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 TafPublished: December 2022Year of death: 2017Extracted: 11 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
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.
Home Office classifications
34 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - was a carer
Victim - carer for perpetrator
Victim - mental ill health
Victim - suicidal thoughts
Victim - had been a victim of an abuser before
Victim - referred to marac at any time
Victim - case heard at marac before homicide
Perpetrator - case heard in court
Perpetrator - substance misuse
Perpetrator - mental ill health
Perpetrator - psychosis
Perpetrator - suicidal thoughts
Perpetrator - known to agencies as a domestic abuse perpetrator
Perpetrator - known to police as a domestic abuse perpetrator
Perpetrator - known to mental health services as a domestic abuse perpetrator
Perpetrator - known to idva or other domestic abuse support service as a domestic abuse perpetrator
Perpetrator - known to others as a domestic abuse perpetrator
Perpetrator - known to friends as a domestic abuse perpetrator
Perpetrator - supervised by mental health services
Aggravating factors - coercive or controlling behaviour
Aggravating factors - psychological or emotional abuse
Aggravating factors - economic abuse
DHR process - family contributed to dhr
DHR process - family consulted about terms of reference
DHR process - family received draft report
DHR process - health services recommendations
DHR process - idva or other domestic abuse support service recommendations
DHR process - technology systems recommendation themes
DHR process - identification of risk recommendation themes
DHR process - training recommendation themes
DHR process - policy recommendation themes
DHR process - multi agency working recommendation themes
DHR process - record keeping recommendation themes
DHR process - awareness raising recommendation themes
Extracted recommendations
11 recommendations pulled from the report · 10 matched to organisations in the index
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
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
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 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 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 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 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