By Kylie Butler and Jasmine B. MacDonald

This policy and practice paper describes what we know about the relationship between intimate partner violence (IPV) and violence against family animals. It covers: (a) the forms of violence against family animals in an IPV context; (b) why perpetrators of IPV use violence against family animals; (c) how violence against family animals affects victim-survivors; and (d) implications for practice including tips for supporting clients who may be experiencing violence against family animals in an IPV context. Key messages ƒ Some evidence suggests that violence against family animals may be an indicator of frequent and severe IPV patterns. ƒ Perpetrators may threaten, harm or kill family animals with an intention to control victimsurvivors, cause emotional distress and/or control animals. ƒ Violence against family animals has negative effects on the physical and psychological wellbeing of victim-survivors, including children and family animals. ƒ Many victim-survivors report staying with, delaying leaving or returning to perpetrators due to fears for the safety of family animals left with the perpetrator. ƒ Actions at the practitioner, service and systemic levels to strengthen support for victimsurvivors of IPV who have experienced violence against family animals include: − screening for violence against family animals and providing support with animal-inclusive safety planning − increasing access to animal-inclusive crisis accommodation ƒ strengthening relationships between IPV support services, animal welfare services and law enforcement

Southbank VIC 3006 Australia Australian Institute of Family Studies, 2024. 16p

By Kristin Lees Haggerty; Olanike Ojelabi; Randi Campetti; Kathy Greelee

The authors of this paper report on a research project aimed at addressing unreported cases of elder abuse, and specifically exploring what guidance policy and decision-makers need in order to address barriers to reporting. Specifically, the authors’ research sought to improve understanding of elder abuse reporting pathways, facilitators, barriers, and outcomes. Over the course of their research, the authors report achieving three main objectives: conducting an environmental scan of policies and practices across states; conducting an in-depth case study of policy changes made in the state of Massachusetts; and developing recommendations for improving communication between Adult Protective Services (APS) and reporters based on findings from the first two objectives. The project was guided by two main research questions: what the legal, ethical, and practical barriers and facilitators are to establishing feedback loops about reported cases of potential elder abuse; and how regulations are interpreted and put into practice at the state and local levels in Massachusetts. The authors discuss their research design, methods, and analytical data analysis techniques, expected applicability of the research, limitations, outcomes, and recommendations.

Waltham, MA: Education Development Center, 2023. 67p.

By Thorn and Burson Insights, Data & Intelligence

Since 2019, Thorn has focused on amplifying youth voices to better understand their digital lives, with particular attention to how they encounter and navigate technologyfacilitated forms of sexual abuse and exploitation. Previous youth-centered research has explored topics such as child sexual abuse material (CSAM)1 —including that which is self-generated (“SG-CSAM”)—nonconsensual resharing, online grooming, and the barriers young people face in disclosing or reporting negative experiences. Thorn’s Emerging Threats to Young People research series aims to examine emergent online risks to better understand how current technologies create and/or exacerbate child safety vulnerabilities and identify areas where solutions are needed. This report, the first in the series, sheds light specifically on young people’s perceptions of and experiences with deepfake nudes. Future reports in this initiative will address other pressing issues, including sextortion and online solicitations. Drawing on responses from a survey of 1,200 young people aged 13-20, this report explores their awareness of deepfake nudes, lived experiences with them, and their involvement in creating such content. Three key findings emerged from this research: CSAM Any visual depiction of sexually explicit conduct involving a person less than 18 years old 1. Young people overwhelmingly recognize deepfake nudes as a form of technology-facilitated abuse that harms the person depicted. Eighty-four percent of those surveyed believe that deepfake nudes cause harm, attributing this largely to the emotional and psychological impacts on victims, the potential for reputational damage, and the increasingly photorealistic quality of the imagery, which leads viewers to perceive—and consume—it as authentic. 2. Deepfake nudes already represent real experiences that young people have to navigate. Not only are many young people familiar with the concept, but a significant number report personal connections to this harm—either knowing someone targeted or experiencing it themselves. Forty-one percent of young people surveyed indicated they had heard the term “deepfake nudes,” including 1 in 3 (31%) teens. Additionally, among teens, 1 in 10 (10%) reported personally knowing someone who had deepfake nude imagery created of them, and 1 in 17 (6%) disclosed having been a direct victim of this form of abuse. 3. Among the limited sample of young people who admit to creating deepfake nudes of others, they describe easy access to deepfake technologies. Creators described access to the technologies through their devices’ app stores and accessibility via general search engines and social media

El Segundo, CA: Thorn, 2025. 32p.

By Childlight (Global Child Safety Institute)

The sexual exploitation and abuse of children is a global health crisis. This report – presenting a diverse set of studies into the nature of the crisis – underscores the need for urgent action, provides solutions and shines a light on the financial networks that fuel child sexual exploitation and abuse (CSEA). The theme – who benefits? – asks a critical question: who is making money from this vile trade? The answer is as disturbing as it is clear. Organised crime groups profit, of course, but so do mainstream technology companies. 

The report shows that advertising revenue increases when platforms attract high volumes of traffic, including traffic generated by offenders engaging in CSEA. The exploitation of children is not just an atrocity — it is an industry, generating billions of dollars in profits. This is a market, structured and profitable, designed to generate revenue off the backs of vulnerable children. But markets can be disrupted, and that is where change must begin. Governments, businesses and communities must shift to a prevention-focused approach that stops CSEA before it begins.

Key findings

• Offenders are evolving, adapting and exploiting gaps in legislation and regulations.

• Offenders groom single parents via dating apps to access their children.

• Offenders target displaced children in conflict zones like Ukraine.

• Images are traded using sophisticated payment methods, including cryptocurrencies, to evade detection.

Key solutions

• Law enforcement and financial institutions can use tell-tale digital breadcrumbs to track and dismantle CSEA networks.

• Tech companies must be held accountable, pro-actively detect and remove child sexual abuse material (CSAM), and make more effective use of tried and tested tools, like blocklists, to shut down access to CSAM.

• Policymakers must act decisively, as the United Kingdom has begun to do, by criminalising AI-generated CSAM and banning so-called ‘how-to’ manuals for paedophiles. 

Edinburgh: University of Edinburgh, Childlight, 2025. 15p.

By Jacki Tapley, David Shepherd, Veronika Carruthers, Jennifer Grant, Chloe Hawkins, Michelle McDermott, Megan Thomas 

  The Victim Contact Scheme (VCS) requires the Probation Service to offer contact to victims of specified sexual and/or violent offences to provide information about the offender’s sentence and release. The VCS applies to cases where the sentence is 12 months or more, or where the offender is made subject to a hospital order. The 2021 Target Operating Model for the unified Probation Service highlighted the desire to provide a similar service to victims of stalking, harassment and coercive and controlling behaviour, where the length of sentence is less than 12 months. The Victim Notification Scheme (VNS) differs from the VCS; it is a non-statutory scheme and due to the nature of the shorter sentences there is a need to contact victims more quickly. The VNS was initially trialled from April 2022 in three Probation regions: Hampshire and Thames Valley, Northumbria, and the whole of Kent, Surrey and Sussex. This report provides findings from a process evaluation of the VNS. The aim of the research was to explore the process by which the VNS has been rolled out in the pilot areas, and its perceived impact on those criminal justice professionals responsible for its delivery, as well as the perceived impact on victims’ experiences and the specialist support services assisting them. It also aimed to identify parts of the new process that are working well and areas where further improvements are required, particularly in relation to the shorter timescales required for VNS cases.   

 Ministry of Justice Analytical Series, London: UK Ministry of Justice, 2025. 71p.

By Sukhwant Dhaliwal

This knowledge review is the first to provide an up-to-date overview of published research in relation to the sexual abuse of African, Asian and Caribbean heritage children. It sets out what this research says about the nature of that abuse, its impacts, the barriers that prevent children talking about it, and how concerns about it are identified and responded to – both within communities and by services. Equally importantly, it identifies significant gaps in knowledge and understanding, and recommends how these can be addressed. Commissioned by the Centre of expertise on child sexual abuse (the CSA Centre) and Barnardo’s SEEN Centre for children and young people of African, Asian and Caribbean heritage, the review was conducted by the Child and Woman Abuse Studies Unit (CWASU) at London Metropolitan University. In addition to examining 79 publications (including research studies, journal articles, book chapters and ‘grey’ literature) which related to 59 distinct research or evaluation projects, it collated information on ongoing research and convened four focus groups involving African, Asian and Caribbean heritage people with knowledge of child sexual abuse as academics/researchers, practitioners and ‘experts by experience’. Overview of the research literature The publications reviewed dated from between 1988 and 2023. There is a shape to their content and quantity, with recent years seeing rapid growth in the number of publications. Only a small number of studies were published up to the early 2000s. The period between 2010 and 2015 focused principally on the sexual exploitation of African, Asian and Caribbean heritage children; subsequently, there was a shift towards talking about child sexual abuse and sexual violence more widely. Most of the published studies were based on qualitative research and were small in scale. They typically focused on a particular ethnic group or on abuse in particular settings such as religious institutions, with an emphasis on the experiences of women and girls; the distinct experiences of boys were largely absent. Very few included quantitative analysis of larger samples. As a result, the literature tells us about the nature of the sexual abuse experienced by African, Asian and Caribbean heritage children, and the contexts in which it takes place, but not its scale. The review found that the sexual abuse of Asian heritage children, primarily those of North Indian and Pakistani heritage, received more research attention than the sexual abuse of African and Caribbean heritage children: only four studies focused solely on African victims/survivors, and another four on Black Caribbean victims/survivors. Moreover, children of African, East Asian and Southeast Asian heritage received hardly any attention. There was little research engaging directly with African, Asian and Caribbean heritage children; most relied instead on accounts from adult victims/survivors or practitioners, or on analysis of children’s case files. Studies involving the greatest direct engagement with children as research participants were those on gang-associated sexual violence, one on intra-familial child sexual abuse, and two on the experiences of unaccompanied asylumseeking minors. Although many of the studies included discussion of service responses to the sexual abuse of African, Asian or Caribbean heritage children, there were only three evaluations of support services or interventions.

Barkingside<Ilford: Centre of Expertise on Child Sexual Abuse, 2024. 112p.

By Karen L. Schucan Bird, Nicola Stokes, Carol Rivas

Background: Domestic Violence and Abuse (DVA) is a significant global problem that warrants a robust, multi‐sectoral response. The Covid‐19 pandemic highlighted that informal and social networks play a critical role in responding to victim‐survivors, alongside formal agencies and specialist services. Friends, relatives, neighbours and colleagues are uniquely placed to recognise abuse, respond and refer to wider services, where appropriate. Seeking to harness this potential, interventions tailored towards such informal supporters are being developed and implemented around the world. Yet little is known about such interventions. By pulling together the research on such programmes, this evidence and gap map begins to advance the understanding of informal support interventions, pinpointing the range and type of interventions implemented around the world, and the extent of the available evidence. This provides valuable insights for policy makers and practitioners seeking to commission or develop interventions and research in this area, with a view to facilitating a holistic, societal‐wide response to domestic abuse. The evidence and gap map was a collaboration of academics and specialists, as well as domestic abuse researchers, with input and guidance from an Advisory Group.Objectives: This evidence and gap map aims to establish the nature and extent of the empirical primary research on interventions aiming to create or enhance informal support for victim‐survivors of domestic abuse, identifying clusters of evidence potentially suitable for synthesis, and gaps in the research base.Search Methods: The following bibliographic databases were searched for published studies from inception to 31st October2022: APA PsycINFO, Social Policy and Practice, ASSIA, PubMed, and Social Science Citation Index. Identifying grey literature was an important pillar of the search strategy and so websites of domestic abuse organisations, predominantly in the United Kingdom, were also searched. Similarly, a targeted search of specialist systematic review, policy and domestic abuse database was undertaken from inception to 10th July 2023.Selection Criteria: The evidence and gap map focused on any interventions that explicitly aimed to create or enhance informal social support for victim‐survivors of domestic abuse. Eligible interventions targeted the providers of the support (i.e., friends,relatives, neighbours or colleagues), the victim‐survivor, the relationship between them, and/or the wider community within which the informal support was provided. All study designs were included, reporting qualitative or quantitative data for samplesor victim‐survivors (adults who were/had been experiencing abuse in an intimate relationship) or informal supporters.Outcomes were not used as part of the eligibility criteria. Eligible studies needed to be published in English. Collection and Analysis: All studies included in the evidence and gap map were coded by two independent reviewers,using specialist systematic review software EPPI Reviewer. Details were collected about the study sample, study design,intervention and outcomes. Quality appraisal was not undertaken.Main Results: The EGM identified 47 primary studies of interventions that aimed to create, enhance or facilitate informal support for victim‐survivors of domestic violence and abuse. The overwhelming majority of evidence is drawn from the GlobalNorth, and there is dissonance between the small evidence base and the relatively larger number of informal support interventions implemented around the world. The EGM highlights the importance of diverse study designs and grey literature in this field. The body of research is unevenly distributed, with the greatest concentration of studies around interventions directed towards victim‐survivors, such as support groups or mentoring, and those tailored towards informal supporters, such as education and training. Most research reported on female, adult victim‐survivors with a particular emphasis on their mental health and wellbeing, and their help‐seeking behaviours. The reporting of such outcomes aligns with wider service user/provider priorities and highlights the imperative of DVA research to improve the lives of victim‐survivors. The EGM found little research focused on interventions targeting structural factors that shape informal support, such as social relationships or community norms, and a lack of data on specific population groups including victim‐survivors in the longer term, ethnic minority groups and men. There are major gaps in the research for informal supporters with limited data or outcomes for this group, and specific types of informal supporters (namely friends and family members) are notably absent from samples. TheEGM also highlights a gap in the research on community‐level outcomes.Authors' Conclusions: To our knowledge, this EGM is the first to provide a comprehensive and rigorous overview of the evidence on informal support interventions in domestic abuse. The EGM provides a valuable tool for policymakers, practi-tioners and researchers seeking to navigate the evidence around such interventions. Whilst the EGM provides a partial picture of interventions around the world, the studies offer insight into informal support for victim‐survivors of DVA and the potential effects of intervening. The suite of interventions covered by the EGM can inspire policymakers to broaden the response to domestic abuse beyond frontline services, identify stakeholders and commission pilot studies to further understanding of informal support interventions. The evidence base can be strengthened with additional studies examining interventions that target relationships and communities, as well as individuals, and assessing a wider range of population groups. At the sametime, the EGM offers pockets of rich data, such as outcomes on victim‐survivor mental health or interventions in faith‐basedorganisations, which can be utilised to inform current and future service provision.

Campbell Systematic Reviews, Volume 21, Issue 2, 2025; 48p.

By Nicola Helps, Charlotte Bell, Chloe Schulze, and, Rodney Vlais

This paper summarises the literature on men’s behaviour change programs (MBCPs) and contributes to building a shared understanding of their role in addressing domestic, family and sexual violence in Australia. While MBCPs were never meant to be a panacea for domestic, family and sexual violence, their role and effectiveness in addressing domestic, family and sexual violence is often questioned.

Key insights

• There is variation across MBCPs in terms of program logical and theoretical frameworks, structure (e.g. duration, frequency and intensity) and focus.

• Most people who use violence will never engage with an MBCP service.

• MBCPs are a piece of the broader infrastructure required to address men’s use of violence. MBCPs are a specialist response often connected to criminal justice systems.

• Positive outcomes at the end of an MBCP are most likely to be incremental in terms of reductions in some aspects of the program participant’s violent and controlling behaviours, however, outcomes vary substantially between program participants.

• Behaviour change work is not complete at the end of MBCP participation.

• There is a risk in the limited perpetrator intervention landscape in Australia of an unrealistic expectation for MBCPs in their standard form to be effective for all people using violence.

Key conclusions

• MBCPs are conceptualised as one piece of the puzzle however are yet to be operationalised as part of a fully integrated system.

• MBCPs need to be better funded to provide tailored, holistic and timely services that can support meaningful behaviour change.

• MBCPs need to be embedded collaboratively within the broader domestic, family and sexual violence ecosystem so they can work together with other services.

• MBCPs are only one piece of the response to domestic, family and sexual violence.

Sydney: Australia's National Research Organisation for Women's Safety (ANROWS): 2025. 35p.

By Cat Strawa

This policy and practice paper outlines the research evidence on the effectiveness of parenting programs for preventing or reducing child maltreatment. 

Child maltreatment can include physical abuse, sexual abuse, emotional abuse, neglect or exposure to domestic violence. Definitions of child maltreatment also often include actions taken by parents or caregivers in the home. For example, failure to provide for a child’s basic needs, exposure to acts of domestic violence or the use of physical force that causes harm.

The paper discusses research on the specific practices, content and techniques used within parenting programs, and those most commonly used in effective programs or that may increase program effectiveness.

Key messages

• Parenting programs can support the prevention and reduction of child maltreatment but not all parenting programs are effective at doing so.

• Research evidence is still emerging on which elements of parenting programs for child maltreatment contribute to their effectiveness.

• Some practices commonly used in effective programs include:

• providing content to support parenting practices and

• skills

• delivering programs using qualified practitioners.

Southbank, VIC: Australian Institute of Family Studies  2025. 22p.

By European Union Agency for Fundamental Rights (FRA), Eurostat and European Institute for Gender Equality (EIGE) 

  This report presents, for the first time, selected key results of the EU gender-based violence survey based on data from all 27 Member States. Across the EU-27, 114 023 women were interviewed about their experiences. The report focuses on the prevalence of various forms of violence against women in the EU. The EU gender-based violence survey also collected specific data about women’s experiences of violence, including on the consequences of violence and contacts with different services that provide assistance to victims, as survivors of violence. Data on both the prevalence of violence and the consequences of violence will be analysed in detail in the survey report that Eurostat, FRA and EIGE will publish in 2025. In this report, the results are presented in four chapters, starting with the overall prevalence of physical violence or threats and/or sexual violence by any perpetrator. This is followed by two chapters that focus on violence perpetrated by women’s intimate partners and by other people (non-partners). The fourth chapter examines women’s experiences of sexual harassment at work. Finally, the report includes an annex that summarises the survey data collection methodology  

 Luxembourg: Publications Office of the European Union, Luxembourg  2024. 48p.

By Anita Franklin, Louise Bradley, Jo Greenaway, Sarah Goff, Sarah Atkins and Lucy Rylatt

Children and young people with SEND have specific vulnerabilities due to communication, learning or neurodivergent needs which are often unmet by current service structures. These needs are often not recognised or well understood by multi agency services who rarely receive specific training in communicating or working with this group of children. Many of these children and young people have not had their needs formally diagnosed, and many are on long waiting lists for diagnosis and assessments. This group of children and young people often experience; higher rates of poverty, social and school exclusion, isolation, bullying and discrimination. They are also over-represented in the care system and face particular challenges when housed in unregulated accommodation. This is coupled with often high levels of unmet needs and generally a lack of empowerment and agency. All indicators which correlate to increased risk of exploitation.

This qualitative exploratory study sought to provide evidence to identify and address gaps in safeguarding policy, guidance and legal frameworks in relation to specific risks of modern slavery for children and young people with special educational needs and disabilities (SEND) in England and Wales (aged up to 25 years). Furthermore, the study sought to explore whether policies and guidance provide the mechanisms for appropriate strategic planning and practical responses to modern slavery for this group of children and young people.

Key findings

1. Despite children and young people with special educational needs and disabilities (SEND)/additional learning needs being at increased risk of exploitation and trafficking, there is inadequate attention to the specific needs of young people with SEND in national safeguarding or modern slavery policy.

2. A lack of robust training may mean that practitioners may not be aware of the impact and interrelation between SEND and modern slavery.

3. There is a lack of data collection and a lack of understanding of modern slavery and SEND, impacting on opportunities for prevention and early identification, or to understand the scale and nature of how SEND and modern slavery interact.

4. There are missed opportunities for early intervention and disrupting patterns of exploitation, for example when responding to reports from parents of missing episodes for young people with SEND.

5. Engagement with education services is one of the most significant factors in keeping children with SEND safe from exploitation. Practitioners and parents were very clear that the most significant factor in keeping children and young people safe from modern slavery was their engagement within an education system that met their SEND needs.

6. Responding well and responding early requires parents’ concerns being listened to, with training and multi-agency support being in place.

Recommendations

1. The Department for Education should update the Safeguarding Disabled Children and Young People Guidance

2. Implementation of Safeguarding Children with SEND champions.

3. The UK government should improve information sharing and data collection that helps agencies understand prevalence and nature of SEND on children and young adults’ safeguarding needs

4. The Home Office and DfE should jointly commission and roll out national multi-agency mandatory training across all services to address lack of understanding of modern slavery and SEND amongst frontline workers and managers across statutory and voluntary sectors.

5. The Department for Education should support the earlier identification of SEND and support to meet needs through multi-agency working.

6. The Department for Education should lead multi-agency work to prevent school breakdowns and establish accountable safeguarding processes for young people with SEND.

7. The Home Office and Department for Education should support local safeguarding partnerships to work with parents as a resource for protection and to fund and produce resources to support parents.

8. Local Safeguarding Partnerships should undertake an urgent review of how risk is assessed in children and young people with SEND.

9. The Department for Education and the Home Office should update guidance and develop training to support improved practice concerning missing children and young people with SEND.

10. Local Authorities should reduce distant out of authority placements and their breakdown as a response to exploitation and trafficking.

11. All agencies should improve professional understanding of communication and behaviours of children and young people with SEND.

London; Modern Slavery and Human Rights Policy and Evidence Centre,  2024. 56p.

By Mar Negreiro  

Online child sexual abuse materials (CSAM) and grooming practices (manipulation aimed at exploiting and abusing people), now increasingly targeting younger children, have been proliferating at an alarming rate. In 2023, the more than 36.2 million reports of suspected online child sexual abuse represented a historical peak.Reports of groomingrose by more than 300% between 2021 and 2023. Most activities detected were hosted in Europe. In response to this situation, on 11 May 2022 the European Commission adopted a proposal for long-term rules to prevent and combat child abuse. The Commission proposal would require interpersonal communication services, such as webmail messaging services and internet telephony, as well as others, to proactively detect online CSAM materials and activities involving child grooming. However, this poses many concerns regarding privacy, security and law enforcement investigations. The proposal also provides for the establishment of an EU centre to support the implementation and supervision of the new rules. In the European Parliament,the file has been assigned to the Committee on Civil Liberties, Justice and Home Affairs (LIBE).Parliament adopted the LIBEreport at first reading on 22 November 2023, along with the committee recommendation to enter into interinstitutional negotiations. The Council is still working on its common position under the Hungarian Presidency, where a blocking minority of countries persists.  

Luxembourg: EPRS | European Parliamentary Research Service, 2024. 12p.

By Hanna-Mari Lahtinen , Kirsi Honkalampi, Tegan Insoll, Juha Nurmi, et al.

The dark web has become a more prevalent platform for the distribution of child sexual abuse material (CSAM). Most CSAM users remain undetected by law enforcement, and little is known about the population not convicted.ObjectiveThe aim of the study was to contribute to the research on CSAM users by investigating the differences between CSAM users who self-report having been charged for sexual offenses against a child or an adult and those who self-report not having been charged of such offenses.Participants and settingWe analyzed anonymous survey data from 2384 respondents who sought CSAM on the dark web. Most of the respondents were young males (18–34-year-olds) searching for material depicting girls. The sample was divided into three groups: 1) those who admitted to having been charged for sexual offenses against children (CS offenders, n = 474); 2) those who admitted to having been charged for sexual offenses against adults (AS offenders, n = 620); and 3) those who admitted to no charges (NC group, n = 1290).MethodsWe used multinomial logistic regression analysis to analyze differences in self-reported behavior and motivation to access CSAM between the three groups.ResultsThose who had a previous history of violent offenses, had groomed children online, had physical contact with children, and searched for material depicting infants and toddlers were significantly more likely to belong to the CS or AS offenders group.ConclusionsWe found significant differences between the groups in their individual, motivational, and behavioral characteristics that have important implications for investigating sexual crimes and assessing and treating sexual offenders.

Unpublished report, 2024. 32p.

By Linda Jepkoech Kimaru ,Cheng Cheng Hu, Sudha Nagalingam, Priscilla Magrath, Elizabeth Connick, Kacey Ernst, and John Ehir

Adherence to antiretroviral therapy (ART) is crucial for achieving and maintaining viral suppression in people living with HIV (PLWH). While individual factors affecting HIV viral suppression have been extensively studied, there is less attention on community-level factors, specifically perceived neighborhood disorder. This study aims to assess the relationship between perceived neighborhood disorder and achieving virologic suppression among people living with HIV. One hundred and eighty-eight PLWH 18 years of age and older from two HIV clinics completed a cross-sectional study. We assessed perceptions of neighborhood disorder, ART self-efficacy, social support, alcohol and drug use, depression, HIV stigma, provider-patient relationship, demographics, and length at the zip code. HIV viral loads were obtained from the clinical record. The analysis involved the use of Fisher’s Exact test, Spearman’s Rank test, Wilcoxon rank sum test, and Firth logistic regression. All analyses were conducted using STATA 17. Most participants were male (79%), white (62%), and identified as non-Hispanic (66%). Individuals with no perceived neighborhood disorder had median scores of 10 for integration and perseverance in ART self-efficacy. Those with high perceived disorder displayed decreased scores of 8.4 and 8.3 for integration and perseverance respectively. Both integration and perseverance showed statistically significant negative correlations with perceived neighborhood disorder, (Spearman’s rho -0.2966; p<0.000 and -0.2387; p = 0.0010 respectively). Individuals with virologic suppression (n = 167) reported significantly lower perceived neighborhood disorder scores (median = 0.9 [IQR: 0.2–2.0]) compared to those without virologic suppression (n = 10, median = 3.2 [IQR: 2.4–4], p = 0.0012). The study highlights a notable correlation between perceived neighborhood disorder, ART adherence self-efficacy, and virologic suppression. This indicates that improving HIV treatment outcomes needs to extend beyond individual-level factors and include strategies to address neighborhood-level conditions. Public health policies and programs should consider the broader social and environmental contexts in which people living with HIV reside.

PLOS Glob Public Health, 2024, 13p.

By Stewart Boiteux & Adam Teperski

To examine the operation of the NSW Domestic Violence Electronic Monitoring (DVEM) program, and to estimate the association between DVEM program participation and recidivism. METHOD Entropy balancing was used to match 226 DVEM participants on parole with 768 parolees who met observed program eligibility conditions but did not participate in the program. Using multivariate probit regression, four recidivism outcomes were compared between offenders participating in DVEM and the matched offender sample, including the probability of any reoffending, domestic violence reoffending, Apprehended Domestic Violence Order breaches, and the probability that an offender on a community order was imprisoned for a new offence or breach of the conditions of their order. RESULTS Offenders participating in DVEM were around 7 percentage points (p.p.) less likely to return to custody within a year. DVEM participants were also significantly less likely to reoffend with any offence (7.1 p.p.), a domestic violence offence (10.5 p.p.), and an ADVO breach (8.7 p.p.). While the study assessed many factors related to both DVEM placement and reoffending, it is unable to exclude the possibility that unobserved variables and/or factors related to participation in DVEM may be influencing the results. CONCLUSION DVEM participation is associated with significant reductions in the probability that an offender reoffends and/or is imprisoned within a year of release.

(Crime and Justice Bulletin No. 255). Sydney: NSW Bureau of Crime Statistics and Research. 2023. 30p.

By  Leanne Lester, Zoe Callis and Paul Flatau

 As more data is being collected by Zonta House, the importance of linking the data, ensuring measurement tools are valid and reliable, and that all program outcomes are measurable has become paramount. This process has enabled UWA to assess the impact and effectiveness of Zonta House programs. Linking of data sources The linking of Penelope and SHIP data enabled a complete evaluation of Zonta House programs. It is recommended that processes be developed to ensure the accuracy of data entry into both Penelope and SHIP systems. As the linking is done through birth dates and Statistical Linkage Keys, it is imperative that birth dates and client names are entered correctly into both systems. Mapping program logic to available data By mapping the program logic to available data we were able to ascertain that all outcomes were measurable using both internal (Penelope) and external (SHIP and Department of Communities) hosted data sources. Measuring program logic outcomes The results of the data analysis show Zonta House are performing well and achieving their outcomes in the crisis and transitional accommodation programs, Recovery Support, Outreach Support, Positive Pathways, Future Employment Connections, and Positive Pathways programs. Understanding a woman’s journey through Zonta House By mapping the flow of a woman’s journey through Zonta House we were able to determine common pathways of program engagement, and pathways of engagement which were more likely to lead to a woman’s exit from Zonta House. It is recommended that Zonta House encourage engagement with programs such as Safer Pathways, Recovery Support, Positive Pathways and Outreach Support programs as soon as possible within a woman’s journey through Zonta House. Reliability and validity of the Life Matrix In this study we explored the potential value for the Life Matrix to be used as a routine measure at Zonta House. Of particular interest was whether the Life Matrix was reliable and valid. Five domains of the Life Matrix (emotional wellbeing; social wellbeing; community and cultural involvement; mental health; and physical health) showed a reliable underlying theme of wellbeing and contribute to the Revised Total Life Matrix Score. Validity was tested against the Depression, Anxiety and Stress Scale (DASS 21), with significant correlations in the expected direction showing convergence between the two instruments. Clients in the moderate/severe/ extremely severe band had significantly lower Revised Total Life Matrix Scores than those in the normal and mild bands, also demonstrating convergence. The Life Matrix domains are significantly correlated with SHIP variables. The Life Matrix is a reliable and valid tool and is recommended for use. Optimisation of visualisation Many limitations were found when trying to extract and display data from the Penelope system. To enable effective visualisation of data, it is recommended that work is done directly with the developers of Penelope to access and customise visualisations  

Perth: Centre for Social Impact The University of Western Australia 2021. 57p.

By Leanne Lester, Ami Seivwright, Paul Flatau, Emma Crane, and Kiara Minto

This report presents an analysis of client outcomes with a view to understanding the impact of Zonta House and provides a statistical analysis of the validity and reliability of the Life Matrix tool developed and used by Zonta House to measure clients’ wellbeing at intake and exit.

As with many community agencies, Zonta House manages a number of programs and uses different platforms to store its data. As with other agencies funded to undertake Specialist Homelessness Services (SHS) programs (which are jointly funded by the Commonwealth and State/Territory governments), Zonta House utilises the Specialist Homelessness Information Platform (SHIP) to capture data. At the same time, Zonta House captures client outcomes information on SHS clients using the popular Penelope client management platform, which also is the platform for storing client service and outcomes across a myriad of other programs designed to provide a holistic service response to the needs of women and children experiencing family and domestic violence. This data capture includes Zonta House’s innovative Life Matrix client outcomes approach.

After extracting and cleaning the data, CSI UWA undertook reliability and validity testing of the Life Matrix tool used by Zonta House as a case management and outcomes measurement tool.

Perth: Centre for Social Impact, University of Western Australia, 2021, 44p.

By Gemma Hamilton, Dirkje Gerryts, Brianna Chesser

The Alexis Family Violence Response Model (Alexis-FVRM) is a coordinated police and social services response to recidivist family violence in Victoria. Following the success of the pilot program, the Alexis-FVRM was expanded to include multiple regions in the South-Eastern metropolitan corridor of Melbourne and is currently active across multiple police divisions.

The evaluation aimed to explore the effectiveness of the Alexis-FVRM since the rollout to other police divisions across Victoria. It also sought to provide an overview of the type of support provided by the Alexis-FVRM, and an exploration of engagement rates and modes of engaging victim-survivors and respondents.

Overall, the Alexis-FVRM provided a range of support to a diverse pool of respondents and victim-survivors in several police divisions across Victoria. The evaluation results are largely positive regarding the efficacy of the Alexis-FVRM. The evaluation results indicate that the Alexis-FVRM helped to reduce the risk of family violence for many of the respondents and affected family members.

Key findings

78% of victim-survivor participants reported that the Alexis-FVRM helped to reduce family violence in their lives.

The risk levels for respondents significantly reduced following Alexis-FVRM intervention. 66% had lower risk levels at case closure compared to their initial risk ratings.

Alexis-FVRM practitioners reported successful contact with respondents in 83% of cases, with assertive outreach used in 85% of cases.

For over a third of respondents (36%), their case was closed because their needs had been met by the Alexis-FVRM.

Melbourne: RMIT University 2025. 26p.

By The Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability

Violence against, and abuse, neglect and exploitation of, people with disability in Australia occur in multiple forms and affect almost every aspect of many people’s lives. This volume of our Final report provides an account of the nature and extent of the violence, abuse, neglect and exploitation people with disability experience in different settings and contexts and across their different life stages. It sets out what occurs in people’s homes and other residences, at school, at work, while socialising, when going about everyday life and when engaging with services and supports. It examines violence, abuse, neglect and exploitation perpetrated by individuals and resulting from systemic and structural barriers, practices and failures. It illustrates how this can alter the life trajectories of people with disability and affec

Key points Violence and abuse • Across all age groups, a greater proportion of people with disability experience violence than people without disability. People with disability also experience violence more frequently. • Rates of violence are particularly high for: ◦ women with psychological or intellectual disability ◦ First Nations women with disability ◦ young women with disability. • More than half of people with disability aged 18 to 64 (55 per cent) have been physically or sexually abused since age 15 compared with 38 per cent of adults without disability in that age group. • People with disability who experience violence are more likely to know the perpetrator than people without disability who experience violence (81 per cent compared with 60 per cent). They are more likely to experience violence in all relationships, including with intimate partners, family members, friends and co-workers. • Forty-six percent of people with disability have been subjected to violence by a stranger. Neglect • Neglect of people with disability occurs in multiple forms. It includes deprivation of basic necessities of life; disability-specific forms of neglect, such as a failure to provide assistance with daily activities; and being excluded from quality settings and services, including education and health care. It includes a failure to provide an environment in which an individual can thrive, and being denied the right to develop personal relationships, friendships or engage in community activities. • Neglect also occurs through failures to prevent the risk of violence, abuse, neglect and exploitation. • Data on neglect of people with disability is limited. Exploitation • People with disability have shared experiences of financial and sexual exploitation by other individuals. Exploitation also occurs through ‘capturing’ of a person’s NDIS services and through payment of very low wages. Data on exploitation is also limited. Practices that deny or diminish autonomy, health and wellbeing • People with disability are disproportionately subjected to practices that deny them their autonomy and can have adverse impacts on their health and wellbeing. These include restrictive practices, such as being physically and chemically restrained; guardianship and administration; and indefinite detention. Segregated environments • Some people with disability have no choice but to live, attend school, work or socialise in completely segregated environments. Forced segregation and limiting people’s access to the community are forms of abuse and neglect.1 Intersecting experiences • Individuals and groups of people with disability experience intersecting forms of discrimination and disadvantage. This includes First Nations, culturally and linguistically diverse, and LGBTIQA+ people with disability. Life outcomes • People’s life trajectories and life outcomes can be profoundly influenced by violence, abuse, neglect and exploitation. ◦ An estimated 400 deaths each year of people with intellectual disability aged 20 and above are considered potentially avoidable. ◦ Nearly half (47 per cent) of working-age people with disability are not in the labour force, a rate that has not substantially changed in 25 years. Costs of violence, abuse, neglect and exploitation • In addition to the high personal cost to people with disability, violence, abuse, neglect and exploitation have a significant cost to Australian society more broadly. In total, this is estimated to be at least $46 billion annually.

Sydney: The Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability 2023. 312p.

By CSE Aware

  The United Nations and other experts have highlighted that women with learning disabilities (LDs) are at higher risk of experiencing gender-based violence (GBV) because of the lifelong isolation, dependency and oppression they often they experience. These inequalities also put them at risk of commercial sexual exploitation (CSE). Despite global recognition of these impacts, in Scotland to date there is very limited evidence and information on how commercial sexual exploitation affects women with learning disabilities. In the recent report Unequal, Unheard, Unjust: But not Hidden Anymore,the Scottish Commission forPeoplewithLearningDisabilities (SCLD) highlighted SEason of the types of GBV women with learning disabilities experienced. What’s more, this groundbreaking report specifically recommended that the Scottish Government “commission national research examining the commercial sexual exploitation of women with learning disabilities in Scotland,” noting the lack of documented information. While some information does exist about learning disabled women’s experiences of selling or exchanging sex, it is mostly anecdotal and has not been documented nor analysed to truly understand the effects on this population and the effectiveness of, andgaps in, service responses.The present report was born from therecognition that there is a significant knowledge gap on the issue of CSE and its intersection with this particularly vulnerable group of women. Whilst the present report is not the much needed full-scale research which SCLD and ourselves are calling for (see recommendations), it does provide initial findings and recommendations from the exploratory researchweconductedoverthecourseofthreemonths. The Aims Of This research were to: Collect and document evidence of learningisabledwomen’sexperiencesof sellingorexchangingsex. Understandthedynamicsofwomen’s involvement and their specific needs. Explore service responses and challenges and opportunities when addressing women's experiences and needs. Produce Initial Recommendations thattheScottishGovernment and organisations canuseas abasis to design service and policy responses that meet theneeds women with LDs impacted byCSE.

Glasgow: CSE, 3035. 32p.