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Measuring outcomes of safe accommodation: A rapid evidence review

Safe accommodation refers to safe, time limited accommodation for anyone escaping domestic abuse. It includes a range of settings such as refuge accommodation, specialist and dispersed accommodation, sanctuary schemes, and move-on or second-stage housing. In the short-term, support in safe accommodation provides immediate safety for victim-survivors fleeing domestic abuse, and, in the longer-term the aim is for victim survivors to be free from abuse and rebuild their lives.

The most recent national estimates from the Crime Survey for England and Wales showed that 3.8 million people aged 16 years and over experienced domestic abuse in year ending March 2025: 2.2 million females and 1.5 million males. The demand for safe accommodation for those experiencing domestic abuse persistently outweighs supply. Also, there is a shortage of safe accommodation and barriers to access for marginalised groups such as those with no recourse to public funds, or complex mental health and/or substance use need and/or disability access.

While existing evidence provides insight into demand and provision in the context of supported safe accommodation, it does not capture the outcomes experienced by survivors who access safe accommodation. Previous studies have highlighted the diversity and inconsistency of outcomes used to evaluate the impact of domestic abuse services on adults and children, and the need for a shared outcomes framework to develop a coherent national picture of what works.

In response, the Ministry of Housing, Communities and Local Government (MHCLG) commissioned a study to assess the feasibility of establishing a shared outcomes framework for support delivered in safe accommodation. The first stage of the research was a rapid evidence review to synthesise outcomes measured to assess the impact of support for victim-survivors and their children provided in the context of safe accommodation, conducted by Dr Annie Bunce (City St George’s, University of London), Dr Katie Smith and Dr Estela Capelas Barbosa (University of Bristol).

The review constitutes a targeted update and extension of a recently published scoping review of outcomes used to measure the effectiveness of domestic abuse support services conducted by VISION researchers (Carlisle et al., 2024), which identified 426 outcome measures across 80 studies. The current rapid evidence review was restricted to forms of supported safe accommodation, the original searches were updated to include studies published from June 2022 onwards, and barriers to and facilitators of implementing a shared outcomes framework were also reviewed. Seven academic databases were searched alongside three grey literature databases and 164 organisational websites. To be included, papers were required to be UK specific, published in English and focused on interventions delivered within safe accommodation. For the outcomes element of the review, papers were only included if they reported empirically measured outcomes (i.e., outcomes based on data collected and analysed by the authors, rather than purely theoretical, proposed, or assumed outcomes). 

Across the 17 reports meeting the inclusion criteria, outcomes clustered around three core domains: safety, wellbeing, and empowerment, which map broadly onto the Domestic Violence and Abuse Core Outcomes Set. Safety outcomes were the most frequently reported, followed by mental health and psychological wellbeing, while empowerment outcomes such as independence and confidence appeared less consistently. Service-level indicators such as length of stay and move-on destinations were also widely reported but fall outside existing frameworks.

This finding that outcomes measured in the context of safe accommodation broadly cluster around three core domains of safety, wellbeing and empowerment indicates some convergence in how impact is conceptualised. However, outcomes are measured inconsistently across services, with considerable variation in what is captured and how. Furthermore, significant barriers remain to implementing a shared outcomes framework. Developing a consistent approach to outcome measurement could strengthen accountability and support learning across areas.

Recommendations

  1. Frameworks should allow for the capture of relational and subjective aspects of recovery not easily measured through conventional quantitative indicators.
  2. Any national framework must be supported by appropriate data systems, training and analytical capacity to avoid placing additional burden on frontline staff and further disadvantaging smaller (particularly by-and-for) organisations and victim-survivors from marginalised communities.
  3. Future research should focus on further development and validation of measurement tools suitable in the context of safe accommodation, with particular attention to the relevance/meaningfulness of outcomes for victim-survivors themselves. Coordination between research teams is needed to avoid duplication and ensure data collection is harmonised between stakeholders.

To download the rapid evidence review: Measuring Outcomes of Safe Accommodation: A Rapid Evidence Review 

To download the main research report: Domestic_Abuse_Safe_Accommodation_Main_Research_Report.pdf

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The Domestic Homicide Review Dataset: A new resource for policy, practice & research

The UKPRP VISION research consortium is pleased to develop and release the Domestic Homicide Review dataset (DHRD) for England and Wales. VISION Research Fellow Darren Cook and VISION Co-Investigator Lizzie Cook (both at City St George’s University of London) compiled structured data derived from publicly available reports from the UK Home Office Domestic Homicide Review (DHR) Library for England and Wales.

The dataset includes linked document-level, incident-level, victim-level, and perpetrator-level records. The release includes four CSV files, alongside a README, codebook, changelog, licence, citation metadata file, and a ZIP archive containing the full release. The dataset is intended to support research on domestic homicide, victimisation, perpetration, vulnerability, mental health, and related criminological and social policy topics.

The initial release includes information on 647 DHR documents made available by the Home Office between December 2022 and March 2026. The dataset is derived from Home Office data, including tagging and filtering categories exposed through the Home Office website. It is not based on manual coding of the full report texts, therefore, users should interpret missing values and untagged characteristics cautiously.

Upcoming webinar on the DHRD

VISION has organised a webinar on 29 July introducing the dataset and how to access and use this new resource. For further information on the event, please see: Upcoming webinar – The Domestic Homicide Review Dataset for England and Wales: A new resource

 

To download the dataset: The Domestic Homicide Review Dataset (DHRD) for England and Wales

To cite: Cook, D., & Cook, E. (2026). The Domestic Homicide Review Dataset (DHRD) for England and Wales (1.0.0) [Data set]. Zenodo. https://doi.org/10.5281/zenodo.21108268

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Violence is a risk factor for adverse clinical outcomes in severe mental illness

A longitudinal study investigating the experiences of violence suffered by those with severe mental illness (SMI) was recently published in the British Journal of Psychiatry. VISION researchers Vishal Bhavsar, Angus Roberts, and Robert Stewart worked with lead author Ava Mason and others and found that people with SMI and who experienced violence are more likely to need future emergency and inpatient mental care.

The aim of their research was to understand whether violence recorded early in someone’s contact with mental health services could help predict these later outcomes. Anonymised electronic mental health records from approximately 6,000 adults who received care from South London and Maudsley NHS Foundation Trust between 2007 and 2022 were investigated.

By applying Natural Language Processing (NLP) to records of those diagnosed with schizophrenia or related disorders, or bipolar disorder or mania, the researchers were able to determine whether any current or previous physical, domestic or sexual violence had been recorded in the first three months after someone first came into contact with services.

Results showed that people living with SMI who had violence recorded in their mental health records early in their care were at increased risk of crisis service use, hospital admission and detention under the Mental Health Act in the years that followed. This highlights the importance of identifying and responding to experiences of violence as part of routine mental health care.

In conclusion, experiences of violence, to the extent to which patients report their experiences and these are recorded, are risk factors for worse outcomes in severe mental illness, only partly accounted for by clinical status around the time of presentation. More systematic ascertainment and recording of victimisation needs to be considered if interventions are to be appropriately targeted.

To download the article: An investigation of recorded physical, domestic and sexual victimisation as risk factors for adverse clinical outcomes in severe mental illness: longitudinal study

To cite: Mason AJC, Bhavsar V, Roberts A, et al. An investigation of recorded physical, domestic and sexual victimisation as risk factors for adverse clinical outcomes in severe mental illness: longitudinal study. The British Journal of Psychiatry. Published online 2026:1-8. doi:10.1192/bjp.2026.10648

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Using Natural Language Processing in Domestic Homicide Reviews

Since 2011, there has been a statutory requirement in England and Wales to conduct a Domestic Homicide Review (DHR) into any domestic abuse-related death: a multi-agency review into the death of a person aged 16 or over that appears to have resulted from violence, abuse or neglect from an intimate partner, family member or household member.

However, analyses of large numbers of DHRs are rare. One of the core challenges is the time and effort required to analyse narrative text within reports. Doing so manually is both time-consuming and resource-intensive and is a primary reason why researchers typically focus on only a portion of the available data. Natural Language Processing (NLP)—a sub-branch of artificial intelligence that enables computers to interpret and process natural language—provides a viable and scalable alternative by offsetting much of the heavy data processing to a computer.

In this study protocol, developed by VISION Research Fellow Dr Darren Cook and VISION Co-Investigator Dr Elizabeth Cook (both at City St George’s University of London) with Sumanta Roy and Rani Selvarajah of Imkaan, and VISION Co-Investigator Professor Ravi Thiara (University of Warwick), they outline a study to assess the feasibility of applying NLP to DHRs.

The VISION and Imkaan team outline a collaborative approach which balances the speed and scale of automation with the embedded knowledge and expertise of practitioners. This approach helps to ensure that outputs of NLP are sensitive and transparent about the biases common within datasets on violence and abuse.

Based on initial consultations, the team have identified a series of priority research questions for investigation. In addition, they outline details of an ongoing collaboration with one partner, Imkaan. The protocol describes the data access, and retrieval and analysis stages before summarising how feasibility will be evaluated. The protocol concludes by arguing that working with practitioners who hold deep contextual knowledge about the social realities of violence and abuse, including language, risks, and experiences, means that tools can be developed that are accountable to communities and appropriately applied to real-world problems.

To download the protocol: A collaborative approach to applying Natural Language Processing (NLP) to Domestic Homicide Reviews (DHRs): A study protocol

To cite: Cook D, Cook EA, Roy S, Thiara R, Selvarajah R (2026) A collaborative approach to applying Natural Language Processing (NLP) to Domestic Homicide Reviews (DHRs): A study protocol. PLoS One 21(5): e0348948. https://doi.org/10.1371/journal.pone.0348948

For further information: Please contact Lizzie at elizabeth.cook@citystgeorges.ac.uk

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Commissioning Pathways for Domestic Homicide / Abuse-Related Death Reviews: Are All Deaths Counted?

Domestic homicide reviews (being renamed domestic abuse-related death reviews) have been undertaken in England and Wales since 2011. However, relatively little is known about the commissioning process for these reviews, including where notifications come from, if the types of cases being referred are changing, and the outcomes. Knowledge is also limited about who is involved in these decisions and who is informed when a decision is made.

For this project, Dr James Rowlands (University of Durham), VISION Co-Investigator Dr Elizabeth Cook (City St George’s University of London) and research consultant Dr Althea Cribb, used data requested from the partnership bodies responsible for commissioning domestic homicide / abuse-related death reviews about notifications and decision-making between January 2017 and December 2024. Their findings highlight the changing profile of cases, variability in decision-making, and gaps in communication and oversight.

To download the paper: Commissioning Pathways for Domestic Homicide / Abuse-Related Death Reviews: Are All Deaths Counted?

To cite: Rowlands, J., Cook, E., & Cribb, A. (2026, May 11). Commissioning Pathways for Domestic Homicide / Abuse-Related Death Reviews: Are All Deaths Counted?. https://doi.org/10.15128/r1kp78gg500

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VISION Policy Briefing: The role of health services in identifying and responding to teenage relationship abuse

 

 

Introduction

Teenage relationship abuse (TRA) is a growing public health concern that the current statutory framework is ill-equipped to address. Under-16s fall outside the legal definition of domestic abuse entirely, creating significant gaps in identification, referral and intervention at precisely the age when abuse most commonly begins. A Youth Endowment Fund survey of 11,000 teenagers aged 13 to 17 found that 39% of those who had been in a relationship had experienced emotional or physical abuse, yet no coherent professional or legal framework exists to respond.

This VISION Policy Briefing draws on findings from three place-based practitioner roundtables exploring TRA and conducted in Gloucestershire, Oxfordshire and Northumbria in 2025. As the first in a series of sector-specific policy briefs it sets out what the health sector is currently unable to do, where the opportunities lie, and what commissioners, NHS trusts and public health leads need to do differently. 

Key recommendations

  1. NHS commissioners to include TRA identification and referral in domestic abuse commissioning frameworks, explicitly covering under-16s
  2. Integration of TRA content into existing safeguarding and domestic abuse training frameworks for all health professionals working with young people, including GPs, school nurses, emergency services staff, sexual health clinicians and mental health practitioners – with outcome measurement built in
  3. Clear referral pathways from health settings into specialist TRA support to be established in every area, regardless of the young person’s age
  4. Health and Wellbeing Boards to include TRA as a public health priority in Joint Strategic Needs Assessments
  5. School health teams to be resourced and trained to deliver TRA/DA content as part of PSHE, building on the school nurse model in Oxford and aligned with the Mental Health Support Team roll out
  6. Child and Adolescent Mental Health Services (CAMHS) to develop protocols for identifying TRA among young people presenting with mental health difficulties
  7. Extend operating hours for young people’s services

To download the VISION Policy Briefing: The role of health services in identifying and  responding to teenage relationship abuse

To cite: Weir, Ruth; Barrow-Grint, Katy (2026). VISION Policy Brief: Teenage Relationship Abuse and Health. City, University of London. Report. https://doi.org/10.25383/city.32292564.v1

For further information: Ruth at ruth.weir@citystgeorges.ac.uk

Intimate partner relationship abuse between men: An interdisciplinary seminar

 

Wednesday 17 June 2026, 13:00  – 16:45, in person only

This event is in the past.

This free, interdisciplinary seminar brings together leading voices from research, lived experience, performance, and specialist practice to examine intimate partner violence in relationships between men and consider implications for policy, research, professional practice, and wider system response.

Register here: Ticket Tailor

Despite increasing recognition that abuse within intimate male relationships is a significant public health, social justice, and service delivery issue, it remains under recognised across many systems and disciplines. Survivors frequently encounter barriers to recognition, disclosure, and support, while policy, professional training, and public discourse have historically paid limited attention to these experiences. 

This event will explore the dynamics, impacts, and structural challenges surrounding abuse in this context, and consider how research, policy, practice, and public understanding can evolve to better respond. 

The programme combines research presentations, creative performance, lived experience testimony, and expert commentary to offer a multi-dimensional exploration of the issue. The seminar will include catering and: 

  • A brief research presentation on prevalence, dynamics, barriers to recognition, and current evidence gaps from Dr Steven Maxwell 
  • A monologue from He Kept Me Safe, a research based verbatim play developed from survivor narratives exploring abuse within intimate male relationships by Dr Edgar Rodriguez-Doran 
  • A keynote contribution from broadcaster, comedian and survivor advocate James Barr, reflecting on his lived experience through comedy and the role of storytelling 
  • A talk from Tanaka Mhishi, writer and researcher in masculinity, trauma and sexual violence, exploring masculinity, trauma, violence, and engaging men in conversations about healing 
  • Brief facilitated interdisciplinary discussion on implications for research, policy, education, commissioning, service design, and practice 

This event aims to stimulate critical interdisciplinary dialogue and contribute to wider thinking on inclusive responses to domestic abuse and sexual violence. 

 

Intended Audience / Invitees 

The seminar is intended for a broad interdisciplinary audience including: 

  • Researchers and academics across social science, health, psychology, gender studies, criminology, law, public health, and related disciplines 
  • Policy makers and strategic leaders working in domestic abuse, sexual violence, health, justice, equalities, LGBTQ+ inclusion, and public policy 
  • Health and social care professionals 
  • Mental health practitioners and psychological therapists 
  • Domestic abuse and sexual violence services 
  • Policing, criminal justice, and legal professional 
  • LGBTQ+ and community sector organisations 
  • Sexual health and public health professionals 
  • Education and professional training providers 
  • Students and trainees with relevant academic or professional interests 
  • Wider stakeholders with interest in trauma, masculinity, violence prevention, and inclusive service/system design

 

Programme 

1.00 pm: Registration and Lunch 

1.30 pm: Welcome and Opening Remarks 

1.40 pm: Research Presentation: Understanding Intimate Partner Violence in Male Relationships: Prevalence, Dynamics and System Challenges 

2.00 pm: Monologue: He Kept Me Safe 

2.40 pm: Facilitated Discussion and Audience Reflection 

3.00 pm: Break 

3.15 pm: James Barr: Lived Experience, Comedy, and Public Discourse 

3.45 pm: Audience Q&A 

4.00 pm: Tanaka Mhishi: Masculinity, Trauma and Engaging Men in Conversations About Violence and Healing 

4.30 pm: Panel Discussion / Closing Audience Q&A 

4.45 pm: Close 

Join us at this free seminar, 17 June, Northampton Suite, City St George’s UoL, Clerkenwell, London, 1300 – 1645. To book your place please register here: Ticket Tailor 

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VISION responds to Parliamentary, government & non-government consultations

Consultation, evidence and inquiry submissions are an important part of our work at VISION. Responding to Parliamentary, government and non-government organisation consultations ensures that a wide range of opinions and voices are factored into the policy decision making process. As our interdisciplinary research addresses violence and how it cuts across health, crime and justice and the life course, we think it is important to take the time to answer any relevant call and to share our insight and findings to support improved policy and practice. We respond as VISION, the Violence & Society Centre, and sometimes in collaboration with others. Below are the links to our published responses and evidence from June 2022.

  1. UK Parliament – International Development Committee – Inquiry: Women, Peace and Security. Our submission was published in March 2026
  2. UK Parliament – Public Bill Committee – Call for evidence: Crime and Policing Bill. Our submission was published in 2025
  3. UK Parliament (Library) – POSTNote – Approved Work: Violence Against Women and Girls in schools and among children & young people. Two VISION reports were referenced in their POSTNote published in August 2025
  4. UK Parliament – Public Accounts Committee – Inquiry: Tackling Violence against Women and Girls (VAWG). Our submission was published in April 2025
  5. UK Parliament – House of Lords Select Committee on Social Mobility Policy – Call for Evidence: Exploring how education and work opportunities can be better integrated to improve social mobility across the UK. Our submission was published in 2025
  6. UK Parliament – Women and Equalities Committee – Inquiry: Community Cohesion. Our submission was published in February 2025
  7. UK Parliament – Call for evidence on the Terminally Ill Adults (End of Life) Bill. Our submission was published in February 2025
  8. UK Parliament – Public Accounts Committee – Inquiry: Use of Artificial Intelligence in Government. Our submission was published in January 2025
  9. UK Parliament – Public Accounts Committee – Inquiry: Tackling Homelessness. Our submission with Dr Natasha Chilman was published in January 2025. See the full report
  10. Home Office – Legislation consultation: Statutory Guidance for the Conduct of Domestic Homicide Reviews. Our submission was published on the VISION website in July 2024
  11. UK Parliament – Women and Equalities Committee – Inquiry: The rights of older people. Our submission was published in November 2023
  12. UK Parliament  – Women and Equalities Committee – Inquiry: The impact of the rising cost of living on women. Our submission was published in November 2023
  13. UK Parliament – Women and Equalities Committee – Inquiry: The escalation of violence against women and girls. Our submission published in September 2023
  14. Home Office – Legislation consultation: Machetes and other bladed articles: proposed legislation (submitted response 06/06/2023). Government response to consultation and summary of public responses was published in August 2023
  15. Welsh Government – Consultation: National action plan to prevent the abuse of older people. Summary of the responses published in April 2023
  16. Race Disparity Unit (RDU) – Consultation: Standards for Ethnicity Data (submitted response 30/08/2022). Following the consultation, a revised version of the data standards was published in April 2023
  17. UK Parliament – The Home Affairs Committee – Call for evidence: Human Trafficking. Our submission was published in March 2023
  18. UN expert – Call for evidence: Violence, abuse and neglect in older people. Our submission was published in February 2023
  19. UK Parliament – The Justice and Home Affairs Committee – Inquiry: Family migration. Our submission was published in September 2022 and a report was published following the inquiry in February 2023
  20. Home Office – Consultation: Controlling or Coercive behaviour Statutory Guidance. Our submission was published in June 2022

For further information, please contact us at VISION_Management_Team@city.ac.uk

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VISION researcher receives funding for secondary data analysis

Dr Annie Bunce, Research Fellow at VISION, received funding from the British Association for Counselling and Psychotherapy for her application, Exploring resilience, self-empowerment and wellbeing outcomes of women referred to specialist domestic abuse counselling services.

With the support of Dr Estela Capelas Barbosa, VISION co-Deputy Director, and in collaboration with Sarah Davidge, Head of Membership, Research and Evaluation at Women’s Aid, Annie will investigate whether and how receiving counselling from a specialist domestic abuse (DA) support service is associated with change in wellbeing.

She will analyse quantitative data from national DA charity, Women’s Aid, which includes information on various aspects of victim-survivors’ wellbeing at the start, during, and end of accessing services. Data analysis will reveal whether victim-survivors who receive counselling experience greater improvements in their wellbeing than those who receive other community-based services.

Annie will also examine whether counselling may be associated with greater wellbeing gains for some groups than others, and whether change in wellbeing is associated with the type/s of abuse experienced and other services received.

The analysis will show which factors influence the effect of counselling on changes in wellbeing the most, and which wellbeing indicators are most improved following counselling.

Findings will be shared via an academic report, blog, policy briefing, webinar and conference presentations.

The research will help to improve understanding of the relationship between counselling and wellbeing in the context of DA, feed into Women’s Aid’s ongoing work to ensure they are measuring the things most important to victim-survivors when it comes to their wellbeing and promote consistency in measuring wellbeing-related outcomes across DA services more widely.

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

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The establishment of the National Working Group on Teenage Relationship Abuse

Teenage relationship abuse remains one of the least understood forms of domestic abuse, particularly among those under 16 years of age, who fall outside the statutory definition within the 2021 Domestic Abuse Act.

To close the gap between research, policy, and frontline practice and ensure that young people are no longer overlooked, VISION researcher and co-Deputy Director of the Violence and Society Centre at City St George’s, Dr Ruth Weir, co-established the National Working Group on Teenage Relationship Abuse with Gloucestershire Deputy Chief Constable Katy Barrow-Grint in 2024. The group consists of researchers, practitioners, policymakers, third sector organisations, and young people with lived experience of teenage abuse from across the health and justice sectors for a holistic understanding of the problem.

Membership has grown over the two years and now includes the Home Office, Department for Education, the Cabinet Office, the Domestic Abuse Commissioner’s Office, College of Policing, local government (Islington Council), universities (City St George’s, Essex, Lancashire), NHS bodies, multiple police forces such as Thames Valley and the London Metropolitan Police, school trusts, and charities like SafeLives, Respect, Youth Realities, Changing Relations, and Victim Support just to name a few.

The group brings their expertise to shape ongoing national conversations on how teenage relationship abuse is defined, recognised, and responded to, particularly for those under 16.

Please contact Ruth at ruth.weir@citystgeorges.ac.uk for further information.