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
Broxbourne review
CSP: BroxbournePublished: August 2023Year of death: 2018Extracted: 10 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
Agencies repeatedly missed opportunities to identify and respond to domestic abuse, often treating the victim's substance misuse and mental health issues in isolation. Misconceptions about how victims present and a lack of integrated, trauma-informed practice hindered effective intervention.
Home Office classifications
26 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - alcohol misuse
Victim - substance misuse
Victim - mental ill health
Victim - anxiety
Victim - depression
Victim - psychosis
Victim - suicidal thoughts
Victim - serious or life limiting illness
Victim - had been a victim of an abuser before
Perpetrator - known to agencies as a domestic abuse perpetrator
Perpetrator - known to others as a domestic abuse perpetrator
Perpetrator - known to friends as a domestic abuse perpetrator
Perpetrator - died by suicide
Aggravating factors - coercive or controlling behaviour
Aggravating factors - stalking
Aggravating factors - physical stalking
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 - housing services recommendations
DHR process - training recommendation themes
DHR process - policy recommendation themes
DHR process - awareness raising recommendation themes
DHR process - other recommendation themes
Extracted recommendations
10 recommendations pulled from the report · 2 matched to organisations in the index
Professionals are to be reminded of the importance of holding conversations with individuals who identify as being subjected to domestic abuse, no matter what the circumstances are on presentation. These conversations are to take place in private and to be followed up if the person presenting appears to be under the influence of alcohol or drugs or suffering from a mental health crisis.
All frontline professionals within the agencies participating in this review should consider victims’ additional support needs when competing domestic abuse risk assessments. Awareness needs to be raised regarding the links between, and impacts of, substance abuse, mental health, homelessness and domestic abuse. There should be a clear process in place for professionals to use where additional support needs are identified, including where best to refer or signpost to and how to facilitate joint working between organisations supporting a victim.
Addressed to
Hertfordshire Partnership University NHS Foundation Trust
The Trusts social care leads to run a learning event for the Adult Community Mental Health Team around recognising social care assessments which might be needed and when to offer Social Care Outcomes.
Awareness training is to take place for all B3 Living operatives and staff having contact with tenants in their homes in relation to domestic abuse and safeguarding of adults and children.
Agencies are to review their internal and external literature and training to look at the way that victims and perpetrators of domestic abuse are portrayed, amending where there appear to be stereotypes and/or ‘myths’ around domestic abuse.
B3 Living are to make explicit in their policies and procedures the expected timeframes for attending a tenant’s home following a report. Where the tenant is known or suspected to be a victim of domestic abuse, B3 Living should ensure that the tenant is quickly and safely as possible, ensuring they are spoken to alone to allow for safe enquiry about domestic abuse.
Addressed to
Hertfordshire Domestic Abuse Partnership
The Hertfordshire Domestic Abuse Partnership is to agree an approach to embedding trauma-informed practice within all agencies that participated in this review. Once agreed, an implementation plan is to be developed and monitored by the Board.
Addressed to
Hertfordshire Domestic Abuse Partnership
Hertfordshire Domestic Abuse Partnership to develop a way to manage perpetrators of domestic abuse. Alongside this, the Partnership should develop processes for identifying perpetrators, including training and guidance as required, for all agencies that have participated in this review.