Videos
Case study and scenario
Case study: Domestic violence has a negative impact on children
Gabby married her husband Nick after a long relationship and shortly thereafter moved to her husband’s family farm. The couple was happy at the farm and soon had their first child. During the pregnancy Nick’s behaviour began to change and by the time their daughter was born the relationship did not ‘feel’ as it had before. Nick seemed withdrawn and spent long periods of time by himself. He began to remind Gabby of Nick’s father who had always been a stern presence in his life.
Nick’s behaviour became threatening and controlling, especially in relation to money and social contact. He was increasingly aggressive in arguments and would often shout and throw objects around the room. Gabby thought that, because he wasn’t physically hurting her, his behaviour did not qualify as abuse. Nick did not show much interest in their daughter, Jane, except when in public, where he would appear to be a doting and loving father.
Jane was generally a well-behaved child, however, Gabby found that she was unable to leave her with anyone else. Jane would cry and become visibly distressed when Gabby handed her to someone else to be nursed. This was stressful for Gabby, and also meant that her social activities were limited further.
Jane took a long time to crawl, walk and begin talking. Her sleeping patterns were interrupted, and Gabby often did not sleep through the night, even when Jane was over 12 months of age. When Jane did begin to talk, she developed a stutter, and this further impeded her speech development. Gabby worried about Jane a lot. Their family doctor told her that this was normal for some children and that, if the speech problems persisted, she could always send Jane to a specialist at a later date.
After a number of years, Nick’s behaviour became unacceptable to Gabby. During arguments he would now hold on to the rifle that he had for farming purposes, and Gabby found this very threatening. On a number of occasions, items that Nick threw hit Gabby and she was increasingly afraid for their daughter. Gabby decided to leave and consulted the local women’s service, who assisted her to get an intervention order against Nick.
Once Gabby had taken Jane away from Nick, her behaviour changed. Jane’s development seemed to speed up and Gabby couldn’t understand why. As part of her counselling at a local women’s service, she discussed this issue, and her counsellor recognised the developmental delay, stutter, irritation, and separation anxiety as effects of Jane’s previously abusive situation.
This can be seen as a missed opportunity for identifying family violence. If the family doctor would have asked Gabby or Nick (who had presented with chronic back pain) about their relationship, about what was happening to the family, and specifically to Jane, the situation could have been identified much earlier.
Task for reflection
a) What could have been done better by those involved?
b) Take a moment to consider which agencies and professionals should have been involved in supporting and/or providing services to Gabby from the beginning.
c) Make a list of different professionals who make up the multidisciplinary team in your organisation and who could be involved in the provision of services for those who have experienced domestic violence (this will vary depending upon where you are based).
The wide range of professionals, provider services and specialist agencies who may be involved in supporting victim-survivors of domestic violence can include—but are not limited to—primary and secondary health care services, mental health services, sexual violence services, social care, criminal justice agencies, the police, probation, youth justice, substance misuse, specialist domestic violence agencies, children’s services, housing services and education.
Adapted from a case study from RACGP (2014): Abuse and Violence: Working with our patients in general practice
Scenario: Victim files a complaint without any current incident
The victim comes to a police station and files a complaint without any current incident.
Task
Discuss the following.
What measures are available to you?
The answers to this task can be found in the corresponding sections of this module.
Possible answers
- Clarification and recording of the facts: who is the perpetrator? How many incidents of domestic violence have there been? Over what period of time? In what intensity? etc.
- Search for possibilities of subsequent preservation of evidence: were there witnesses? Were there visits to the doctor? Are there confidants? Is there evidence in another form?
- Information about rights and obligations, the course of proceedings
- Risk assessment and, if necessary, initiation of the protective measures that appear necessary (with reference to the offender, for example: addressing the perpetrator, expulsion, prohibition of approach and contact, detention; with regard to the victim: victim protection talk, shelter if necessary)
- Dissemination of information about support services (NGOs, public sector)
- Mediation into the aid network, e.g., through a proactive approach
Good to read
In the provided resource, you will discover a series of vignettes illustrating how multiple agencies collaborate in various cases of domestic violence to produce positive outcomes for victims and survivors:
- Hale, H., Bracewell, K., Bellussi, L. et al. The Child Protection Response to Domestic Violence and Abuse: a Scoping Review of Interagency Interventions, Models and Collaboration. J Fam Viol (2024). https://doi.org/10.1007/s10896-024-00681-4
Additionally, the following source offers insights into interagency cooperation in child protection responses to domestic violence:
- Stewart SL. Enacting Entangled Practice: Interagency Collaboration in Domestic and Family Violence Work. Violence Against Women. 2020 Feb;26(2):191-212. doi: 10.1177/1077801219832125. Epub 2019 Mar 11. PMID: 30854943.
Further training materials
Quiz: Interorganisational cooperation and risk assessment