My Lords, I welcome the important contributions made by noble Lords on this difficult subject. It is important to recognise that domestic abuse does not happen in a neat silo; as so many noble Lords have commented, it is inherently bound up with wider issues of mental health and substance abuse.
I agree with my noble friend Lord Hunt of Kings Heath, who so strongly highlighted the impact of devastating cuts to our public services through a decade of austerity. I restate his comments about the Royal College of Psychiatrists’ call for the Government to reverse the cuts and enable local authorities to invest £374 million into adult services to cope with the increased need. Report after report now highlights the poor preparedness of our public realm to cope with this dreadful pandemic, as a consequence of the austerity decade, when council funding was cut to the bone.
Mental health services have been particularly impacted by this austerity, leading to a lack of services and long waiting times. Victims and survivors with mental health problems also face barriers accessing many other vital services due to strict eligibility criteria or not being able to engage in the way that services require. Too often, such barriers are leading to people being bounced around different services, having to constantly re-tell their story.
There is, however, an awareness of the complex and interrelated needs of those with mental ill health, but many services are unequipped to support them, and few services exist that can care for people with both mental health and substance misuse issues. This is despite research showing that substances are often used as a form of self-medication for unmet mental health needs and as a way of coping with abuse.
As the noble Baroness, Lady Finlay of Llandaff, spoke so knowledgably about, there is a close link between domestic abuse and alcohol, with the perpetrator drinking heavily. There are also instances of the victim drinking, leading to uninhibited behaviours, and this can trigger the abuse. Similarly, the victim may use alcohol and drugs to self-medicate. During the pandemic, there has been an increased level of alcohol consumption, exacerbating a known problem.
There is, therefore, a great need to ensure that the commissioner’s remit includes alcohol and other substances. She needs to be able to receive evidence on alcohol abuse to inform where support services must be improved, and to contribute directly to the national alcohol strategy.
In conclusion, the importance of multiagency and holistic working in this area cannot be overemphasised. It is important to recognise that mental health and addiction problems can create additional vulnerabilities that people perpetrating abuse may seek to exploit.