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Violence prevention – Violence prevention – a public health priority a public health priority Philip Conaglen Philip Conaglen Annette Gallimore Annette Gallimore ScotPHN is hosted by

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Page 1: Violence prevention – a public health priority Philip Conaglen Annette Gallimore ScotPHN is hosted by

Violence prevention – Violence prevention – a public health prioritya public health priority

Philip ConaglenPhilip ConaglenAnnette GallimoreAnnette Gallimore

ScotPHN is hosted by

Page 2: Violence prevention – a public health priority Philip Conaglen Annette Gallimore ScotPHN is hosted by

Project Group

Project Sponsor – Susan Webb, Acting DPH, NHS GrampianLead author – Philip Conaglen, CPHM, NHS LothianResearcher, Annette Gallimore, NHS LothianWill Linden, Analyst Co-ordinator, Violence Reduction UnitScotPHN (Phil Mackie, Ann Conacher, Gillian McCartney)

Page 3: Violence prevention – a public health priority Philip Conaglen Annette Gallimore ScotPHN is hosted by

WHO Definition, 2002

“The intentional use of physical force of power, threatened or actual, against oneself, another person, or against a group or community that either results in or has a high likelihood of resulting in injury, death, psychological harm, maldevelopment, or deprivation.”

Page 4: Violence prevention – a public health priority Philip Conaglen Annette Gallimore ScotPHN is hosted by

Project Framework:

Section A - Context• Literature Review• Policy review and mapping• Epidemiological assessmentSection B – Preventing and reducing violence• Overview of violence• Identification of toolkits etc• Translating effective interventions into new

settings etc

Page 5: Violence prevention – a public health priority Philip Conaglen Annette Gallimore ScotPHN is hosted by

Police recorded violent crimes in Scotland (2012-13)

Non-sexual crimes of violence 7,530

Sexual offences 7,693

Common assault 60,955

Total(Scottish Govt. (2013) Statistical Bulletin)

76,178

Scottish Community Justice Services estimates of violent crimes identified in 2012-13, 52% not reported

Page 6: Violence prevention – a public health priority Philip Conaglen Annette Gallimore ScotPHN is hosted by

Comparison of various police reported violent crimes between 2008–09 and 2012–13 and percentage change in Scotland

  2008–09 2012–13%

change

Homicide 134 91 –32%

Attempted murder & serious assault

6,472 3,643 –43%

Robbery 2,963 1,832 –38%

Rape and attempted rape 963 1,462 +52%

Sexual assault 3,297 3,008 –9%

Source: Scottish Government 2013 Statistical Bulletin

Page 7: Violence prevention – a public health priority Philip Conaglen Annette Gallimore ScotPHN is hosted by

Shared Causes of Violence at Ecological Levels – Bellis et al (2012)

Ecological level

     Shared causes of violence

Individual Relationship Community Society

Victim of child abuse Poor parenting practices 

Poverty Economic inequality

Psychological/ personality disorder

Marital discord 

High unemployment Gender inequality

Delinquent behaviour Violent parental conflict High crime levels Cultural norms that support violence

Alcohol consumption/ drug use

Low socioeconomic household

Local illicit drug trade High firearm availability

  Delinquent peers Inadequate victim care services

Weak economic safety nets

Page 8: Violence prevention – a public health priority Philip Conaglen Annette Gallimore ScotPHN is hosted by

Interventions to address the following forms and contexts of violence• Youth violence• Intimate partner violence• Child abuse• Suicide• Elder abuse• Sexual violence• Violence against people with disability• Substance use and violence• Other forms of violence eg FGM, honour based, stalking,

harassment

ScotPHN is hosted by

Page 9: Violence prevention – a public health priority Philip Conaglen Annette Gallimore ScotPHN is hosted by

Initiative Partner organisations Aim Evaluation

Operation Perrygold Police Scotland Dedicated patrol of Sauchie area, Clackmannanshire, to tackle youth disorder and prevent violence; to reduce number of complaints of antisocial behaviour; engage with young people and prevent disorder related violence

No

Active targeting of high risk offenders 

Police Scotland; Aberdeenshire Council; Community Safety Services; social work; housing; NHS Grampian; Women’s Aid

To deliver victim-based interventions whilst the offender is in police custody Unknown

Conflict resolution workshops  

Police Scotland; Aberdeenshire Council; SACRO

SACRO to deliver conflict resolution workshops in two secondary schools identified as "hot spots" for antisocial behaviour. To address challenging behaviour within schools; reduce incidents of bullying; enable young people to understand conflict and how to deal with it appropriately.

Unknown

Connect Service Barnado’s; Aberdeen City Council; Police Scotland

Works with young people who are involved in offending and risk taking behaviours, including those who have committed offences relating to violence or at risk from violence

No

Drugs Action/Quay Service

Barnado’s; Action Aberdeen To educate and help prevent violence against female prostitutes Unknown

GP gender based violence pilot  

NHS Greater Glasgow & Clyde

To provide training and support to GP practice staff to support pro-active enquiry on domestic abuse; to improve and speed up access to information and referral into local specialist domestic abuse support services

No

Gender based violence amongst people with learning disabilities

NHS Greater Glasgow & Clyde Mental Health Services; Women’s Support Project

Improving identification of experiences of GBV amongst service users with learning disabilities

Yes

Page 10: Violence prevention – a public health priority Philip Conaglen Annette Gallimore ScotPHN is hosted by

“My attitude to peace is rather based on the Burmese definition of peace - it really means removing all the negative factors that destroy peace in this world. So peace does not mean just putting an end to violence or to war, but to all other factors that threaten peace, such as discrimination, such as inequality, poverty.”

Aung San Suu Kyi

Page 11: Violence prevention – a public health priority Philip Conaglen Annette Gallimore ScotPHN is hosted by

Steering Group     

Lucy Denvir Consultant in Public Health NHS Tayside

Moira Paton Head of Community & Health Improvement Planning

NHS Highland

Anne Clarke Senior Manager, Public Health NHS Ayrshire & Arran

Christine Goodall Senior Clinical Lecturer Oral Surgery School of Medicine

College of Medical, Veterinary and Life Sciences University of Glasgow

Karyn McCluskey Co-Director Violence Reduction Unit

Linzie Liddell Community Safety Unit Scottish Government

Katie Cosgrove National Programme Manager NHS Health Scotland

Linda Irvine Strategic Programme Mgr – Mental NHS LothianHealth and Wellbeing

Nic Amos Health Improvement Specialist NHS BordersClare Collin Community Safety Unit Scottish GovernmentKaren McGuigan Health Improvement NHS LanarkshireLesley Johnston GBV Adviser NHS LothianNigel Calvert Consultant Public Health Medicine NHS Dumfries&Galloway

Page 12: Violence prevention – a public health priority Philip Conaglen Annette Gallimore ScotPHN is hosted by

Scottish Public Health Network

www.scotphn.net

[email protected]