Family Violence Safety Conversation Record

A record for talking safely about family and domestic violence: listening, asking about safety, children, what the person wants, and referrals, following the WHO LIVES approach.

Preview of the first page of Family Violence Safety Conversation Record
Get Plus to download

See plans and prices

Plus includes the PDF and an editable Word version.

Log in to save this resource

Primary profession
Counsellors and therapists
Client group
Adults and young people seeing a counsellor or therapist.
Practice setting
Counselling and therapy services, including private practice, schools and community services.
Format
Templates and planning tools
Details
A4 PDF, printable
Pages
3
Editable version
Word (.docx), for Plus members
Demographics
Practitioners
Age groups
Practitioners and teams
Access
Plus members
Resource code
PP-CT-056
Version
1.0

Higher-risk topic: use this resource only within your training, supervision and organisational procedures.

About this resource

The World Health Organization's first-line support is summarised as LIVES: listen, inquire about needs, validate, enhance safety and support. Australian states have their own risk frameworks, such as MARAM in Victoria, so check what applies to your service. This record follows the LIVES steps and keeps the person's own decisions at the centre. Records about violence can be dangerous if the person using violence sees them, so take particular care with storage and who can access them.

Purpose

To respond safely when a client discloses family or domestic violence, and to record it with care.

Who it is for

Primary profession: Counsellors and therapists. Also relevant for psychologists, social workers, youth workers.

Client or participant group: Adults and young people seeing a counsellor or therapist.

Practice setting: Counselling and therapy services, including private practice, schools and community services.

Suggested uses

  • When a client discloses family or domestic violence
  • Safety conversations during counselling
  • Referral to specialist services
  • Supervision

Instructions for practitioners

  1. Only talk about violence when the person is alone and safe.
  2. Listen and believe. Do not pressure the person to leave or make decisions.
  3. Ask about immediate safety and about any children.
  4. Offer specialist services such as 1800RESPECT on 1800 737 732.
  5. Consider child protection obligations.
  6. Store this record securely; never send it to a shared address or home.

Accessibility considerations

Use the person's own words. Offer an interpreter, a support person or a different format where it helps.

Scope and limitations

A conversation and record-keeping tool. It is not a formal family violence risk assessment and does not replace specialist services or your state's risk framework. In an emergency, call 000. 1800RESPECT: 1800 737 732.

Higher-risk topic: use only within your training, supervision and organisational procedures.

Research basis

World Health Organization guidance describes first-line support for people experiencing violence as listening, asking about needs, validating, improving safety and connecting to support (LIVES). Australian states also have their own risk frameworks, such as MARAM in Victoria.

What is included

A 3-page printable A4 PDF, including a practitioner notes page with the research basis (version 1.0).

Originality

Original Practitioner Plus content: wording, activity structure, layout and icons were created for this resource. No third-party worksheets, illustrations or text were reproduced. Written for Practitioner Plus from the guidelines and research listed in the research basis; no third-party template was used.

Practitioner Plus membership

Spend less time searching and more time with people.

Start with a free account, then upgrade to Plus for the full premium library, favourites and new releases.