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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 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 

Photograph provided via Adobe Stock subscription

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.

Independent evaluation of Women’s Aid’s ‘Expect Respect’ programme reveals timely learning about effective schools-based health relationship intervention

 

By Dr Annie Bunce

VISION researchers Dr Annie Bunce (City St Georges University of London) and Dr Estela Capelas Barbosa (University of Bristol), alongside Dr Anna Dowrick (University of Oxford) and Dr Meredith Hawking (Queen Mary University of London), recently wrapped up an independent evaluation of Women’s Aid’s school-based educational programme, ‘Expect Respect’. The programme is aimed at children and young people (ages 4 to 18) and school staff and focuses on unhealthy relationships and the gender stereotypes that underpin them. Sessions are tailored to different age groups, with content for older students also addressing domestic abuse. It is designed to be delivered year-on-year nationally. You can find out more about the programme here: Expect Respect – Women’s Aid

The evaluation was conducted between February 2024 and May 2025, utilising mixed methods to assess the impact of the programme. Staff and student survey data from participating schools was analysed quantitatively, to assess the impact of the programme on individual and school-level behavioural outcomes and differences in student outcomes by age, gender, ethnicity or disability. Creative methods including arts-based activities and vignettes were utilised in student focus groups to facilitate engagement and expression. Interview data from staff and focus group data from students was analysed qualitatively to explore the impact of the programme on school culture, and understanding of and attitudes towards gender stereotypes, healthy relationships and domestic abuse (the latter with older students only).

Findings from quantitative analysis showed that Expect Respect generally works in terms of teaching children and young people about gender roles, healthy relationships and domestic abuse, as well as how and where to seek help. For example, we found the programme had a positive impact on understanding of gender roles among children aged 4 to 14, and on understanding of domestic abuse among older students (ages 11-18). Following the Expect Respect session, those aged 11-18 were less likely to view controlling behaviour as acceptable, and over twice as likely to say they knew who they could talk to if they were concerned about a relationship. School staff overwhelmingly reported they had a better understanding of domestic abuse and felt more confident about responding to abuse-related disclosures after the staff training than they had done beforehand, and were very satisfied with the training. Qualitative findings from staff interviews supported these survey results, with staff describing the content of the training as eye-opening and the delivery by Women’s Aid staff excellent.

Qualitative analysis revealed overall consensus with the quantitative findings in terms of the effectiveness of the Expect Respect training, as well as revealing some nuanced findings. For example, while survey results indicated a change in attitudes for most outcomes immediately following the session, qualitative findings suggested that achieving longer-term change would require consolidation of learning via regular sessions. We also found that secondary school students already had a reasonably decent understanding of the differences between healthy and unhealthy relationship behaviours prior to receiving the Expect Respect session, and felt it would have greater impact if there was a shift in emphasis from awareness raising towards practical advice about how to address unhealthy relationships and where to seek help. There was agreement among both staff and students that the programme would likely have more impact if it was more interactive, particularly the session tailored for older students.

Qualitative findings also suggested that boys found it more difficult to engage with the programme than girls, and both staff and students felt the programme was lacking in information about online relationships. Focus group data highlighted that gender stereotypes remain pervasive in young people’s thinking about heterosexual romantic relationships and are used to justify controlling behaviour. Despite this, staff were optimistic about the potential of the programme to positively impact on both students themselves, and school culture more widely, by planting a seed that they were hopeful would lead to longer term impact. Staff interviews also touched on the challenges of trying to model progressive gender stereotypes and healthy relationships to students through the programme when these were not necessarily reflected among adults in school culture. Nevertheless, staff unanimously felt that the Expect Respect sessions had helped them to identify unhealthy behaviour in relationships between students and also encouraged some students to come forward and speak to them about things they were worried about.

Recommendations

Our recommendation focus on the programme content, format and embedding learning, including:

  • Co-produce session content with young people
  • Make sessions more interactive
  • Utilise the power of personal stories and lived experience
  • Explore examples of unhealthy behaviour in friendships, families and romantic relationships
  • Focus on sparking conversations and making sessions memorable
  • Equip young people with skills to challenge unhealthy relationship behaviour, and linking with local support services
  • Continue with year-on-year delivery and provide resources/advice for schools on how to embed Expect Respect messages across the year and build on learning

The full evaluation report can be accessed here: Microsoft Word – ExpectRespect_finalreport_27Jan26

For further information, please contact Annie at annie.bunce@citystgeorges.ac.uk

Cover photo supplied from the evaluation.

Intimate partner violence impacts affected by relationship status and offence type

Intimate partner violence and abuse has a detrimental impact on victim-survivors’ health and wellbeing. However, intimate partners include a range of different relationship types, which are rarely differentiated or contrasted in research. In this paper, VISION researchers, Dr Niels Blom and Dr Polina Obolenskaya, investigate with Dr Jessica Phoenix and Merili Pullerits, whether different types of intimate partners commit different types of violence/abuse and whether the injury and wellbeing impact on victim-survivors varies by intimate partner relationship type.

They estimate models for victim-survivors’ emotional impact and injuries using the Crime Survey for England and Wales (2001–2020). Intimate partner relationships are differentiated into four groups (current versus former partner, and spouses/partners versus boy/girlfriends). Violence and abuse are grouped into physical violence/abuse, sexual violence/abuse, threats, and economic crimes.

The team found that for both men and women, offences committed by current partners are more likely to involve physical violence/abuse than offences by former partners. Ordered logit models indicate that female victim-survivors of physical violence/abuse or economic crimes experience more severe emotional impacts when the perpetrator is their current or former spouse/partner compared to a current or former boy/girlfriend. Women’s risk of injuries from physical violence and economic offences are higher when committed by current compared to former partners. Few differences are identified for men’s emotional impact and injuries.

The type of intimate partner relationship is associated with type of violence/abuse experienced, and for women, with the resulting emotional impact and injury. Future research and policies aimed at reducing harms from intimate partner violence and abuse and supporting victim-survivors should therefore consider distinctions in relationships to deliver more targeted interventions.

To download the paper: Physical and Emotional Impacts of Intimate Partner Violence and Abuse: Distinctions by Relationship Status and Offence Type | Journal of Family Violence

To cite: Blom, N., Obolenskaya, P., Phoenix, J. and M. Pullerits. Physical and Emotional Impacts of Intimate Partner Violence and Abuse: Distinctions by Relationship Status and Offence Type. J Fam Viol (2024). https://doi.org/10.1007/s10896-024-00786-w

For further information, please contact Niels at niels.blom@manchester.ac.uk

Photograph from Adobe Photo Stock subscription

Differentiating risk: The association between relationship type and risk of repeat victimization of domestic abuse

Much of the literature on domestic abuse focuses on those in intimate partner relationships or ex-partners, however, in the UK the Home Office definition also includes those in familial relationships. The Domestic Abuse, Stalking, and Harassment and Honour-Based Violence Risk Assessment assumes homogeneous risk factors across all relationships.

This paper, Differentiating risk: The association between relationship type and risk of repeat victimization of domestic abuse, therefore examines the risk factors for repeat victimization of domestic abuse by relationship type between the victim and perpetrator in a UK police force.

Using police-recorded domestic abuse incident and crime data, a logistic regression model found that the most similar repeat victimization risk profiles for 14,519 victims were amongst partners and ex-partners, with both relationships demonstrating the greatest degree of gender asymmetry, compared with other familial relationships. Physical violence was the strongest predictor of repeat victimization and was a statistically significant predictor for ex-partners, partners, and all familial relationships. Coercive behaviour was also a significant predictor for all relationships apart from partners, but not at the same magnitude as physical abuse.

Recognizing the difference in risk by relationship type may assist the police in deciding the most appropriate response and interventions to reduce the risk of further harm. 

 For further information please see: https://academic.oup.com/policing/article/doi/10.1093/police/paae024/7641219?login=false

Or contact Ruth at ruth.weir@city.ac.uk  

Photo from licensed Adobe Stock library

Young People and Intimate Partner Violence: Experiences of Support and Services in England

Although estimating the prevalence of victimisation among young people is challenging, previous research indicates that around a fifth of young people have experienced physical violence from an intimate partner, half experienced emotional victimisation, and a quarter report some type of unwanted sexual contact. National UK crime surveys consistently find young women to be at greater risk of victimisation than those over 25, and intimate partner violence and abuse (IPVA) is one of the leading risks of death globally for younger women (aged 20–24).

In this paper, VISION Director Professor Gene Feder and colleagues from the University of Bristol and University of Central Lancashire, explored young people’s experiences of seeking or receiving institutional help and support in relation to IPVA.

Semi-structured interviews were carried with 18 young people aged 18 to 25, using Life History Calendars. Experiences of range of types of services in relation to intimate partner violence were explored, including support from education; primary and maternity services; third sector organisations; and counselling and support workers.

Participants said that they wanted clearer information to be provided in schools on identifying abuse from a younger age and better signposting and access to specialist services. They described how they benefited from equal power dynamics in relationships with professionals where they were supported to make their own decisions.

The authors found that young people often view adult support services as not for them and more needs to be done to understand effective responses to IPVA among different groups. 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 better to the specific needs of young people experiencing IPVA.

For further information please see: Young People and Intimate Partner Violence: Experiences of Institutional Support and Services in England | SpringerLink

Or contact Dr Maria Barnes at maria.barnes@bristol.ac.uk

Photo on Photostockeditor

Webinar: Parental and child mental health and intimate partner violence

This webinar is in the past.

27 June 2023, 17:00 – 18:30 BST, Zoom

VISION director, Professor Gene Feder, led the webinar, Interrelationships between parental mental health, intimate partner violence and child mental health – implications for practice, with Dr Shabeer Syed and Dr Claire Powell on behalf of the NIHR Children and Families Policy Research Unit.

They presented findings from a mixed methods study that seeks to improve responses to families affected by intimate partner violence (IPV) and parents and children’s mental health problems.

Then, they presented preliminary findings on the relationship between parental IPV and a range of clinically relevant adversity and mental health-related indicators (www.acesinehrs.com) in anonymised health records from parents and children presenting to GPs, A&E and hospital admissions between one year before and five years after birth.

Their research shows that 1 in 5 (20%) families experienced IPV, although only 1 in 50 (2%) had IPV recorded in the GP record.  Recording of other adverse childhood experiences (ACEs) was better, with 1 in 2 (53.4%) families having at least one recorded in the early life course. Compared to families without ACEs, families with ACEs had a higher risk of parental IPV, especially when at least one parent and child had recorded a mental health problem. Gene will discuss the implications of these findings for national guidance on supporting families experiencing IPV and mental health problems, articulating how data already within medical records can help identify those families. 

For further information please see: Interrelationships between parental mental health, intimate partner violence and child mental health – implications for practice – ACAMH

Photo by Sebastián León Prado on Unsplash

Relationship quality and family formation in Europe

The increase in cohabitation and nonmarital childbearing across Europe has raised questions about who still marries either before or after having a child. Although prior studies have addressed the sequence of marriage and childbearing, few have examined the role of relationship quality in these transitions. Here we employ a cross-national perspective to study the association between relationship quality and marriage and/or first birth within cohabitation. Using the Generations and Gender Survey and UK Household Longitudinal Study, we study seven European countries (Austria, France, Hungary, Netherlands, Norway, Sweden, and UK).

We employ competing risk hazard models to follow respondents as they 1) transition from cohabitation into marriage or conception (or separation); 2) transition to marriage (or separation) after having a birth within cohabitation.

Results show that cohabitors with higher relationship quality are more marriage prone than those in lower quality relationships in Austria, France, Hungary, and the UK, but not in the Netherlands, Norway and Sweden. Instead, higher relationship quality is associated with higher conception risks in cohabitation in Sweden. After childbearing, we find a positive association between relationship quality and marriage among cohabiting parents in the Netherlands, Norway, Sweden, and the United Kingdom. These results suggest that marriage is still important for couples with higher quality relationships; however, in countries where cohabitation is widespread, the timing of marriage may have shifted to after childbearing.

For further information please see: Relationship quality and family formation in Europe – ScienceDirect

Photo caption: Elnur / Shutterstock.com