Child to parent homicides

Domestic homicide review process
Domestic Homicide occurs
CSP informed and decides on whether the homicide
meets criteria of DHR (Within one month of homicide)
Conduct DHR: Chair to draft Overview Report,
Executive Summary and Action Plan (Within 6 months
of CSP decision to hold DHR)
Review agreed by
Review Panel and
sent to
commissioning CSP
CSP agree Review and
send to Home Office
Criteria met: CSP commission
DHR and Review Panel
Review Panel establishes terms of
reference, appoints Chair and
commissions agency IMRs and
relevant reports
QA Group assesses Review as
adequate/inadequate according to
Review is published, stored centrally by
HO and lessons learned disseminated
by QA Group via bulletin and web page.
Learning the Lessons
‘The repetition of past mistakes may
amount to institutional incompetence’
(McPherson, 1998)
‘I am convinced the answers lie in doing
relatively straightforward things well’
(Laming, 2003)
Some observations - sources
• Delivered accredited training for DHR chairs
to 94 delegates
• Quality Assure approximately two DHRs a
• Chairing DHRs (18)
• Acting as a sounding board for other Chairs
• Recent Home Office publication on DHRs
Some observations
• Lack of understanding how central the family
are to the process
• We need to have a new conversation about
information sharing and risk – professional
judgement / listening to victims is critical.
• Engagement with perpetrators outside of the
CJS is limited
• Issues with thresholds / definitions of
• Lack of professional curiosity
• Engaging with the unengaged
• Attribution of bruising to falls / age related
• Sons with mental health / substance use
• Lack of carer assessments
• Lack of risk recognition for carers
• Understanding abuse as a power issue and
not a relationship issue
• Financial abuse far higher in older age group
• Disability doubles the risk
• V little data – BCS cuts off at 59
• Risk is often multi-faceted
• Complex needs – a significant failing
• Coercive control is a better indicator of risk
than physical violence
• Always assume that your report – IMRs and
ORs – is being read by those that loved the
victim. Would the report seem adequate to
• DHRs are a great opportunity to think
differently about domestic violence. They are
a new framework which allows us to really
test our service provision against the needs
of real victims and their real circumstances
Every Body Matters

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