Perceived training needs of mental health professionals to identify and respond to domestic abuse: a qualitative study

Abstract

Purpose This study aims to understand the training needs of mental health professionals in early access services to inform the development of evidence-based, inclusive and trauma-informed training for identifying and responding to domestic abuse (DA) within mental health settings. Design/methodology/approach A qualitative design was used, with semi-structured interviews (n = 20) and two focus groups (n = 8; n = 4) with professionals from two National Health Service Trusts. Reflexive thematic analysis was conducted from a constructionist perspective, with themes co-developed by researchers and a lived experience advisory panel. Findings There are six key themes that were identified: (1) knowledge about diverse service users; (2) recognising signs of DA, including subtle and non-physical forms; (3) sensitive questioning techniques; (4) preference for in-person, interactive learning; (5) accessible, regular and up-to-date training; and (6) the value of lived experience in training design and delivery. Professionals expressed a need for culturally competent, skills-based training that fosters confidence in identifying and responding to DA in complex clinical contexts. Practical implications Findings provide actionable insights for service leaders and educators in developing and embedding effective DA training within mental health services. Originality/value To the best of the authors’ knowledge, this is the first UK-based qualitative study to detail the training needs of mental health professionals in relation to identification and responding to DA in mental health settings. It highlights the importance of co-designed, experiential training that integrates lived experience and contextual nuance, addressing current gaps in both content and delivery format.