Referral Forms

NOTTINGHAMSHIRE WOMEN’S AID REFERRAL FORMS


DOMESTIC ABUSE SUPPORT SERVICES (DASW)

Nottinghamshire Women’s Aid DASW service offers support and advice for all women are or have experienced domestic abuse or are wanting to escape from domestic abuse. 

The aims of the service:

  • To listen and respond appropriately to survivor’s experiences of domestic abuse
  • To give time and space for survivors to explore their experiences and make choices that are right for them and at the right time
  • To ensure survivors are aware of their rights in relation to domestic abuse
  • To provide group programmes for women to learn about perpetrator behaviour and the impact of domestic abuse in order to build strength and resilience
  • To provide a 1:1 support service 
  • To assess, support and manage risk in relation to domestic abuse and safeguarding
  • To provide accessible support for all female survivors of domestic abuse

The DASW service includes:

The Freedom Programme:

  • The Freedom Programme looks at the behaviours and tactics used to ensure power and control can be gained over another human being. It covers all aspects of domestic abuse through 10 topics
  • It is a small group programme that is run either face to face or through Teams 

The DASW service:

  • Provides 1:1 support for survivors, including having a named key worker who will work with you around to empower choices that are right for you

Eligibility criteria for the DASW Service:

  • Self and professional referrals are accepted with consent
  • Female survivors are over the age of 16 years
  • Survivors live in the North Nottinghamshire area; Bassetlaw, Mansfield, Newark and Sherwood

FOR PROFESSIONAL REFERRALS A CURRENT DASH RISK ASSESSMENT IS REQUIRED TO BE ATTACHED


DASW Referral Form – inc. Freedom Programme

Selected Value: 0
Please consider if children require support from NWAL ChDASW team and as for further information
Tick all acceptable contact methods
Female, male or add preferred gender description.
Add nationality, ‘Prefer not to say’ or ‘Don’t know’
Check all that apply.
If you have any other important/useful information about this person’s support needs, e.g. cultural needs, please provide additional details.
Please provide information for client’s next of kin/someone we can contact in an emergency

Thank you for completing the referral.  

Please inform the survivor of the following: 

  • Her information will be kept on a secure electronic case management system 
  • We will contact the survivor using the contact details provided. This will be from a withheld number. If there are any changes in circumstances or contact details, please let us know