Page 26 - Adult C Overview Report - FINAL

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coordinate assertive outreach and view the task of generating positive
engagements as an important action in its own right.

 All professionals working with alcohol-dependent adults should be
trained to recognise the complicated role that alcohol plays in adult
safeguarding, that ‘free choice’ is often an unhelpful paradigm, and to
avoid stigmatizing drinkers.

 Significantly greater investment is needed in alcohol treatment
services, with much of that investment funding service models like
‘assertive outreach’ which support the most at-risk and vulnerable
individuals.

 [The Mental Capacity Act 2005 Code of Practice should be amended to
include] specific guidance for working with individuals with alcohol
misuse or dependence, especially when they are likely to have
complex needs.

 [National] guidance should be produced on applying the Mental
Capacity Act (2005) to people with fluctuating capacity due to alcohol
misuse.

b. TSAB should seek assurance from the Police and Crime Commissioner’s Office of
the effectiveness of the improvements in MARAC and domestic abuse services
made as a result of DHR 1 in Middlesbrough. Evidence from audit and
appreciative enquiry will provide evidence of system improvement.

c. TSAB should ask that the One Minute Guide related to MATAC is updated to
include that perpetrators would not be listed at MATAC and MARAC.

d. TSAB should task CCGs to work with the MARAC Chair to identify resolutions to
moving towards GPs being routinely asked for and providing information pre-
MARAC and receiving minutes post MARAC meetings.

e. TSAB must work with other relevant strategic partnerships to be assured that
commissioners and providers are developing evidenced based pathways for
working with domestic abuse and change resistant drinkers that will be relevant
locally e.g. akin to the Blue Light Project (see below)

Ward, M. et al 2016 Domestic abuse and change resistant drinkers: preventing
and reducing the harm Learning lessons from Domestic Homicide Reviews
https://avaproject.org.uk/wp-content/uploads/2016/09/Alcohol-Concern-AVA-
guidance-on-DA-and-change-resistant-drinkers.pdf

3. TSAB must produce a briefing related to all learning points from this LLR.

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