My Lords, I support the amendments in the name of my noble friend Lady Finlay, particularly Amendments 94 and 21. These recognise the importance of substance abuse, addiction and mental health provision in the fight against domestic abuse. As the Committee has heard, these issues are a persistent factor for both perpetrators and victims of domestic abuse. People with mental health problems find themselves disproportionately victimised in domestic abuse settings and children can find themselves equally vulnerable. A Crying Shame, published by the Children’s Commissioner in 2018, highlighted 50,000 children aged nought to five, including 8,300 babies under one, living in households where the destructive impact of domestic abuse, alcohol or drug dependency and severe mental ill-health were all present. A further 160,000 children aged nought to five, including 25,000 babies under one, were living in a household where two of the three factors were present. The Bill represents a huge opportunity to deliver a step change in our response to domestic abuse and, therefore, can only benefit from the inclusion of the provision of mental health and substance abuse support.
I support Amendment 94 as a vital first step, as it requires local authorities to make an assessment of the need for, and publish a strategy on, the provision of substance use, addiction and mental health support for all victims and their children in relevant accommodation. Although the amendment specifically refers to support in “relevant accommodation”, the reality is that the vast majority of victims—an estimated 70%—never set foot in a refuge and remain at home or in alternative housing. Research by the UK women’s organisation Agenda shows that women who have experienced extensive physical and sexual violence are more likely to use alcohol or drugs problematically, compared to women who have not experienced it. While local authorities making these assessments and strategies in relevant accommodation is an important first step, we must consider opportunities for intervention and support for the majority who experience abuse but do not ever seek refuge.
Amendment 21 ensures that the provision of substance use, addiction and mental health support are identified in the Bill as areas for which the domestic abuse commissioner must encourage good practice. This support for those affected by domestic abuse should extend to perpetrators as well. As I argued in my speech on Amendment 172, specialist support for both victims and perpetrators of domestic abuse is a crucial component of ensuring that we actually break the cycle of abuse with this Bill. Fewer than 1% of perpetrators currently receive an intervention designed to change their behaviour. A lack of funding for perpetrator services was recently identified as the biggest issue by front-line practitioners across England and Wales. Based on evidence from SafeLives’ Every Story Matters platform, 74% of those surveyed wanted mental health support for perpetrators.
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According to evidence from Substance Use and Domestic Abuse, by the British Association of Social Workers, there is a strong association between domestic abuse and substance abuse. Perpetrators may also use drug addiction to control their victims in ways such as
limiting victims’ access to drugs, demanding sex for drugs or using drugs as an apology—or even a reward—after an abusive episode. It is important, therefore, that mental health and substance abuse support is recognised in the Bill as part of the breadth of good practice that the domestic abuse commissioner is to encourage.
These amendments are about changing the cultural and social landscape around domestic abuse. If we focus only on refuge, and not intervention and rehabilitation, especially in the context of mental health and substance abuse, we miss a crucial piece of the weaponry in breaking the cycle of domestic abuse.