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In this section:

Violence, Abuse and Neglect Health Redesign Program

Responsible government

  • New South Wales

Fourth Action Plan actions

  • Respect, listen and respond to the diverse lived experience and knowledge of women and their children affected by violence
    • 11 Deliver policies and services to address the disproportionate impact of violence on particular groups.
  • Respond to sexual violence and sexual harassment
    • 14 Deliver client-centred, trauma-informed, specialised and consistent support to victims and survivors of sexual violence.
  • Improve support and service system responses
    • 16 Enable workforces to provide trauma-informed support with a focus on safety and recovery to victims and survivors of domestic, family and sexual violence.

What are we doing?

The NSW Government’s Violence, Abuse and Neglect Redesign Program will enhance the capacity of the NSW public health system to provide 24-hour trauma-informed practices and trauma-specific interventions. These interventions include integrated psychosocial, medical and forensic responses to:

  • Sexual assault
  • Domestic and family violence
  • Child physical abuse and neglect
  • Children and young people with problematic or harmful sexual behaviour.

An integrated response minimises the impact of trauma and supports patient recovery from trauma, promoting long-term health and wellbeing. An integrated response also assists interagency partners to promote safety and justice outcomes for victims and the community.

What have we achieved so far?

In 2017–18, NSW Health received an additional $10 million per year to strengthen responses to people who have experienced or are experiencing violence, abuse or neglect. This funding supports the NSW Health Violence, Abuse and Neglect Redesign Program.

A key component of the Redesign Program is development of the Integrated Prevention and Response to Violence, Abuse and Neglect (IPARVAN) Framework. IPARVAN is an overarching strategic platform that outlines the guiding principles and key priorities to strengthen NSW Health services responding to violence, abuse and neglect.

Phase one is under way (January 2019 – June 2020). Activities include:

  • Local Health Districts and Specialty Health Networks are integrating NSW Health’s Violence, Abuse and services. NSW Health engaged the Agency for Clinical Innovation to support the Local Health Districts and Specialty Health Networks and establish a Violence, Abuse and Neglect Clinical Network
  • NSW Health is developing an approach for the evaluation and ongoing monitoring of the IPARVAN, which will include proposed indicators, measures and potential data sources
  • NSW Health is developing an integrated 24-hour psychosocial, medical and forensic domestic and family violence crisis response, which will be made available in every Local Health District across NSW
  • NSW Health released The Case for Change, which gives a summary of key findings from the research and literature.

What is next?

In phase two (June 2020 to June 2025), NSW Health will integrate NSW Health’s Violence, Abuse and Neglect services with the broader health system and with interagency partners.

NSW Health will evaluate the Integrated Prevention and Response to Violence, Abuse and Neglect Framework over a five to six year period, in the following stages:

  • Stage 1 will focus on the implementation process of the framework and short-term outcomes at 18 to 24 months post implementation
  • Stage 2 will focus on the medium and longer-term outcomes associated with the framework, taking into account a range of concurrent initiatives and reforms at four to five years
  • Stage 3 will focus on the economic benefit of the framework at five to six years.

NSW Health will use the analysis to help decision makers determine best value for future investment.

What difference will we make?

The Violence, Abuse and Neglect Redesign Program will enhance NSW Health services’ capacity to prevent and respond to violence, abuse and neglect.

The key objectives are to:

  • Strengthen leadership, governance and accountability
  • Enhance the skills, capabilities and confidence of the NSW Health workforce
  • Expand violence, abuse and neglect services to ensure they are coordinated, integrated and comprehensive
  • Extend the foundations for integration across the whole NSW Health system.

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