadly.NPT proved useful in understanding mechanisms leading to (non)implementation of the intervention: fuzzy alignment with existing practice, faulty communication of purpose, and inattention to discretionary implementation spaces. It helped us understand why the intervention came to be invisible. Dwarfed by its organisational context, made institutionally hard to read by a lack of formal protocols, and given restricted view to police officers, it was compromised by a failure to instigate systems of organisational learning.More broadly, NPT helped reveal practices intersecting top‐down and bottom‐up implementation theory. The paper concludes by asking how NPT and theories of street‐level bureaucracy might be better used in tandem and, particularly, how this might help explorations of policy implementation where human actors are joined by technological actors in interpreting and making policy in vivo.

Drawing on a nested qualitative study within REPROVIDE, a randomised controlled trial examining the effectiveness of a group-based domestic abuse perpetrator programme, this article explores accounts of domestic abuse during the COVID-19 pandemic from the perspectives of victims/survivors and perpetrators. Based on interviews with male perpetrators and female survivors, including with partner/ex-partner dyads, our study reveals the gendered effects of the pandemic on abusive perpetrator behaviour.
Findings are presented through themes addressing the different experiences of victims/survivors and perpetrators during the pandemic. Through an exploration of victim/survivor attempts to ameliorate intensified abuse through compliance (Theme 1), the way perpetrators put on a masculine 'front' (Theme 2), the gendered burden of domestic responsibilities (Theme 3) and highlighting the importance of continued specialist support (Theme 4), this article contributes to an understanding of gender inequalities underpinning pre-pandemic domestic violence and abuse and how perpetrators utilised inequalities during COVID restrictions. Some dyads reported relationships feeling more settled in the first UK lockdown, however, this was associated with increased opportunities for control that lockdown provided perpetrators. Both parties experienced changes in service responses. We articulate implications for safe working with perpetrators and families during future pandemics or social crises.

AbstractThis ethnography within ten English and Welsh hospitals explores the significance of boundary work and the impacts of this work on the quality of care experienced by heart attack patients who have suspected non‐STsegment elevation myocardial infarction (NSTEMI) /non‐STelevation acute coronary syndrome. Beginning with the initial identification and prioritisation of patients, boundary work informed negotiations over responsibility for patients, their transfer and admission to different wards, and their access to specific domains in order to receive diagnostic tests and treatment. In order to navigate boundaries successfully and for their clinical needs to be more easily recognised by staff, a patient needed to become a stable boundary object. Ongoing uncertainty in fixing their clinical classification, was a key reason why manyNSTEMIpatients faltered as boundary objects. ViewingNSTEMIpatients as boundary objects helps to articulate the critical and ongoing process of classification and categorisation in the creation and maintenance of boundary objects. We show the essential, but hidden, role of boundary actors in making and re‐making patients into boundary objects. Physical location was critical and the parallel processes of exclusion and restriction of boundary object status can lead to marginalisation of some patients and inequalities of care (A virtual abstract of this paper can be viewed at:https://www.youtube.com/channel/UC_979cmCmR9rLrKuD7z0ycA).

Abstract
Purpose
Core Outcome Sets (COS) are agreed sets of outcomes to be used in all trials that evaluate the effect of interventions. This report considers the added value of including grey and qualitative literature in a study to identify COSs of family-focused interventions for CM and DVA.

Methods
We identified outcomes of interventions for DVA or CM through systematically searching 12 academic databases and 86 organisation websites, leading to the inclusion of 485 full-text reports across 6 reviews. We developed a candidate outcome longlist comprising 347 extracted outcomes.

Results
We identified 87% (282/347) of candidate outcomes from the grey and qualitative literature, and 37% (127/347) from the trial literature. Of the candidate outcomes on the longlist, 22% (75/347) were identified solely from the grey or qualitative literature and 7% (26/347) from trial literature. Three of the eight outcomes in the final core outcome sets may have been missed if grey or qualitative literature had not been searched.

Conclusions
The qualitative and grey literature adds DVA and CM outcomes that are relevant to survivor perspectives but not reported in trials; this had an impact on the final COSs. It is important for COS developers to consider what they may be missing if they do not search the qualitative and grey literature.