About this page. This page summarises a Domestic Homicide Review published in the Home Office DHR Library. The full report is available at the source link below. Victim and perpetrator names are not included in extracted summaries on this page.

Source · Domestic Homicide Review

Cwm Taf review

CSP: Cwm Taf Published: December 2022 Year of death: 2017 Extracted: 11 recs

Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.

View full report (PDF) ↗ Source: Home Office DHR Library

Summary

The report identifies concerns regarding practitioners' understanding of domestic abuse, particularly coercive control, within complex family dynamics. It highlights insufficient recognition of the victim's needs as a carer and a lack of robust, objective risk assessments. Additionally, issues with multi-agency record-keeping and communication, especially concerning the ending of Community Treatment Orders, were noted.

Extracted recommendations

11 recommendations pulled from the report

#	Recommendation	Addressed to
1	Ensure that mental health practitioners have access to training in relation to domestic abuse and coercive control and that this training is incorporate into the annual social care training calendar	Health Board \| Local Authorities
10	Following the review, relaunch the CTO Policy to raise awareness amongst practitioners	The Health Board \| local authorities
11	Carry out an audit to establish whether the changes to the policy have been adequately adopted.	The Health Board \| local authorities
2	Training to include pathways to MARAC where an escalation in risk has occurred	Health Board \| Local Authorities
3	Share the learning from this report widely to remind mental health practitioners of the need to recognise domestic abuse and specifically coercion and control in family relationships	Health Board \| Local Authorities
4	The Health Board and Local Authorities to provide assurances that mental health practitioners are using the Wales Applied Risk Research Network (WARRN) tool when assessing risk to ensure that the voice of the carer/family member is included	The Health Board \| Local Authorities
5	The Health Board and Local Authorities to provide assurances that there is adequate training in risk assessment/ risk management and contingency planning for all mental health practitioners.	The Health Board \| Local Authorities
6	The Health Board and Local Authorities should be asked to review policies and procedures in relation to risk assessments, risk management and contingency planning and undertake audit work to ensure that the correct procedures are being followed	The Health Board \| Local Authorities
7	The Health Board to be asked what the plans are in relation to the implementation of WCCIS and, in the meantime, provide details of how mental health practitioners will have access to both health and local authority records and systems	The Health Board
8	Share the learning from this report widely to remind mental health practitioners of the importance of multi-agency planning and information sharing	Health Board \| Local Authorities
9	The Health Board to be asked to lead on a review of the Community Treatment Order Policy, in conjunction with the local authorities to incorporate the learning from this review	The Health Board \| local authorities
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗