Psychological Isolated incident adult is spoken to in a rude or inappropriate way – respect is undermined but no or little distress caused Occasional taunts or verbal outbursts which cause distress The withholding of information to Treatment that undermines dignity and damages esteem Denying or failing to recognise an choice or opinion Frequent verbal outbursts Humiliation Emotional blackmail e.g. threats of abandonment/ harm Frequent and frightening verbal outbursts Denial of basic human rights/civil liberties, over-riding advance directive, forced marriage Prolonged intimidation Vicious/personalised verbal attacks Domestic Violence (Where there are children in the household or present this must be referred to the children's MASH) One off incident with no injury or harm experienced Occasional taunts or verbal outbursts Victim has no current fears Adequate protective factors Children in household or present-refer to Children’s Services Inexplicable marking or lesions or grip marks on a number of occasions Subject to controlling behaviour Frequent verbal/physical outbursts Children in household or present - to Children’s Services Assault causing serious harm Subject to stalking/harassment Serious sexual assault or humiliation Experiences constant fear Subject to severe controlling behaviour e.g. finances/medical treatment Children in household or present-refer to Children’s Services Subject to regular violent behaviour Threats to kill/choke /suffocate etc In constant fear of being harmed Sex without valid consent (rape) Honour based violence &/or forced marriage Children in household or present - refer to Children’s Services Neglect & acts of omission Isolated missed home care visit - no harm occurs Adult is not assisted with a meal/drink on one occasion and no harm occurs Inadequacies in care provision leading to discomfort - no significant harm e.g. occasionally left wet. No access to aids for independence Recurrent missed home care visits where risk of harm escalates, or one miss where harm occurs Hospital discharge, no adequate planning and harm occurs Ongoing lack of care to extent that health and well-being deteriorate significantly e.g. pressure wounds, dehydration, malnutrition, loss of independence/ confidence Failure to arrange access to life saving services or medical care Failure to intervene in dangerous situations where the adult lacks the capacity to assess risk
Financial or material Money is not recorded safely or recorded properly Single or one off incident of missing money and/ or belongings where the quality of the service user’s life has not been affected and little or no distress is caused. Adult not routinely involved in decisions about how their money is spent or kept safe - capacity in this respect is not properly considered Adult’s monies kept in a joint bank account – unclear arrangements for equitable sharing of interest Adult denied access to his/her own funds or possessions of property, possessions or benefits by a person in a position of trust or control. To include misusing loyalty cards Personal finances removed from adult’s control Adult coerced or misled into giving over money or property Fraud/exploitation relating to benefits, income, property or will Theft Organisational (any one or combination of the other forms of abuse) Lack of stimulation/ opportunities to engage in social and leisure activities SU not enabled to be involved in the running of service Denial of individuality and opportunities to make informed choices and take responsible risk Care-planning documentation not person-centred Rigid/inflexible routines Service users’ dignity is undermined e.g. lack of privacy during support with intimate care needs, pooled under-clothing Bad practice not being reported and going unchecked Unsafe and unhygienic living environments Staff misusing position of power over service users Over-medication and/or inappropriate restraint managing behaviour Widespread, consistent ill treatment
Modern slavery All concerns about modern slavery are deemed to be of a significant/critical level Under control of another/fearful Long periods at work Unable to get medical treatment Poor living conditions/low wages Regularly moved to avoid detection Lives in work place No health and safety in work place Under control of others e.g. gang master, dealers, pimp for prostitution Subject to violence/threats/ fearful Risk of harm Regularly to avoid detection Lives in sheds/lockup /containers Risk of fatality or serious injury No freedom/unable to leave Risk of organ harvesting Wages used for debt Not in possession of ID or passport Subject to forced marriage Hate Isolated incident of teasing motivated by prejudicial attitudes towards an adult’s individual differences Isolated incident of care planning that fails to address an adult’s specific diversity associated needs for a short period Inequitable access to service provision as a result of diversity issue Recurring failure to meet specific care/support needs associated with diversity Recurring taunts Being refused access to essential services Denial of civil liberties e.g. voting, making a complaint Humiliation or threats on a regular basis Hate crime resulting in injury/emergency medical treatment/fear for life Hate crime resulting in serious injury/attempted murder/honour-based violence