Psychological Isolated incident Occasional taunts or Treatment that Humiliation Denial of basic human adult is verbal outbursts undermines dignity Emotional blackmail rights/civil liberties, spoken to in a which cause distress and damages esteem e.g. threats of over-riding advance rude or The withholding of Denying or failing to abandonment/ harm directive, forced inappropriate way information to recognise an Frequent and marriage respect is choice or opinion frightening verbal Prolonged intimidation – undermined but Frequent verbal outbursts Vicious/personalised no or little distress outbursts verbal attacks caused Domestic One off incident Occasional taunts or Inexplicable marking Assault causing Subject to regular Violence with no injury or verbal outbursts or lesions or grip serious harm violent behaviour (Where there harm experienced Victim has no current marks on a number of Subject to Threats to kill/choke are children in fears occasions stalking/harassment /suffocate etc the household Adequate protective Subject to controlling Serious sexual In constant fear of or present this factors behaviour assault or humiliation being harmed must be Children in Frequent Experiences constant Sex without valid referred to the household or verbal/physical fear consent (rape) children's present-refer to outbursts Subject to severe Honour based violence MASH) Children’s Services Children in household controlling behaviour &/or forced marriage or present - to e.g. finances/medical Children in household Children’s Services treatment or present - refer to Children in household Children’s Services or present-refer to Children’s Services Neglect & acts Isolated missed Inadequacies in care Recurrent missed Ongoing lack of care Failure to arrange of omission home care visit - provision leading to home care visits to extent that health access to life saving no harm occurs discomfort - no where risk of harm and well-being services or medical Adult is not significant harm e.g. escalates, or one deteriorate care assisted with a occasionally left wet. miss where harm significantly e.g. Failure to intervene in meal/drink on one No access to aids for occurs pressure wounds, dangerous situations occasion and no independence Hospital discharge, dehydration, where the adult lacks harm occurs no adequate planning malnutrition, loss of the capacity to assess and harm occurs independence/ risk confidence
Psychological Isolated incident adult is spoken to in a rude or inappropriate way – respect is undermined but no or little distress caused Occasional taunts or verbal outbursts which cause distress The withholding of information to Treatment that undermines dignity and damages esteem Denying or failing to recognise an choice or opinion Frequent verbal outbursts Humiliation Emotional blackmail e.g. threats of abandonment/ harm Frequent and frightening verbal outbursts Denial of basic human rights/civil liberties, over-riding advance directive, forced marriage Prolonged intimidation Vicious/personalised verbal attacks Domestic Violence (Where there are children in the household or present this must be referred to the children's MASH) One off incident with no injury or harm experienced Occasional taunts or verbal outbursts Victim has no current fears Adequate protective factors Children in household or present-refer to Children’s Services Inexplicable marking or lesions or grip marks on a number of occasions Subject to controlling behaviour Frequent verbal/physical outbursts Children in household or present - to Children’s Services Assault causing serious harm Subject to stalking/harassment Serious sexual assault or humiliation Experiences constant fear Subject to severe controlling behaviour e.g. finances/medical treatment Children in household or present-refer to Children’s Services Subject to regular violent behaviour Threats to kill/choke /suffocate etc In constant fear of being harmed Sex without valid consent (rape) Honour based violence &/or forced marriage Children in household or present - refer to Children’s Services Neglect & acts of omission Isolated missed home care visit - no harm occurs Adult is not assisted with a meal/drink on one occasion and no harm occurs Inadequacies in care provision leading to discomfort - no significant harm e.g. occasionally left wet. No access to aids for independence Recurrent missed home care visits where risk of harm escalates, or one miss where harm occurs Hospital discharge, no adequate planning and harm occurs Ongoing lack of care to extent that health and well-being deteriorate significantly e.g. pressure wounds, dehydration, malnutrition, loss of independence/ confidence Failure to arrange access to life saving services or medical care Failure to intervene in dangerous situations where the adult lacks the capacity to assess risk
hsab-levels-of-need-guidance-v3-21217.docx