Find recommendations from statutory reviews of domestic homicides, published in the Home Office DHR Library. Victim and perpetrator names are never displayed on this page.
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AI-generated summary The review highlights fragmented referral pathways for domestic abuse victims, the invisibility of fathers in service engagement, and a need for enhanced professional curiosity and training across agencies, particularly in healthcare and h…
AI-generated summary The review highlights agencies' limited understanding and identification of economic and child-to-parent abuse, leading to missed opportunities for intervention and referrals. Inconsistencies in probation management and an underestimation …
AI-generated summary The review identified issues with police categorisation and risk assessment in domestic abuse incidents, particularly when victim/perpetrator roles are unclear. It also noted challenges in inter-agency information sharing regarding mental …
AI-generated summary The review highlights failures by agencies to identify the perpetrator's coercive control and stalking behaviour towards the victim, particularly during protracted criminal and family court proceedings. Concerns include inadequate risk ass…
AI-generated summary The review identifies missed opportunities by health and social care agencies to identify and respond to the victim's coercive control and financial abuse, exacerbated by her Huntington's Disease and isolation. Key concerns include inadequ…
AI-generated summary The review identified systemic failures in multi-agency risk assessment and information sharing regarding domestic abuse, mental health, and offender management. Key concerns include missed opportunities for routine enquiry in health setti…
AI-generated summary The report highlights gaps in public and professional understanding of coercive control and stalking, limitations of risk-led approaches for victims not identifying as abused, and issues with repeat offender management and probation record…
AI-generated summary The review highlights concerns regarding bidirectional domestic abuse between elderly partners, exacerbated by health and caring responsibilities, and their consistent refusal of support. It identifies a lack of multi-agency coordination, …
AI-generated summary The report identifies inconsistent recording and risk assessment of domestic abuse incidents, missed opportunities for inter-agency referrals, and challenges in engaging vulnerable individuals with complex needs. It also notes a lack of cl…
AI-generated summary The review identified systemic failures in multi-agency responses to a high-risk domestic abuse case involving reciprocal violence and severe alcohol/mental health issues. Concerns included inconsistent risk assessment, poor information sh…
AI-generated summary The review highlights missed opportunities by the GP practice to identify and intervene in domestic abuse, particularly concerning older individuals and male victims. It identifies a need for increased professional awareness, training, and…
AI-generated summary The review identified missed opportunities by agencies to recognise and respond to domestic abuse involving an older male victim and an adult child perpetrator with mental health and substance misuse issues. Key concerns include inadequate…
AI-generated summary The DHR highlights fragmented agency responses to escalating domestic abuse, including insufficient risk assessment, poor information sharing between community services and prison, and barriers to victim disclosure. It also notes the perpe…
AI-generated summary The review identified a lack of coordinated, holistic multi-agency support for the victim's complex needs, including mental health, drug misuse, and domestic abuse. Deficiencies were noted in information sharing, risk assessment, safeguard…
AI-generated summary The review highlights missed opportunities by health practitioners to assess and refer a perpetrator with deteriorating mental health and substance misuse, and to consider safeguarding risks to others, including a child. It also identifies…
AI-generated summary The review identified a lack of holistic understanding and interagency information sharing regarding the victim's alcohol and mental health issues in the context of domestic abuse. Agencies often failed to recognise the full extent of coer…
AI-generated summary The review identified missed opportunities by agencies to identify domestic abuse indicators in health settings, engage individuals in substance misuse treatment, and effectively manage a high-risk perpetrator. It highlighted the victim's …
AI-generated summary The report identifies fragmented care, inadequate risk assessment and management of adolescent-to-parent violence and abuse (APVA), and a failure to recognize the victim's vulnerability and emerging psychosis in the perpetrator. There was …
AI-generated summary The review identified a lack of professional curiosity and inter-agency information sharing, leading to missed opportunities to recognise escalating domestic abuse, coercive control, and stalking. Support for child victims was also delayed.
AI-generated summary Agencies missed opportunities to identify and respond to familial domestic abuse, compounded by ineffective information sharing, unconscious bias, and challenges in engaging with the victim and perpetrator. Delays in welfare checks and the…
AI-generated summary This DHR identifies systemic failures in identifying the true level of risk posed by the perpetrator's long-term, controlling, and coercive domestic abuse. Agencies missed opportunities to intervene effectively, partly due to the victim's …
AI-generated summary The report identifies challenges in engaging with specific communities regarding communication, police relations, and access to support services. It also raises concerns about the lack of information sharing on serious international crimin…
The index holds 692 reviews from the Home Office library. 9 are not yet listed here while recommendation extraction and verification completes. 5,050 of 10,174 verified recommendations are matched to organisations tracked in the index.
These are statutory reviews under section 9 of the Domestic Violence, Crime and Victims Act 2004.