№ lp_2_1_31119
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This document is a referral form used by professionals to submit cases of high-risk domestic abuse to the MARAC (Multi-Agency Risk Assessment Conference) for safety assessment and risk management.
Note:
Year
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
Not specified
Region / City:
Not specified
Theme:
Information sharing, child protection, domestic abuse
Document Type:
Template, Form
Organ / Institution:
Not specified
Author:
Not specified
Target Audience:
Social workers, police, and other partner agencies
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Contextual description:
A document template for sharing information between agencies regarding child protection and domestic abuse cases.
Confidential – Multi-Agency Risk Assessment Conference (MARAC) Domestic Abuse Risk Assessment (DASH)
Note:
Year
Organisation:
Sefton IDVA Team
Note:
Organisation
MARAC
Subject:
Online referral process for high risk victims of domestic abuse
Document Type:
Guidance notes
Geographical Area:
Sefton
Related Form:
IDVA and MARAC Referral Form
Mandatory Requirement:
Completion and upload of DASH referral
Target Users:
Professionals making referrals to IDVA and MARAC
Process Coverage:
Referral details, client details, children details, perpetrator details, submission and post-submission procedure
Contact Procedure:
IDVA duty worker to attempt contact within 24 hours of accepted referral
Meeting Procedure:
Cases referred to MARAC listed for next available MARAC meeting
Country:
United Kingdom
Region:
Gwent, Wales
Subject:
Domestic abuse risk management
Document type:
Referral form
Related body:
Multi-Agency Risk Assessment Conference (MARAC)
Associated organization:
Gwent Police
Reference framework:
SafeLives DASH Risk Checklist
Legislation referenced:
Social Services and Well-Being (Wales) Act 2014
Intended users:
Police, Health, Child Protection, Housing Practitioners, IDVAs, Social Services, Probation Services, statutory and voluntary sector agencies
Purpose:
Submission of high-risk domestic abuse cases for MARAC discussion
Contact email:
[email protected]
Contact telephone:
01495 768407
Note:
Year
Region / City:
West Midlands
Topic:
Domestic abuse, risk assessment, MARAC referral
Document Type:
Referral form
Organization / Institution:
West Midlands Police
Author:
West Midlands Police MARAC Administration
Target Audience:
Agencies referring high-risk victims of domestic abuse
Effective Period:
Indefinite, subject to change with MARAC protocols
Year:
2009
Region / City:
Kent and Medway
Topic:
Domestic Abuse, Risk Assessment
Document Type:
Report
Agency / Organization:
Kent Police
Author:
MARAC Coordinators
Target Audience:
Local agencies involved in domestic abuse risk assessments
Action Period:
Ongoing
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2023
Region / City:
West Midlands
Topic:
Domestic Abuse, Risk Assessment
Document Type:
Referral Form
Organization:
West Midlands Police
Author:
West Midlands MARAC Administrative Team
Target Audience:
Professionals referring cases to MARAC
Period of Effect:
N/A
Approval Date:
N/A
Date of Last Revision:
N/A
Year:
2021
Region / City:
Richmond & Wandsworth
Theme:
Community Safety, Domestic Violence and Abuse
Document Type:
Job Profile
Department / Organization:
Richmond & Wandsworth Better Service Partnership, Chief Executives Group
Author / Responsible Manager:
VAWG Manager
Position Grade:
PO1
Section:
Community Safety Service
Post Number:
N/A
Target Audience:
Potential applicants for MARAC Coordinator
Period of Application:
Ongoing as of June 2021
Review Date:
June 2021
Work Arrangement:
Hybrid across Wandsworth Town Hall and Twickenham Civic Centre
Key Responsibilities:
MARAC coordination, administration, training delivery, performance reporting, partnership liaison
Required Knowledge:
Domestic and Sexual Violence (DSV), Violence Against Women and Girls (VAWG), safeguarding, Data Protection compliance
Year:
2026
Region / City:
Cambridgeshire
Document Type:
Referral Form
Organization:
Cambridgeshire County Council
Author:
Marac/Sarac Coordinator
Target Audience:
Professionals referring cases to MARAC/SARAC
Date of Referral:
[to be filled]
Client Consent Obtained:
[Yes/No]
Client Details:
Name, DOB, Address, Gender, Ethnicity, Safe Contact, Relationship to Abuser, Occupation/School, GP Details
Abuser Details:
Name, DOB, Address, Professionals Involved
Children or Adults at Risk:
Names, DOB, Relationship to Client
Current Concerns and Risks:
[to be filled]
Purpose:
Assessment of risk and coordination for safeguarding through multi-agency collaboration
Year:
Not specified
Region / City:
Kingston, Richmond, Merton, Wandsworth
Country:
United Kingdom
Subject:
Domestic abuse risk management and inter-agency safeguarding
Document Type:
Referral form
Program / Process:
Multi-Agency Risk Assessment Conference (MARAC)
Participating Organisations:
Police, Children’s Social Services, Adult Social Services, Housing Services, Health Services, Independent Domestic Violence Advisors (IDVAs), Probation Services, Domestic Abuse Specialist Agencies
Responsible Institutions:
Local Councils of Kingston, Richmond, Merton and Wandsworth
Data Protection Framework:
General Data Protection Regulation (GDPR 2018)
Confidentiality Level:
Official Sensitive
Meeting Frequency:
Monthly
Eligibility Criteria:
Adults aged 16+ at high risk of domestic abuse from partner, ex-partner or family member
Data Retention Period:
100 years
Supervisory Authority:
Information Commissioner’s Office (ICO)
Purpose:
Referral and information sharing for assessment of high-risk domestic abuse cases and coordinated safeguarding actions
Year:
2023
Region / City:
Penn Yan, NY
Topic:
Mental Health Services, Housing Assistance
Document Type:
Referral Form
Organization:
Yates County Adult SPOA
Author:
Yates County Mental Health Services
Target Audience:
Health and social service providers, individuals with mental health concerns
Effective Period:
Ongoing
Approval Date:
Not specified
Date of Changes:
Not specified
Contextual Description:
A referral form for supportive housing, ACT services, and non-Medicaid care management for individuals with mental health diagnoses in Yates County.
Year:
2023
Region / City:
North Central London
Topic:
Healthcare Referral Form
Document Type:
Referral Form
Organization / Institution:
North Central London
Author:
N/A
Target Audience:
Healthcare professionals
Period of Validity:
N/A
Approval Date:
N/A
Amendment Date:
N/A
Year:
2020
Region / City:
United States
Theme:
Emergency Housing Assistance, COVID-19 Response
Document Type:
Referral Form
Author:
SSVF
Target Audience:
Veterans, SSVF Grantees, Community Stakeholders
Action Period:
During COVID-19 Pandemic
Approval Date:
N/A
Date of Changes:
N/A
Context:
A referral form used for Emergency Housing Assistance under the SSVF program during the COVID-19 crisis, outlining eligibility and procedures for providing temporary housing to at-risk Veterans.
Year:
20XX
Region / City:
Illinois
Topic:
Affordable Housing
Document Type:
Agreement
Organization / Institution:
Illinois Housing Development Authority
Author:
Not specified
Target Audience:
Property Managers, Housing Authorities, Service Providers
Effective Period:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2024
Region / City:
Gwent, Wales
Theme:
Child Safeguarding
Document Type:
Referral Form
Institution / Organization:
Various Local Authorities in Wales
Author:
Not specified
Target Audience:
Professionals involved in child safeguarding
Period of validity:
Not specified
Approval Date:
Not specified
Date of Amendments:
Not specified
Year:
2023
Region / City:
Perth, Australia
Topic:
Psychosocial support, Mental health recovery, Social services
Document type:
Referral form
Organization:
Richmind WA
Target Audience:
Individuals experiencing mental health challenges
Period of validity:
6 to 12 months
Date of approval:
Not specified
Date of amendments:
Not specified
Year:
2023
Region / City:
Inner Eastern Melbourne, Outer Eastern Melbourne, Southern Melbourne, Inner Gippsland, Outer Gippsland
Subject:
Early childhood support, National Disability Insurance Scheme
Document type:
Referral form
Organization / Institution:
National Disability Insurance Scheme (NDIS)
Author:
National Disability Insurance Scheme (NDIS)
Target audience:
Families and carers of children with developmental concerns or disabilities under 9 years old
Period of validity:
Not specified
Approval date:
Not specified
Date of changes:
Not specified
Year:
2025
Region / City:
Wisconsin
Subject:
Referral Process for Nursing Home Residents Regarding Return to the Community
Document Type:
Instructional Form
Agency:
Department of Health Services (DHS)
Author:
Division of Quality of Assurance
Target Audience:
Skilled Nursing Facility (SNF) Staff
Period of Validity:
Not Specified
Approval Date:
Not Specified
Modification Date:
Not Specified
Year:
Not specified
Region / City:
Devon, England
Theme:
Adult ADHD Assessment and Treatment
Document Type:
Referral Form
Organization / Institution:
Harrow Health CIC
Author:
Not specified
Target Audience:
Healthcare professionals, GPs
Period of Validity:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified