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In response to evidence documenting the scale and impact of sexual violence (SV) and domestic abuse (DA) in universities, Universities UK (2016) recommend implementation of a UK based bystander programme, The Intervention Initiative (TII), as a key prevention strategy. However, a recent UK review (Gaffney et al, 2023) concluded that no studies have addressed implementation issues for university-based bystander programmes. Our study explored what is required for implementation of the TII in a UK university, rather than intervention effectiveness. The intervention was delivered to undergraduate students across three school cohorts: medicine, social work and sports coaching. The study draws on pre- and post-intervention surveys to explore SV and DA knowledge, attitudes, and bystander skills. Focus groups or individual interviews with students (n=11) and staff facilitators (n=10) explored experiences of implementation, delivery and participation. Students reported positive changes across several areas and some evidence of immediate impact on behaviours, suggesting potential for wider implementation across university contexts. Barriers included professionalisation of the application of the bystander intervention, resistance to an underpinning gendered evidence base and a lack of diversity and relatability in programme materials.

In response to evidence documenting the scale and impact of sexual violence (SV) and domestic abuse (DA) in universities, Universities UK (2016) recommend implementation of a UK based bystander programme, The Intervention Initiative (TII), as a key prevention strategy. However, a recent UK review (Gaffney et al, 2023) concluded that no studies have addressed implementation issues for university-based bystander programmes. Our study explored what is required for implementation of the TII in a UK university, rather than intervention effectiveness. The intervention was delivered to undergraduate students across three school cohorts: medicine, social work and sports coaching. The study draws on pre- and post-intervention surveys to explore SV and DA knowledge, attitudes, and bystander skills. Focus groups or individual interviews with students (n=11) and staff facilitators (n=10) explored experiences of implementation, delivery and participation. Students reported positive changes across several areas and some evidence of immediate impact on behaviours, suggesting potential for wider implementation across university contexts. Barriers included professionalisation of the application of the bystander intervention, resistance to an underpinning gendered evidence base and a lack of diversity and relatability in programme materials.

Background People with inflammatory bowel disease (IBD) require intensive follow‐up with frequent consultations after diagnosis. IBD telehealth management includes consulting by phone, instant messenger, video, text message, or web‐based services. Telehealth can be beneficial for people with IBD, but may have its own set of challenges. It is important to systematically review the evidence on the types of remote or telehealth approaches that can be deployed in IBD. This is particularly relevant following the coronavirus disease 2019 (COVID‐19) pandemic, which led to increased self‐ and remote‐management. Objectives To identify the communication technologies used to achieve remote healthcare for people with inflammatory bowel disease and to assess their effectiveness. Search methods On 13 January 2022, we searched CENTRAL, Embase, MEDLINE, three other databases, and three trials registries with no limitations on language, date, document type, or publication status. Selection criteria All published, unpublished, and ongoing randomised controlled trials (RCTs) that evaluated telehealth interventions targeted at people with IBD versus any other type of intervention or no intervention. We did not include studies based on digital patient information resources or education resources, unless they formed part of a wider package including an element of telehealth. We excluded studies where remote monitoring of blood or faecal tests was the only form of monitoring. Data collection and analysis Two review authors independently extracted data from the included studies and assessed their risk of bias. We analysed studies on adult and paediatric populations separately. We expressed the effects of dichotomous outcomes as risk ratios (RRs) and the effects of continuous outcomes as mean differences (MDs) or standardised mean differences (SMDs), each with their 95% confidence intervals (CIs). We assessed the certainty of the evidence using GRADE methodology. Main results We included 19

In this chapter, the reader will learn to create poignant lived experience 'Trigger Films' in research using Experience Based Co-Design (EBCD). EBCD is an eight-stage methodology developed from participatory action research, learning theory, and narrative-based approaches to change. It is used to improve the experience of both the people accessing a service and the staff through shared decision-making. All parties work as equal partners to understand that experience and to prioritize and co-design service improvements creating lasting change. During the HALT project, ‘Learning from Domestic Homicide Reviews Using EBCD,’ the authors created three Trigger Films with ten victims/survivors of domestic violence and seven family members bereaved by domestic homicide. In addition to other data collected in the project, these films were shown to service providers, the Home Office, government officials, and key stakeholders to co-create and implement service improvements to prevent future homicides. This chapter focuses on stage three of EBCD, the creation of the Trigger Films. By amplifying the victims/survivor experience through film, the staff gets to see services through their eyes. This allows victim/survivor experiences to not only inform but drive the agenda for change. It provides a platform for direct, honest conversation between the staff and victims/survivors to raise areas of concern or missed opportunities and celebrate and replicate areas of success. To do this, this chapter will demonstrate how to create Trigger Films by first identifying individual touch points in individuals’ stories that are then thematised into chapters and edited into three high-impact collective voice Trigger Films.

This paper summarises the findings from the evaluation of the Roadmap for System Change for Domestic Violence and Abuse in England and is aimed at those who are involved in commissioning, designing and delivering domestic abuse (DA) services.

Background Inflammatory bowel disease (IBD) is a life‐long condition for which currently there is no cure. Patient educational interventions deliver structured information to their recipients. Evidence suggests patient education can have positive effects in other chronic diseases. Objectives To identify the different types of educational interventions, how they are delivered, and to determine their effectiveness and safety in people with IBD. Search methods On 27 November 2022, we searched CENTRAL, Embase, MEDLINE, ClinicalTrials.gov, and WHO ICTRP with no limitations to language, date, document type, or publication status. Any type of formal or informal educational intervention, lasting for any time, that had content focused directly on knowledge about IBD or skills needed for direct management of IBD or its symptoms was included. Delivery methods included face‐to‐face or remote educational sessions, workshops, guided study via the use of printed or online materials, the use of mobile applications, or any other method that delivers information to patients. Selection criteria All published, unpublished and ongoing randomised control trials (RCTs) that compare educational interventions targeted at people with IBD to any other type of intervention or no intervention. Data collection and analysis Two review authors independently conducted data extraction and risk of bias assessment of the included studies. We analysed data using Review Manager Web. We expressed dichotomous and continuous outcomes as risk ratios (RRs) and mean differences (MDs) with 95% confidence intervals (CIs). We assessed the certainty of the evidence using GRADE methodology. Main results We included 14 studies with a total of 2708 randomised participants, aged 11 to 75 years. Two studies examined populations who all had ulcerative colitis (UC); the remaining studies examined a mix of IBD patients (UC and Crohn's disease). Studies considered a range of disease activity states. The length of the inte

In this chapter, The Premier League: Breaking the Cycle of Gang Violence, Christine Barter, Paul Hargreaves, Kelly Bracewell and John Pitts report on the findings of the BBC Children in Need and the Premier League Charitable Fund programme Breaking the Cycle of Youth Violence. The programme, was based on eight Premier League football clubs in England (Arsenal, Burnley, Crystal Palace, Everton, Newcastle United, Southampton, Stoke City and Tottenham Hotspur). It aimed to reduce youth violence in the communities in which Premier League football clubs operated. Each of the eight participating clubs had Club Community Organisations funded through the BCYV programme that undertook work with young people in their catchment area. This chapter is based on those elements of the programme which investigated the clubs responses to gang-involved young people in their area.

This article considers how minoritisation features in Domestic Homicide Reviews (DHRs) in England and Wales and identifies critical learning in relation to addressing minoritisation. Five themes were identified: i) the invisibility of race, culture and ethnicity; ii) perceptions and experiences of services; iii) use of stereotypes and the culturalisation of domestic violence and abuse (DVA); iv) lack of interpreters; and v) DHR recommendations. Our analysis illustrates that statutory sector services should strengthen their responses to Black and minoritised victims by ensuring proper recording of cultural background is used to inform practice; engage professionally trained interpreters with an awareness of DVA; resist framing DVA as endemic to minoritised cultures; and enhance trust and confidence in public services within minoritised communities. The best examples of DHRs challenged service narratives and usually sought expertise from a specialist Black/minoritised DVA service or community organisation (frequently minoritised women's rights organisations).

Domestic Homicide Reviews (DHRs) are a statutory requirement in England and Wales, conducted when somebody aged 16 and over dies from violence, abuse or neglect by a relative, intimate partner or member of the same household. While key aims of DHRs are to identify recommendations and lessons learned to eventually prevent further domestic homicides, there is limited evidence globally regarding the extent to which these are followed up or make a difference. This paper explores the barriers and facilitators to the conduct and impact of DHRs to enhance their learning potential. It is based on nineteen qualitative interviews with professionals involved in the DHR process across five Safeguarding Boards in Wales and fourteen Community Safety Partnerships in the North‐West of England, UK. Findings are presented thematically under four section headings: upskilling and democratising the review process; family and friends’ involvement; negotiating organisational blame to foster learning; and actioning and auditing recommendations. It is suggested that organisational learning cannot be achieved without accepting organisational responsibility, which could be interpreted as blame. The role and skills of the Chair are perceived as key to ensure a safe, evidence‐based, transparent and learning‐focused DHR process. Developing and actioning recommendations may challenge longstanding prejudices. Promoting the role of families/survivor networks and professionals on an equal footing would support a more democratic process. Learning could be enhanced by thematising recommendations and proactively using lessons from one area to inform another. Participants called for appropriate central regulation and accountability to support the action of recommendations.

Teenagers participating in a series of interviews over the course of their stay in domestic violence refuges described difficulties associated with the constraints of refuge life. Twenty young people reported experiences that connect to and challenge UN Convention on the Rights of the Child provisions and provide guidance on how refuges might strengthen their response and meet obligations to respect, protect and promote teenagers’ rights. Recognition of teenage refuge experience is needed, alongside the provision of space, independence and privacy; support to recover from domestic violence and abuse; involvement in leisure activities; educational support; access to computers and online information; and increased opportunities for individual and collective decision making. The findings contribute to growing evidence that policy makers and other duty bearers need to develop adequate resourcing, attitudinal change, practice guidance, dedicated support, active engagement and participation, and collaborative work between agencies. Implementation strategies are also discussed.

This article considers how minoritisation features in Domestic Homicide Reviews (DHRs) in England and Wales and identifies critical learning in relation to addressing minoritisation. Five themes were identified: i) the invisibility of race, culture and ethnicity; ii) perceptions and experiences of services; iii) use of stereotypes and the culturalisation of domestic violence and abuse (DVA); iv) lack of interpreters; and v) DHR recommendations. Our analysis illustrates that statutory sector services should strengthen their responses to Black and minoritised victims by ensuring proper recording of cultural background is used to inform practice; engage professionally trained interpreters with an awareness of DVA; resist framing DVA as endemic to minoritised cultures; and enhance trust and confidence in public services within minoritised communities. The best examples of DHRs challenged service narratives and usually sought expertise from a specialist Black/minoritised DVA service or community organisation (frequently minoritised women's rights organisations).

The Domestic Homicide Project (the Project), based in the Vulnerability Knowledge and Practice Programme (VKPP), was established by National Police Chiefs’ Council and the College of Policing. The Project was created in May 2020 through Home Office funding to collect, review, and share quick-time learning from all police-recorded domestic homicides and suspected suicides of individuals with a known history of domestic abuse victimisation. All police forces in England and Wales submit notice of relevant deaths to the Project shortly after the death occurs. The research is the first police-led work of its kind systematically collecting and analysing domestic homicides and suspected victim suicides following domestic abuse across England and Wales, aiming to learn lessons from every tragic death to seek to prevent future deaths. More detail, including key findings and recommendations, can be found in our first report, ‘Domestic Homicides and Suspected Victim Suicides During the Covid-19 Pandemic 2020-2021’ and our forthcoming second year report (both available via www.vkpp.org.uk ). This briefing examines the role of the carer in more depth. It considers both where the victim was carer to the suspect and where the suspect was carer to the victim. For the purpose of this briefing, a carer has been defined as: anyone who is living with (or specifically mentioned as caring for) a victim/suspect with a disability or severe or longterm illness, whether physical or mental/neurological. This has been established from contextual information provided by the police forces and therefore is dependent on the information provided and the judgement of the Project Team. The subset of data includes domestic homicides and suspected victim suicides following domestic abuse where the victim and suspect are aged 16 and over. This briefing addresses an evidence gap identified by Bracewell et al. (2022) on domestic homicides involving carers.

Increasing evidence documents domestic violence and abuse (DVA) and domestic homicide of adults killed by a relative in non-intimate partner relationships. Most literature focuses on intimate partner violence and homicide, yet non-intimate partner homicides form a substantial but neglected minority of domestic homicides. This article addresses this gap by presenting an analysis from 66 domestic homicide reviews (DHRs) in England and Wales where the victim and perpetrator were related, such as parent and adult child. Intimate partner homicides are excluded. These 66 DHRs were a sub-sample drawn from a larger study examining 317 DHRs in England and Wales.The article contributes towards greater understanding of the prevalence, context and characteristics of adult family homicide (AFH). Analysis revealed five interlinked precursors to AFH: mental health and substance/alcohol misuse, criminal history, childhood trauma, economic factors and care dynamics. Findings indicate that, given their contact with both victims and perpetrators, criminal justice agencies, adult social care and health agencies, particularly mental health services, are ideally placed to identify important risk and contextual factors. Understanding of DVA needs to extend to include adult family violence. Risk assessments need to be cognisant of the complex dynamics of AFH and must consider social-structural and relational-contextual factors. Key messages Understanding of domestic violence and abuse needs to include adult family violence. Risks and dynamics of adult family homicide are complex and must consider social-structural and relational-contextual factors. Criminal justice agencies, social care, substance misuse and mental health services provide opportunities for prevention.

Objectives This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To identify the communication technologies used for remote healthcare sessions, how they are used, their accessibility, and their potential benefits and drawbacks for people with inflammatory bowel disease.

Stalking involves repeated unwanted communication, harassment, and intrusive behaviour. This brief report draws on a service evaluation undertaken immediately prior to and during the 2020 COVID-19 crisis. The pandemic creates a paradox when considering safety in the home, but it is important to recognise the dangers this presents to many victims of stalking. The information presented in this report is based on existing literature and early evidence from semi-structured interviews and discussions with 15 victims and six practitioners. Whilst lockdown measures might appear to be a time when victims are less accessible to their stalkers, early evidence from this study suggests that their vulnerability is increased. Technology has helped to facilitate stalking behaviours by providing stalkers with new approaches to control, humiliate, threaten and isolate their victims. Some lockdown restrictions have provided increased opportunities for stalkers to monitor their victims and the professional uncertainty and recognition around stalking has continued, coupled with delays in the criminal justice system. The COVID-19 crisis has reversed gains made by stalking victims and has imprisoned some victims in their homes making their whereabouts easier to monitor. Stalking behaviour has not ceased as a result of the COVID-19 restrictions and the risk of harm to victims remains significant. Effective practice, policy and legal responses are required for both the victims and perpetrators of stalking during the pandemic and afterwards.

Regardless of how feminism is defined or identified, there is some consensus that its main project is to transform society by promoting social change (e.g., Ackerly & True, 2010). Talking about this goal as “the feminist project” incorrectly implies a coherent, organized set of activities agreed by consensus with all those who identify as a feminist. Of course, this is not the case. Priorities and methods differ, including the extent to which there is agreement about the utility of working within systems to affect change versus working outside them to dismantle them. For example, in her work, Walby (2005) has pointed to gender mainstreaming as providing new opportunities for women “to bring their gender expertise in[to] civil society from universities to grassroots organizations” (p. 467). Thus, working within universities can be viewed as a radical feminist endeavor. McRobbie (2009), on the other hand, is more critical of this approach and questions the extent to which women in powerful positions within state institutions can be trusted to enact feminist agendas for change. Hence, considering the work of feminists within academia and their attempts to promote a gender-based violence (gBv) agenda provides an opportunity to consider whether and how institutions can be transformed from within. in the united Kingdom over the past 10 years there has been a focus on higher education institutions and universities and their responsibilities toward ensuring that they both create a safe environment for women students and staff as well as provide sensitive and appropriate responses to individual women seeking help and support for experiences of domestic and/or sexual violence (see, e.g., Anitha & lewis [2018] for an overview). during this time, the #MeToo movement has sparked an international raising of awareness and feminist activism about sexual harassment and violence, initially in the entertainment industry but subsequently more broadly in other industries such as univers