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General Advice

We have attempted to answer some of the questions we frequently get asked so that our readers can become more informed about the types of Domestic Abuse. To find the answers click on the '+' button to expand each section.

+ What is Domestic Abuse?

The Home Office definition of domestic abuse is:

Any incident or pattern of incidents of controlling, coercive or threatening behaviour, violence or abuse between those aged 16 or over who are or have been intimate partners or family members regardless of gender or sexuality. This can encompass but is not limited to the following types of abuse:

psychological physical sexual financial emotional

Controlling behaviour can involve humiliation or intimidation and can make a person subordinate and/or dependent by isolating them from sources of support, exploiting their resources and capacities for personal gain, depriving them of the means needed for independence, resistance and escape and regulating their everyday behaviour. Examples include cutting someone off from friends and family, stopping them from having independent finances, and controlling where they go.

Coercive behaviour is: an act or a pattern of acts of assault, threats, humiliation and intimidation or other abuse that is used to harm, punish, or frighten their victim.

This definition includes so called ‘honour’ based violence (HBV), female genital mutilation (FGM) and forced marriage, and is clear that victims are not confined to one gender or ethnic group.

Coercive or controlling behaviour within an intimate or family relationship was established as a criminal offence in the Serious Crime Act 2015, and came into force on 29 December 2015. The offence was created because this form of domestic abuse was not previously covered by legislation. Read about someone's experiences of coercive and controlling behaviour in our blog 'Waking up to find you are a victim of coercive control'.

+ Why does Domestic Abuse Happen?

All forms of domestic violence and abuse - psychological, financial, emotional and physical - come from the person's need to control their environment or someone else's behaviour. Although every situation is unique, there are common factors involved. As adults in a relationship with another, it is our responsibility to address any behaviours that may be abusive regardless of where or why they have started and to acknowledge when it is not in our power to change someone else's behaviour towards us.

+ What are the Signs of Coercive and Controlling Behaviour?

Destructive criticism and verbal abuse: shouting/mocking/accusing/name calling/verbally threatening

Pressure tactics: sulking, threatening to withhold money, disconnect the telephone, take the car away, commit suicide, take the children away, report you to welfare agencies unless you comply with his demands regarding bringing up the children, lying to your friends and family about you, telling you that you have no choice in any decisions.

Control: telling you what to wear, dictating style of clothes, colour, how revealing they are; and similarly your hairstyle and colour. Who you see and when you see them or preventing you seeing friends and family at all.

Disrespect: persistently putting you down in front of other people, not listening or responding when you talk, interrupting your telephone calls, taking money from your purse without asking, refusing to help with childcare or housework.

Breaking trust: lying to you, withholding information from you, using jealousy to control access to other relationships, having other relationships, breaking promises and shared agreements.

Isolation: monitoring or blocking your telephone calls, telling you where you can and cannot go, preventing you from seeing friends and relatives.

Harassment: following you, checking up on you, opening your mail, repeatedly checking to see who has telephoned you, embarrassing you in public.

Threats: making angry gestures, using physical size to intimidate, shouting you down, destroying your possessions, breaking things, punching walls, wielding a knife or a gun, threatening to kill or harm you and the children.

Sexual violence: using force, threats or intimidation to make you perform sexual acts, having sex with you when you don't want to have sex, any degrading treatment based on your sexual orientation.

Physical violence: punching, slapping, hitting, biting, pinching, kicking, pulling hair out, pushing, shoving, burning, strangling.

Denial: saying the abuse doesn't happen, saying you caused the abusive behaviour, being publicly gentle and patient, crying and begging for forgiveness, saying it will never happen again.

'Gaslighting' describes how an abuser lies and manipulates information, making the victim question his or her sanity. Read more about this in our blog article on this form of partner abuse.

Visit our 'How to spot the signs someone is enduring Domestic Violence' blog for more examples of abusive behaviour.

+ Clare's Law - the Domestic Violence Disclosure Scheme (DVDS)

Claire’s Law update February 2023: New updated DVDS guidance was published on 20 February 2023, intended for police and criminal justice agencies specifically. It sets out best practice for managing applications that are received online, including setting out that links to specialist domestic abuse services must be provided, and safety measures such as quick escapes must be in place on online portals to help protect applicants. Under the new guidance, the police will be required to disclose information on perpetrators quicker. Police will have 28 days to disclose the information, down from the current guidelines of 35. This will mean victims and potential victims should have the information that could be critical to their safety faster.

The Disclosure Scheme gives you the right to ask the police for information about whether your partner has a history of violence and domestic abuse that might pose a risk to you. Members of the public can also enquire about partners of close friends and family if they are concerned about someone’s welfare. For more information see Herts Police website which contains information on how to make an enquiry.

+ How Common is Domestic Abuse?

Domestic abuse is very common. Research shows that it can affect one in four women and one in six men in their lifetimes, regardless of age, social class, race, disability or lifestyle. Two women and one man are killed each week as a result of domestic abuse.

Domestic abuse costs the England and Wales economies’ over £65 billion a year. Social and economic costs such as loss of productivity for employers, impact on career opportunities for victim/survivors, harm to children, housing, and of course the cost to the NHS and Police. To summerise, the research highlights:

• £47 billion = cost of the physical and emotional harm

• £2.3 billion = cost to health services

• £724million = cost of victim services

+ Is Domestic Abuse a Crime?

Domestic abuse may comprise a number of different behaviours and consequences, so there is no single criminal offence of “domestic abuse”. However, many forms of domestic abuse are crimes – for example: harassment, assault, criminal damage, attempted murder, rape and false imprisonment. Being assaulted, sexually abused, threatened or harassed by a partner or family member is just as much a crime as violence from a stranger, and often more dangerous.

Successful prosecutions for domestic violence cases rose from 46% (of all cases brought before the courts) in a December 2003 'snapshot' to 65% during the whole of 2006-07.

Not all forms of domestic abuse are illegal, however; for example, some forms of emotional abuse are not defied as crimes. Nevertheless, these types of abuse can also have a serious and lasting impact on a woman’s or child’s sense well-being and autonomy.

However, if your experience does not fit within the above you can still access support such as emotional support, learning how to keep yourself safe, learning how to change beliefs and behaviour or family support. This support is available for anyone affected by domestic abuse regardless of age, race, gender, religion, disability or sexuality.

+ Are you worried about your behaviour towards others?

There may have been influences on your upbringing which may impact on the way you behave now within relationships. Using abusive behaviour is often a way of coping with how you feel. However, it is your responsibility to learn to communicate in ways that do not impact the health and wellbeing of your family and partners.

Consider whether you use any of the following behaviours in your relationships or with your family members.

Destructive Criticism or Verbal Abuse: - Shouting, mocking, accusing, name calling or verbally threatening.

Pressure tactics - Sulking, threatening to withhold money, disconnect the telephone, take the care away, commit suicide, take the children away, reporting to welfare services, lying.

Disrespect - Persistently putting individuals down in front of others, not listening or responding when others are trying to communicate with you, interrupting telephone calls, taking money without permission and refusing to help with childcare or housework.

Breaking Trust - Deliberately lying, withholding information, using jealousy to control your partner's or family member's access to other relationships, breaking promises or shared agreements.

Isolation - Monitoring or blocking telephone calls, controlling where someone can and cannot go or preventing someone from seeing friends or relatives.

Harassment - Following someone, checking up on someone, opening others' mail, repeatedly checking to see who has phoned someone and embarrassing someone in public.

Threats - Making angry gestures, using your physical size to intimidate others, shouting someone down, destroying someone's possessions, punching walls, wielding a weapon and threatening to kill or harm partners, family members, children or pets.

Sexual violence - Using force, threats or intimidation to manipulate someone to perform sexual acts, having sex when someone doesn't want to, degrading someone based on their sexual orientation.

Denial - Saying the abuse didn't happen or saying that the other person caused the abuse to happen.

If you are concerned about your behaviour towards others, you can get help to learn healthier ways to communicate and respond to partners and family members.

The support available usually takes the form of a weekly programme, anything from 12 weeks to 2 years, or 1 to 1 counselling with a specialist who specialises in this area. To make lasting and well-embedded changes this will take time and commitment.

The programmes available range from those that specifically look at behaviour in isolation to those that will work if appropriate with the couple and even the whole family.

The Helpline can explore with you the best programme for your situation in which you can do that. Contact us to get answers to any questions you may have about domestic abuse in your relationship or that of a friend or family member.

It should be noted that it is possible for both individuals in a relationship to behave in an unhealthy way.

Read our Legal Blog for information about legal options you may wish to pursue.

 

Types of Domestic Abuse

+ Affecting Women

We know that one in four women suffer domestic abuse or domestic violence in their lives - and we know that for some women it spans more than one relationship. Often women have learned beliefs about relationships through their families, peers, society and gender roles that mean they 'put up with' or expect to be treated in certain ways. (This can often be subconscious)

In England and Wales, domestic abuse accounts for 25% of all violent crime.

Many women find reasons why they should stay... fear, children, shame, financial stability, emotional investment (love)... to name just a few. Women often feel powerless and feel they have no choices to make, when actually there are many options available.

Our Helpline volunteers are trained to listen and explore your options with you so you can make a choice that’s right for you. If you are suffering from abuse or violence, please call 08 088 088 088 or email **Kim@mailpurple.org** to find out more about the help that is available to you.

+ Affecting Men

We know that one in six men suffer domestic abuse or domestic violence in their lives and we know that for some men it spans more than one relationship. There is often a context or a history within the family, but not always.

Men often feel shame as a victim as it may be perceived that they are not fulfilling the social gender role of a real man. This can often isolate them from their peer group and they can keep quiet about what is going on.

At times, men are portrayed as the abusive partner - BY the abusive partner and fear that nobody will believe they are, in fact, the victim.

Men fear leaving for many reasons, including: not being believed, losing contact with children, being seen as the abuser or being ridiculed by work colleagues, family and friends.

Our blog on Men can be victims of domestic abuse tooexplores this issue in more detail.

There is support available and the Helpline is there to listen and explore your options with you so you can make a choice that’s right for you.

+ Affecting Children and Young People

Are you worried about your home life?

If you are in immediate danger – call 999 now.

If you would like to talk to someone, call Childline on 0800 1111 or you can visit their website

You can also visit these websites:

• The Hide Out - a website for children and young people affected or concerned by domestic abuse, click here http://thehideout.org.uk/.

• Freedom Charity - information about family issues such as forced marriage and honour based violence, click here https://www.freedomcharity.org.uk/.

If you are a child or young person visiting this website, you might be unsure about things happening in your home. Your parents or members of your family might not be getting on as well as they used to.

You may be feeling very alone, frightened, depressed, confused, isolated. Your school work may be suffering, you may be experiencing difficulties in making friends and relationships, you may be harming yourself in some way as a means of coping with the circumstances at home.

You may feel in some way responsible for the situation or for any violence or abuse that is taking place. Don’t! Remember - it is NOT your fault!

You may feel guilty you cannot protect the adult family member who is being subjected to the violence or abuse. Don’t! It is NOT your responsibility to protect your family member.

You may feel disloyal by speaking about what is happening within your home to other people. Don’t! An adult who is continually angry or violent needs help just as much as an adult who is being subjected to this behaviour.

Don’t try to cope on your own. Try to get as much help and support for yourself as you can.

Remember – if someone is abusing you, it is never right, and there are people you can turn to.

Call 08 088 088 088 or email **Kim@mailpurple.org** to talk through your options.

Hertfordshire Safeguarding Children Partnership (HSCP) has been set up so that all agencies and organisations who work with children and young people work together to keep children safe. If you're an adult concerned about a child or young person, call HSCP any time on 0300 123 4043.

+ Child/Adolescent on Parent Abuse

There is no legal definition of this type of abuse. However, it is increasingly recognised as a form of domestic abuse and domestic violence. It can include physical violence, damage to property, emotional abuse, economic and financial abuse and can encompass (but is not limited to) humiliation, threats, belittling, stealing, heightened sexualised behaviour. Patterns of coercive control are often seen but some families experience more explosive episodes of violence and less controlling behaviour. If it goes as far as murder then this is called parricide, defined as the killing of a parent or other close relative.

In 2008 Family Lives revealed that 7% of their calls were about physical aggression from children towards parents and usually targeted at mothers.

Siblings may also be at risk.

Parents can face a difficult scenario whereby their child may be criminalised as a result of the parent reporting the child's behaviour. They may also fear not being believed or criticisms about poor parenting.

There is no single explanation. Some families have a history of abuse whilst others experience other behavioural problems such as substance misuse, self harm or mental health problems. Sometimes there is no apparent reason and it can be difficult to understand.

There is a sense of stigma, isolation and shame felt by families experiencing this kind of violence which is exacerbated by the lack of official recognition, policy and public awareness. The most effective support is where there is a tailored response to the whole family system. This can be in the form of family therapy or team around the family.

Talk to someone today to explore your options 08 088 088 088 or send a confidential email to Kim@mailpurple.org.

+ Affecting LGBTQ

We know that there are specific risk issues for the LGBTQ community:

  • Threat of disclosure of sexual orientation and gender identity to family, friends, or work colleagues.
  • Increased isolation because of factors like lack of family support or safety nets.
  • Undermining someone’s sense of gender or sexual identity.
  • Limiting or controlling access to spaces and networks relevant to coming out and coming to terms with gender and sexual identity.
  • The abused may believe they ‘deserve’ the abuse because of internalised negative beliefs about themselves.
  • The abused may believe that no help is available due to experienced or perceived homo/bi/ transphobia of support services and criminal justice system.
  • Intentionally use the wrong gender pronouns.

With specific reference to LGBT partner abuse:

  • Using society’s heterosexist myths about aggression and violence abusive partners may manipulate and convince their partner that no one will believe the abuse is real.
  • Abusive partner may manipulate their partners into believing that abuse is a ‘normal’ part of same-sex relationships.
  • Abusive partners can give the idea that the violence is mutual or that the abused partner consents to the abuse.
  • Abusive partner may threaten to call the police and claim they are the abused person.
  • The abusive partner may pressure their partner to minimalise abuse to protect the image of the LGBT community.
  • If the abused partner is living in the UK on a spousal visa, abuser might take advantage of their lack of awareness about immigration law, and threaten to deport them back to their country of origin, which might be unsafe due to e.g.: anti-gay legislation.

With specific reference to trans persons:

  • Withholding medication or preventing treatment needed to express victim’s gender identity (e.g. hormones, surgery).
  • The abuser might refuse to use correct pronouns and prevent the abused from telling other people about their trans background or identity.
  • The abuser might use pejorative names and ridiculing persons’ body image (body shaming).
  • The abuser might convince or manipulate their partner that nobody would believe them because they’re transgender.
  • The abuser might deny a person’s access to medical treatment or hormones or coerce them into not pursuing medical treatment.

You can also find more information on the Galop, LGBT+ anti-violence charity's factsheets here. 3: http://www.galop.org.uk/factsheets/ We can explore your situation and offer agencies that are specifically trained to support and understand at depth the needs of the LGBTQ community within the context of domestic abuse and domestic violence. Helpline volunteers are trained to listen and explore your options with you so you can make a choice that’s right for you. If you are suffering from abuse or violence, please call 08 088 088 088 or email **Kim@mailpurple.orgto find out more about the help that is available to you. See our survivor's story in our blog sectionhere**

+ Affecting the Elderly

As we get older, some of us may need help looking after our money and paying for things like bills and shopping. Or we may need support getting around or carrying out daily tasks.

If this is your situation you may have an arrangement you're happy with where a friend, relative or a carer helps you. However, sometimes things may go wrong or you may feel uncomfortable with the situation. Mistreatment doesn't always involve a stranger. Someone you think of as a friend, or even a family member, could mistreat you, perhaps by taking money from you or by making you feel afraid, uncomfortable or hurt.

No matter who's helping, you're in charge of making your own decisions and you have a right to be respected or listened to. If you're concerned about yourself there are people you can speak to and there is help available. Trust your instinct - if something doesn't feel right it probably isn't. You don't have to put up with it.

Examples of abuse:

Abuse is when someone we expect to trust causes us harm or distress; Abuse can take many forms, including financial, emotional, physical and sexual; Stealing or pressurising someone to hand over money; Making decisions without consulting the person involved; Treating someone in a way that makes them feel threatened, belittled or embarrassed; Touching someone in a way they don't want to be touched; Physically hurting someone; Neglecting someone's needs.

If you're being cared for abuse can include not giving you enough food, not keeping you warm, refusing to take you to the doctor when you're ill or stopping you from seeing family and friends. It's possible a person could mistreat you in more than one way. Examples of Elder Abuse are available in our blog article with much more information.

Helpline volunteers are here to listen and explore your options with you. Call 08 088 088 088 or, if you prefer, send us a confidential email on Kim@mailpurple.org.

+ Affecting those with Disabilities or life limiting long term illnesses or conditions

Research shows that individuals with a disability are twice as likely to experience domestic abuse in their lifetime as a non-disabled person; are likely to experience abuse over longer periods of time and are less likely to access support from external agencies.

If you are disabled, your abuser may also be your carer and you may be reliant on them for personal care and mobility. Mistreatment doesn't always involve a stranger. Someone you think of as a friend, or even a family member, could mistreat you. Care, medication and access to the outside world may be withheld as part of the abuse.

Did you know that more and more refuges have wheelchair access and facilities to provide ongoing care for disabled residents?

Examples of abuse:

Abuse is when someone we expect to trust causes us harm or distress; Abuse can take many forms, including financial, emotional, physical and sexual; Stealing or pressuring someone to hand over money; Making decisions without consulting the person involved; Treating someone in a way that makes them feel threatened, belittled or embarrassed; Touching someone in a way they don't want to be touched; Physically hurting someone; Neglecting someone's needs.

If you're being cared for abuse can include not giving you enough food, not keeping you warm, refusing to take you to the doctor when you're ill, or stopping you from seeing family and friends. It's possible a person could mistreat you in more than one way.

Read our Disability and Partner Abuse article for more information about specific challenges faced.

Helpline volunteers can help you explore your options. Call 08 088 088 088 or, if you prefer, send us a confidential email on Kim@mailpurple.org.

+ Victims in rural areas

Victims (men as well as women) can suffer domestic abuse on average 25% longer than those in urban areas. Read our blog here

+ Economic and Financial Abuse

STOP PRESS. On 8th March 2021 SEA (Surviving Economic Abuse) launched a digital guide to help victims identify economic abuse. Go to [SEA Guide]8 for more information.

Economic abuse incorporates a range of behaviours which allow a perpetrator to control someone else’s economic resources or freedoms. Economic abuse is wider in its definition than ‘financial abuse’, a term usually used to describe denying or restricting access to money, or misusing another person’s money. In addition to that, economic abuse can also include restricting access to essential resources such as food, clothing or transport, and denying the means to improve a person’s economic status (for example, through employment, education or training). The charity Surviving Economic Abuse describes it in the following way: “Economic abuse is designed to reinforce or create economic instability. In this way it limits women’s choices and ability to access safety. Lack of access to economic resources can result in women staying with abusive men for longer and experiencing more harm as a result.”

You may find it useful to read the blog of Martin Lewis, (aka the Money Saving Expert) who has recently researched the subject.

See also our blog which also gives further information relating to the additional issues related to Covid-19.

Help is available. Call us on 08 088 088 088 or, if you prefer, send a confidential email to Kim@mailpurple.org

+ Stalking

Stalking is serious – it can cause psychological harm to victims but in some instances is also a key indicator of physical harm by the perpetrator against the victim in the future. Remember that both men and women can be victims of stalking and that it can be technology-based.

While it is not legally defined, it generally involves a pattern of unwanted, fixated and obsessive behaviour which is intrusive into the victim’s life.

The FOUR signs of stalking:

  • Fixated
  • Obsessive
  • Unwanted
  • Repeated

Stalking behaviour can include attempting to contact the victim, publishing statements about them or monitoring them – online or otherwise. It can also be loitering in a particular place or places, interfering with property or watching or spying on the victim.

Traditionally when people think of stalking they think of a person being followed but there are many other forms it can take.

For example, harassing a person through phone calls, letters, online messages or unwanted gifts.

Even without physical harm, the psychological harm on the victim can be extremely damaging.

Stalking can take place in many forms in the workplace. Some stalkers are colleagues or clients of the victim, others are individuals who are unrelated to the workplace but who make contact with the victim there because of ease of access or to cause them further distress.

Below is a table listing some of the wide-ranging behaviour victims of stalking can experience. Not all victims will experience all of these types of behaviour and they can occur at differing frequencies.

 Nuisance telephone calls

 Sending excessive emails

 Being followed

 Sending gifts or letters

 Death threats

 Monitoring behaviour

 Making false complaints to employers/police etc.

 Abuse of and through social networking sites

 Criminal damage

 Visiting home/place of work

 Blackmail

 Physical assault

 Sexual assault

 Computer hacking

In Hertfordshire, victims of stalking can always call the Helpline or the Independent Stalking Advocacy Caseworker Service (ISACs) on 03301 025811. You can also get advice from the Suzy Lamplugh Trust by calling the national stalking helpline (free from most telephones) on 0808 802 0300 or through their website. In an emergency situation, always call 999. Please see our blogs on Stalking and Stalking Protection Orders

+ Honour Based Abuse

Honour Based Abuse (HBA) (often referred to as 'HBV' - ‘Honour Based Violence’)

"any crime or incident, which has or may have been committed to protect or defend the honour of a family and/or community."

Crimes can include: harassment; assault; false imprisonment; threats to kill; rape and murder. There is, however, no ‘honour’ in murder or abuse of an individual’s human rights.

HBA can be distinguished from domestic abuse and other forms of violence as it is committed with some degree of approval and/or collusion from family and/or community members, in response to perceived immoral/shameful behaviour, which is deemed to have breached the honour code of the family or community. It may also be linked to misconceptions about culture and/or religious belief.

HBA cuts across a number of cultures and communities, for example, Turkish, Kurdish, Afghani, South Asian, African, Middle Eastern, South & Eastern European and the traveller community. Where a culture is heavily male dominated and honour is a factor, HBA can exist. Click here to read a helpful guide which has been produced by Herts County Council and the Police.

Help is available. Call 08 088 088 088 or email **Kim@mailpurple.org**for more information.

+ Forced Marriage

Too often forced marriage is mistakenly understood to be, or linked to, arranged marriage.

The difference between arranged and forced marriage:

In arranged marriages the families of both spouses take a leading role in arranging the marriage, but the choice whether to accept the arrangement remains with the individuals.

In forced marriage at least one party does not consent to the marriage and some element of duress is involved. Duress can be physical, or extreme emotional/psychological pressure.

Forced marriage is primarily an issue of violence against women. Most cases involve young women and girls aged between 13 and 30 years, although there is evidence to suggest that as many as 15 per cent of victims are male.

Many women forced into a marriage can suffer for many years from domestic abuse. Those who have escaped a forced marriage often live in fear of their own families who will go to great lengths to locate them and ensure their return.

The majority of cases of forced marriage encountered in the UK involve South Asian families. However, despite appearances, this is not solely an “Asian” problem and cuts across many different cultures . Most incidents of forced marriage in Hertfordshire have involved Bangladeshi and Pakistani women around the age of 16 years.

The issue of forced marriage should not be used to stigmatise any community. Some forced marriages take place in the UK with no overseas element while others involve a partner coming from overseas or a British Citizen being sent abroad.

There is no basis in any religion, but often misconceived notions of religion and culture are present in forced marriage and cases of violence related to honour.

The Forced Marriage (Civil Protection) Act 2007

The Act came into force in November 2008 and provides support for potential and actual victims via Forced Marriage Protection Orders. The Orders can be applied for at The High Court and a number of designated County Courts. Luton County Court is the nearest Court for Hertfordshire. The victim or a third party (the local authority or police) may apply. The Orders are tailored to individual circumstances but can include stipulations such as the seizure of travel documents and/or passports; the necessity for leave of the Court for a marriage to take place; permission of the Court prior to the victim travelling outside of the UK.

If you fear that you may be at risk of being forced into marriage please call 08 088 088 088 or email - Kim@mailpurple.org to find out more about the help that is available to you.

+ Breast ironing or flattening

Breast flattening, also known as breast ironing, is the process during which young pubescent girls’ breasts are ironed, massaged, flattened and/or pounded down over a period of time (sometimes years) in order for the breasts to disappear or delay the development of the breasts entirely.

In some families, large stones, a hammer or spatula that have been heated over scorching coals can be used to compress the breast tissue. Other families may opt to use an elastic belt or binder to press the breasts so as to prevent them from growing.

Breast flattening usually starts with the first signs of puberty, which can be as young as nine years old and is usually carried out by female relatives.

It should also be acknowledged that some adolescent girls and boys may choose to bind their breasts using constrictive material due to gender transformation or identity, and this may also cause health problems.

What are the health consequences of breast flattening or breast ironing? Due to the type of instruments that may be used, the type of force and the lack of aftercare, significant health and developmental issue may occur, such as:

  • Abscesses
  • Cysts
  • Itching
  • Tissue damage
  • Infection
  • Discharge of milk
  • Dissymmetry of the breasts
  • Severe fever
  • Even the complete disappearance of one or both breasts.

There may also be an impact on the child’s social and psychological well-being.

Why do people practice breast flattening or breast ironing? In many cases, the abuser thinks they are doing something good for the child by delaying the effects of puberty and the practice is designed to:

  • make teenage girls look less “womanly”
  • prevent pregnancy and rape
  • enable the girl to continue her education
  • prevent dishonour being brought upon the family if the girl begins sexual relations outside of marriage
  • deter unwanted attention

Is there a law against breast flattening or breast ironing? Although there is no specific law within the UK around breast flattening or breast ironing, it is a form of physical abuse and if professionals are concerned a child may be at risk of, or suffering significant harm, they must refer to their local safeguarding procedures. The Helpline would like to acknowledge the National Female Genital Mutilation Centre for the above information. You can read more here

+ Modern Slavery and Sexual Exploitation

This is an issue of concern in Hertfordshire. Victims of both sexes can be subject to insults, abuse, threats or violence and sexual exploitation. Read more in our blog

+ Non-fatal strangulation

Strangulation is common in domestic abuse and sexual violence cases. It can have serious medical consequences with victims of strangulation in domestic abuse being seven times more likely to become a victim of domestic homicide. A new specific offence of Strangulation and Suffocation has been introduced in Section 70 of the Domestic Abuse Act 2021, which came into force on 7 June 2022. You can find full details here

+ For those with no recourse to public funds

If you are experiencing domestic abuse but are without indefinite leave to remain then please see government guidance below. Professionals can also share this with patients/clients in this position. Domestic abuse - how to get help.

If your relationship with a British citizen or someone settled in the UK has broken down because of domestic violence, you may be able to apply for indefinite leave to remain (permission to stay in the UK permanently).The ‘no recourse to public funds’ policy is a general rule for most people who apply to come to the UK. The policy is based on the principle that people without a permanent right to remain in the UK should not have the same access to benefits as British citizens. Immigration policy states that migrants coming to the UK should be able to provide for themselves financially without relying on benefits from the state. However, the government is aware of the difficulties victims of domestic violence face, in particular those who can’t access public funds. Because of this, the government provides help to these victims who have been admitted to the UK with leave as spouses, unmarried partners or civil partners of a British citizen, or of a non-citizen who is settled in the UK. This allows domestic violence victims to apply for indefinite leave to remain in their own right, if they have been victims of domestic violence. To find out how to apply for settlement as a victim of domestic violence access the government website here.

+ Tech abuse and empowerment

There is excellent guidance on tech abuse on the new tech safety website launched by Refuge in May 2021. https://refugetechsafety.org/.

Refuge report that their frontline staff are increasingly seeing the use of technology by perpetrators to stalk, harass, abuse and control their victims. As of January 2019, more than 2,500 of their clients reported experiences of technology-facilitated abuse. Tech abuse is often experienced as part of a pattern of controlling behaviour by the abuser: many survivors experience tech abuse in addition to direct domestic abuse such as physical violence, sexual and emotional abuse. Refuge's tech team comprises of all 350 of their staff around the country who are equipped to recognise tech abuse and advocate to empower survivors, including 40 tech champions supported by seven specialist staff who have been expertly trained to support and respond to high level tech abuse cases.

What can Refuge’s tech team help with?

  • Keeping women safe from tech threats and teaching them how to secure their devices and accounts, ensuring location privacy and preventing online abuse through social media and messaging platforms;
  • Checking for any unusual activity on women’s and children’s devices or accounts, ensuring they are reset and secured;
  • Empowering women to access technology safely, not to cut themselves off and compound their isolation;
  • Providing information resources to survivors;
  • Listening to the experiences of survivors, gathering extensive quantifiable tech abuse data to inform and improve the service, and to make a strong case for investment in tech abuse services;
  • Advocating on survivors’ behalf with social media companies to take down abusive content;

Read the stories of two survivors of tech abuse on our blog page here.

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