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Health outcomes of victim-survivors accessing specialist domestic abuse services

Domestic abuse (DA) is a public health problem with wide-ranging impacts for victim-survivors and services responding to it. The purpose of the current study was to explore relationships between victim-survivors’ experiences of abuse, additional needs/vulnerabilities and sociodemographic characteristics, and physical and mental health outcomes and health care help-seeking behaviours following DA.

In the study, Health outcomes of victim-survivors accessing specialist domestic abuse services: the role of abuse experience, vulnerabilities and sociodemographic characteristics, VISION researchers Annie Bunce, Elouise Davies and Estela Capelas Barbosa, conducted a secondary analysis using Women’s Aid Federation of England’s (Women’s Aid) case management and outcomes measurement system, On Track, the largest national dataset on DA.

The team used a series of logistic regression models to understand the relationship between:

  • abuse types (physical, sexual, emotional, financial, coercive control, technology-facilitated abuse (tech abuse) and threats to kill);
  • needs/vulnerabilities (disability; offending, drug and alcohol-related support needs; pregnancy, recourse to public funds and accessing by-and-for services);
  • health outcomes (perpetrator caused harm to or loss of unborn child;
  • attempted strangulation;
  • self-harm (disclosed);
  • feeling depressed or suicidal;
  • injury requiring GP treatment; and
  • injury requiring Accident and Emergency (A&E) treatment).

Stakeholders from Women’s Aid and five other third sector organisations input into the study design and interpretation of results.

The study found:

  • Ninety-six percent of victim-survivors accessing DA services (n = 77,785) were female
  • Almost half (41.24%) had felt depressed/suicidal
  • 5.59% disclosed having self-harmed
  • Almost one quarter (23.41%) had suffered a strangulation attempt
  • 2.54% had suffered harm to or loss of their unborn child caused by the perpetrator
  • Just under 10% had an injury requiring A&E treatment
  • 7.33% had an injury requiring GP treatment

Associations with the type of abuse varied by health outcome, for example physical abuse followed by threats to kill were most strongly associated with attempted strangulation and injuries requiring GP and A&E treatment, whilst tech abuse was most strongly associated with self-harm and feeling depressed/suicidal. Vulnerabilities/needs were more consistently associated with health outcomes, with those with a disability; drug, alcohol or offending support needs, or living in temporary/unstable accommodation more likely to experience negative outcomes across the board, and almost all needs/vulnerabilities being associated with adverse mental health outcomes (with the exception of pregnancy and accessing specialist by-and-for services, which appeared to have a protective effect).

The results highlight the almost inevitable harms to mental health for victim-survivors of DA, the dangers of non-physical types of abuse such as threats to kill and tech abuse and the heightened risk of attempted strangulation. These findings have particularly important and timely implications for the training of health care professionals. Alongside improvements in health care settings, health care professionals, specialist support workers, researchers and policymakers must continue to explore more integrative and collaborative ways of working to further improve the response to DA and intervene before irreversible damage is done.

To download the article: Health outcomes of victim-survivors accessing specialist domestic abuse services: the role of abuse experience, vulnerabilities and sociodemographic characteristics

To cite: Bunce A, Davies E, Barbosa EC. Health outcomes of victim-survivors accessing specialist domestic abuse services: the role of abuse experience, vulnerabilities and sociodemographic characteristics. BMC Womens Health. 2026 May 23;26(1):363. doi: 10.1186/s12905-026-04518-8. PMID: 42177560; PMCID: PMC13374347.

For further information: contact Annie at annie.bunce@citystgeorges.ac.uk
 
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New VISION Policy Briefing Series on ethnicity inequalities and violence

In collaboration with Imkaan, the UK’s only national feminist umbrella organisation dedicated to addressing violence against Black and minoritsed women and girls, VISION Research Fellow, Dr Hannah Manzur, wrote two policies on the intersectionality of ethnicity, sex, gender, and violence focussing first on access to specialist services and second, through a systems theory approach.

The first policy briefing, Ethnic Inequalities in Violence Series: Specialist Services, is based on VISION research on ethnic inequalities, gendered violence, and specialist services. The research team finds critical inequalities in Black and minoritised women’s access to support and emphasises the need for a sustainably funded ‘By and For’ Sector.

The second policy briefing, Ethnic Inequalities in Violence Series: Systems Response, also uses VISION research on ethnic inequalities but looks at violence risks, harms, and service responses from a systems theory approach. This briefing identifies compounding disadvantages, intersecting inequalities, and critical gaps and disparities in victim-survivors’ services access and treatment.

 

Supporting Specialist Services for Black and Minoritised Women Victims of Violence: Access, Impact, & Resources

Specialist services provide life-saving support to people experiencing domestic and sexual violence, including trauma-informed and VAWG-sensitive care, counselling, legal and medical support, safety planning, advocacy, and crisis interventions delivered by trained caseworkers and practitioners. Led by Black and minoritised women, specialist ‘By and For’ services[1] are particularly important in offering essential holistic, wrap-around support, including intersectional advocacy, tailored to the specific needs and experiences of Black and minoritised women victim-survivors. Despite this, specialist services, particularly the ‘By and For’ sector, are constrained by chronic underfunding, limited inclusion and recognition of their expertise, and increased demand for services in an increasingly hostile political landscape for Black and minoritised communities and victim-survivors of violence.

Key Recommendations

  1. Funding: adequate, secured, and sustainable funding for specialist services with increased and ring-fenced ‘By and For’ funding.
  2. Recognition: formally recognise ‘By and For’ services as a distinct and essential model of VAWG prevention.
  3. No Recourse for Public Funds (NRPF): urgently repeal the NRPF condition.
  4. Data: introduce a data firewall for migrant victims, improve national ethnicity data, fund specialist services’ data-infrastucture projects, and engage ‘By and For’ expertise.
  5. Accessibility: evaluate national accessibility to specialist services, especially ‘By and For’ closures and reductions.
  6. Training: statutory services training in service provision tailored to Black and minoritised women victims.
  7. Collaboration: investment in collaborative partnerships, training, and referral protocols, led by ‘By and For’ expertise.

 

Ethnic Inequalities in Violence: Addressing Compounding Disadvantage and Institutional Engagement through a Systems Response to Violence

From data to policy to services, the systems designed to address the complex needs of violence victim-survivors of violence often fall short. Disjointed services, difficult pathways to support, and critical gaps in service provision create a complex system which victim-survivors, particularly those experiencing domestic and sexual violence, are expected to navigate to access support. For Black and minoritised victim-survivors of domestic and sexual violence, violence  causes and contexts, risks, harms, and support needs are shaped by both intersecting inequalities and compounding disadvantages. The combination of existing social disadvantages, under-funded and non-specialist public and specialist services, and disjointed and complex systems[2] requires urgently addressing from an intersectional and systems-based response to violence prevention and victim support.

Key Recommendations

  1. Systems-level responses: Targeted interventions and support provision must be integrated into a systems-level approach through cross-sectoral and multi-agency collaboration. Include funded advisory roles for specialist ‘By and For’ services representatives as systems leaders, not only referal partners.
  2. Build data and evidence linkages and expand cross-sectoral comparative research.
  3. Remove cross-sectoral barriers to support, including repealing the NRPF, introducing data-sharing firewalls, and enhance statutory duties.
  4. Invest in comparative and intersectional research which integrates multiple social contexts and axes of inequality.
  • [2] VISION’s systems theory approach was led by Dr Olumide Adisa. See for example: Adisa 2024, 2025.

 

To download the briefings:

To cite the Specialist Services briefing: Manzur, H. 2026. Supporting Specialist Services for Black and Minoritised Women Victims of Violence: A VISION Research and Policy Briefing in collaboration with Imkaan. London: VISION, Imkaan. https://doi.org/10.25383/city.33524527

To cite the Systems Response briefing: Manzur, H. 2026. Ethnic Inequalities in Violence: Addressing Compounding Disadvantage and Institutional Engagement through a Systems Response to Violence. A VISION Research & Policy Briefing in collaboration with Imkaan. London: VISION, Imkaan. https://doi.org/10.25383/city.33527260

For further information: contact Hannah at hannah.manzur.4@citystgeorges.ac.uk

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Too soon too late: Understanding teenage relationship abuse through listening to young people’s voices

 

By Polina Obolenskaya and Annie Bunce, VISION Research Fellows

There is a growing recognition that children and young people experience harm in their romantic relationships, which often starts before they are 16 years old. Being on the cusp of adulthood makes teenage relationship abuse hard to spot, for both young people themselves and those who come in contact with them. While there have been some exemplary studies with young people in this area (e.g. by Barter et al. 2009; SafeLives), more research dedicated specifically to those under 16 is needed.

Therefore, we partnered with charity SafeLives and their network of young people who share a passion to end domestic abuse and tackle the social challenges facing today’s youth – the “Changemakers” – to run a consultation workshop with young people aged 18-25 who had experienced harm in intimate relationships when they were aged between 13 and 16.

The three overarching aims of this project were to gather young people’s perspectives on:

  1. The issues around providing effective support to young people with experience of abuse in romantic relationships, including its recognition, the complexities of help-seeking, and the adequacy of professional responses;
  2. The priorities for future research on teenage relationship abuse; and
  3. The appropriate methodological approaches for involving young people in this sort of research.

Our partnership with SafeLives and the Changemakers was at the heart of this project, they were instrumental in shaping the direction of the research from the beginning. We co-produced materials, the Changemakers facilitated the consultation workshop, we co-analysed some of the data, and their views informed how the findings were interpreted and written up. Having young people’s perspective challenged some of our assumptions and understanding, both of the topic and the research process itself. We worked collaboratively on a number of outputs, including an academic paper, a short report, an infographic, and presentations to a wide variety of audiences.

Below is a summary of some of our main findings from the project.

Harmful relationships are often difficult for young people to recognise

Young people told us that they thought it was difficult for those aged 13-16 to recognise harmful behaviours in teenage relationships. This is because these behaviours often become normalised- through peer groups, social media, popular culture and, for some, experiences of domestic abuse at home. Additionally, we heard that while young people might have recognised some behaviours as unhealthy at the time, they struggled to see the broader pattern or label it as abuse.

Professionals also struggle to identify harm in teenage relationships and their responses are inconsistent

Our participants described a range of experiences with various professionals, with the takeaway message being that responses to teenage relationship abuse are inconsistent. Some young people described teachers, police officers and support workers as people who listened carefully, took concerns seriously and made them feel supported. But at the same time, they had also encountered responses that felt dismissive or minimising, or they did not feel confident about approaching some professionals who might be able to help (e.g. teachers).

We found that the language used by the professionals was a barrier to identification of harm experienced by young people in their relationships, as well as its disclosure. Young people told us that when professionals use language and terms that they cannot relate to, it is harder for them to identify what is happening to them as abuse and/or it can discourage them from seeking help. We also heard that age-related stereotypes and a lack of awareness and understanding around abusive behaviours within teenage relationships further contribute to dismissive attitudes, with professionals attributing minimising labels, such as “teenage drama” to harmful behaviours. 

Young people want earlier intervention

Participants stressed the importance of earlier identification and intervention to address abuse in teenage relationships, particularly advocating for proactive efforts by teachers and schools. They also thought that changes in attendance, behaviour, or well-being should prompt teachers to investigate potential underlying issues. In fact, this inspired the project name, Too Soon, Too Late, which was developed by one of the Changemakers. The title reflects the experiences of teenagers who may struggle to access support at the point they really need it.

Our participants also acknowledged that the signs of abuse might be really difficult to spot. For example, they described how achieving good grades and appearing confident on the surface while struggling with significant difficulties in their relationships or home environment- what they referred to as the ‘good student’ stereotype- might lead teachers to assume they were OK.

Young people also told us how they think research could be done better

Participants described participating in research as potentially empowering and healing – being able to speak with others who had similar experiences helped some realise they were not alone. While our participants found participating in research rewarding in itself, they agreed that being renumerated is important, not only because it removes financial barriers but because it demonstrates that young people’s time and expertise are truly valued.

Young people told us that to ensure a more inclusive and intersectional understanding of teenage relationship abuse researchers need to actively engage a diverse range of participants, including those from marginalised communities, of different sexual orientations and gender identities, but also individuals who do not fit common stereotypes of victims-survivors of abuse and those without direct experience of abuse. They argued that researchers should proactively invite participation, via multiple streams, rather than relying on young people to seek out opportunities themselves.

Young people emphasised the importance of creating research environments that are safe, flexible and inclusive. They told us that they wanted a choice of different ways to participate, to receive clear communication and set realistic expectations, and to have opportunities to contribute to research after discussions had ended and they had had time to reflect on them. Language was again paramount here. Young people told us that for rapport to be built, for them to feel heard, and to enhance the overall quality of research, researchers need to speak to young people using their own language.

Another key message was that participation should not end at the end of data collection. Young people wanted to know how their contributions were being used and in what ways their involvement was making a difference. Being thanked, updated and shown the outcomes of research helped them feel like they had been part of something meaningful.

Conclusion

One of the strongest messages from this project is that to better understand young people’s experiences and help them, researchers and other professionals need to keep their eyes and ears to the ground and intervene early, provide a safe and inclusive environment for young people to share their stories, really listen to them and respond in their language, and take their experiences seriously. 

Links to project papers

For further information: contact Polina at polina.obolenskaya@citystgeorges.ac.uk

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Upcoming webinar – Left behind: People without support after experiencing violence

 

Thursday 4 June 2026, 13:00  – 14:30, online

This event is in the past.

Join VISION for a free webinar exploring groups who can be overlooked by health services, policing, and specialist support systems after experiencing violence.

Register here: TicketTailor – 4 June VISION webinar 

Many people affected by violence do not receive the help they need, for a variety of reasons. At VISION, we’ve analysed data sources such as the Crime Survey for England and Wales to better understand these gaps. In some cases, individuals do not seek medical care from hospitals or GPs for violence-related injuries, while others choose not to report incidents to the police. There are also those indirectly affected—such as people whose loved ones have experienced serious assault—who frequently go unsupported. In addition, a significant but less visible group includes victims of intimate partner violence and serious sexual assault in England and Wales who do not disclose their experiences, particularly to specialist services.

This research offers fresh insights into the risk factors, lived experiences, inequalities, and consequences of violence among those who neither seek nor receive support—the left behind.

After the short presentations, there will be a ’roundtable’ discussion with all present to look deeper into each presentation and talk about the barriers and opportunities. We want to better identify these missing populations and understand their behaviours for not seeking help and conversely for those that are looking for support but the services aren’t necessarily there.

We welcome anyone working in government, police, healthcare, academia, specialist services, education and the community and voluntary sector interested in and / or working in violence prevention and support for those affected.

Programme

Chair: Kimberly Cullen, VISION Knowledge Exchange Manager, City St George’s University of London

Disclosure of Intimate Partner Abuse and Sexual Violence to Formal Agencies and Specialist Services: Comparing Inequality Patterns, Victim Profiles, and Harms by Disclosure, Dr Hannah Manzur, VISION Research Fellow, City St George’s University of London and Dr Annie Bunce

  • Our study examines the hidden population of victims of intimate partner violence (IPV) and serious sexual assault (SSA) in England and Wales who report non-disclosure of their victimisation, particularly to specialised services. Whilst evidence-building largely relies on victim-survivors’ disclosure through help-seeking pathways and interventions, the experiences and inequality patterns for victim-survivors outside of these pathways are significantly missing from evidence and support provision. In particular, specialised services support some of the most marginalised and invisible victims of violence, yet barriers to disclosure and resource limitations pose significant challenges for both data collection and support access for these groups. The nationally representative Crime Survey for England and Wales offers a unique opportunity to analyse data on IPV and SSA victim-survivors who have not contacted specialised services or disclosed to any other formal agency (inc. The police and health services). Using pooled data (2004-2019) on past-year IPV and lifetime SSA, we compare inequality patterns (by gender, ethnicity, and migrant-status) and victim profiles (including risk-factors, victimisation characteristics, and harms) of victim-survivors based on disclosure (CSEW only, formal agency, or specialised services). Here, we reveal new insights into the risk-factors, experiences, inequalities, and impacts of violence against otherwise hidden violence victims, particularly those excluded from specialised services support.

Healthcare inequalities following violence: analysis of the Crime Survey for England and Wales 2010-2024, Dr Anastasia Fadeeva, VISION Research Fellow, City St George’s University of London

  • Although healthcare is key to supporting victims of physical violence, some do not receive it despite injuries. The present research used the Crime Survey for England and Wales (combined waves 2010-2024) to identify which victims of physical violence were less likely to receive healthcare. Despite the presence of injuries, in almost a half of the incidents, victims receive no healthcare. We examined individual and violence-related factors that were associated with not receiving healthcare following violence victimisation. 

Reporting of violence victimisation to the police in England and Wales, Dr Polina Obolenskaya, VISION Research Fellow, City St George’s University of London and Dr Annie Bunce, VISION Research Fellow, City St George’s University of London

  • Who reports violence to the police, and under what circumstances, remains a critical but under‑examined question in England and Wales. Although national victimisation surveys consistently show that more than half of violent incidents never come to the attention of police, existing research is fragmented, often focused on single forms of violence (e.g., intimate partner or sexual violence), based on small studies or non-UK contexts. By mapping multiple routes through which violence does or does not come to the attention of the criminal justice system, this research advances an understanding of the “justice gap” and offers evidence with implications for policy, prevention, and victim‑survivor support. 

Indirect victims of violence: Mental health and the close relatives of serious assault victims in England, Professor Sally McManus, VISION co-Deputy Director, City St George’s University of London and Dr Elizabeth Cook, VISION co-Investigator, City St George’s University of London

  • Violence does not just harm direct victims; its effects ripple out through families. Drawing on a representative survey of adults in England, this study found that one in twenty adults were closely related to a victim of serious assault, and that these relatives carry a disproportionate burden of poor mental health. Even after accounting for their own histories of violence, adversity, and disadvantage, close family members face significantly higher levels of depression, anxiety, and feeling unsafe: evidence that policy must recognise, and victim services be resourced to respond to, the needs of families too. 

Join us at this free webinar on 4 June, 13:00 – 14:30. To book your place please register here: TicketTailor – 4 June VISION webinar 

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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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Service duration, determinants of case closure and case completion for victim-survivors accessing domestic abuse support services

Demand for specialist domestic abuse (DA) support services is high, in the United Kingdom (UK) and worldwide, and resource is scarce. The length of time victim-survivors spend in service depends on multiple factors, but what determines whether they successfully complete support, or their case is closed for another reason, is less well understood.

The purpose of the current study, Service duration and determinants of case closure and case completion for victim-survivors accessing specialist domestic abuse support services, was to improve understanding of the relationship between length in service, case completion and possible needs and vulnerabilities of specialist service users.

VISION researchers Dr Annie Bunce, Dr Elouise Davies and Dr Estela Capelas Barbosa analysed Women’s Aid Federation of England’s (WAFE) case management and outcomes management system, On Track, the largest national dataset on domestic abuse. 

To further examine the influence of reason for case closure, which the team explored as determinants of case completion, a series of multinomial logistic regressions were conducted, controlling for potentially confounding variables. Stakeholders from Women’s Aid and five other third sector organisations provided input into the study design and interpretation of results.

Most survivors accessing DA services needed community-based services (n = 210,599) and spent an average of just under three months in service. Those who needed more intensive support (e.g. accommodation, refuge) stayed in service for longer on average- 130 days and 115 days, respectively. The survival analysis revealed that cases were less likely to close for people with additional vulnerabilities. Results from the multinomial logistic regressions demonstrated that, for those whose case had been closed, additional vulnerabilities meant they were more likely to have disengaged, had a service-related closure or an unknown reason for case closure.

The limited supply of services impacts on the level of unmet needs for victim-survivors of domestic abuse. If services continue having to do more and more with less, they will be forced into a position of having to trade-off between spending time supporting people to cater to multiple needs and vulnerabilities, and getting people in and out of the door to ensure the slot is available for the next victim-survivor who needs it. 

Recommendation

  1. It is critical that DA services are resourced adequately to support those with multiple needs and additional vulnerabilities to complete a period of time in service. This is something that should be considered by commissioners of DA services.

To download the publication: Service duration and determinants of case closure and case completion for victim-survivors accessing specialist domestic abuse support services

To cite: Bunce, A., Davies, E. & Barbosa, E.C. Service Duration and Determinants of Case Closure and Case Completion for Victim-Survivors Accessing Specialist Domestic Abuse Support Services. J Fam Viol (2026). https://doi.org/10.1007/s10896-026-01052-x

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

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VISION hybrid seminar: An overview of systematic reviews on violence 

This event is in the past.

Join us for a hybrid seminar at City St George’s on 10 September exploring two VISION systematic reviews: one on experiences of violence among people in insecure migration status and the other on the effectiveness of UK domestic and sexual violence and abuse support services and interventions.

The interdisciplinary UK Prevention Research Partnership (UKPRP) Violence, Health and Society (VISION) consortium brings together evidence on violence prevention from across health, social, crime and other sectors. A key method for producing comprehensive evidence syntheses is the systematic review.

In this seminar, we bring together two very different systematic reviews of evidence on violence:

  • The first presentation, by Alexandria Innes and Hannah Manzur, is global and examines the nature and prevalence of violence among people in different types of insecure migration status.
  • The second presentation, by Annie Bunce and Sophie Carlisle, focuses on the UK and summarises what we do and don’t know about the effectiveness of domestic and sexual violence support services and interventions. 

For further information, please also see the VISION Policy Briefings stemming from the research:

  1. Insecure migration status increases risk of multiple forms of violence
  2. Measuring the effectiveness of UK support services and interventions for domestic and sexual violence and abuse

Register in person or online here: Ticket Tailor – VISION Hybrid Seminar – 10 Sept 2025

  • In person: Rhind Building, St John Street, London, EC1R 0JD followed by an afternoon tea in the Violence & Society Centre. 
  • Online: A Microsoft Teams link will be emailed the morning of the seminar

For further information, please contact VISION_Management_Team@citystgeorges.ac.uk

Measuring the effectiveness of UK support services and interventions for domestic and sexual violence and abuse

Developing effective responses to domestic and sexual violence and abuse (DVSA) is critical. In the UK there are many support interventions and services, primarily provided by the third sector. Previous systematic reviews of the global evidence have found benefits of such interventions on a range of outcomes.

Despite this, there is limited understanding of which exact outcomes and outcome measures are currently being used both within and across DSVA support services and interventions in the UK specifically. Further, existing systematic reviews only focus on a single type of intervention or service, prohibiting comparisons across service types. Many also have only included evidence published in academic journals, potentially limiting and biasing findings.

For their VISION Policy Briefing, Drs Annie Bunce and Sophie Carlisle, carried out two evidence syntheses:

  1. A scoping review to identify, group and explore outcome measures that have been used to assess the effectiveness of UK-based DSVA support interventions or services.
  2. A systematic review to assess the effectiveness of these interventions or services in terms of the most commonly reported outcomes identified in the scoping review.

Findings include:

  1. Outcome measures assessing the effectiveness of support interventions and services are varied and inconsistent.
  2. Where consistent measures have been used, meta-analyses demonstrate potential benefits of UK-based advocacy and outreach services, psychological support interventions, and perpetrator programmes.
  3. Studies and evaluations assessing the effectiveness of support interventions and services are often methodologically flawed.
  4. Conflicting demands and lack of sufficient funding make robust testing and evaluation difficult in the third sector, reflecting a circular challenge.
  5. There was a lack of evidence for certain types of services and interventions (e.g. specialist sexual violence services/Independent Sexual Violence Advisers [ISVAs] and by-and-for services).

Recommendations

Further high-quality research into the effectiveness of DVSA interventions of perpetrator programmes are required, including randomised controlled studies where appropriate and ethical, to improve certainty regarding the effect estimates generated from evidence syntheses. Published protocols, adherence to reporting guidelines such as CONSORT, STROBE and SQUIRE 2.0, and considering and accounting for confounding factors where randomisation is not feasible, will strengthen the research.

Developing a core outcome set via co-production with survivors and service users, practitioners and service providers, commissioners, policy makers and researchers will increase consistency in reported outcomes and create the cohesion.

To download the VISION Policy Briefing: Measuring the effectiveness of support services and interventions for domestic and sexual violence and abuse in the UK

To cite: Bunce, Annie; Carlisle, Sophie (2025). VISION Policy Briefing: Measuring the effectiveness of support services and interventions for domestic and sexual violence and abuse in the UK. City, University of London. Report. https://doi.org/10.25383/city.29852984.v1

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

Researching the impact of Black and Asian women leadership within East of England domestic abuse services

The East of England is a region with minimal presence of ‘by and for’ (BFR) domestic abuse (DA) specialist services despite being home to Black and Asian communities. A VISION-funded research project, ‘Nothing about us without us’: Investigating the impact of the leadership of ethnic minority women on domestic abuse service provision in East England’, is exploring the impact of the leadership of Black and Asian women within DA service provision in the region.

As part of the work, researchers Dr Mirna Guha (Anglia Ruskin University) and Dr Katherine Allen (University of Suffolk), hosted a leadership event on 3 April 2025 for racially and culturally diverse women. Held at a venue provided by the City of London police, the event was part of a leadership programme implemented through the HUM (‘Us) : A Place-based Emerging-Leaders Model designed and piloted by Mirna and Katherine to diversify leadership in domestic abuse and sexual violence services. Research aims include ensuring culturally responsive and representative support for minoritised victims-survivors in East England.

Prior to the April event, Mirna and Katherine researched the leadership needs of 19 overstretched frontline practitioners i.e. ‘emerging leaders’ from racialised communities working within White-majority and at times professionally isolating generalist services across Bedfordshire, Suffolk and Cambridgeshire. East England is home to scattered racialised and diasporic communities where women’s leadership in local politics and policymaking is low. Based on this, three events on trauma-informed, culturally responsive and diverse styles of leadership have been co-produced with national DASV experts. Participants were invited to also join a regionally pioneering Community of Practice (CoP).

At the April event in London, 15 emerging leaders from racialised backgrounds gained insights into the strategies, opportunities and challenges of practising culturally and racially representative leadership through an inspiring keynote by Superintendent Jasvinder Kaur, Domestic Abuse Lead at Suffolk Constabulary and co-founder of the National Women of Colour in Policing network. Furthermore, nine Black and racialised women speakers associated with statutory institutions viz. Cambridge City Council and the National Police Chief’s Council.

Voluntary organisations also spoke including Apna Haq in Rotherham, Asian Women’s Resource Centre in London, and Karim Foundation in Cambridge. Others also shared their experiences of navigating rural and predominantly White spaces, and their strategies for claiming space, giving voice to community members and creating opportunities for other culturally and racially diverse women leaders. One notable theme was the pathbreaking role each panellist had assumed during her career, opening (or at times creating) doors for herself and those who followed. Discussions across the day dwelled on temporality and the changing political landscapes as well as place-based challenges linked to rurality.

Overall, the leadership model, including this event and others and the growing leadership CoP, with a current membership of 25 emerging women leaders, aims to address these contextual and temporal challenges by bolstering and diversifying racialised women’s leadership in public services to ensure equity for minoritised victims-survivors.

By laying the groundwork for a regional advisory board through the CoP, the model challenges the epistemic erasure of racially and culturally minoritised women within the design of DASV, and broadly, public services which exacerbate the postcode lottery of services across England and Wales. Inspired by Pawson and Tilley’s (1997)[1] approach to realist evaluation (which seeks to understand what works for whom and in which circumstances) Mirna and Katherine aim to evaluate the impact of the leadership programme and CoP on how emerging leaders navigate specific challenges rooted in specific professional, relational and spatial contexts.

[1] Pawson, R. and Tilley, N., 1997. Realistic evaluation.

For further information, please contact Mirna at mirna.guha@aru.ac.uk

Photograph courtesy of Dr Mirna Guha and Dr Katherine Allen.

A Scoping Review: Black and Minoritized Women’s Experiences of Specialist Domestic Violence Services in the UK

Domestic violence and abuse (DVA) harms individuals from all backgrounds, yet the experiences and needs of different communities vary significantly. The Crime Survey for England and Wales (CSEW) estimated that over 1.4 million women and 751,000 men experienced DVA in the year ending March 2023. Black and minoritized women may face heightened vulnerability to DVA due to factors such as socio-economic deprivation, racism, and exposure to specific forms of violence such as so-called honor-based abuse, female genital mutilation or forced marriage.

In addition, minoritized “survivor–victims” of DVA may face intersecting challenges within their socio-political and community context that impede their ability to disclose DVA and may experience social stigma and fears of racism from service providers for example.

This scoping review maps the existing available literature on Black and minoritized women’s experiences with specialist DVA services in the UK to summarize current understanding and identify knowledge gaps.

The research team, comprised of Penelope E. Lowe from University of Roehampton, VISION researchers Sally McManus, Ravi K. Thiara, Estela Capelas Barbosa and Ladan Hashemi, and Pardis Asadi Zeidabadi from City St George’s UoL, and Sumanta Roy of Imkaan and a VISION Advisory Board member, conducted a comprehensive search across multiple databases and gray literature sources. 

Thematic analysis of the findings revealed three main themes: additional service needs, barriers to accessing support, and the pivotal role of “by and for” services. The team concluded that “by and for” services—provided by and for minoritized women—which adopt an intersectional approach are crucial in addressing the unique needs of Black and minoritized “survivor–victims”, particularly in terms of language support, practical assistance, and community-related support. There is a need for more peer-reviewed literature to recognize the role of “by and for” services, using diverse methodologies to support Black and minoritized communities better.

To download the article: Black and Minoritized Women’s Experiences of Specialist Domestic Violence Service in the United Kingdom (UK): A Scoping Review

To cite: Lowe, P. E., McManus, S., Asadi Zeidabadi, P., Thiara, R. K., Roy, S., Capelas Barbosa, E., & Hashemi, L. (2025). Black and Minoritized Women’s Experiences of Specialist Domestic Violence Services in the United Kingdom (UK): A Scoping Review. Trauma, Violence, & Abuse, 0(0).  https://doi.org/10.1177/15248380251335038

For further information, please contact Penelope at penelope.lowe@rutgers.edu

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