Islington community MARAC referral form

Potential escalation of ASB

There have been a number of incidents by the same perpetrator on the same victim(s) in the last 6 months and they are increasing in severity or frequency.

Professional judgement

You as a professional consider the victim/perpetrator to be particularly vulnerable or at risk of serious harm or death.

Perception

Impairment that may limit mobility or capacity/learning difficulties.

Mental health issues

Drug or alcohol misuse

Limited support network

What do you wish to achieve by referring to the CMARAC?

I need help to access support from a service/services
I have the right services involved but need help progressing actions
The victim perpetrator is falling between services, I need a joined up approach
The victim perpetrator is hard to engage, I need a coordinated plan to support them
I have exhausted options, I need help identifying next steps
I believe the victim is being cuckooed and I need a multi-agency response.
Other, please describe

Do you need this case to be discussed at the Domestic violence MARAC to address issues of domestic violence?

Yes
No

Essential website maintenance on Wednesday 16 April

Islington community MARAC referral form

Potential escalation of ASB

Professional judgement

Perception