8 Appendix 1). Support needs may not be obvious, for example, an adult may have experienced trauma in their life which has an impact on how easy they will find it to trust and engage with professionals. This dynamic may also affect their ability to make decisions or carry out activities (See Appendices 1, 7, 14 & 15). These Procedures define harm as: A single act or repeated acts An act of neglect or a failure to act Multiple acts, for example, an adult may be neglected and be financially harmed Self-neglect (see also Appendix 2) This can mean: Ill-treatment (including sexual harm and forms of ill-treatment which are not physical). The impact of not providing care, providing inappropriate care or other actions which are detrimental to health, wellbeing, maintaining independence and choice The impairment of, or an avoidable deterioration in physical or mental health and/or The impairment of physical, intellectual, emotional, social or behavioural development. Allegations against people in positions of trust (see Appendix 1 and Appendix 18) Intent is not an issue at the point of deciding whether an act or a failure to act is harm; it is the impact of the act on the adult and the harm or risk of harm to that adult. Harm can take place anywhere. Harmful acts may also be crimes and informing the Police must be a priority consideration as part of any immediate actions at point of disclosure. Physical abuse including assault, hitting, slapping, pushing, misuse of medication (including covert use of medication), restraint or inappropriate physical sanctions. Domestic violence and abuse The cross-government definition of domestic violence and abuse is: any incident or pattern of incidents of controlling, coercive, threatening behaviour, violence or abuse between those aged 16 or over who are, or have been, intimate partners or family members regardless of gender or sexuality. The abuse can encompass, but is not limited to: Psychological physical sexual financial emotional • Controlling Behaviour Controlling behaviour is a range of acts designed to make a person subordinate and/or dependent by isolating them from sources of support, exploiting their resources and capacity for personal gain, depriving them of the means needed for independence, resistance and escape and regulating their everyday behaviour. • Coercive Behaviour Coercive behaviour is an act or a pattern of acts of assault, threats, humiliation and intimidation or other abuse that is used to harm, punish, or frighten their victim. Controlling or coercive behaviour may not meet the definition of domestic abuse. It can be a type of harm present in other relationships with non-intimate contacts or professionals. For example, cuckooing or a person in a position of trust (see Appendix 1 and Appendix 18). Categories of Harm
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