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Making change happen in primary care: the story of IRIS

VISION Director and Professor of Primary Care at the University of Bristol Medical School, Gene Feder, was a keynote speaker at the webinar: Making change happen in primary care – The IRIS story, on 28 November 2023.

With his co-presenter, Medina Johnson, CEO of IRIS, they shared the story of the concept and ambition that led to the beginning of the social enterprise established in 2017 to promote and improve the healthcare response to domestic violence and abuse (DVA).

DVA is a violation of human rights that damages the health of women and families. The health care sector, including primary care, has been slow to respond to the needs of patients affected by DVA, not least because of uncertainty about the effectiveness of training clinicians in identification and engagement with survivors of abuse.

To address that uncertainty, Gene and Medina conducted a cluster-randomised trial in Hackney and Bristol, finding that both identification and referral to specialist DVA services substantially increased in the intervention practices.

In the webinar they mapped the (not always smooth) trajectory from trial results to a nationally available programme commissioned by Integrated Care Boards (ICBs) and local authorities in over 50 areas to date, including getting into guidelines/policy, further implementation research, negotiating with commissioners, and setting up a social enterprise (IRISi) to drive the scaling up of the intervention.

For further information please watch the webinar video below.

For any questions or comments, please contact IRISi at info@irisi.org

Criminology hindered by lack of longitudinal data to study consequences of victimisation

VISION researchers Dr Vanessa Gash and Dr Niels Blom write in their latest publication, Measures of Violence within the United Kingdom Household Longitudinal Survey and the Crime Survey for England and Wales: An Empirical Assessment, that the field of criminology has been hampered by a lack of longitudinal data to examine the consequences of victimisation.

However, recently, ‘Understanding Society’, the United Kingdom Household Panel Survey (UKHLS), began fielding a small battery of questions relating to violence experience. Here, we examined the strengths and weaknesses of these UKHLS measures with similar indices from the Crime Survey for England and Wales (CSEW), a widely used and regarded but cross-sectional survey.

Vanessa and Niels empirically assessed the extent to which the UKHLS variables are comparable with those in the CSEW to determine the viability of the UKHLS for the longitudinal study of (fear of) violence and its consequences.

Overall, they regarded the UKHLS to provide an important resource for future panel research on the consequences of victimisation. They found the indicators measuring physical assault to be similar in both sets of data, but also noted differences in prevalence and/or different distributions by socioeconomic group for the indices relating to being threatened and of feeling unsafe.

Nonetheless, Vanessa and Niels maintain their utility for researchers in this field, allowing researchers to uncover new inequalities in violence exposure.

For further information please see: Measures of Violence within the United Kingdom Household Longitudinal Survey and the Crime Survey for England and Wales: An Empirical Assessment

Or contact Dr Vanessa Gash at vanessa.gash.1@city.ac.uk

Illustration by People Images – AI on Adobe Stock (licensed)

Presentations from 2nd VISION annual conference now available

We are pleased to provide the presentations from our 2nd annual conference held 21 September 2023 at Mary Ward House in London. 

The theme was Responding to violence across the life course. Sessions included presentations on childhood and teenage years; working life, poverty & economic impacts; older years; and social inclusion in policy and research. The conference concluded with a panel discussion on violence and complex systems.

Seventy-seven academics, central and local government officials, practitioners, and voluntary and community sector organisations attended from a range of health and crime / justice disciplines.

Please feel free to download the presentations below. Each session is one download.

Photo caption: Dr Ladan Hashemi, Senior Research Fellow at VISION, answers a question after her presentation, ‘Adverse Childhood Experiences and Childhood Obesity:​ Exploring Potential Mediating and Moderating Factors​’

Download the Welcome slides

Download the slides from Session 1 – Childhood and teenage years

Download the slides from Session 2 – Social inclusion in policy & research

Download the slides from Session 3 – Working life, poverty and economic impacts

Download the slides from Session 4 – Older people

Mental health in the workplace: how employers should respond to domestic violence

This event is in the past.

VISION member Sally McManus will be talking at a Westminster Insight event on Supporting Women’s Health in the Workplace on 20 March 2024.

Sally will use a life-course approach to understanding women’s mental health and wellbeing at work, including the impact of the psychosocial working environment, bullying and harassment at work, and what support and signposting employers can offer in relation to domestic violence.

For further information, please contact Sally at sally.mcmanus@city.ac.uk

Photo by Etty Fidele on Unsplash

Dr Annie Bunce receives award at Lancet Public Health Science conference

Dr Annie Bunce

Dr Annie Bunce, VISION Research Fellow, was awarded Best Oral Presentation at the Lancet Public Health Science conference in London this November. She presented on the Prevalence, nature and associations of workplace bullying and harassment with mental health conditions in England: a cross-sectional probability sample survey.

Annie’s research, conducted with VISION colleagues Ladan Hashemi, Sally McManus, and others, presents the first nationally representative findings on the prevalence of workplace bullying and harassment in England for over a decade. Annie analysed data from the 2014 Adult Psychiatric Morbidity Survey (APMS) to demonstrate: the prevalence of workplace bullying and harassment (WBH) in the working population in England; the nature of WBH experienced, who it was perpetrated by and the types of behaviour it involved; and associations between the experience of WBH and indicators of adverse mental health.

The study is unique in that the APMS makes robust assessments of mental health – operationalising diagnostic criteria – which provides an accurate assessment of clinical need. Implications for employers, policymakers, health services and researchers are outlined.

For the article, please see: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)02066-4/fulltext

Please contact Annie at annie.bunce@city.ac.uk for further information.

Photo by Icons8 Team on Unsplash

VISION Research Fellow chaired European Public Health Association conference symposium

Dr Anastasia Fadeeva

We’re delighted that one of VISION’s core researchers, Dr Anastasia Fadeeva, chaired a symposium at the upcoming European Public Health Association (EUPHA) conference in November in Dublin.

The workshop, Responding to violence and abuse across the life-course, presented a range of analyses – drawing on data from New Zealand, Germany and the UK – that addressed the ways in which violence and abuse manifest at different life stages, including in childhood, among working-age adults, and in later life.

The presentations highlighted differences across the life course, as well as commonalities. They demonstrated the long-term, even life long, shadow that violence and abuse can cast over people’s health, and provided evidence of the extensive costs for society. Health impacts were shown to be broad, not only anxiety and depression, but substance dependence, chronic physical health conditions, and related health risks such as obesity.

This symposium comprised four presentations that each considered violence and abuse prevalent at a particular stage of life, and provided evidence to inform the sensitive tailoring of responses from and for families, schools, health and social services, workplace human resource employees, and care and residential homes. 

For further information on the conference, please see: 16th European Public Health Conference (ephconference.eu)

Or contact Anastasia at anastasia.fadeeva@city.ac.uk

Photo by Priscilla Du Preez ?? on Unsplash